{"reporting_entity_name": "GIIC_TPA","reporting_entity_type": "GIIC_Geisinger Indemnity Insurance Company","last_updated_on": "2026-10-07","version": "2.0","provider_references": [                                                                                                                                                    
{"provider_group_id":1563310478,"network_name":[],"provider_groups":[{"npi":[1053495192,1235171794,1316333495,1356551725,1356635163,1396914255,1528078433,1679556195,1770858631,1871560888,1891789541],"tin":{"type":"ein","value":"251765538","business_name":"Tioga Health Care Providers Inc"}}]}
], "in_network" : [
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JEPA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"ECUB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CHPC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Injection of sclerosant; multiple incompetent veins (other than telangiectasia)_ same leg","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"36471","description":"Injection of sclerosant; multiple incompetent veins (other than telangiectasia)_ same leg","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JEPE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KEGB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"IIBD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GEHF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Echo transesophageal","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"93313","description":"Echo transesophageal","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CILE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Ehrlichia antibody","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"86666","description":"Ehrlichia antibody","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NAVE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Leuprolide acetate /3.75 mg","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"J1950","description":"Leuprolide acetate /3.75 mg","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Anterior colporrhaphy_ repair of cystocele with or without repair of urethrocele_ including cystourethroscopy_ when performed","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"57240","description":"Anterior colporrhaphy_ repair of cystocele with or without repair of urethrocele_ including cystourethroscopy_ when performed","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"EBLE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Injection_ trabectedin_ 0.1mg (Yondelis)","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"C9480","description":"Injection_ trabectedin_ 0.1mg (Yondelis)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Injection_ pegunigalsidase alfa-iwxj_ 1 mg","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"J2508","description":"Injection_ pegunigalsidase alfa-iwxj_ 1 mg","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GEYA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-CB25C","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"CB25C","description":"HIPPS-CB25C","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-1BFMT","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"1BFMT","description":"HIPPS-1BFMT","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NADA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OCIE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GDBF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CHCD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CBTA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RHA23","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RHA23","description":"HIPPS-RHA23","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KBBD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MLBB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-Q5151","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"Q5151","description":"HCPCS-Q5151","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HH PDGM","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"2GC11","description":"HH PDGM","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OJBE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Mecp2 gene full seq","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"81302","description":"Mecp2 gene full seq","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NAKE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Oral dexamethasone","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"J8540","description":"Oral dexamethasone","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Health And Well-Being Coaching Face-To-Face; Individual_ Initial Assessment","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0591T","description":"Health And Well-Being Coaching Face-To-Face; Individual_ Initial Assessment","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KGAC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GCHB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Lung volume reduction","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"32491","description":"Lung volume reduction","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CHEB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Prep donor liver/venous","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"47146","description":"Prep donor liver/venous","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"ECEA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Pure tone audiometry air","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"92552","description":"Pure tone audiometry air","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Vascular biopsy","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"75970","description":"Vascular biopsy","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OHAD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Immed max part dent metal","billing_code_type":"CDT","billing_code_type_version":"2024","billing_code":"D5223","description":"Immed max part dent metal","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FBHE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Tirofiban hcl","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"J3246","description":"Tirofiban hcl","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FEJD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Safety concerns screening positive screen is without provision of mitigation recommendations_ including but not limited to referral to other resources","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G9926","description":"Safety concerns screening positive screen is without provision of mitigation recommendations_ including but not limited to referral to other resources","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Graftjacket","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"Q4107","description":"Graftjacket","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MECA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-4AGKX","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"4AGKX","description":"HIPPS-4AGKX","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NIMB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Drug screening barbiturates","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"80345","description":"Drug screening barbiturates","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RVX21","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RVX21","description":"HIPPS-RVX21","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Injection_ Brexanolone_ 1Mg","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"C9055","description":"Injection_ Brexanolone_ 1Mg","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Deep muscle biopsy","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"20205","description":"Deep muscle biopsy","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RMX30","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RMX30","description":"HIPPS-RMX30","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Closure of salivary fistula","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"42600","description":"Closure of salivary fistula","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Remove ear lesion","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"69554","description":"Remove ear lesion","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OKUB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OALE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Bx/exc idrl spine lesn crvl","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"63280","description":"Bx/exc idrl spine lesn crvl","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Nerve graft hand/foot >4 cm","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"64891","description":"Nerve graft hand/foot >4 cm","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"ABCC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BGXB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-PC22D","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"PC22D","description":"HIPPS-PC22D","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Bl smear w/diff wbc count","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"85007","description":"Bl smear w/diff wbc count","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GFRB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OLNB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GBKE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Isoetharine non-comp con","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"J7648","description":"Isoetharine non-comp con","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Removal of impacted wax md","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G0268","description":"Removal of impacted wax md","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Neostim membrane_ per square centimeter","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"Q4266","description":"Neostim membrane_ per square centimeter","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"AECA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Inj progesterone per 50 mg","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"J2675","description":"Inj progesterone per 50 mg","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Reconstruct upper jaw bone","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"21206","description":"Reconstruct upper jaw bone","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Electroencephalogram (Eeg)_ Continuous Recording_ Physician Or Other Qualified Health Care Professional Review Of Recorded Events_ Analysis Of Spike And Seizure Detection_ Eac","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"95720","description":"Electroencephalogram (Eeg)_ Continuous Recording_ Physician Or Other Qualified Health Care Professional Review Of Recorded Events_ Analysis Of Spike And Seizure Detection_ Eac","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"CPT-00846","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"00846","description":"CPT-00846","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JANC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"CPT-64469","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"64469","description":"CPT-64469","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-1CFL2","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"1CFL2","description":"HIPPS-1CFL2","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Remove shoulder blade lesion","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"23172","description":"Remove shoulder blade lesion","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Mr angiography neck w/dye","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"70548","description":"Mr angiography neck w/dye","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RHA36","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RHA36","description":"HIPPS-RHA36","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FHIC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FEXB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-C0604","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"C0604","description":"HCPCS-C0604","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"EBEB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Special stains group 1","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"88312","description":"Special stains group 1","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Destruct premalg lesion","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"17000","description":"Destruct premalg lesion","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GHYB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Attendance at delivery","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"99464","description":"Attendance at delivery","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CATB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KGQE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FHPF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Anesth trach-bronch reconst","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"53951","description":"Anesth trach-bronch reconst","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Uvl replacement bulb","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"A4633","description":"Uvl replacement bulb","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"EFTE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JAHC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Repair blood vessel lesion","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"35201","description":"Repair blood vessel lesion","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Exhaled air analysis o2","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"94680","description":"Exhaled air analysis o2","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Cryopreservation oocyte(s)","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"89337","description":"Cryopreservation oocyte(s)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"IMM ADMN SARSCOV2 30MCG/0.3ML DIL RECON 2ND DOSE","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0002A","description":"IMM ADMN SARSCOV2 30MCG/0.3ML DIL RECON 2ND DOSE","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"PARE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Gjb6 gene com variants","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"81254","description":"Gjb6 gene com variants","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"1 or more neuropsych","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G8947","description":"1 or more neuropsych","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"EIDB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Revision of eyelid","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"21282","description":"Revision of eyelid","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"CPT-81195","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"81195","description":"CPT-81195","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RMX8I","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RMX8I","description":"HIPPS-RMX8I","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"LDQA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JICA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"LCWA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Injection_ elranatamab-bcmm_ 1 mg","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"C9165","description":"Injection_ elranatamab-bcmm_ 1 mg","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Removal of tear gland","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"68500","description":"Removal of tear gland","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Clinician Determines Patient Does Not Require Referral","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G0038","description":"Clinician Determines Patient Does Not Require Referral","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RLA8G","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RLA8G","description":"HIPPS-RLA8G","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MKHC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Stimulation pacing heart","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"93623","description":"Stimulation pacing heart","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Open iliac artery exposure with creation of conduit for delivery of endovascular prosthesis or for establishment of cardiopulmonary bypass_ by abdominal or retroperitoneal inc","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"34833","description":"Open iliac artery exposure with creation of conduit for delivery of endovascular prosthesis or for establishment of cardiopulmonary bypass_ by abdominal or retroperitoneal inc","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NJCD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OAXA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MJMA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NFJB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FALD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Ac5 advanced wound system (ac5)","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"A2020","description":"Ac5 advanced wound system (ac5)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-LE246","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"LE246","description":"HIPPS-LE246","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FFTC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Assay of quinidine","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"80194","description":"Assay of quinidine","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FFHD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-C0704","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"C0704","description":"HCPCS-C0704","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CIRD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"HGQD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"M/phmtrc alys ishquant/semiq","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"88373","description":"M/phmtrc alys ishquant/semiq","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"PAOD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MLAE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"IHAE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Filter gone aft 3mos placmt","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G9541","description":"Filter gone aft 3mos placmt","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JBNA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Removal of larynx","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"31360","description":"Removal of larynx","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-PB28G","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"PB28G","description":"HIPPS-PB28G","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"DFWB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Treat mouth roof fracture","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"21423","description":"Treat mouth roof fracture","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Dental prophylaxis child","billing_code_type":"CDT","billing_code_type_version":"2024","billing_code":"D1120","description":"Dental prophylaxis child","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Remove spine fixation device","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"22852","description":"Remove spine fixation device","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JFPE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Musc test done w/n test comp","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"95886","description":"Musc test done w/n test comp","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"LFOC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Heel leather reinforced","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"L3440","description":"Heel leather reinforced","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RLB8C","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RLB8C","description":"HIPPS-RLB8C","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Mitoxantrone hydrochl / 5 mg","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"J9293","description":"Mitoxantrone hydrochl / 5 mg","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Tlso 3 piece rigid shell","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"L0492","description":"Tlso 3 piece rigid shell","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MJMD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-BA20C","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"BA20C","description":"HIPPS-BA20C","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KANF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GAUE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NFHA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-M1462","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"M1462","description":"HCPCS-M1462","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-C7568","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"C7568","description":"HCPCS-C7568","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Enlarge breast","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"19324","description":"Enlarge breast","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BFIF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Bone replacement graft","billing_code_type":"CDT","billing_code_type_version":"2024","billing_code":"D7953","description":"Bone replacement graft","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KHEA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-LD144","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"LD144","description":"HIPPS-LD144","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Injection_ trastuzumab-anns_ biosimilar_ (kanjinti)_ 10 mg","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"Q5117","description":"Injection_ trastuzumab-anns_ biosimilar_ (kanjinti)_ 10 mg","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GEEF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KGPF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Repair anorectal fist w/plug","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"46707","description":"Repair anorectal fist w/plug","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Removal of tmj condyle","billing_code_type":"CDT","billing_code_type_version":"2024","billing_code":"D7840","description":"Removal of tmj condyle","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GEUA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NDAA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Endo knee-shin frct swg & st","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"L5818","description":"Endo knee-shin frct swg & st","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KDGF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GBLD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-PA120","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"PA120","description":"HIPPS-PA120","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MIEB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Tick-borne encephalitis virus vaccine_ inactivated; 0.5 mL dosage_ for intramuscular use","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"90627","description":"Tick-borne encephalitis virus vaccine_ inactivated; 0.5 mL dosage_ for intramuscular use","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Drainage of mouth lesion","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"41016","description":"Drainage of mouth lesion","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Injection_ cosyntropin_ not otherwise specified_ 0.25 mg","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"J0833","description":"Injection_ cosyntropin_ not otherwise specified_ 0.25 mg","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Remove foreign body brain","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"61570","description":"Remove foreign body brain","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"HFRC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Oncology (pancreatic)_ 59 methylation haplotype block markers_ next-generation sequencing_ plasma_ reported as cancer signal detected or not detected","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0405U","description":"Oncology (pancreatic)_ 59 methylation haplotype block markers_ next-generation sequencing_ plasma_ reported as cancer signal detected or not detected","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MLED1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NBLF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MHMF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-LC101","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"LC101","description":"HIPPS-LC101","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"C-1 esterase_ berinert","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"J0597","description":"C-1 esterase_ berinert","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Prefabricated resin crown","billing_code_type":"CDT","billing_code_type_version":"2024","billing_code":"D2932","description":"Prefabricated resin crown","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Revise radius & ulna","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"25365","description":"Revise radius & ulna","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-B2003","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"B2003","description":"HCPCS-B2003","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"DCRD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JBHF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Removal of small intestine","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"44121","description":"Removal of small intestine","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-J1307","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"J1307","description":"HCPCS-J1307","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CGAF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GGHB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KAWF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"AFAD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-HD11C","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"HD11C","description":"HIPPS-HD11C","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Family adaptive behavior treatment guidance_ administered by physician or other qualified health care professional (with or without the patient present)_ face-to-face with gua","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"97156","description":"Family adaptive behavior treatment guidance_ administered by physician or other qualified health care professional (with or without the patient present)_ face-to-face with gua","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Injection_ mogamulizumab-kpkc_ 1 mg","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"J9204","description":"Injection_ mogamulizumab-kpkc_ 1 mg","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RUL01","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RUL01","description":"HIPPS-RUL01","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Tdap or td or 1tet/dipth","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G9416","description":"Tdap or td or 1tet/dipth","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HH PDGM","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"1IC31","description":"HH PDGM","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OJUF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"IFCB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BDHF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GHPC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Synthetic resorbable wound dressing_ sterile_ pad size more than 16 sq in but less than or equal to 48 sq in_ without adhesive","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"A6461","description":"Synthetic resorbable wound dressing_ sterile_ pad size more than 16 sq in but less than or equal to 48 sq in_ without adhesive","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Absorpt drg > 48 sq in w/bdr","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"A6256","description":"Absorpt drg > 48 sq in w/bdr","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RMB45","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RMB45","description":"HIPPS-RMB45","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FBMC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Patient spent less than three days in hospice care","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G9860","description":"Patient spent less than three days in hospice care","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Regional block anesthesia","billing_code_type":"CDT","billing_code_type_version":"2024","billing_code":"D9211","description":"Regional block anesthesia","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Octreotide inj_ non-depot","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"J2354","description":"Octreotide inj_ non-depot","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OKIE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-LD20D","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"LD20D","description":"HIPPS-LD20D","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Indwelling catheter latex","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"A4338","description":"Indwelling catheter latex","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KCIA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CETE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Incision of foot fascia","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"28008","description":"Incision of foot fascia","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"ICHA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Brachytx_ stranded_ c-131","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"C2642","description":"Brachytx_ stranded_ c-131","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Orth foot non-standard size/","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"L3255","description":"Orth foot non-standard size/","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MBHD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Prefabricated porcelain/ceramic crown - permanent tooth","billing_code_type":"CDT","billing_code_type_version":"2024","billing_code":"D2928","description":"Prefabricated porcelain/ceramic crown - permanent tooth","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Hearing aid fitting/checking","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"V5011","description":"Hearing aid fitting/checking","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-LE230","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"LE230","description":"HIPPS-LE230","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NEFC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Hemoglobin stability screen","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"83068","description":"Hemoglobin stability screen","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Injection_ sotrovimab_ 500 mg","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"Q0247","description":"Injection_ sotrovimab_ 500 mg","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"IAAD IA HIV-2","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"87391","description":"IAAD IA HIV-2","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CEQD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"LDQE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RUC50","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RUC50","description":"HIPPS-RUC50","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Onc dx pancreatc p r1/r2 no","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G9106","description":"Onc dx pancreatc p r1/r2 no","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KFXE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Lepirudin","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"J1945","description":"Lepirudin","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Colonoscopy w/endoscopic fnb","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"45392","description":"Colonoscopy w/endoscopic fnb","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GCKD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NCCB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OATF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BGME1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Cast sup lng leg cylinder pl","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"Q4033","description":"Cast sup lng leg cylinder pl","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"IFCD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-ES20A","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"ES20A","description":"HIPPS-ES20A","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RHL07","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RHL07","description":"HIPPS-RHL07","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"ACTC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-CB224","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"CB224","description":"HIPPS-CB224","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KIQA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"AITC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Neuropsychological testing evaluation services by physician or other qualified health care professional_ including integration of patient data_ interpretation of standardized","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"96132","description":"Neuropsychological testing evaluation services by physician or other qualified health care professional_ including integration of patient data_ interpretation of standardized","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Care coord at hospice","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G9477","description":"Care coord at hospice","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OKYF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Candida antibody","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"86628","description":"Candida antibody","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"IFLB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"LAMINECTOMY_ FACETECTOMY_ OR FORAMINOTOMY (UNILATERAL OR BILATERAL WITH DECOMPRESSION OF SPINAL CORD_ CAUDA EQUINA AND/OR NERVE ROOT[S] [EG_ SPINAL OR LATERAL RECESS STENOSIS]","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"63053","description":"LAMINECTOMY_ FACETECTOMY_ OR FORAMINOTOMY (UNILATERAL OR BILATERAL WITH DECOMPRESSION OF SPINAL CORD_ CAUDA EQUINA AND/OR NERVE ROOT[S] [EG_ SPINAL OR LATERAL RECESS STENOSIS]","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BADE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OFAE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Dolasetron 50 mg","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"S0174","description":"Dolasetron 50 mg","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OCTC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Functional status measurement with score was obtained utilizing the Oswestry Disability Index (ODI version 2.1a) patient report","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"M1042","description":"Functional status measurement with score was obtained utilizing the Oswestry Disability Index (ODI version 2.1a) patient report","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Urinalysis","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"81005","description":"Urinalysis","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CACE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GFME0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Repair of foot tendon","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"28200","description":"Repair of foot tendon","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Virtual reality (VR) procedural dissociation services provided by the same physician or other qualified health care professional performing the diagnostic or therapeutic servi","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0771T","description":"Virtual reality (VR) procedural dissociation services provided by the same physician or other qualified health care professional performing the diagnostic or therapeutic servi","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-CA244","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"CA244","description":"HIPPS-CA244","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Term dev precision pinch dev","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"L6810","description":"Term dev precision pinch dev","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Denture reln part maxil lab","billing_code_type":"CDT","billing_code_type_version":"2024","billing_code":"D5760","description":"Denture reln part maxil lab","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-2AHMU","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"2AHMU","description":"HIPPS-2AHMU","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GFWF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Home visit new patient","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"99345","description":"Home visit new patient","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CIKB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Pneumatic appliance half leg","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"E0666","description":"Pneumatic appliance half leg","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"HARD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BCME1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"PCOB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-HD113","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"HD113","description":"HIPPS-HD113","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Power source and control electronics unit for oral device/appliance for neuromuscular electrical stimulation of the tonguemuscle_ controlled by hardware remote","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"E0490","description":"Power source and control electronics unit for oral device/appliance for neuromuscular electrical stimulation of the tonguemuscle_ controlled by hardware remote","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-2CHL3","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"2CHL3","description":"HIPPS-2CHL3","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"PDOC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-BB11A","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"BB11A","description":"HIPPS-BB11A","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BAGC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"ODRF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Patients with clinical indications for imaging of the head: abnormal neurologic exam","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G2189","description":"Patients with clinical indications for imaging of the head: abnormal neurologic exam","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Revision of ulna","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"25360","description":"Revision of ulna","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OIEC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Repair forearm tendon/muscle","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"25274","description":"Repair forearm tendon/muscle","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"DFQF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KDAD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Sys bp less 140","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G8752","description":"Sys bp less 140","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Injection_ vancomycin hcl (xellia) not therapeutically equivalent to j3370_ 500 mg","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"J3372","description":"Injection_ vancomycin hcl (xellia) not therapeutically equivalent to j3370_ 500 mg","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NHDC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Pneumococcal conjugate vaccine_ 20 valent (PCV20)_ for intramuscular use","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"90677","description":"Pneumococcal conjugate vaccine_ 20 valent (PCV20)_ for intramuscular use","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GHDC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"HIOC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KFEE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Ak univ multiplex sys frict","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"L5616","description":"Ak univ multiplex sys frict","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Medication admin visit","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"T1502","description":"Medication admin visit","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"LESB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"AFEB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"X-ray exam thorac spine 2vws","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"72070","description":"X-ray exam thorac spine 2vws","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"CPT-64468","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"64468","description":"CPT-64468","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OLGF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BGMC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Norsn no pros info op rpt","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G9303","description":"Norsn no pros info op rpt","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BBJA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Esw wound healing init wound","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0299T","description":"Esw wound healing init wound","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GIPE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"ABTE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CIGF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Levalbuterol non-comp unit","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"J7614","description":"Levalbuterol non-comp unit","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-3CFL1","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"3CFL1","description":"HIPPS-3CFL1","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BEBA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"EAEC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BHVA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BHUC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Diast bp >/= 90 mm hg","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"3080F","description":"Diast bp >/= 90 mm hg","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NAFC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FHKE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NALF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Shank ft w vert load pylon","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"L5987","description":"Shank ft w vert load pylon","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NDDA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"ECIA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CFNA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"EICB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CCQF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"IGDC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Ablate atria x10sv add-on","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"33258","description":"Ablate atria x10sv add-on","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OBOF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RHB8C","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RHB8C","description":"HIPPS-RHB8C","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Blood pressure recorded during inpatient stays_ emergency room visits_ urgent care visits_ and patient self-reported BP_s (home and health fair BP results)","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G9789","description":"Blood pressure recorded during inpatient stays_ emergency room visits_ urgent care visits_ and patient self-reported BP_s (home and health fair BP results)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Non-elec oscillatory pep dvc","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"E0484","description":"Non-elec oscillatory pep dvc","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GGUD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Partial facial prosthesis","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"L8046","description":"Partial facial prosthesis","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Inj protirelin per 250 mcg","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"J2725","description":"Inj protirelin per 250 mcg","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NJAB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Prq card angio/athrect addl","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"92925","description":"Prq card angio/athrect addl","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Adult size brief/diaper sm","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"T4521","description":"Adult size brief/diaper sm","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-PA205","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"PA205","description":"HIPPS-PA205","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BFCD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Major vessel shunt & graft","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"33764","description":"Major vessel shunt & graft","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"DEOC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OILA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JEFB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Revise thumb tendon","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"26490","description":"Revise thumb tendon","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Repair elbow perc","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"24357","description":"Repair elbow perc","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"HHQD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Oncology (central nervous system)_ analysis of 30000 DNA methylation loci by methylation array_ utilizing DNA extracted from tumor tissue_ diagnostic algorithm reported as pro","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0020M","description":"Oncology (central nervous system)_ analysis of 30000 DNA methylation loci by methylation array_ utilizing DNA extracted from tumor tissue_ diagnostic algorithm reported as pro","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GFPB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-4CGM6","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"4CGM6","description":"HIPPS-4CGM6","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"EIME0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Cystoscopy removal of clots","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"52001","description":"Cystoscopy removal of clots","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Cell cryopreserve/storage","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"88240","description":"Cell cryopreserve/storage","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KGOC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BGUE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Assay of urine urobilinogen","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"84580","description":"Assay of urine urobilinogen","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GDAA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Repair of esophagus","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"43300","description":"Repair of esophagus","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-LE225","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"LE225","description":"HIPPS-LE225","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-3BHK4","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"3BHK4","description":"HIPPS-3BHK4","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RUL41","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RUL41","description":"HIPPS-RUL41","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GIXA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Bronchoscopy w/markers","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"31626","description":"Bronchoscopy w/markers","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JDJC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CFLD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MHEB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"C motor evoked lwr limbs","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"95929","description":"C motor evoked lwr limbs","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-1BFKW","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"1BFKW","description":"HIPPS-1BFKW","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RUL5A","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RUL5A","description":"HIPPS-RUL5A","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Repair rotator cuff acute","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"23410","description":"Repair rotator cuff acute","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MIUC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KIAD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NLTC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"IITD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-1BHL1","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"1BHL1","description":"HIPPS-1BHL1","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Bls defibrillation supplies","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"A0384","description":"Bls defibrillation supplies","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"PISF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"AATA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NABC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Anus surgery procedure","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"46999","description":"Anus surgery procedure","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GFRD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Treatment of complications","billing_code_type":"CDT","billing_code_type_version":"2024","billing_code":"D9930","description":"Treatment of complications","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RVL2C","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RVL2C","description":"HIPPS-RVL2C","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Oncology gynecologic","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"81536","description":"Oncology gynecologic","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Intrpulmnry percuss vent sys","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"E0481","description":"Intrpulmnry percuss vent sys","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NGEB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NLDE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FHGE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Self care goal status","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G8988","description":"Self care goal status","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"PKSC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-1BGP5","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"1BGP5","description":"HIPPS-1BGP5","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RMC15","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RMC15","description":"HIPPS-RMC15","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Injection jaw joint x-ray","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"21116","description":"Injection jaw joint x-ray","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BENC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GDEA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NJDF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KFYE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HH PDGM","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"3BB11","description":"HH PDGM","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Hematology (heparin-induced thrombocytopenia)_ platelet antibody reactivity by flow cytometry_ serum (Versiti™ Heparin-Induced Thrombocytopenia Evaluation)","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0275U","description":"Hematology (heparin-induced thrombocytopenia)_ platelet antibody reactivity by flow cytometry_ serum (Versiti™ Heparin-Induced Thrombocytopenia Evaluation)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"CPT-0901T","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"0901T","description":"CPT-0901T","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BCTB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Testosterone undecanoate 1mg","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"J3145","description":"Testosterone undecanoate 1mg","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Leuprolide Injectable_ Camcevi_ 1 Mg","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"J1952","description":"Leuprolide Injectable_ Camcevi_ 1 Mg","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Resect apical lung tumor","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"32503","description":"Resect apical lung tumor","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"EGBB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Dialysate conc sol add 10 ml","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"A4766","description":"Dialysate conc sol add 10 ml","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Injection_ famotidine_ 20 mg","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"S0028","description":"Injection_ famotidine_ 20 mg","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"ABMA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MLDD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Inj paravert f jnt l/s 2 lev","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"64494","description":"Inj paravert f jnt l/s 2 lev","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"X-ray aorta leg arteries","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"75630","description":"X-ray aorta leg arteries","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RMB14","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RMB14","description":"HIPPS-RMB14","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GIYC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NBLB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OATE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"DCQF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GIFA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"CDT-D0406","billing_code_type":"CDT","billing_code_type_version":"2026","billing_code":"D0406","description":"CDT-D0406","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KFKB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Anti-EGFR monoclonal antibody therapy","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G9839","description":"Anti-EGFR monoclonal antibody therapy","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Repair/graft hand tendon","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"26352","description":"Repair/graft hand tendon","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-ES13A","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"ES13A","description":"HIPPS-ES13A","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GAWE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KGPA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-HC112","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"HC112","description":"HIPPS-HC112","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"PARD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FBIB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KIPD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OGHE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Acetazolamid sodium injectio","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"J1120","description":"Acetazolamid sodium injectio","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-PB210","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"PB210","description":"HIPPS-PB210","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KHHC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Injection_ motixafortide_ 0.25 mg","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"J2277","description":"Injection_ motixafortide_ 0.25 mg","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-2CGKS","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"2CGKS","description":"HIPPS-2CGKS","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OGVA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OIBD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Stroke with Motor <22.35 & Age <84.5_ comorbidity in tier 1","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"B0110","description":"Stroke with Motor <22.35 & Age <84.5_ comorbidity in tier 1","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KFBC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"IAAD IA ENTAMOEBA HISTOLYTICA GRP","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"87337","description":"IAAD IA ENTAMOEBA HISTOLYTICA GRP","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Oncology (urothelial carcinoma)_ DNA_ quantitative methylation-specific PCR of 2 genes (ONECUT2_ VIM)_ algorithmic analysis reported as positive or negative","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0465U","description":"Oncology (urothelial carcinoma)_ DNA_ quantitative methylation-specific PCR of 2 genes (ONECUT2_ VIM)_ algorithmic analysis reported as positive or negative","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-BB20C","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"BB20C","description":"HIPPS-BB20C","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Treat sesamoid bone fracture","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"28531","description":"Treat sesamoid bone fracture","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JHVF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"HCYD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Treat hip wall fracture","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"27226","description":"Treat hip wall fracture","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Knee orth pos locking joint","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"L1831","description":"Knee orth pos locking joint","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CDOA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Wheelchair commode seat","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"E0968","description":"Wheelchair commode seat","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Removal of small intestine","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"44125","description":"Removal of small intestine","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KBYA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Triamcinolone comp unit","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"J7684","description":"Triamcinolone comp unit","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Semen analysis w/huhner","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"89300","description":"Semen analysis w/huhner","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"ABBB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BCTF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Y set tubing","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"A4719","description":"Y set tubing","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Laparo ablate renal mass","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"50542","description":"Laparo ablate renal mass","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-2CFM2","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"2CFM2","description":"HIPPS-2CFM2","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BDPA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Cytopath c/v auto fluid redo","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"88175","description":"Cytopath c/v auto fluid redo","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Assay of urine sodium","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"84300","description":"Assay of urine sodium","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Docrsn no comm comorb","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G9232","description":"Docrsn no comm comorb","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JHLF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GDHA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BCUE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Revise abdomen-venous shunt","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"49426","description":"Revise abdomen-venous shunt","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Treat knuckle dislocation","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"26715","description":"Treat knuckle dislocation","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Remote in-home visit for the evaluation and management of an established patient for use only in a Medicare-approved Bundled Payments for Care Improvement Advanced (BPCI Advan","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G9986","description":"Remote in-home visit for the evaluation and management of an established patient for use only in a Medicare-approved Bundled Payments for Care Improvement Advanced (BPCI Advan","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Clot factor xiii fibrin stab","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"85290","description":"Clot factor xiii fibrin stab","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"AFAF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KDLD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FCEC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-M1384","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"M1384","description":"HCPCS-M1384","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-CB13C","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"CB13C","description":"HIPPS-CB13C","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Exc h-f-nk-sp b9+marg >4 cm","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"11426","description":"Exc h-f-nk-sp b9+marg >4 cm","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Stab phleb veins xtr 10-20","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"37765","description":"Stab phleb veins xtr 10-20","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RHC13","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RHC13","description":"HIPPS-RHC13","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Opn tx dprsd zygomatic arch","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"21356","description":"Opn tx dprsd zygomatic arch","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Documentation that administration of second recombinant zoster vaccine could not occur during the performance period due to the recommended 2-6 month interval between doses (i","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"M1238","description":"Documentation that administration of second recombinant zoster vaccine could not occur during the performance period due to the recommended 2-6 month interval between doses (i","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Clinical decision support mechanism curbside clinical augmented workflow_ as defined by the medicare appropriate use criteria program","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G1020","description":"Clinical decision support mechanism curbside clinical augmented workflow_ as defined by the medicare appropriate use criteria program","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"DASA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-PE131","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"PE131","description":"HIPPS-PE131","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MJLD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BDFF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BIIA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Ecmo/ecls rmvl prph cannula","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"33984","description":"Ecmo/ecls rmvl prph cannula","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"ABLC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OCOB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-3BFM6","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"3BFM6","description":"HIPPS-3BFM6","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Repair bladder defect","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"57288","description":"Repair bladder defect","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GIUA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Denture reln part maxil chr","billing_code_type":"CDT","billing_code_type_version":"2024","billing_code":"D5740","description":"Denture reln part maxil chr","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Drainage of eye","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"65815","description":"Drainage of eye","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NGKE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Tangential biopsy of skin (eg_ shave_ scoop_ saucerize_ curette); single lesion","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"11102","description":"Tangential biopsy of skin (eg_ shave_ scoop_ saucerize_ curette); single lesion","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Precision attachment","billing_code_type":"CDT","billing_code_type_version":"2024","billing_code":"D6950","description":"Precision attachment","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GHQC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"L hrt cath trnsptl puncture","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"93462","description":"L hrt cath trnsptl puncture","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Injection_ anifrolumab-fnia_ 1 mg","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"J0491","description":"Injection_ anifrolumab-fnia_ 1 mg","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Hit enteral per diem","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"S9340","description":"Hit enteral per diem","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OJAF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-3AFP6","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"3AFP6","description":"HIPPS-3AFP6","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CEEE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Excise intrspinl lesion crvl","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"63270","description":"Excise intrspinl lesion crvl","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OFOE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MJIF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FGME1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NBVB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JHHF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Thoracoscopy for lvrs","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"32672","description":"Thoracoscopy for lvrs","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HH PDGM","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"3HC21","description":"HH PDGM","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CIFF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FBFB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Onc dx head/neck ext unknown","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G9112","description":"Onc dx head/neck ext unknown","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Suction pump portab hom modl","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"E0600","description":"Suction pump portab hom modl","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-CA22D","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"CA22D","description":"HIPPS-CA22D","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BCPE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Suprv interfacilty transport","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"99485","description":"Suprv interfacilty transport","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GBMF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OEVF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BIKF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FDHA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"HGWE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-3CFK3","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"3CFK3","description":"HIPPS-3CFK3","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BHPA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"HHOB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"CPT-0529U","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"0529U","description":"CPT-0529U","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JIPA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Thyroglobulin antibody","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"86800","description":"Thyroglobulin antibody","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MDIF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Pelvis/hip joint surgery","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"27299","description":"Pelvis/hip joint surgery","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GAOF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NBLC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Hit cont anticoag diem","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"S9336","description":"Hit cont anticoag diem","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CBID0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"ODBA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RVB22","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RVB22","description":"HIPPS-RVB22","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KFYC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-PE15B","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"PE15B","description":"HIPPS-PE15B","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Telescopic intraocular lens","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"C1840","description":"Telescopic intraocular lens","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Injection_ bendamustine hydrochloride (baxter)_ 1 mg","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"J9059","description":"Injection_ bendamustine hydrochloride (baxter)_ 1 mg","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"HCYA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Drainage of salivary gland","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"42310","description":"Drainage of salivary gland","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FIUE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Oncology (Thyroid)_ Dna And Mrna_ Next-Generation Sequencing Analysis Of 112 Genes_ Fine Needle Aspirate Or Formalin-Fixed Paraffin-Embedded (Ffpe) Tissue_ Algorithmic Predict","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0287U","description":"Oncology (Thyroid)_ Dna And Mrna_ Next-Generation Sequencing Analysis Of 112 Genes_ Fine Needle Aspirate Or Formalin-Fixed Paraffin-Embedded (Ffpe) Tissue_ Algorithmic Predict","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"ABUA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JALF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Fusion of ureter & kidney","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"50750","description":"Fusion of ureter & kidney","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OLRF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"DIYA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Removal of ethmoid sinus","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"31200","description":"Removal of ethmoid sinus","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"EBLB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JDGE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-LC18C","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"LC18C","description":"HIPPS-LC18C","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CHYC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-3AGKV","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"3AGKV","description":"HIPPS-3AGKV","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KDGA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-PC201","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"PC201","description":"HIPPS-PC201","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HH PDGM","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"4FA31","description":"HH PDGM","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RUX0A","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RUX0A","description":"HIPPS-RUX0A","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-2BGK5","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"2BGK5","description":"HIPPS-2BGK5","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Terbutaline sulf comp unit","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"J7681","description":"Terbutaline sulf comp unit","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OBQD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BGCB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"PLOE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FCNA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GDEB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RLA13","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RLA13","description":"HIPPS-RLA13","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CHUC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NIBB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-G0685","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"G0685","description":"HCPCS-G0685","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GDFE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Mental health service_ nos","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"H0046","description":"Mental health service_ nos","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Inj ganirelix acetat 250 mcg","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"S0132","description":"Inj ganirelix acetat 250 mcg","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Drainage of heart sac","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"33010","description":"Drainage of heart sac","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"IETC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BFID1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Repair rectourethral fistula","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"45820","description":"Repair rectourethral fistula","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GGBE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Hep c scrng docd as done","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"3514F","description":"Hep c scrng docd as done","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Cone beam ct interprete max","billing_code_type":"CDT","billing_code_type_version":"2024","billing_code":"D0366","description":"Cone beam ct interprete max","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"HEQD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Ring flange plastic/leather","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"L1100","description":"Ring flange plastic/leather","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NBNB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GGQE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"PISA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FGBB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Injection_ fam-trastuzumab deruxtecan-nxki_ 1 mg","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"J9358","description":"Injection_ fam-trastuzumab deruxtecan-nxki_ 1 mg","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"PAOD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MCLB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NKCE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BEAF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BAUD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"DARF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Wheelchair spec sz spec ht b","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"E1228","description":"Wheelchair spec sz spec ht b","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-4AFM2","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"4AFM2","description":"HIPPS-4AFM2","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Bld inj at surg/1mos post","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G9625","description":"Bld inj at surg/1mos post","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"IFUA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Detect agent nos dna amp","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"87798","description":"Detect agent nos dna amp","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OHVC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-3CGL3","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"3CGL3","description":"HIPPS-3CGL3","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Echo exam of eye water bath","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"76513","description":"Echo exam of eye water bath","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GCKB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Chemodenerv 1 extremity 1-4","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"64642","description":"Chemodenerv 1 extremity 1-4","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Orthopedic ftwear ladies oxf","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"L3215","description":"Orthopedic ftwear ladies oxf","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CFIB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Ultrasound_ abdominal_ with contrast","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"C9744","description":"Ultrasound_ abdominal_ with contrast","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Fc receptor","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"86243","description":"Fc receptor","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GIIF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BATD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GCSA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"LGSD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-HC160","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"HC160","description":"HIPPS-HC160","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FHTD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JGXC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CFCB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RVX02","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RVX02","description":"HIPPS-RVX02","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GACA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OERD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-PC120","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"PC120","description":"HIPPS-PC120","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"LBSE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Repair of heart defects","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"33692","description":"Repair of heart defects","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Treatment of toe fracture","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"28510","description":"Treatment of toe fracture","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GBLA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GGGB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CCFD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Repair dislocated jaw","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"21490","description":"Repair dislocated jaw","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GHOC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Kafo dbl solid stirrup w/o j","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"L2030","description":"Kafo dbl solid stirrup w/o j","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Excise intrspinl lesion lmbr","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"63267","description":"Excise intrspinl lesion lmbr","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Ocular photodynamic ther","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"67221","description":"Ocular photodynamic ther","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CIAB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MKED0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"X-ray exam of knees","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"73565","description":"X-ray exam of knees","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Esophagoscop stent placement","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"43212","description":"Esophagoscop stent placement","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-J2711","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"J2711","description":"HCPCS-J2711","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Arm supp att to wc rancho ty","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"E2627","description":"Arm supp att to wc rancho ty","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NDHA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"IAUA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Cystoscopy inject material","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"52327","description":"Cystoscopy inject material","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Bethanechol chloride inject","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"J0520","description":"Bethanechol chloride inject","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GDRC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-PE216","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"PE216","description":"HIPPS-PE216","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FIEA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JHXF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"K flow/funct image w/drug","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"78708","description":"K flow/funct image w/drug","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-HB245","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"HB245","description":"HIPPS-HB245","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Cystouretero w/excise tumor","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"52355","description":"Cystouretero w/excise tumor","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Repair diaphragm laceration","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"39501","description":"Repair diaphragm laceration","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OAFA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Removal of implant material","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"19330","description":"Removal of implant material","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Bitolterol mesylate comp unt","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"J7629","description":"Bitolterol mesylate comp unt","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FFVC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Order for ceph","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G9197","description":"Order for ceph","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Ongoing Care Not Indicated_ Patient Self-Discharged Early And Seen Only 1-2 Visits (E.G._ Financial Or Insurance Reasons_ Transportation Problems_ Or Reason Unknown","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"M1134","description":"Ongoing Care Not Indicated_ Patient Self-Discharged Early And Seen Only 1-2 Visits (E.G._ Financial Or Insurance Reasons_ Transportation Problems_ Or Reason Unknown","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-3CFK4","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"3CFK4","description":"HIPPS-3CFK4","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MGIF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JBLA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GIAA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Intensive outpatient services; weekly bundle_ minimum of 9 services over a 7 contiguous day period_ which can include individual and group therapy with physicians or psycholog","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G0137","description":"Intensive outpatient services; weekly bundle_ minimum of 9 services over a 7 contiguous day period_ which can include individual and group therapy with physicians or psycholog","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GCFF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-PD224","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"PD224","description":"HIPPS-PD224","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Inlay porcelain/ceramic 1 su","billing_code_type":"CDT","billing_code_type_version":"2024","billing_code":"D2610","description":"Inlay porcelain/ceramic 1 su","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-1BHMU","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"1BHMU","description":"HIPPS-1BHMU","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Immunotherapy one injection","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"95115","description":"Immunotherapy one injection","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RLB44","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RLB44","description":"HIPPS-RLB44","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"ODMD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"IAMA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GCYB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OBEA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Knee Ankle Foot Device_ Any Material_ Single Or Double Upright_ Swing And/Or Stance Phase Microprocessor Control With Adjustability_ Includes All Components (E.G._ Sensors_ Ba","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"L2006","description":"Knee Ankle Foot Device_ Any Material_ Single Or Double Upright_ Swing And/Or Stance Phase Microprocessor Control With Adjustability_ Includes All Components (E.G._ Sensors_ Ba","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OCXC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Functional status was measured by the Oxford Knee Score (OKS) patient reported outcome tool within three months preoperatively","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"M1047","description":"Functional status was measured by the Oxford Knee Score (OKS) patient reported outcome tool within three months preoperatively","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GAME0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Quantitative Magnetic Resonance For Analysis Of Tissue Composition (Eg_ Fat_ Iron_ Water Content)_ Including Multiparametric Data Acquisition_ Data Preparation And Transmissio","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0697T","description":"Quantitative Magnetic Resonance For Analysis Of Tissue Composition (Eg_ Fat_ Iron_ Water Content)_ Including Multiparametric Data Acquisition_ Data Preparation And Transmissio","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CCWF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KCJF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Transcatheter removal and replacement of permanent dual-chamber leadless pacemaker_ including imaging?guidance (eg_ fluoroscopy_ venous ultrasound_ right atrial angiography_ r","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0803T","description":"Transcatheter removal and replacement of permanent dual-chamber leadless pacemaker_ including imaging?guidance (eg_ fluoroscopy_ venous ultrasound_ right atrial angiography_ r","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Pt falls assess-docd le1/yr","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"1101F","description":"Pt falls assess-docd le1/yr","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"ODXE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"IBEF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Documentation of a kidney health evaluation was not performed or defined by an estimated glomerular filtration rate (egfr) and urine albumin-creatinine ratio (uacr)","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"M1190","description":"Documentation of a kidney health evaluation was not performed or defined by an estimated glomerular filtration rate (egfr) and urine albumin-creatinine ratio (uacr)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NBMC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Remote Therapeutic Monitoring Of A Standardized Online Digital Cognitive Behavioral Therapy Program Ordered By A Physician Or Other Qualified Health Care Professional; Managem","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0703T","description":"Remote Therapeutic Monitoring Of A Standardized Online Digital Cognitive Behavioral Therapy Program Ordered By A Physician Or Other Qualified Health Care Professional; Managem","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-HD145","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"HD145","description":"HIPPS-HD145","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Hla ii type 1 ag equiv lr","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"81377","description":"Hla ii type 1 ag equiv lr","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"CPT-01760","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"01760","description":"CPT-01760","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Gastrointestinal myoelectrical activity study_ stomach through colon_ with interpretation and report","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0779T","description":"Gastrointestinal myoelectrical activity study_ stomach through colon_ with interpretation and report","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Incision of jaw joint","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"21010","description":"Incision of jaw joint","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OFHB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Ablate atria lmtd","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"33254","description":"Ablate atria lmtd","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"LFSA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Repair blood vessel lesion","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"35207","description":"Repair blood vessel lesion","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CEMC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-LE10B","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"LE10B","description":"HIPPS-LE10B","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"LFSE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-4BGK4","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"4BGK4","description":"HIPPS-4BGK4","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-1AFK3","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"1AFK3","description":"HIPPS-1AFK3","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-CC22B","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"CC22B","description":"HIPPS-CC22B","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Reconstruction of chin","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"21122","description":"Reconstruction of chin","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"PGRB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"EIID0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"IHMF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Rerepair ventrl hern block","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"49566","description":"Rerepair ventrl hern block","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Patient progr_ neurostim","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"C1787","description":"Patient progr_ neurostim","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Rem odontogen cyst to 1.25cm","billing_code_type":"CDT","billing_code_type_version":"2024","billing_code":"D7450","description":"Rem odontogen cyst to 1.25cm","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CCOD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Instillation_ hexaminolevulinate hydrochloride_ 100 mg","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"A9589","description":"Instillation_ hexaminolevulinate hydrochloride_ 100 mg","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Revise graft w/vein","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"35881","description":"Revise graft w/vein","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"ICDA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Hemolysins/agglutinins","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"86941","description":"Hemolysins/agglutinins","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"LBOE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OKGF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OAOC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BHEF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CCLB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FGXA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"PJOA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JEHB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Patients Age 66 And Older In Institutional Special Needs Plans (Snp) Or Residing In Long-Term Care With A Pos Code 32_ 33_ 34_ 54 Or 56 For More Than 90 Days During The Measur","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G2081","description":"Patients Age 66 And Older In Institutional Special Needs Plans (Snp) Or Residing In Long-Term Care With A Pos Code 32_ 33_ 34_ 54 Or 56 For More Than 90 Days During The Measur","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Lvef <40%","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G8694","description":"Lvef <40%","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Partial removal of toe","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"28126","description":"Partial removal of toe","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Skin pro/pos wc cus wd <22in","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"E2607","description":"Skin pro/pos wc cus wd <22in","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Ex arm/elbow tum deep < 5 cm","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"24076","description":"Ex arm/elbow tum deep < 5 cm","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GFKC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OBEC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BFVA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GIUF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-LB215","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"LB215","description":"HIPPS-LB215","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MIIC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KGFC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BCEB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Myocardial Imaging_ Positron Emission Tomography (Pet)_ Combined Perfusion With Metabolic Evaluation Study (Including Ventricular Wall Motion[S] And/Or Ejection Fraction[S]_ W","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"78432","description":"Myocardial Imaging_ Positron Emission Tomography (Pet)_ Combined Perfusion With Metabolic Evaluation Study (Including Ventricular Wall Motion[S] And/Or Ejection Fraction[S]_ W","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OLHD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"A/d halfway house_ per diem","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"H2034","description":"A/d halfway house_ per diem","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Electroencephalogram (Eeg)_ Continuous Recording_ Physician Or Other Qualified Health Care Professional Review Of Recorded Events_ Analysis Of Spike And Seizure Detection_ Eac","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"95719","description":"Electroencephalogram (Eeg)_ Continuous Recording_ Physician Or Other Qualified Health Care Professional Review Of Recorded Events_ Analysis Of Spike And Seizure Detection_ Eac","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"LIYC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Remove cartilage for graft","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"20910","description":"Remove cartilage for graft","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GDOA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JCKC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KDND0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NEJF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NLVA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-PA18G","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"PA18G","description":"HIPPS-PA18G","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"AGCF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Vaginectomy w/nodes compl","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"57112","description":"Vaginectomy w/nodes compl","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Hiv-1antibody","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"86701","description":"Hiv-1antibody","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"AMNIOREPAIR or AltiPly_ per sq cm","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"Q4235","description":"AMNIOREPAIR or AltiPly_ per sq cm","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Colonoscopy consultation performed prior to a screening colonoscopy procedure","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"S0285","description":"Colonoscopy consultation performed prior to a screening colonoscopy procedure","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KGRF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FAVC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Ongoing Care Not Indicated_ Patient Discharged After Only 1-2 Visits Due To Specific Medical Events_ Documented In The Medical Record That Make The Treatment Episode Impossibl","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"M1133","description":"Ongoing Care Not Indicated_ Patient Discharged After Only 1-2 Visits Due To Specific Medical Events_ Documented In The Medical Record That Make The Treatment Episode Impossibl","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Patient had any additional spine procedures performed on the same date as the lumbar discectomy/laminotomy","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G9948","description":"Patient had any additional spine procedures performed on the same date as the lumbar discectomy/laminotomy","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-J9024","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"J9024","description":"HCPCS-J9024","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"EDAC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KATC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FIVC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Mammo bx proven malig docd","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"3350F","description":"Mammo bx proven malig docd","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"CPT-1064T","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"1064T","description":"CPT-1064T","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Removal of kidney stone","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"50130","description":"Removal of kidney stone","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Pulse-echo ultrasound bone density measurement resulting in indicator of axial bone mineral density_ tibia","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0508T","description":"Pulse-echo ultrasound bone density measurement resulting in indicator of axial bone mineral density_ tibia","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Documentation of medical reason(s) for not prescribing ace inhibitor (ace-i) or arb therapy during the measurement period (e.g._ pregnancy_ history of angioedema to ace-i_ oth","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"M1201","description":"Documentation of medical reason(s) for not prescribing ace inhibitor (ace-i) or arb therapy during the measurement period (e.g._ pregnancy_ history of angioedema to ace-i_ oth","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FDLB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OIVB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"AALB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-LB21A","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"LB21A","description":"HIPPS-LB21A","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RUA56","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RUA56","description":"HIPPS-RUA56","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FBNB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Tc99m maa","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"A9540","description":"Tc99m maa","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"IFAD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Afo doub solid stirrup calf","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"L1990","description":"Afo doub solid stirrup calf","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KBYB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Oncology (breast cancer)_ DNA_ PIK3CA (phosphatidylinositol-4_5-bisphosphate 3-kinase_ catalytic subunit alpha) (eg_ breast cancer) gene analysis (ie_ p.C420R_ p.E542K_ p.E545","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0155U","description":"Oncology (breast cancer)_ DNA_ PIK3CA (phosphatidylinositol-4_5-bisphosphate 3-kinase_ catalytic subunit alpha) (eg_ breast cancer) gene analysis (ie_ p.C420R_ p.E542K_ p.E545","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-PD125","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"PD125","description":"HIPPS-PD125","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OJKF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Doc medrsn no histo type","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G9282","description":"Doc medrsn no histo type","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OHCE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Hfo w/o joints cf","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"L3913","description":"Hfo w/o joints cf","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OCDC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GGLF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NEGB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JIMA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"X-ray/ct/ultrsnd et al ord","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"3319F","description":"X-ray/ct/ultrsnd et al ord","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CCIE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"U2Af1 (U2 Small Nuclear Rna Auxiliary Factor 1) (Eg_ Myelodysplastic Syndrome_ Acute Myeloid Leukemia) Gene Analysis_ Common Variants (Eg_ S34F_ S34Y_ Q157R_ Q157P)","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"81357","description":"U2Af1 (U2 Small Nuclear Rna Auxiliary Factor 1) (Eg_ Myelodysplastic Syndrome_ Acute Myeloid Leukemia) Gene Analysis_ Common Variants (Eg_ S34F_ S34Y_ Q157R_ Q157P)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Igh gene rearrange amp meth","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"81261","description":"Igh gene rearrange amp meth","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Insert tunneled cv cath","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"36566","description":"Insert tunneled cv cath","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KHJB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Thrombolytic therapy stroke","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"37195","description":"Thrombolytic therapy stroke","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-4BFL2","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"4BFL2","description":"HIPPS-4BFL2","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-ES201","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"ES201","description":"HIPPS-ES201","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"The Start Of An Episode Of Care Documented In The Medical Record","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"M1106","description":"The Start Of An Episode Of Care Documented In The Medical Record","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GGEA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Patients 66 Years Of Age Or Older And Had At Least One Claim/Encounter For Frailty During The Measurement Period And Either One Acute Inpatient Encounter With A Diagnosis Of A","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G2126","description":"Patients 66 Years Of Age Or Older And Had At Least One Claim/Encounter For Frailty During The Measurement Period And Either One Acute Inpatient Encounter With A Diagnosis Of A","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"HDYE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JCIA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OBWC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MGLF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-5CGK6","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"5CGK6","description":"HIPPS-5CGK6","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OCRE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KAED1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Laser Interstitial Thermal Therapy (Litt) Of Lesion_ Intracranial_ Including Burr Hole(S)_ With Magnetic Resonance Imaging Guidance_ When Performed; Single Trajectory For 1 Si","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"61736","description":"Laser Interstitial Thermal Therapy (Litt) Of Lesion_ Intracranial_ Including Burr Hole(S)_ With Magnetic Resonance Imaging Guidance_ When Performed; Single Trajectory For 1 Si","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Beta amyloid_ AB40 and AB42 by liquid chromatography with tandem mass spectrometry (LC-MS/MS)_ ratio_ plasma","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0346U","description":"Beta amyloid_ AB40 and AB42 by liquid chromatography with tandem mass spectrometry (LC-MS/MS)_ ratio_ plasma","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OIHA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NDJD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"AFLD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CATE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JFXC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-HD22D","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"HD22D","description":"HIPPS-HD22D","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Documentation of patient reason(s) for not performing a dilated macular examination","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G9892","description":"Documentation of patient reason(s) for not performing a dilated macular examination","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"DGWE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Adult day center_ 8-hour unit_ for use in CMMI model","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G0530","description":"Adult day center_ 8-hour unit_ for use in CMMI model","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Rem nonodonto cyst to 1.25cm","billing_code_type":"CDT","billing_code_type_version":"2024","billing_code":"D7460","description":"Rem nonodonto cyst to 1.25cm","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CIBB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CIJB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Remove sacrum pressure sore","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"15937","description":"Remove sacrum pressure sore","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Patients with a diagnosis of lumbar spine region infection at the time of the procedure","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"M1039","description":"Patients with a diagnosis of lumbar spine region infection at the time of the procedure","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FHKC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Detach non-adjus hght armrst","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"K0015","description":"Detach non-adjus hght armrst","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Treat hip dislocation","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"27259","description":"Treat hip dislocation","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-HD15C","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"HD15C","description":"HIPPS-HD15C","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OJMC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-BB18I","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"BB18I","description":"HIPPS-BB18I","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OEXE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Excision of gum lesion","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"41822","description":"Excision of gum lesion","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Lso sag-co shell pnl pre ots","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"L0651","description":"Lso sag-co shell pnl pre ots","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Hysteroscopy remove fb","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"58562","description":"Hysteroscopy remove fb","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GFTE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NJVA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"CPT-00868","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"00868","description":"CPT-00868","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NEBA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GEKD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"No asp therp used","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G8599","description":"No asp therp used","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-J2351","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"J2351","description":"HCPCS-J2351","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"DAOA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"HDYF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Porc/ceram inlay >= 3 surfac","billing_code_type":"CDT","billing_code_type_version":"2024","billing_code":"D6601","description":"Porc/ceram inlay >= 3 surfac","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CBQE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Inpatient consultation","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"99252","description":"Inpatient consultation","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OCLA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-4BFL5","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"4BFL5","description":"HIPPS-4BFL5","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"DIQC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GBJB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"DESA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GFTF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OKEB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Prefabricated abutment","billing_code_type":"CDT","billing_code_type_version":"2024","billing_code":"D6056","description":"Prefabricated abutment","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KBAA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Med reas no perf foot exam","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G9502","description":"Med reas no perf foot exam","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JAXC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GCDF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Revision of eyelid","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"67880","description":"Revision of eyelid","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Myelography thoracic spine","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"72255","description":"Myelography thoracic spine","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KDKD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"IEHA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Vert bitewings-sev to eight","billing_code_type":"CDT","billing_code_type_version":"2024","billing_code":"D0277","description":"Vert bitewings-sev to eight","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CEAB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Mometasone furoate sinus implant_ (sinuva)_ 10 micrograms","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"J7402","description":"Mometasone furoate sinus implant_ (sinuva)_ 10 micrograms","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Repair artery rupture thigh","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"35142","description":"Repair artery rupture thigh","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MEAE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CCQB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Injection_ glucagon hydrochloride (fresenius kabi)_ not therapeutically equivalent to j1610_ per 1 mg","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"J1611","description":"Injection_ glucagon hydrochloride (fresenius kabi)_ not therapeutically equivalent to j1610_ per 1 mg","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"ICUF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OGAC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Micro w exam of surg margins","billing_code_type":"CDT","billing_code_type_version":"2024","billing_code":"D0474","description":"Micro w exam of surg margins","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Genome sequence analysis","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"81426","description":"Genome sequence analysis","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"3 comp foot exam completed","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G9226","description":"3 comp foot exam completed","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Infrared heating pad system","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"E0221","description":"Infrared heating pad system","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OFHB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Perc drug-el cor stent sing","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"C9600","description":"Perc drug-el cor stent sing","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Hit antibiotic q8h diem","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"S9502","description":"Hit antibiotic q8h diem","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"ODCE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MAAD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Exc back tum deep < 5 cm","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"21932","description":"Exc back tum deep < 5 cm","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HH PDGM","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"2AC11","description":"HH PDGM","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OLQA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"CPT-81354","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"81354","description":"CPT-81354","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-1AFPS","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"1AFPS","description":"HIPPS-1AFPS","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JEDC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-B1802","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"B1802","description":"HCPCS-B1802","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-L8721","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"L8721","description":"HCPCS-L8721","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Batt pack/cart_ port conc","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"E1356","description":"Batt pack/cart_ port conc","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CFYF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GFPC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CHGC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Image not std nomenclature","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G9319","description":"Image not std nomenclature","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"IIMC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NCKF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Lead_ neurostim test kit","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"C1897","description":"Lead_ neurostim test kit","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Injection(s)_ including indwelling catheter placement_ continuous infusion or intermittent bolus_ of diagnostic or therapeutic substance(s) (eg_ anesthetic_ antispasmodic_ opi","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"62326","description":"Injection(s)_ including indwelling catheter placement_ continuous infusion or intermittent bolus_ of diagnostic or therapeutic substance(s) (eg_ anesthetic_ antispasmodic_ opi","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"CPT-01215","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"01215","description":"CPT-01215","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-1BHPW","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"1BHPW","description":"HIPPS-1BHPW","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"HEYF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"DFWF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Knee arthroscopy/surgery","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"29880","description":"Knee arthroscopy/surgery","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-ES326","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"ES326","description":"HIPPS-ES326","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"CPT-15016","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"15016","description":"CPT-15016","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KBPE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MCTD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"LAYE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RUL0A","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RUL0A","description":"HIPPS-RUL0A","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-LC220","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"LC220","description":"HIPPS-LC220","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KIWA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OADE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-CD211","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"CD211","description":"HIPPS-CD211","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KETE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OLFB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Remove cva device obstruct","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"75901","description":"Remove cva device obstruct","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Injection_ Isavuconazonium Sulfate_ 1 Mg","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"C9456","description":"Injection_ Isavuconazonium Sulfate_ 1 Mg","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Assay chondroitin sulfate","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"82485","description":"Assay chondroitin sulfate","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NIEA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-5AGKX","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"5AGKX","description":"HIPPS-5AGKX","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"EABA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Dental gold foil three surfa","billing_code_type":"CDT","billing_code_type_version":"2024","billing_code":"D2430","description":"Dental gold foil three surfa","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CCGC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-3CHN2","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"3CHN2","description":"HIPPS-3CHN2","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"ACTB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Onc dx cml dx status unknown","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G9139","description":"Onc dx cml dx status unknown","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Implant supported crown","billing_code_type":"CDT","billing_code_type_version":"2024","billing_code":"D6065","description":"Implant supported crown","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BGBF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Chemiluminescent assay","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"82397","description":"Chemiluminescent assay","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-PB106","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"PB106","description":"HIPPS-PB106","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Contrst x-ray uppr gi tract","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"74246","description":"Contrst x-ray uppr gi tract","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OCVD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Prednisone ir or dr oral 1mg","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"J7512","description":"Prednisone ir or dr oral 1mg","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KBLA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"EBIE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Remove windpipe lesion","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"31785","description":"Remove windpipe lesion","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Out-of-hosp on call service","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"99027","description":"Out-of-hosp on call service","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OHFB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Dexamethasone panel","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"80420","description":"Dexamethasone panel","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Breast tomosynthesis bi","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"77062","description":"Breast tomosynthesis bi","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"DFOF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Oncology (lung)_ plasma analysis of 388 proteins_ using aptamer-based proteomics technology_ predictive algorithm reported as clinical benefit from immune checkpoint inhibitor","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0436U","description":"Oncology (lung)_ plasma analysis of 388 proteins_ using aptamer-based proteomics technology_ predictive algorithm reported as clinical benefit from immune checkpoint inhibitor","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Darbepoetin alfa_ esrd use","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"J0882","description":"Darbepoetin alfa_ esrd use","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"IALF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GIUB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Excise lesion testis","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"54512","description":"Excise lesion testis","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Thiethylperazine maleate10mg","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"Q0174","description":"Thiethylperazine maleate10mg","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"CPT-0569U","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"0569U","description":"CPT-0569U","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NLXF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RHA11","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RHA11","description":"HIPPS-RHA11","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NLXB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"D&c of cervical stump","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"57558","description":"D&c of cervical stump","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GGPF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OAFD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Rpr f/e/e/n/l/m 2.5 cm/<","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"12011","description":"Rpr f/e/e/n/l/m 2.5 cm/<","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Intraoperative near-infrared fluorescence lymphatic mapping of lymp node(s) (sentinel or tumor draining) with administration of indocyanine green (ICG) (List separately in add","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"C9756","description":"Intraoperative near-infrared fluorescence lymphatic mapping of lymp node(s) (sentinel or tumor draining) with administration of indocyanine green (ICG) (List separately in add","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"EITE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-4AHL4","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"4AHL4","description":"HIPPS-4AHL4","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"PCWB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Exclusion Of Left Atrial Appendage_ Thoracoscopic_ Any Method (Eg_ Excision_ Isolation Via Stapling_ Oversewing_ Ligation_ Plication_ Clip)","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"33269","description":"Exclusion Of Left Atrial Appendage_ Thoracoscopic_ Any Method (Eg_ Excision_ Isolation Via Stapling_ Oversewing_ Ligation_ Plication_ Clip)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KBRE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-PC14A","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"PC14A","description":"HIPPS-PC14A","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"ABHB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"IBHC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NFJE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Injection_ docetaxel (ingenus) not therapeutically equivalent to j9171_ 1 mg","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"J9172","description":"Injection_ docetaxel (ingenus) not therapeutically equivalent to j9171_ 1 mg","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MIDB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OLOA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"ABIA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OFRE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JAJB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Esrd home pt serv p mo 2-11","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"90964","description":"Esrd home pt serv p mo 2-11","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NGDD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Electronic analysis of implanted neurostimulator pulse generator/transmitter (eg_ contact group[s]_ interleaving_ amplitude_ pulse width_ frequency [Hz]_ on/off cycling_ burst","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"95983","description":"Electronic analysis of implanted neurostimulator pulse generator/transmitter (eg_ contact group[s]_ interleaving_ amplitude_ pulse width_ frequency [Hz]_ on/off cycling_ burst","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OGKD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FBLD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Insert cervical dilator","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"59200","description":"Insert cervical dilator","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Drug delivery system <=50 ml","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"A4306","description":"Drug delivery system <=50 ml","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Doc of non tobacco user","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G9275","description":"Doc of non tobacco user","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Remove knee joint lining","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"27334","description":"Remove knee joint lining","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OGEA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"EALF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-E0201","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"E0201","description":"HCPCS-E0201","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Incision of windpipe","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"31610","description":"Incision of windpipe","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Visit to determ ldct elig","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G0296","description":"Visit to determ ldct elig","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-PE145","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"PE145","description":"HIPPS-PE145","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Microcapillary tube sealant","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"A4652","description":"Microcapillary tube sealant","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"ACBE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-J0675","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"J0675","description":"HCPCS-J0675","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JFUA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Removal of larynx & pharynx","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"31390","description":"Removal of larynx & pharynx","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GAQF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-A2030","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"A2030","description":"HCPCS-A2030","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"PKRC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MFHE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Traction stand free standing","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"E0850","description":"Traction stand free standing","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OHHE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-2AFKV","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"2AFKV","description":"HIPPS-2AFKV","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Caries susceptibility test","billing_code_type":"CDT","billing_code_type_version":"2024","billing_code":"D0425","description":"Caries susceptibility test","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Injection_ calcium gluconate (wg critical care)_ per 10 ml","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"J0611","description":"Injection_ calcium gluconate (wg critical care)_ per 10 ml","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FGVC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Repair Of Fixed Retainer_ Includes Reattachment - Mandibular","billing_code_type":"CDT","billing_code_type_version":"2024","billing_code":"D8702","description":"Repair Of Fixed Retainer_ Includes Reattachment - Mandibular","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BHHA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Gastrointestinal pathogen_ multiplex reverse transcription and multiplex amplified probe technique_ multiple types or subtypes_ 22 targets (Campylobacter [C. jejuni/C. coli/C.","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0097U","description":"Gastrointestinal pathogen_ multiplex reverse transcription and multiplex amplified probe technique_ multiple types or subtypes_ 22 targets (Campylobacter [C. jejuni/C. coli/C.","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JIAB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"DCQB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Toxoplasma antibody igm","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"86778","description":"Toxoplasma antibody igm","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KCFA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"ACUA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FCGB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BGDA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Extensive vulva surgery","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"56634","description":"Extensive vulva surgery","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Resect hip/pelv tum < 5 cm","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"27049","description":"Resect hip/pelv tum < 5 cm","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Bone graft peri each addl","billing_code_type":"CDT","billing_code_type_version":"2024","billing_code":"D3429","description":"Bone graft peri each addl","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FCCF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Repair of foot bones","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"28320","description":"Repair of foot bones","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-HB28G","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"HB28G","description":"HIPPS-HB28G","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-1BGPW","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"1BGPW","description":"HIPPS-1BGPW","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HH PDGM","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"2HB21","description":"HH PDGM","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Injection_ cefazolin sodium (hikma)_ not therapeutically equivalent to j0690_ 500 mg","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"J0688","description":"Injection_ cefazolin sodium (hikma)_ not therapeutically equivalent to j0690_ 500 mg","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OITF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RML23","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RML23","description":"HIPPS-RML23","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OGYA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Electronic salivary reflex s","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"E0755","description":"Electronic salivary reflex s","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OKNE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Set radiation therapy field","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"77280","description":"Set radiation therapy field","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CDSF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FFXC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KCSE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"IITC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Sr89 strontium","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"A9600","description":"Sr89 strontium","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-1AFP3","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"1AFP3","description":"HIPPS-1AFP3","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BAFF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NLPC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CDUA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"HASF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"ThyGeNEXT® Thyroid Oncogene Panel_ Interpace Diagnostics","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0245U","description":"ThyGeNEXT® Thyroid Oncogene Panel_ Interpace Diagnostics","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"AGCA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FINC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NFFB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Reconstruction of midface","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"21188","description":"Reconstruction of midface","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"EIUB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-A7021","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"A7021","description":"HCPCS-A7021","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KCFE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"PAOF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Afo ankle gauntlet pre ots","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"L1902","description":"Afo ankle gauntlet pre ots","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Anesth abdominal wall surg","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"82077","description":"Anesth abdominal wall surg","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Kafo plas doub free knee mol","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"L2036","description":"Kafo plas doub free knee mol","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Chikungunya virus vaccine_ live attenuated_ for intramuscular use","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"90589","description":"Chikungunya virus vaccine_ live attenuated_ for intramuscular use","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Physical medicine procedure","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"97139","description":"Physical medicine procedure","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Embolization endpoints are not documented separately for each embolized vessel or ovarian artery angiography or embolization not performed in the presence of variant uterine a","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G9963","description":"Embolization endpoints are not documented separately for each embolized vessel or ovarian artery angiography or embolization not performed in the presence of variant uterine a","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NAFA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JCDE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BFDB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BDKC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Pwc gp4 std sing pow opt cap","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"K0878","description":"Pwc gp4 std sing pow opt cap","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Hemoglobin electrophoresis","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"83020","description":"Hemoglobin electrophoresis","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"LAQB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Mech amb infusion pump <8hrs","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"E0780","description":"Mech amb infusion pump <8hrs","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FBAE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Alcohol and/or drug hotline","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"H0030","description":"Alcohol and/or drug hotline","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CHXA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JIEC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OGSD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RLA10","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RLA10","description":"HIPPS-RLA10","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CEQB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Patients 66 Years Of Age And Older With At Least One Claim/Encounter For Frailty During The Measurement Period And A Dispensed Medication For Dementia During The Measurement P","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G2109","description":"Patients 66 Years Of Age And Older With At Least One Claim/Encounter For Frailty During The Measurement Period And A Dispensed Medication For Dementia During The Measurement P","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NFXB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OKQE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FGNC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Appliance cleaner","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"A5131","description":"Appliance cleaner","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OLDC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-J0013","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"J0013","description":"HCPCS-J0013","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"ABID1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FEVF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NKFD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Connection of liver allograft to normothermic machine perfusion device_ hemostasis control; each additional hour_ including physiological and laboratory assessments (eg_ perfu","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0896T","description":"Connection of liver allograft to normothermic machine perfusion device_ hemostasis control; each additional hour_ including physiological and laboratory assessments (eg_ perfu","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Create tear duct drain","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"68750","description":"Create tear duct drain","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RMC12","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RMC12","description":"HIPPS-RMC12","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"AFUB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-ATP09","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"ATP09","description":"HIPPS-ATP09","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FHBE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Lens sphcy trifocal 4.0/.12-","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"V2303","description":"Lens sphcy trifocal 4.0/.12-","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Art byp aorsubcl/carot/innom","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"35626","description":"Art byp aorsubcl/carot/innom","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Replace aortic valve open","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"33364","description":"Replace aortic valve open","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"AGHC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Pentostatin injection","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"J9268","description":"Pentostatin injection","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-HE12B","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"HE12B","description":"HIPPS-HE12B","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KFCC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Cataract surg w/iol 1 stage","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"66984","description":"Cataract surg w/iol 1 stage","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"LEYB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Chimeric antigen receptor T-cell (CAR-T) therapy; receipt and preparation of CAR-T cells for administration","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0539T","description":"Chimeric antigen receptor T-cell (CAR-T) therapy; receipt and preparation of CAR-T cells for administration","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JEBF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"PGQB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Removal with reinsertion_ non-biodegradable drug delivery implants_ 4 or more (services for subdermal implants)","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G0518","description":"Removal with reinsertion_ non-biodegradable drug delivery implants_ 4 or more (services for subdermal implants)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Benesch boot pair infant","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"L3212","description":"Benesch boot pair infant","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BHKF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OBYD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FDAB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OCUF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Repl water chamber_ pap dev","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"A7046","description":"Repl water chamber_ pap dev","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Anter chamber intraocul lens","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"V2630","description":"Anter chamber intraocul lens","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FEKF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Immunization administration by intramuscular injection of severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) (coronavirus disease [COVID-19]) vaccine_ recombinant sp","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0041A","description":"Immunization administration by intramuscular injection of severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) (coronavirus disease [COVID-19]) vaccine_ recombinant sp","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NKHA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MEEC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"PLSC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Remote Treatment Of Amblyopia Using An Eye Tracking Device; Device Supply With Initial Set-Up And Patient Education On Use Of Equipment","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0704T","description":"Remote Treatment Of Amblyopia Using An Eye Tracking Device; Device Supply With Initial Set-Up And Patient Education On Use Of Equipment","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"History of mole changes","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"1050F","description":"History of mole changes","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Trabecular Bone Score (Tbs)_ Structural Condition Of The Bone Microarchitecture; Technical Calculation Only","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"77091","description":"Trabecular Bone Score (Tbs)_ Structural Condition Of The Bone Microarchitecture; Technical Calculation Only","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MDEF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Image std nomenclature","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G9318","description":"Image std nomenclature","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KAHF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Ongoing Care Not Indicated_ Patient Seen Only 1-2 Visits (E.G._ Home Program Only_ Referred To Another Provider Or Facility_ Consultation Only)","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"M1108","description":"Ongoing Care Not Indicated_ Patient Seen Only 1-2 Visits (E.G._ Home Program Only_ Referred To Another Provider Or Facility_ Consultation Only)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-4BFK4","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"4BFK4","description":"HIPPS-4BFK4","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"DIQA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GBAD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"CPT-15014","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"15014","description":"CPT-15014","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"ODRA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OCPA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"EALD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-3BHP4","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"3BHP4","description":"HIPPS-3BHP4","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GCAF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Dilation of salivary duct","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"42650","description":"Dilation of salivary duct","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Laparoscope proc biliary","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"47579","description":"Laparoscope proc biliary","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BBKE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NFAD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FAFD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Art byp axill-fem-femoral","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"35654","description":"Art byp axill-fem-femoral","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Adj skin pro/pos cus<22in","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"E2624","description":"Adj skin pro/pos cus<22in","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KGHD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RMX0D","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RMX0D","description":"HIPPS-RMX0D","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Injection into spinal artery","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"62294","description":"Injection into spinal artery","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NHIE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Aicd_ single chamber","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"C1722","description":"Aicd_ single chamber","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Bone cutting ramus closed","billing_code_type":"CDT","billing_code_type_version":"2024","billing_code":"D7941","description":"Bone cutting ramus closed","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Evoked auditory test limited","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"92587","description":"Evoked auditory test limited","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Assay of arsenic","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"82175","description":"Assay of arsenic","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JAVF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"IBHA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Drainage of bone lesion","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"21510","description":"Drainage of bone lesion","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Contrast x-ray of wrist","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"73115","description":"Contrast x-ray of wrist","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-LD245","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"LD245","description":"HIPPS-LD245","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RVB2A","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RVB2A","description":"HIPPS-RVB2A","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"PFOA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GESC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"IBAE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-5AFK6","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"5AFK6","description":"HIPPS-5AFK6","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Pt rec antivir treat hep c","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G8461","description":"Pt rec antivir treat hep c","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"CPT-97008","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"97008","description":"CPT-97008","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HH PDGM","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"2EB31","description":"HH PDGM","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Waterjet prostate abltj cmpl","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0421T","description":"Waterjet prostate abltj cmpl","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NLLD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Ascending Aorta Graft_ With Cardiopulmonary Bypass_ Includes Valve Suspension_ When Performed; For Aortic Dissection","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"33858","description":"Ascending Aorta Graft_ With Cardiopulmonary Bypass_ Includes Valve Suspension_ When Performed; For Aortic Dissection","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Trluml perip athrc iliac art","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0238T","description":"Trluml perip athrc iliac art","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Inhalation solution for dme","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"J7699","description":"Inhalation solution for dme","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Antihist/decong rx/recom","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"4133F","description":"Antihist/decong rx/recom","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CFLB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-HE13C","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"HE13C","description":"HIPPS-HE13C","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Exploration of bile ducts","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"47700","description":"Exploration of bile ducts","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Revise finger joint each","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"26135","description":"Revise finger joint each","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FITC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NLID1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KGCC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JGLC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Taking statin or recd order","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G9664","description":"Taking statin or recd order","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Pwr seat recline pwr","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"E1005","description":"Pwr seat recline pwr","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KATF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Revision or replacement of chest wall respiratory sensor electrode or electrode array_ including connection to existing pulse generator","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0467T","description":"Revision or replacement of chest wall respiratory sensor electrode or electrode array_ including connection to existing pulse generator","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OCUD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BBXC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GANB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"AGID0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Transplj hematopoietic boost","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"38243","description":"Transplj hematopoietic boost","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MDBD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FAUE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"CPT-37285","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"37285","description":"CPT-37285","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-CE255","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"CE255","description":"HIPPS-CE255","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"AAIF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-4BFL1","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"4BFL1","description":"HIPPS-4BFL1","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Release of foot contracture","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"28270","description":"Release of foot contracture","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OBKF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Gr34 sealed leadacid battery","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"E2359","description":"Gr34 sealed leadacid battery","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CCSB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GILC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Med reas pt_ pn_ not doc","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G8722","description":"Med reas pt_ pn_ not doc","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BCXF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Chct for mal hyperthermia","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"89049","description":"Chct for mal hyperthermia","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OAJA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Spine fusion extra segment","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"22634","description":"Spine fusion extra segment","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"CPT-97007","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"97007","description":"CPT-97007","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CABF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Pt ed write/oral pts w/ hf","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"4003F","description":"Pt ed write/oral pts w/ hf","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Gastro-Enterology Mips Specialty Set","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G4006","description":"Gastro-Enterology Mips Specialty Set","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CIIC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Neox Cord 1K_ Neox Cord RT_ or Clarix Cord 1K_ per sq cm","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"Q4148","description":"Neox Cord 1K_ Neox Cord RT_ or Clarix Cord 1K_ per sq cm","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"MRI brain stem w/o & w/dye","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"70553","description":"MRI brain stem w/o & w/dye","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Percutaneous Transluminal Angioplasty Of Native Or Recurrent Coarctation Of The Aorta","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"33897","description":"Percutaneous Transluminal Angioplasty Of Native Or Recurrent Coarctation Of The Aorta","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Proctosigmoidoscopy removal","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"45308","description":"Proctosigmoidoscopy removal","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OJLA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"High activity knee frame","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"L5930","description":"High activity knee frame","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"LCRB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Extensive vulva surgery","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"56631","description":"Extensive vulva surgery","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RHB51","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RHB51","description":"HIPPS-RHB51","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Leukocyte phagocytosis","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"86344","description":"Leukocyte phagocytosis","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OBBE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Septal defect imp sys","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"C1817","description":"Septal defect imp sys","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OCRB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-4BHMX","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"4BHMX","description":"HIPPS-4BHMX","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Chlorhexidine antisept","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"A4248","description":"Chlorhexidine antisept","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GAWA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-HE216","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"HE216","description":"HIPPS-HE216","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OIFF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GBEB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Mccd_ sch team conf","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G9007","description":"Mccd_ sch team conf","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-C0201","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"C0201","description":"HCPCS-C0201","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CCLE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Injection_ bumetanide_ 0.5 mg","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"J1939","description":"Injection_ bumetanide_ 0.5 mg","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-LB25C","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"LB25C","description":"HIPPS-LB25C","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Adenovirus antibody","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"86603","description":"Adenovirus antibody","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Construction of absent anus","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"46735","description":"Construction of absent anus","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MCEF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"DEYB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Implant neurostim arrays","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"61886","description":"Implant neurostim arrays","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KDUE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-LB24B","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"LB24B","description":"HIPPS-LB24B","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Sodium fluoride f-18","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"A9580","description":"Sodium fluoride f-18","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KEQE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"DFYE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KCAC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-2BHK4","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"2BHK4","description":"HIPPS-2BHK4","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GDDC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BFDD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Injection_ chloroprocaine hydrochloride (clorotekal)_ per 1 mg","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"J2402","description":"Injection_ chloroprocaine hydrochloride (clorotekal)_ per 1 mg","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CDPB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NGUD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Partial removal of kidney","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"50240","description":"Partial removal of kidney","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"AFBE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Afamelanotide implant_ 1 mg","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"J7352","description":"Afamelanotide implant_ 1 mg","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KFVA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FDPD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"3-Dimensional Volumetric Imaging And Reconstruction Of Breast Or Axillary Lymph Node Tissue_ Each Excised Specimen_ 3-Dimensional Automatic Specimen Reorientation_ Interpretat","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0694T","description":"3-Dimensional Volumetric Imaging And Reconstruction Of Breast Or Axillary Lymph Node Tissue_ Each Excised Specimen_ 3-Dimensional Automatic Specimen Reorientation_ Interpretat","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Budesonide non-comp con","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"J7633","description":"Budesonide non-comp con","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MHAB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Repair implant","billing_code_type":"CDT","billing_code_type_version":"2024","billing_code":"D6090","description":"Repair implant","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Cytopath tbs c/v manual","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"88164","description":"Cytopath tbs c/v manual","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Cone beam ct capture tmj","billing_code_type":"CDT","billing_code_type_version":"2024","billing_code":"D0384","description":"Cone beam ct capture tmj","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"ODUE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HH PDGM","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"2KC11","description":"HH PDGM","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-3AHPT","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"3AHPT","description":"HIPPS-3AHPT","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KICE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NIAB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Chylmd pneum dna dir probe","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"87485","description":"Chylmd pneum dna dir probe","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Temproromandibular Joint Dysfunction - non-invasive physical therapies","billing_code_type":"CDT","billing_code_type_version":"2024","billing_code":"D9130","description":"Temproromandibular Joint Dysfunction - non-invasive physical therapies","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"PEWB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Calibrated microcap tube","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"A4651","description":"Calibrated microcap tube","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JBHA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Removal of small intestine","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"44120","description":"Removal of small intestine","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Meals when receive services","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"T1010","description":"Meals when receive services","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MLDA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Multiple_ including serial trended analysis and limited reprogramming of device parameter - AV or VV delays only_ with interpretation and report","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0224T","description":"Multiple_ including serial trended analysis and limited reprogramming of device parameter - AV or VV delays only_ with interpretation and report","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KCJB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BBVB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Dactinomycin injection","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"J9120","description":"Dactinomycin injection","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JHBD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"DBWB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Endovenous ablation therapy of incompetent vein_ extremity_ by transcatheter delivery of a chemical adhesive (eg_ cyanoacrylate) remote from the access site_ inclusive of all","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"36482","description":"Endovenous ablation therapy of incompetent vein_ extremity_ by transcatheter delivery of a chemical adhesive (eg_ cyanoacrylate) remote from the access site_ inclusive of all","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CGQB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Radiologic Small Intestine Follow-Through Study_ Including Multiple Serial Images (List Separately In Addition To Code For Primary Procedure For Upper Gi Radiologic Examinatio","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"74248","description":"Radiologic Small Intestine Follow-Through Study_ Including Multiple Serial Images (List Separately In Addition To Code For Primary Procedure For Upper Gi Radiologic Examinatio","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BHMF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"CPT-01952","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"01952","description":"CPT-01952","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GIEC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CGDA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RMX24","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RMX24","description":"HIPPS-RMX24","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Cast sup lngleg cylndr ped p","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"Q4035","description":"Cast sup lngleg cylndr ped p","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"N block inj intercost sng","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"64420","description":"N block inj intercost sng","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-ES28G","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"ES28G","description":"HIPPS-ES28G","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"PARD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KHJF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"PHRD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"HDQB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Ire abltj 1+tumors open","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0601T","description":"Ire abltj 1+tumors open","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NIJA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GHYB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Afo rig ant tib prefab tcf/=","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"L1932","description":"Afo rig ant tib prefab tcf/=","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Clinical social work mips specialty set","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G0066","description":"Clinical social work mips specialty set","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"PBWC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JGKF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"EFDC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Repair & adjust spectacles","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"92370","description":"Repair & adjust spectacles","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"MRI w/o fol w/cont_ brst_ un","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"C8905","description":"MRI w/o fol w/cont_ brst_ un","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JAJA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GCPF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GHNF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-J0752","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"J0752","description":"HCPCS-J0752","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Hemophilus influenza antibdy","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"86684","description":"Hemophilus influenza antibdy","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Doc reas no ahi or rdi","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G8843","description":"Doc reas no ahi or rdi","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Lang comp current status","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G9159","description":"Lang comp current status","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JHMA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Repair of ureter","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"50900","description":"Repair of ureter","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GDRA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"PIRB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"IBCA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"CPT-0484U","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"0484U","description":"CPT-0484U","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CHBF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Endo knee-shin mnl lck ultra","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"L5811","description":"Endo knee-shin mnl lck ultra","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Revise eye muscle","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"67314","description":"Revise eye muscle","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OHKB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"CPT-00300","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"00300","description":"CPT-00300","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MHMB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OFSD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-1BFK5","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"1BFK5","description":"HIPPS-1BFK5","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"CPT-01732","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"01732","description":"CPT-01732","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Inj filgrastim gcsf biosimil","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"Q5101","description":"Inj filgrastim gcsf biosimil","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-M1432","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"M1432","description":"HCPCS-M1432","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Treat clavicle fracture","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"23515","description":"Treat clavicle fracture","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"AGBD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JEEA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FIIF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"EDDE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Open tx compl front sinus fx","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"21344","description":"Open tx compl front sinus fx","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Albuterol non-comp unit","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"J7613","description":"Albuterol non-comp unit","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Plmt post facet implt thor","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0220T","description":"Plmt post facet implt thor","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OFSD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OFDC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FDFE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"HBRC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Nebulizer administration set","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"A7003","description":"Nebulizer administration set","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BCAF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BIND0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-BA28C","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"BA28C","description":"HIPPS-BA28C","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"CPT-49189","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"49189","description":"CPT-49189","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-LE111","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"LE111","description":"HIPPS-LE111","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Injection_ edaravone_ 1 mg","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"C9493","description":"Injection_ edaravone_ 1 mg","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"PARA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JHXD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BAVB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Buccal/labial frenectomy (frenulectomy)","billing_code_type":"CDT","billing_code_type_version":"2024","billing_code":"D7961","description":"Buccal/labial frenectomy (frenulectomy)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Solid organ transpl pkg","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"S2152","description":"Solid organ transpl pkg","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CCBF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Aspergillus antibody","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"86606","description":"Aspergillus antibody","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-BA130","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"BA130","description":"HIPPS-BA130","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Tx dental pain minor proc","billing_code_type":"CDT","billing_code_type_version":"2024","billing_code":"D9110","description":"Tx dental pain minor proc","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"HISD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BFVF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CCUF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Natalizumab injection","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"J2323","description":"Natalizumab injection","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FENB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-LC134","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"LC134","description":"HIPPS-LC134","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MLIA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"ADIC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NAAD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CAKB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JIPF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CIGB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OAHB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Testicular imaging w/flow","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"78761","description":"Testicular imaging w/flow","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KITD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MHCD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GEAF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FAUB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Tetanus antibody","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"86774","description":"Tetanus antibody","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CAXB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OGHD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BAPD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MCAE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JHDE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-HE22A","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"HE22A","description":"HIPPS-HE22A","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FCTD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OHSF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GEIC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KEWD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Tooth reimplantation","billing_code_type":"CDT","billing_code_type_version":"2024","billing_code":"D7270","description":"Tooth reimplantation","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OCDE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Cath_ bal tis dis_ non-vas","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"C1727","description":"Cath_ bal tis dis_ non-vas","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-BB10D","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"BB10D","description":"HIPPS-BB10D","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RVC20","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RVC20","description":"HIPPS-RVC20","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Explore small intestine","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"44020","description":"Explore small intestine","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HH PDGM","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"4LB21","description":"HH PDGM","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Below knee acrylic socket","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"L5629","description":"Below knee acrylic socket","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"ADBD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MITE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GFJC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RUX8C","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RUX8C","description":"HIPPS-RUX8C","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CCFA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-3AHPX","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"3AHPX","description":"HIPPS-3AHPX","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FEUD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OCAC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Persist asthma medicine ctrl","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"4015F","description":"Persist asthma medicine ctrl","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Pt immunity to hep a docd","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"3215F","description":"Pt immunity to hep a docd","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Comprehen metabolic panel","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"80053","description":"Comprehen metabolic panel","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CGSD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"PGOF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Exc hip pelvis les sc 3 cm/>","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"27043","description":"Exc hip pelvis les sc 3 cm/>","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GHMB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OFJD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-LB28D","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"LB28D","description":"HIPPS-LB28D","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-HD206","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"HD206","description":"HIPPS-HD206","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Safety counseling dementia","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"6101F","description":"Safety counseling dementia","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Gauze >16<=48 no w/sal w/o b","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"A6223","description":"Gauze >16<=48 no w/sal w/o b","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BGBB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-1CGM3","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"1CGM3","description":"HIPPS-1CGM3","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KCSF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CFAA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Injection_ bezlotoxumab_ 10 mg","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"J0565","description":"Injection_ bezlotoxumab_ 10 mg","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"AGAF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KFUA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"AITA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-5AFKU","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"5AFKU","description":"HIPPS-5AFKU","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Partial excision of lip","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"40500","description":"Partial excision of lip","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"CPT-1046T","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"1046T","description":"CPT-1046T","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Endovascular repair of infrarenal aorta by deployment of an aorto-aortic tube endograft including pre-procedure sizing and device selection_ all nonselective catheterization(s","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"34701","description":"Endovascular repair of infrarenal aorta by deployment of an aorto-aortic tube endograft including pre-procedure sizing and device selection_ all nonselective catheterization(s","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"LDRF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NDIE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KGWD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Resect back tum < 5 cm","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"21935","description":"Resect back tum < 5 cm","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MKED1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BFXC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CALE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"AICF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OECB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"T3 reverse","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"84482","description":"T3 reverse","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Infuse radioactive materials","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"77750","description":"Infuse radioactive materials","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Patients who were not seen for reasons documented by clinician for patient or medical reasons (e.g._ inadequate time for follow-up_ patients who received a prior intravitreal","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"M1325","description":"Patients who were not seen for reasons documented by clinician for patient or medical reasons (e.g._ inadequate time for follow-up_ patients who received a prior intravitreal","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FDTB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"External Electrocardiographic Recording For More Than 48 Hours Up To 7 Days By Continuous Rhythm Recording And Storage; Recording (Includes Connection And Initial Recording)","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"93242","description":"External Electrocardiographic Recording For More Than 48 Hours Up To 7 Days By Continuous Rhythm Recording And Storage; Recording (Includes Connection And Initial Recording)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JGCE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OADB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Commode chair foot rest","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"E0175","description":"Commode chair foot rest","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Lith ion batt cid_non-earlvl","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"L8623","description":"Lith ion batt cid_non-earlvl","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"CPT-0573U","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"0573U","description":"CPT-0573U","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"IDDD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Infectious disease (bacterial vaginosis and vaginitis)_ multiplex amplified probe technique_ for detection of bacterial vaginosis-associated bacteria (BVAB-2_ Atopobium vagina","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0352U","description":"Infectious disease (bacterial vaginosis and vaginitis)_ multiplex amplified probe technique_ for detection of bacterial vaginosis-associated bacteria (BVAB-2_ Atopobium vagina","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KDOB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Clinically node negative (T1N0N0 or T2N0N0) invasive breast cancer before or after neoadjuvant systemic therapy","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G9911","description":"Clinically node negative (T1N0N0 or T2N0N0) invasive breast cancer before or after neoadjuvant systemic therapy","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"ACTD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KDTF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-HB13D","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"HB13D","description":"HIPPS-HB13D","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Reconstruct elbow joint","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"24362","description":"Reconstruct elbow joint","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OKGD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KHFC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Leuprolide acetate injeciton","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"J9218","description":"Leuprolide acetate injeciton","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Hyaluronidase injection","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"J3470","description":"Hyaluronidase injection","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GAMC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Remove aorta constriction","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"33840","description":"Remove aorta constriction","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-1AFP2","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"1AFP2","description":"HIPPS-1AFP2","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Laparo new ureter/bladder","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"50947","description":"Laparo new ureter/bladder","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FAPC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Repair eyelid defect","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"67901","description":"Repair eyelid defect","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Topographic brain mapping","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"S8040","description":"Topographic brain mapping","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Tb test cell immun measure","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"86480","description":"Tb test cell immun measure","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JBIB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GAQB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-BB28E","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"BB28E","description":"HIPPS-BB28E","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-1AHK4","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"1AHK4","description":"HIPPS-1AHK4","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Remove lower leg bone lesion","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"27635","description":"Remove lower leg bone lesion","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Anesth perineal surgery","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"90476","description":"Anesth perineal surgery","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Remove wrist joint lining","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"26130","description":"Remove wrist joint lining","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Removal of heart lesion","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"33130","description":"Removal of heart lesion","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Comprehensive preoperative assessment performed for cataract surgery with i","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0122U","description":"Comprehensive preoperative assessment performed for cataract surgery with i","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Partial removal leg bone(s)","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"27360","description":"Partial removal leg bone(s)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JIUB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OIJE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-PE18C","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"PE18C","description":"HIPPS-PE18C","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GABE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CIGC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NEHF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-G0670","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"G0670","description":"HCPCS-G0670","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"12-24hr sealed lead acid","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"K0733","description":"12-24hr sealed lead acid","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NACD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Explore/treat finger joint","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"26075","description":"Explore/treat finger joint","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CIXE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Ablation_ Malignant Breast Tumor(S)_ Percutaneous_ Cryotherapy_ Including Imaging Guidance When Performed_ Unilateral","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0581T","description":"Ablation_ Malignant Breast Tumor(S)_ Percutaneous_ Cryotherapy_ Including Imaging Guidance When Performed_ Unilateral","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SARSCOV2 VACCINE BIVALENT 30 MCG/0.3 ML IM USE","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"91312","description":"SARSCOV2 VACCINE BIVALENT 30 MCG/0.3 ML IM USE","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Orthopedic mens shoes oxford","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"L3219","description":"Orthopedic mens shoes oxford","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Chromosome analys placenta","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"88267","description":"Chromosome analys placenta","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"LIWA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Assay of aldolase","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"82085","description":"Assay of aldolase","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"EEHB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Cxr doc rev","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"3006F","description":"Cxr doc rev","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KGDF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MDLB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Soft tissue graft addl tooth","billing_code_type":"CDT","billing_code_type_version":"2024","billing_code":"D4278","description":"Soft tissue graft addl tooth","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KEUA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CCWD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Infectious Disease_ Bacterial Vaginosis_ Quantitative Real-Time Amplification Of Rna Markers For Atopobium Vaginae_ Gardnerella Vaginalis_ And Lactobacillus Species_ Utilizing","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"81513","description":"Infectious Disease_ Bacterial Vaginosis_ Quantitative Real-Time Amplification Of Rna Markers For Atopobium Vaginae_ Gardnerella Vaginalis_ And Lactobacillus Species_ Utilizing","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RVB11","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RVB11","description":"HIPPS-RVB11","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-PB18I","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"PB18I","description":"HIPPS-PB18I","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Opn tx orbit fx w/o implant","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"21406","description":"Opn tx orbit fx w/o implant","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GCCE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-HD28X","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"HD28X","description":"HIPPS-HD28X","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OAWE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Diagnostic laryngoscopy","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"31575","description":"Diagnostic laryngoscopy","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GBWF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CDQF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GFND0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KEUB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Relocation of skin pocket with replacement of implanted aortic counterpulsation ventricular assist device_ mechano-electrical skin interface and electrodes","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0459T","description":"Relocation of skin pocket with replacement of implanted aortic counterpulsation ventricular assist device_ mechano-electrical skin interface and electrodes","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OGJB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Remove/replace penis prosth","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"54410","description":"Remove/replace penis prosth","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Tick-borne encephalitis virus vaccine_ inactivated; 0.25 mL dosage_ for intramuscular use","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"90626","description":"Tick-borne encephalitis virus vaccine_ inactivated; 0.25 mL dosage_ for intramuscular use","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-4CHK1","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"4CHK1","description":"HIPPS-4CHK1","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KDPB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Comp screen mammogram add-on","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"77052","description":"Comp screen mammogram add-on","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Injection_ casimersen_ 10mg","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"J1426","description":"Injection_ casimersen_ 10mg","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Intraoral periapical first f","billing_code_type":"CDT","billing_code_type_version":"2024","billing_code":"D0220","description":"Intraoral periapical first f","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-CD150","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"CD150","description":"HIPPS-CD150","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Endovascular repair of infrarenal aorta and/or iliac artery(ies) by deployment of an aorto-uni-iliac endograft including pre-procedure sizing and device selection_ all nonsele","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"34703","description":"Endovascular repair of infrarenal aorta and/or iliac artery(ies) by deployment of an aorto-uni-iliac endograft including pre-procedure sizing and device selection_ all nonsele","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KGGC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Insj iris prosth w/rmvl&insj","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0617T","description":"Insj iris prosth w/rmvl&insj","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CEAC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RLA5A","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RLA5A","description":"HIPPS-RLA5A","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CFBD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Percutaneous vertebroplasties (bone biopsies included when performed)_ first lumbosacral and any additional cervicothoracic or lumbosacral vertebral bodies_ unilateral or bila","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"C7505","description":"Percutaneous vertebroplasties (bone biopsies included when performed)_ first lumbosacral and any additional cervicothoracic or lumbosacral vertebral bodies_ unilateral or bila","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Long-acting inhaled bronchodilator not prescribed_ reason not otherwise specified","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G9699","description":"Long-acting inhaled bronchodilator not prescribed_ reason not otherwise specified","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BIBE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FBUE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Remove lung catheter","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"32552","description":"Remove lung catheter","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KDJA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Repair of kneecap tendon","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"27380","description":"Repair of kneecap tendon","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Implnt/abut fixed dent mand","billing_code_type":"CDT","billing_code_type_version":"2024","billing_code":"D6115","description":"Implnt/abut fixed dent mand","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FGGE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Actigraphy testing","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"95803","description":"Actigraphy testing","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Cytogenetics dna probe","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"88271","description":"Cytogenetics dna probe","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OAAE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Term device_ multi art digit","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"L6715","description":"Term device_ multi art digit","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Intranasal biopsy","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"30100","description":"Intranasal biopsy","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Os pch urine w bar/fange/tap","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"A4432","description":"Os pch urine w bar/fange/tap","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Injection_ triamcinolone acetonide (Xipere)_ 1 mg","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"J3299","description":"Injection_ triamcinolone acetonide (Xipere)_ 1 mg","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"DBQF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Silicone gel insert or equal","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"L6692","description":"Silicone gel insert or equal","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"CPT-00844","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"00844","description":"CPT-00844","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GBBC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"DDYB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Bile acids cholylglycine","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"82240","description":"Bile acids cholylglycine","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Zrsr2 (Zinc Finger Ccch-Type_ Rna Binding Motif And Serine/Arginine-Rich 2) (Eg_ Myelodysplastic Syndrome_ Acute Myeloid Leukemia) Gene Analysis_ Common Variant(S) (Eg_ E65Fs_","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"81360","description":"Zrsr2 (Zinc Finger Ccch-Type_ Rna Binding Motif And Serine/Arginine-Rich 2) (Eg_ Myelodysplastic Syndrome_ Acute Myeloid Leukemia) Gene Analysis_ Common Variant(S) (Eg_ E65Fs_","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Elbow orthosis (EO)_ with adjustable position locking joint(s)_ prefabricated_ item that has been trimmed_ bent_ molded_ assembled_ or otherwise customized to fit a specific p","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"L3760","description":"Elbow orthosis (EO)_ with adjustable position locking joint(s)_ prefabricated_ item that has been trimmed_ bent_ molded_ assembled_ or otherwise customized to fit a specific p","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OLOE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"DCOB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FBCA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Services performed by a physical therapist assistant in the home health setting in the delivery of a safe and effective physical therapy maintenance program_ each 15 min","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G2168","description":"Services performed by a physical therapist assistant in the home health setting in the delivery of a safe and effective physical therapy maintenance program_ each 15 min","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Patient screened for tobacco use and received tobacco cessation intervention during the measurement period or in the six months prior to the measurement period (counseling_ ph","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"M1310","description":"Patient screened for tobacco use and received tobacco cessation intervention during the measurement period or in the six months prior to the measurement period (counseling_ ph","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Decompression of forearm","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"24495","description":"Decompression of forearm","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-BA112","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"BA112","description":"HIPPS-BA112","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OKMA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Total disc arthroplasty (artificial disc)_ anterior approach_ including discectomy to prepare interspace (other than for decompression); second interspace_ lumbar (List separa","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"22860","description":"Total disc arthroplasty (artificial disc)_ anterior approach_ including discectomy to prepare interspace (other than for decompression); second interspace_ lumbar (List separa","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JETB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CGLB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"CPT-92945","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"92945","description":"CPT-92945","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"ADUB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JHPA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-LD28E","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"LD28E","description":"HIPPS-LD28E","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FBVB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Baclofen intrathecal trial","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"J0476","description":"Baclofen intrathecal trial","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OKUF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MLUC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Digitization of glass microscope slides for morphometric analysis_ tumor immunohistochemistry (eg_ Her-2/neu_ estrogen receptor/progesterone receptor)_ quantitative or semiqua","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0763T","description":"Digitization of glass microscope slides for morphometric analysis_ tumor immunohistochemistry (eg_ Her-2/neu_ estrogen receptor/progesterone receptor)_ quantitative or semiqua","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Level of activity assess","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"1003F","description":"Level of activity assess","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OHCC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NLGF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Hysteroscopy resect septum","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"58560","description":"Hysteroscopy resect septum","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"IEIF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-LD205","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"LD205","description":"HIPPS-LD205","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NFFF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-PB155","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"PB155","description":"HIPPS-PB155","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-J1946","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"J1946","description":"HCPCS-J1946","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NJFF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CGDE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FGFC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Injection_ risperidone_ (perseris)_ 0.5 mg","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"J2798","description":"Injection_ risperidone_ (perseris)_ 0.5 mg","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Injection_ imipenem 4mg_ cilastatin 4 mg and relebactam 2 mg","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"J0742","description":"Injection_ imipenem 4mg_ cilastatin 4 mg and relebactam 2 mg","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Trimethobenzamide hcl 250mg","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"Q0173","description":"Trimethobenzamide hcl 250mg","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JBCA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Peg interferon alfa-2a/180","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"S0145","description":"Peg interferon alfa-2a/180","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-BA160","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"BA160","description":"HIPPS-BA160","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"DFQF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RMX2A","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RMX2A","description":"HIPPS-RMX2A","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Biliary endo perq dx w/speci","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"47552","description":"Biliary endo perq dx w/speci","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"LHYD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GAPB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CGXE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BHJA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-3BFN1","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"3BFN1","description":"HIPPS-3BFN1","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Open nasoethmoid fx w/ fixj","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"21339","description":"Open nasoethmoid fx w/ fixj","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Azathioprine parenteral","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"J7501","description":"Azathioprine parenteral","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Drainage board postural","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"E0606","description":"Drainage board postural","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Revise middle ear bone","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"69662","description":"Revise middle ear bone","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Repair stomach-bowel fistula","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"43880","description":"Repair stomach-bowel fistula","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Chemical peel face epiderm","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"15788","description":"Chemical peel face epiderm","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BHMA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FDDF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NFBD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"IDMB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OFEF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"PIWA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"AFTF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OCKB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OFSB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OLOC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Stainless steel any wrist","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"L6630","description":"Stainless steel any wrist","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Exploration of orbit (transcranial approach); with biopsy","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"61332","description":"Exploration of orbit (transcranial approach); with biopsy","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CCAC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Limited (30 minutes) care management home visit for an existing patient. for use only in a medicare-approved cmmi model. (services must be furnished within a beneficiary_s hom","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G0082","description":"Limited (30 minutes) care management home visit for an existing patient. for use only in a medicare-approved cmmi model. (services must be furnished within a beneficiary_s hom","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NHTF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"X-ray exam ribs bil 3 views","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"71110","description":"X-ray exam ribs bil 3 views","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Patients who had an intravitreal or periocular corticosteroid injection (e.g._ triamcinolone_ preservative-free triamcinolone_ dexamethasone_ dexamethasone intravitreal implan","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"M1324","description":"Patients who had an intravitreal or periocular corticosteroid injection (e.g._ triamcinolone_ preservative-free triamcinolone_ dexamethasone_ dexamethasone intravitreal implan","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OGGE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Provider who referred the patient to another provider received a report from the provider to whom the patient was referred","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G9969","description":"Provider who referred the patient to another provider received a report from the provider to whom the patient was referred","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Pathology Clinical Consultation; For A Moderately Complex Clinical Problem_ With Review Of Patient_S History And Medical Records And Moderate Level Of Medical Decision Making","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"80504","description":"Pathology Clinical Consultation; For A Moderately Complex Clinical Problem_ With Review Of Patient_S History And Medical Records And Moderate Level Of Medical Decision Making","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Lsh uterus 250 g or less","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"58541","description":"Lsh uterus 250 g or less","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NEHD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MECB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-PE134","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"PE134","description":"HIPPS-PE134","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Injection_ crizanlizumab-tmca_ 5 mg","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"J0791","description":"Injection_ crizanlizumab-tmca_ 5 mg","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"EBUA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Coombs test indirect qual","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"86885","description":"Coombs test indirect qual","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Pwr adpt pneum vad_ rep veh","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"Q0504","description":"Pwr adpt pneum vad_ rep veh","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-HB255","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"HB255","description":"HIPPS-HB255","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"IBCF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GDGB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CGSE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Repair/graft wrist bone","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"25440","description":"Repair/graft wrist bone","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GAED1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Gel pressure mattress","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"E0196","description":"Gel pressure mattress","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CFTF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-3BFKV","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"3BFKV","description":"HIPPS-3BFKV","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"PERB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Stent_ non-coat/cov w/o del","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"C1877","description":"Stent_ non-coat/cov w/o del","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Alcohol and/or drug training","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"H0021","description":"Alcohol and/or drug training","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"CPT-01770","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"01770","description":"CPT-01770","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-PA18A","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"PA18A","description":"HIPPS-PA18A","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Pathogen(s) test for platelets","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"P9100","description":"Pathogen(s) test for platelets","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KGUE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OCPC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Removal of stomach partial","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"43633","description":"Removal of stomach partial","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"EEEC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KCAF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Removal of brain lesion","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"61530","description":"Removal of brain lesion","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Valvuloplasty_ aortic valve_ open_ with cardiopulmonary bypass; complex (eg_ leaflet extension_ leaflet resection_ leaflet reconstruction_ or annuloplasty)","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"33391","description":"Valvuloplasty_ aortic valve_ open_ with cardiopulmonary bypass; complex (eg_ leaflet extension_ leaflet resection_ leaflet reconstruction_ or annuloplasty)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"R & l heart cath congenital","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"93531","description":"R & l heart cath congenital","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Necropsy (autopsy) procedure","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"88099","description":"Necropsy (autopsy) procedure","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-3BHMT","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"3BHMT","description":"HIPPS-3BHMT","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GBBC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Long-acting inhaled bronchodilator prescribed","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G9695","description":"Long-acting inhaled bronchodilator prescribed","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CATD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Patient received an influenza vaccine on or between july 1 of the year prior to the measurement period and june 30 of the measurement period","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"M1168","description":"Patient received an influenza vaccine on or between july 1 of the year prior to the measurement period and june 30 of the measurement period","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Hit pain mgmt per diem","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"S9325","description":"Hit pain mgmt per diem","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KCMF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RUL8A","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RUL8A","description":"HIPPS-RUL8A","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Hocm>= 400mg/ml iodine_ 1ml","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"Q9964","description":"Hocm>= 400mg/ml iodine_ 1ml","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"CPT-0654U","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"0654U","description":"CPT-0654U","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"AHMB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"LAQC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Fixed wing air mileage","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"A0435","description":"Fixed wing air mileage","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OBXC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NDMC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"AADC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Gradient compression stocking_ waist length_ 40 mmhg or greater_ custom_ each","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"A6564","description":"Gradient compression stocking_ waist length_ 40 mmhg or greater_ custom_ each","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"IDME1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GHBF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Anesth genitalia surgery","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"92051","description":"Anesth genitalia surgery","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OFKA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MLCF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"No improve visual funct","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G0915","description":"No improve visual funct","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Elevate footrest articulate","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"K0053","description":"Elevate footrest articulate","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NDVF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NEPA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Cardiovascular stress test","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"93015","description":"Cardiovascular stress test","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"IDBB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RUA16","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RUA16","description":"HIPPS-RUA16","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GDYE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NHGB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OKDB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BCVF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Pneumocystis carinii ag if","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"87281","description":"Pneumocystis carinii ag if","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KGIA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RHB3C","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RHB3C","description":"HIPPS-RHB3C","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Immunization admin by intramuscular injection of s (SARS-CoV-2) ([COVID-19]) vacc_ mRNA-LNP_ spike protein_ presev free_ 30mcg/0.3 mL dosage_ tris-sucrose formula; third dose","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0053A","description":"Immunization admin by intramuscular injection of s (SARS-CoV-2) ([COVID-19]) vacc_ mRNA-LNP_ spike protein_ presev free_ 30mcg/0.3 mL dosage_ tris-sucrose formula; third dose","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"CPT-01938","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"01938","description":"CPT-01938","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-LB18I","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"LB18I","description":"HIPPS-LB18I","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Oncology (prostate)_ mRNA_ gene expression profiling by real-time RT-PCR of 17 genes (12 content and 5 housekeeping)_ utilizing formalin-fixed paraffin-embedded tissue_ algori","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0047U","description":"Oncology (prostate)_ mRNA_ gene expression profiling by real-time RT-PCR of 17 genes (12 content and 5 housekeeping)_ utilizing formalin-fixed paraffin-embedded tissue_ algori","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FFTB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BEVF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CCBE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Abd paracentesis w/imaging","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"49083","description":"Abd paracentesis w/imaging","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Percutaneous arteriovenous fistula creation (AVF)_ direct_ any site_ using magnetic-guided arterial and venous catheter","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G2171","description":"Percutaneous arteriovenous fistula creation (AVF)_ direct_ any site_ using magnetic-guided arterial and venous catheter","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Coronary artery graft","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"33503","description":"Coronary artery graft","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-3BHKS","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"3BHKS","description":"HIPPS-3BHKS","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Cone beam ct capt mandible","billing_code_type":"CDT","billing_code_type_version":"2024","billing_code":"D0381","description":"Cone beam ct capt mandible","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"PBYB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"EALB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"IADB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Art pancreas ext receiver","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"S1037","description":"Art pancreas ext receiver","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Cervical laminoplsty 2/> seg","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"63050","description":"Cervical laminoplsty 2/> seg","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Urinary pouch w ex wear barr","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"A4391","description":"Urinary pouch w ex wear barr","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GEQA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-PB13C","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"PB13C","description":"HIPPS-PB13C","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OIYC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Esophagoplasty congenital","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"43313","description":"Esophagoplasty congenital","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Hd low limb pros vacuum pump","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"L5782","description":"Hd low limb pros vacuum pump","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OARB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NAJA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RMC3D","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RMC3D","description":"HIPPS-RMC3D","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Shave skin lesion 1.1-2.0 cm","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"11312","description":"Shave skin lesion 1.1-2.0 cm","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Metacarp fx orthosis pre ots","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"L3918","description":"Metacarp fx orthosis pre ots","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Removable partial denture","billing_code_type":"CDT","billing_code_type_version":"2024","billing_code":"D5281","description":"Removable partial denture","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Change stent via transureth","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"50385","description":"Change stent via transureth","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NJLC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MKIE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CADB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Cath_ ep_ 20 or more elec","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"C1731","description":"Cath_ ep_ 20 or more elec","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Acetaminophen","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"80143","description":"Acetaminophen","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BHIB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"LFSA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NITC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BBNA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MHTF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BHNE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RMX54","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RMX54","description":"HIPPS-RMX54","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Treatment of thigh fracture","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"27508","description":"Treatment of thigh fracture","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Four total Medicare Diabetes Prevention Program (MDPP) core sessions were attended by an MDPP beneficiary under the MDPP Expanded Model (EM). A core session is an MDPP servi","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G9874","description":"Four total Medicare Diabetes Prevention Program (MDPP) core sessions were attended by an MDPP beneficiary under the MDPP Expanded Model (EM). A core session is an MDPP servi","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-A2028","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"A2028","description":"HCPCS-A2028","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Anesth removal of testis","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"92653","description":"Anesth removal of testis","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FHVB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Prep donor intestine/artery","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"44721","description":"Prep donor intestine/artery","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-1BGL2","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"1BGL2","description":"HIPPS-1BGL2","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"IHAA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"DASC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KDOD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Hallux implant","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"L8642","description":"Hallux implant","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Ostomy faceplt/silicone ring","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"A4384","description":"Ostomy faceplt/silicone ring","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CAFE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Artery to vein shunt","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"36835","description":"Artery to vein shunt","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Umbilical artery echo","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"76820","description":"Umbilical artery echo","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Routine venipuncture","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"36415","description":"Routine venipuncture","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JHEF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KGHC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Multiple_ including serial trended analysis and limited reprogramming of device parameter - AV and VV delays_ with interpretation and report","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0225T","description":"Multiple_ including serial trended analysis and limited reprogramming of device parameter - AV and VV delays_ with interpretation and report","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Non-CDC SARS-CoV-2/2019-nCoV test","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"U0002","description":"Non-CDC SARS-CoV-2/2019-nCoV test","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"LAWA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-4AFLT","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"4AFLT","description":"HIPPS-4AFLT","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"PDQE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-1BGM3","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"1BGM3","description":"HIPPS-1BGM3","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-1AFKW","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"1AFKW","description":"HIPPS-1AFKW","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Contact layer >16<= 48 sq in","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"A6207","description":"Contact layer >16<= 48 sq in","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OHIF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"FXN (frataxin) (eg_ Friedreich ataxia) gene analysis; evaluation to detect abnormal (expanded) alleles","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"81284","description":"FXN (frataxin) (eg_ Friedreich ataxia) gene analysis; evaluation to detect abnormal (expanded) alleles","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CBBE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KHTF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-CA226","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"CA226","description":"HIPPS-CA226","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-G0683","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"G0683","description":"HCPCS-G0683","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MDEA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Injection_ amisulpride_ 1 mg","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"J0184","description":"Injection_ amisulpride_ 1 mg","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Carbon graphite lamination","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"L2755","description":"Carbon graphite lamination","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-1BGLW","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"1BGLW","description":"HIPPS-1BGLW","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Contrast x-ray of ankle","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"73615","description":"Contrast x-ray of ankle","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Endoscopy bowel pouch/biop","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"44386","description":"Endoscopy bowel pouch/biop","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OLRF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Clinical Decision Support Mechanism Medcurrent_ As Defined By The Medicare Appropriate Use Criteria Program","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G1002","description":"Clinical Decision Support Mechanism Medcurrent_ As Defined By The Medicare Appropriate Use Criteria Program","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JCLB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Cytopath smear other source","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"88162","description":"Cytopath smear other source","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-PB24B","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"PB24B","description":"HIPPS-PB24B","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"DDRF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CEDB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Electrophysiology evaluation","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"93641","description":"Electrophysiology evaluation","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NIHD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"ADHF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Lvef not performed","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G8396","description":"Lvef not performed","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-PD23B","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"PD23B","description":"HIPPS-PD23B","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JBHA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Residential Habilitation 1-3 Supp 1:1","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"W0101","description":"Residential Habilitation 1-3 Supp 1:1","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CDOB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Assay of lipoprotein(a)","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"83695","description":"Assay of lipoprotein(a)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CHOB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NCTB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Exc tr-ext mal+marg 2.1-3 cm","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"11603","description":"Exc tr-ext mal+marg 2.1-3 cm","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Clinical decision support mechanism persivia clinical decision support_ as defined by the medicare appropriate use criteria program","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G1023","description":"Clinical decision support mechanism persivia clinical decision support_ as defined by the medicare appropriate use criteria program","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"LIRA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Waiver service_ nos","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"T2025","description":"Waiver service_ nos","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OHWD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RML3A","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RML3A","description":"HIPPS-RML3A","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OAFB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HH PDGM","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"2BA21","description":"HH PDGM","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KCSB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KFEE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GFDC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-LD18I","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"LD18I","description":"HIPPS-LD18I","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Excision of mouth lesion","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"41116","description":"Excision of mouth lesion","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RMA34","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RMA34","description":"HIPPS-RMA34","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"AILD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Revise finger joint each","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"26140","description":"Revise finger joint each","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"IBUD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FDFD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KFKC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KHDC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Severe acute respiratory syndrome coronavirus (SARS-CoV-2) (coronavirus disease [COVID-19]) mutation identification in targeted region(s)","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"87913","description":"Severe acute respiratory syndrome coronavirus (SARS-CoV-2) (coronavirus disease [COVID-19]) mutation identification in targeted region(s)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JAEC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"EDID1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FAKE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JBHB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CINE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NHDB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FHCF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Injection_ risperidone (Perseris)_ 0.5 mg","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"C9037","description":"Injection_ risperidone (Perseris)_ 0.5 mg","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Remove pilonidal cyst compl","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"11772","description":"Remove pilonidal cyst compl","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Home health care supervision","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G0181","description":"Home health care supervision","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JIBE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"O&p supply/accessory/service","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"L9900","description":"O&p supply/accessory/service","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"AmnioBind_ per sq cm","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"Q4225","description":"AmnioBind_ per sq cm","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JGNA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BCVC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Gastroesophageal reflux exam","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"78262","description":"Gastroesophageal reflux exam","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"HCOE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-1CGNS","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"1CGNS","description":"HIPPS-1CGNS","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"IDLD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"HBYE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"AGMB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RUA8D","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RUA8D","description":"HIPPS-RUA8D","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GCUE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Arthrodesis_ interphalangeal joints_ with or without internal fixation","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"C7506","description":"Arthrodesis_ interphalangeal joints_ with or without internal fixation","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NKCB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NHIB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OBGC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BHLB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Resect mediastinal tumor","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"39220","description":"Resect mediastinal tumor","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Special pump services","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"99192","description":"Special pump services","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CAEB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"AAUB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FILA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NGCB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"ADTA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"R&l hrt art/ventricle angio","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"93460","description":"R&l hrt art/ventricle angio","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Above knee surgical stocking","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"A4490","description":"Above knee surgical stocking","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RHC14","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RHC14","description":"HIPPS-RHC14","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"PHYE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KGPA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Performance Met: The Residual Change Score  Is Equal To Or Greater Than 0","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G2152","description":"Performance Met: The Residual Change Score  Is Equal To Or Greater Than 0","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-LD28F","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"LD28F","description":"HIPPS-LD28F","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-PC250","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"PC250","description":"HIPPS-PC250","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FDMF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Incision of eardrum","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"69421","description":"Incision of eardrum","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OLSC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"PBWF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FFHE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-CB20A","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"CB20A","description":"HIPPS-CB20A","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NICB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CIHF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"M.avium-intra dna quant","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"87562","description":"M.avium-intra dna quant","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-PB20A","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"PB20A","description":"HIPPS-PB20A","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"IIUF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Tongue jaw & neck surgery","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"41155","description":"Tongue jaw & neck surgery","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OGCB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Genetic counsel 15 mins","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"S0265","description":"Genetic counsel 15 mins","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OEFD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Radiation Therapy For Lymphoma Under The Radiation Oncology Model_ 90 Day Episode_ Professional Component","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"M1096","description":"Radiation Therapy For Lymphoma Under The Radiation Oncology Model_ 90 Day Episode_ Professional Component","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"DHWD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CFXA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Open coronary endarterectomy","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"33572","description":"Open coronary endarterectomy","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-CC12D","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"CC12D","description":"HIPPS-CC12D","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JBMB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KAOB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-CD12C","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"CD12C","description":"HIPPS-CD12C","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NKUD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NIUD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Tb intradermal test","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"86580","description":"Tb intradermal test","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"METC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Oncology (acute myelogenous leukemia)_ DNA_ genotyping of internal tandem duplication_ p.D835_ p.I836_ using mononuclear cells_ reported as detection or non-detection of FLT3","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0023U","description":"Oncology (acute myelogenous leukemia)_ DNA_ genotyping of internal tandem duplication_ p.D835_ p.I836_ using mononuclear cells_ reported as detection or non-detection of FLT3","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NAKA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Insertion of peripherally inserted central venous catheter (PICC)_ without subcutaneous port or pump_ including all imaging guidance_ image documentation_ and all associated r","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"36572","description":"Insertion of peripherally inserted central venous catheter (PICC)_ without subcutaneous port or pump_ including all imaging guidance_ image documentation_ and all associated r","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KAGA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-BB25B","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"BB25B","description":"HIPPS-BB25B","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-ES32D","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"ES32D","description":"HIPPS-ES32D","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Pedicle soft tissue graft pr","billing_code_type":"CDT","billing_code_type_version":"2024","billing_code":"D4270","description":"Pedicle soft tissue graft pr","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RML3D","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RML3D","description":"HIPPS-RML3D","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FDFA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-LC234","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"LC234","description":"HIPPS-LC234","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FCVC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Art byp grft brachial-brchl","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"35525","description":"Art byp grft brachial-brchl","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Assay of glucosidase","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"82963","description":"Assay of glucosidase","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Remove brain lining lesion","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"61512","description":"Remove brain lining lesion","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"CPT-0597U","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"0597U","description":"CPT-0597U","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"AAHD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-PE23A","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"PE23A","description":"HIPPS-PE23A","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CIIF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CDDC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Pacemaker monitr digital/vis","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"E0615","description":"Pacemaker monitr digital/vis","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Injection_ buprenorphine extended-release (brixadi)_ 1 mg","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"J0576","description":"Injection_ buprenorphine extended-release (brixadi)_ 1 mg","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"CPT-1003T","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"1003T","description":"CPT-1003T","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NKFF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Cath_ trans atherectomy_ dir","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"C1714","description":"Cath_ trans atherectomy_ dir","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Behavior identification-supporting assessment_ administered by one technician under the direction of a physician or other qualified health care professional_ face-to-face with","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"97152","description":"Behavior identification-supporting assessment_ administered by one technician under the direction of a physician or other qualified health care professional_ face-to-face with","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OEXD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"PBQE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Tetanus toxoid adsorbed_ for intramuscular or jet injection use","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"90703","description":"Tetanus toxoid adsorbed_ for intramuscular or jet injection use","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OCOA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Injection_ corticotropin (Acthar Gel)_ up to 40 units","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"J0801","description":"Injection_ corticotropin (Acthar Gel)_ up to 40 units","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"DFSE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"N block inj trigeminal","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"64400","description":"N block inj trigeminal","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Injection_ inotuzumab ozogamicin_ 0.1 mg","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"C9028","description":"Injection_ inotuzumab ozogamicin_ 0.1 mg","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FIXB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-PD146","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"PD146","description":"HIPPS-PD146","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KIFF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CDOA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GBUB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NEMF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OJHC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NEHB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MKTE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"ADUA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Genotype dna/rna hep c","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"87902","description":"Genotype dna/rna hep c","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"ADBF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Enlarge breast with implant","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"19325","description":"Enlarge breast with implant","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GFEF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GCUD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GCTB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Sphincteroplasty_ anal_ for incontinence_ adult; implantation artificial sphincter","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"46762","description":"Sphincteroplasty_ anal_ for incontinence_ adult; implantation artificial sphincter","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"X-ray exam of humerus","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"73060","description":"X-ray exam of humerus","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OEWF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Upper ext fx orthosis rad/ul","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"L3982","description":"Upper ext fx orthosis rad/ul","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"IBTD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CBGA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KAWE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OIVF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Pt w/o coronary artery stent","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"4562F","description":"Pt w/o coronary artery stent","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OJJB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"HGWD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Patients who did not receive cervical cytology or an HPV test","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G9807","description":"Patients who did not receive cervical cytology or an HPV test","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GAJC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Us exam abdom complete","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"76700","description":"Us exam abdom complete","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FEGF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Smoker/exposed 2nd hnd smoke","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"1032F","description":"Smoker/exposed 2nd hnd smoke","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-AAA2A","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"AAA2A","description":"HIPPS-AAA2A","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"LGSE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GDHD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-BA241","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"BA241","description":"HIPPS-BA241","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-3AFLT","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"3AFLT","description":"HIPPS-3AFLT","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Coma stimulation per diem","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"S9056","description":"Coma stimulation per diem","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Infectious agent detection by nucleic acid (DNA or RNA); Bartonella henselae and Bartonella quintana_ amplified probe technique","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"87471","description":"Infectious agent detection by nucleic acid (DNA or RNA); Bartonella henselae and Bartonella quintana_ amplified probe technique","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Replacement of lower extremity joint with Motor <22.05._comorbidity in tier 3","billing_code_type":"CDT","billing_code_type_version":"2024","billing_code":"D0806","description":"Replacement of lower extremity joint with Motor <22.05._comorbidity in tier 3","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-CC215","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"CC215","description":"HIPPS-CC215","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Transluminal balloon angioplasty (except lower extremity artery(ies) for occlusive disease_ intracranial_ coronary_ pulmonary_ or dialysis circuit)_ initial artery_ open or pe","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"C7532","description":"Transluminal balloon angioplasty (except lower extremity artery(ies) for occlusive disease_ intracranial_ coronary_ pulmonary_ or dialysis circuit)_ initial artery_ open or pe","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"CDT-D1202","billing_code_type":"CDT","billing_code_type_version":"2026","billing_code":"D1202","description":"CDT-D1202","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MKMB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Injection(S)_ Bone-Substitute Material (Eg_ Calcium Phosphate) Into Subchondral Bone Defect (Ie_ Bone Marrow Lesion_ Bone Bruise_ Stress Injury_ Microtrabecular Fracture)_ Inc","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0707T","description":"Injection(S)_ Bone-Substitute Material (Eg_ Calcium Phosphate) Into Subchondral Bone Defect (Ie_ Bone Marrow Lesion_ Bone Bruise_ Stress Injury_ Microtrabecular Fracture)_ Inc","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Interferon alfa-n3 inj","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"J9215","description":"Interferon alfa-n3 inj","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BAAB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MJMB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"LCRC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GIEF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CHVF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"DBOD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BFTC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Psytx complex interactive","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"90785","description":"Psytx complex interactive","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FBLE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Lso flex w/rigid stays cust","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"L0629","description":"Lso flex w/rigid stays cust","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NLUE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JCNA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FIIE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Assay of idh enzyme","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"83570","description":"Assay of idh enzyme","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NJUA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Pos pain assess no f/u doc","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G8509","description":"Pos pain assess no f/u doc","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"EIBD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-HE150","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"HE150","description":"HIPPS-HE150","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-4CFMS","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"4CFMS","description":"HIPPS-4CFMS","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-LB234","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"LB234","description":"HIPPS-LB234","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Ortho shoe add march bar","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"L3595","description":"Ortho shoe add march bar","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"DCSA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Additional supplies_ materials_ and clinical staff time over and above those usually included in an office visit or other non-facility service(s)_ when performed during a PHE","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"99072","description":"Additional supplies_ materials_ and clinical staff time over and above those usually included in an office visit or other non-facility service(s)_ when performed during a PHE","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Gen_ neuro_ hf_ rechg bat","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"C1822","description":"Gen_ neuro_ hf_ rechg bat","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GECA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-3CFNX","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"3CFNX","description":"HIPPS-3CFNX","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OJWB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"W/c dpth 22-25 in seat frame","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"E2343","description":"W/c dpth 22-25 in seat frame","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OJQA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"CDT-D0203","billing_code_type":"CDT","billing_code_type_version":"2026","billing_code":"D0203","description":"CDT-D0203","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Catheter placement in coronary artery(ies) for coronary angiography_ including intraprocedural injection(s) for coronary angiography_ imaging supervision and interpretation_ w","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"C7525","description":"Catheter placement in coronary artery(ies) for coronary angiography_ including intraprocedural injection(s) for coronary angiography_ imaging supervision and interpretation_ w","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"HGOD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Excise excess skin & tissue","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"15839","description":"Excise excess skin & tissue","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-CE12A","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"CE12A","description":"HIPPS-CE12A","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CFGD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BFID0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Myelography lumbar injection","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"62302","description":"Myelography lumbar injection","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Iv pole","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"E0776","description":"Iv pole","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"CPT-00222","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"00222","description":"CPT-00222","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OCPE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Human Platelet Antigen 3 genotyping (HPA-3)_ ITGA2B (integrin_ alpha 2b [platelet glycoprotein IIb of IIb/IIIa complex]_ antigen CD41 [GPIIb]) (eg_ neonatal alloimmune thrombo","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"81107","description":"Human Platelet Antigen 3 genotyping (HPA-3)_ ITGA2B (integrin_ alpha 2b [platelet glycoprotein IIb of IIb/IIIa complex]_ antigen CD41 [GPIIb]) (eg_ neonatal alloimmune thrombo","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KDMA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JAJC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GFWF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FHAC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OHYE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BIJA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Application of body cast","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"29035","description":"Application of body cast","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NJMC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BFVB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FBJE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FDGF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Vitamin D_ 25 hydroxy D2 and D3_ by LC-MS/MS_ serum microsample_ quantitative","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0038U","description":"Vitamin D_ 25 hydroxy D2 and D3_ by LC-MS/MS_ serum microsample_ quantitative","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Clsd ostomy pouch w/o barr","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"A5052","description":"Clsd ostomy pouch w/o barr","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"PAWC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Carbamazepine; -10_11-Epoxide","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"80161","description":"Carbamazepine; -10_11-Epoxide","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"EFAC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"ODWA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Application of long leg cast","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"29365","description":"Application of long leg cast","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"CPT-64655","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"64655","description":"CPT-64655","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-Q4362","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"Q4362","description":"HCPCS-Q4362","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Percut bx lung/mediastinum","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"32405","description":"Percut bx lung/mediastinum","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CIQB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MCTE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OGLE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OATA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"CPT-25448","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"25448","description":"CPT-25448","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"EIAD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NIGD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"HEYB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Column chromatography/mass spectrometry (eg_ gc/ms_ or hplc/ms)_ analyte not elsewhere specified; stable isotope dilution_ multiple analytes_ quantitative_ single","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"82544","description":"Column chromatography/mass spectrometry (eg_ gc/ms_ or hplc/ms)_ analyte not elsewhere specified; stable isotope dilution_ multiple analytes_ quantitative_ single","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KFKE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GAWD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"HIYD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Transport portable x-ray","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"R0070","description":"Transport portable x-ray","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Dorsiflexion assist each joi","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"L2210","description":"Dorsiflexion assist each joi","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"EEIE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Telavancin injection","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"J3095","description":"Telavancin injection","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NAIE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"No dxa no med hx no rv sx","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G9472","description":"No dxa no med hx no rv sx","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BCEA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"PGYA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Hfo nontorsion jnts pre ots","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"L3930","description":"Hfo nontorsion jnts pre ots","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RUL07","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RUL07","description":"HIPPS-RUL07","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Thigh/wght bear lacer molded","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"L2540","description":"Thigh/wght bear lacer molded","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GFWB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RUL32","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RUL32","description":"HIPPS-RUL32","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NFHF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Fetal cord puncture prenatal","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"59012","description":"Fetal cord puncture prenatal","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"CPT-01963","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"01963","description":"CPT-01963","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RML01","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RML01","description":"HIPPS-RML01","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Mastoid surgery revision","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"69604","description":"Mastoid surgery revision","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NFEA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CGXB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BIHE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-HE18E","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"HE18E","description":"HIPPS-HE18E","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Drug assay cyclosporine","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"80158","description":"Drug assay cyclosporine","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"PHOB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CHWD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-5BFKT","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"5BFKT","description":"HIPPS-5BFKT","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NKPE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RVC24","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RVC24","description":"HIPPS-RVC24","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Art byp aortoiliac","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"35637","description":"Art byp aortoiliac","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Doc pt w cath maint dia","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G9240","description":"Doc pt w cath maint dia","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"PIOD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Wheelchair spec size w foot","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"E1223","description":"Wheelchair spec size w foot","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Hospice services provided to patient any time during the measurement period","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G9687","description":"Hospice services provided to patient any time during the measurement period","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JEMA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CIWB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Auditory function 60 min","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"92620","description":"Auditory function 60 min","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GELF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FFUA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OJFF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"ECLA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Insert spine fixation device","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"22843","description":"Insert spine fixation device","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Resect ovarian malignancy","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"58952","description":"Resect ovarian malignancy","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FDHA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"LGOC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Insert levonorgestrel ius","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"S4981","description":"Insert levonorgestrel ius","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NGKC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"DCRD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"EGLA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Sbsq Plmt Drug Eluting Ocular Insert Uni/Bi","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0445T","description":"Sbsq Plmt Drug Eluting Ocular Insert Uni/Bi","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CBYD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RMC8D","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RMC8D","description":"HIPPS-RMC8D","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-ES31C","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"ES31C","description":"HIPPS-ES31C","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OLYA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Repair single ventricle","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"33617","description":"Repair single ventricle","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"M.tuberculo dna amp probe","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"87556","description":"M.tuberculo dna amp probe","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Human papilloma virus (HPV)_ high-risk types (ie_ 16_ 18_ 31_ 33_ 45_ 52 and 58) qualitative mRNA expression of E6/E7 by quantitative polymerase chain reaction (qPCR)","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0354U","description":"Human papilloma virus (HPV)_ high-risk types (ie_ 16_ 18_ 31_ 33_ 45_ 52 and 58) qualitative mRNA expression of E6/E7 by quantitative polymerase chain reaction (qPCR)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OJWC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NLKD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OEUF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JHTB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-PB24A","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"PB24A","description":"HIPPS-PB24A","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-2AGM2","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"2AGM2","description":"HIPPS-2AGM2","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NCTF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GBCD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"No neuropsych symptoms","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G8948","description":"No neuropsych symptoms","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"EEID0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-ES140","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"ES140","description":"HIPPS-ES140","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GANE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"ADIC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Bronchial valve remov addl","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"31649","description":"Bronchial valve remov addl","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"ODWE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CBNB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"ABDA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"ICDE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-HE160","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"HE160","description":"HIPPS-HE160","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"PCQE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"IBAB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Masters two step","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"S3904","description":"Masters two step","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Free jejunum flap microvasc","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"43496","description":"Free jejunum flap microvasc","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FANB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Prq revasc byp graft addl","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"92938","description":"Prq revasc byp graft addl","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Blood glucose/reagent strips","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"A4253","description":"Blood glucose/reagent strips","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Nuclear rx intracav admin","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"79200","description":"Nuclear rx intracav admin","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Symes met fr leath socket ar","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"L5060","description":"Symes met fr leath socket ar","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BEVA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KGRE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GIXE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HH PDGM","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"3IA31","description":"HH PDGM","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OBOC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FCUA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NGCC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RHA4C","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RHA4C","description":"HIPPS-RHA4C","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-HE116","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"HE116","description":"HIPPS-HE116","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Electroretinography (ERG)_ with interpretation and report; full field (ie_ ffERG_ flash ERG_ Ganzfeld ERG)","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"92273","description":"Electroretinography (ERG)_ with interpretation and report; full field (ie_ ffERG_ flash ERG_ Ganzfeld ERG)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Inactivated je vacc im","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"90738","description":"Inactivated je vacc im","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BDTA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-CA220","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"CA220","description":"HIPPS-CA220","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"EGMB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"EFBC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Offset knee joint each","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"L2390","description":"Offset knee joint each","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-PD20A","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"PD20A","description":"HIPPS-PD20A","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Spine & skull spinal fusion","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"22590","description":"Spine & skull spinal fusion","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OEEB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"ACLB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Revision of thigh muscles","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"27430","description":"Revision of thigh muscles","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NGPE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CGMD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FFGD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"EIDE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Art byp axillary-axillary","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"35650","description":"Art byp axillary-axillary","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Cid ext speech process repl","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"L8627","description":"Cid ext speech process repl","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"DDYA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Seat/back cus no dmepdac ver","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"K0669","description":"Seat/back cus no dmepdac ver","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Anesth spine cord surgery","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"60051","description":"Anesth spine cord surgery","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OFOE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Laser tx skin >500 sq cm","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"96922","description":"Laser tx skin >500 sq cm","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NIDA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Diab shoe for density insert","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"A5500","description":"Diab shoe for density insert","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Ajcc brstcncr stage 3 docd","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"3378F","description":"Ajcc brstcncr stage 3 docd","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KICD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Glaucoma surgery","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"66155","description":"Glaucoma surgery","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BHKD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Amputation of leg at hip","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"27290","description":"Amputation of leg at hip","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-CD18I","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"CD18I","description":"HIPPS-CD18I","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NJMD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Hep a/hep b vacc adult im","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"90636","description":"Hep a/hep b vacc adult im","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NIAC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Intend rpt mult chr msr grp","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G9669","description":"Intend rpt mult chr msr grp","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Disease modif pharmacothxpy","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"4540F","description":"Disease modif pharmacothxpy","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Onc dx rectal t3 n0 no prog","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G9091","description":"Onc dx rectal t3 n0 no prog","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FCAC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Replace chest compress vest","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"A7025","description":"Replace chest compress vest","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-LD18F","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"LD18F","description":"HIPPS-LD18F","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HH PDGM","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"4GB31","description":"HH PDGM","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NAXC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Tc99m labeled rbc","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"A9560","description":"Tc99m labeled rbc","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FGGA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MLBC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KBIB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Implnt/abut remov dent mand","billing_code_type":"CDT","billing_code_type_version":"2024","billing_code":"D6111","description":"Implnt/abut remov dent mand","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"PFWF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Removal Of Drug-Delivery Device(S)_ Intra-Articular (List Separately In Addition To Code For Primary Procedure)","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"20705","description":"Removal Of Drug-Delivery Device(S)_ Intra-Articular (List Separately In Addition To Code For Primary Procedure)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Colonoscopy w/ultrasound","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"44406","description":"Colonoscopy w/ultrasound","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RMA07","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RMA07","description":"HIPPS-RMA07","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"CPT-90639","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"90639","description":"CPT-90639","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-PA150","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"PA150","description":"HIPPS-PA150","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OGQB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"EIDC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CCIF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RHX0B","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RHX0B","description":"HIPPS-RHX0B","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Electroencephalogram With Video (Veeg)_ Review Of Data_ Technical Description By Eeg Technologist_ Each Increment Of 12-26 Hours; Unmonitored","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"95714","description":"Electroencephalogram With Video (Veeg)_ Review Of Data_ Technical Description By Eeg Technologist_ Each Increment Of 12-26 Hours; Unmonitored","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-1BFNT","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"1BFNT","description":"HIPPS-1BFNT","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FHLB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RUL02","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RUL02","description":"HIPPS-RUL02","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NBKF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RMX11","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RMX11","description":"HIPPS-RMX11","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OBEE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OLJE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"IEBD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Test urine for lactose","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"83633","description":"Test urine for lactose","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FGBD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JGUB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OHTA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-2BGMW","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"2BGMW","description":"HIPPS-2BGMW","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Hip joint adjustable flexion","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"L2622","description":"Hip joint adjustable flexion","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MADF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Patient provided a response other than completely true for the question of patient felt this provider and team put my best interests first when making recommendations about","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"M1244","description":"Patient provided a response other than completely true for the question of patient felt this provider and team put my best interests first when making recommendations about","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-HC28B","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"HC28B","description":"HIPPS-HC28B","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Establish brain cavity shunt","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"62190","description":"Establish brain cavity shunt","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"HIWB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-HB13C","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"HB13C","description":"HIPPS-HB13C","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Incision of metatarsal","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"28308","description":"Incision of metatarsal","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NAHD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-3CGMX","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"3CGMX","description":"HIPPS-3CGMX","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-G0568","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"G0568","description":"HCPCS-G0568","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BIBD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NETE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Injection_ lecanemab-irmb_ 1 mg","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"J0174","description":"Injection_ lecanemab-irmb_ 1 mg","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Oncology_ chemotherapeutic drug cytotoxicity assay of cancer stem cells (CSCs)_ from cultured CSCs and primary tumor cells_ categorical drug response reported based on cytotox","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0435U","description":"Oncology_ chemotherapeutic drug cytotoxicity assay of cancer stem cells (CSCs)_ from cultured CSCs and primary tumor cells_ categorical drug response reported based on cytotox","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Bilobectomy","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"32482","description":"Bilobectomy","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-3BGN4","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"3BGN4","description":"HIPPS-3BGN4","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Hydrocollator unit portable","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"E0239","description":"Hydrocollator unit portable","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"ODRD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GFFD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"EEDE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Ext pwrd shlder lock/unlock","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"L6648","description":"Ext pwrd shlder lock/unlock","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Imp/abut rem dent part mand","billing_code_type":"CDT","billing_code_type_version":"2024","billing_code":"D6113","description":"Imp/abut rem dent part mand","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NJAF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"PKWF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"LDRE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"EAAB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"AHDB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Contrast x-ray of knee joint","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"73580","description":"Contrast x-ray of knee joint","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Disposable male external cat","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"A4349","description":"Disposable male external cat","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Injection_ pantoprazole (Hikma)_ not therapeutically equivalent to J2470_ 40 mg","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"J2471","description":"Injection_ pantoprazole (Hikma)_ not therapeutically equivalent to J2470_ 40 mg","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"EEAB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KAJE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"IDTF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FGEB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-LE255","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"LE255","description":"HIPPS-LE255","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"EGAA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NLME1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-LE14D","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"LE14D","description":"HIPPS-LE14D","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GHDC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Remove vert body dcmprn lmbr","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"63102","description":"Remove vert body dcmprn lmbr","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KHAF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NAVE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GAID0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Appropos mthd offloading rxd","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"4269F","description":"Appropos mthd offloading rxd","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Muscle-specific kinase (MuSK) antibody","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"86366","description":"Muscle-specific kinase (MuSK) antibody","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BDKD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OHWC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-LC226","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"LC226","description":"HIPPS-LC226","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-Q4394","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"Q4394","description":"HCPCS-Q4394","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Release facial nerve","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"69725","description":"Release facial nerve","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Pml/raralpha 1 breakpoint","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"81316","description":"Pml/raralpha 1 breakpoint","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Hydration status assess","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"2018F","description":"Hydration status assess","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CICE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OJFD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"EBTA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FAUA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FEME0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"AGDB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OELE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-3CHKW","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"3CHKW","description":"HIPPS-3CHKW","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Excision of rectal stricture","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"45150","description":"Excision of rectal stricture","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BIXB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KDNE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Doc med reas no pneumococcal","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G8865","description":"Doc med reas no pneumococcal","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Patient unable to complete the FOTO elbow_ wrist or hand intake PROM at admission and discharge due to blindness_ illiteracy_ severe mental incapacity or language incompatibil","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G9737","description":"Patient unable to complete the FOTO elbow_ wrist or hand intake PROM at admission and discharge due to blindness_ illiteracy_ severe mental incapacity or language incompatibil","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"CPT-0603U","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"0603U","description":"CPT-0603U","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BHUC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Oncology (solid organ neoplasia)_ gene rearrangement detection by whole gen","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0120U","description":"Oncology (solid organ neoplasia)_ gene rearrangement detection by whole gen","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Revoshield + amniotic barrier_ per square centimeter","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"Q4289","description":"Revoshield + amniotic barrier_ per square centimeter","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OLID0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Anesth nose/sinus surgery","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"16077","description":"Anesth nose/sinus surgery","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"AEIB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OLWC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Domicil/r-home care supervis","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"99339","description":"Domicil/r-home care supervis","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Lap revise gastr adj device","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"43771","description":"Lap revise gastr adj device","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KGUB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GFCF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Io radiation tx management","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"77469","description":"Io radiation tx management","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Release of shoulder ligament","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"23415","description":"Release of shoulder ligament","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FFNC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-PE125","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"PE125","description":"HIPPS-PE125","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-B0901","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"B0901","description":"HCPCS-B0901","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-PC101","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"PC101","description":"HIPPS-PC101","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OLXD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-AAA3C","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"AAA3C","description":"HIPPS-AAA3C","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Syphilis test non-trep quant","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"86593","description":"Syphilis test non-trep quant","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"ABCC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GIWB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KCPC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Lumizyme injection","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"J0221","description":"Lumizyme injection","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GIMD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"EHUB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KFQC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OIJD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Clsd red simp malar/zygom fx","billing_code_type":"CDT","billing_code_type_version":"2024","billing_code":"D7660","description":"Clsd red simp malar/zygom fx","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CAQE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CFIA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JHAE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FEAF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NDPC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"PARC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Treated water per gallon","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"A4714","description":"Treated water per gallon","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Replacement of lower extremity joint with Motor <22.05._comorbidity in tier 2","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"C0806","description":"Replacement of lower extremity joint with Motor <22.05._comorbidity in tier 2","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CEBC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Re-eval post-op visit","billing_code_type":"CDT","billing_code_type_version":"2024","billing_code":"D0171","description":"Re-eval post-op visit","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NEFA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"PHSB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Sc ther infusion addl hr","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"96370","description":"Sc ther infusion addl hr","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Cult skin graft f/n/hf/g","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"15155","description":"Cult skin graft f/n/hf/g","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JDAA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CDMB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OGTD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Oncology (oropharyngeal)_ evaluation of 17 DNA biomarkers using droplet digital PCR (ddPCR)_ cell-free DNA_ algorithm reported as a prognostic risk score for cancer recurrence","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0356U","description":"Oncology (oropharyngeal)_ evaluation of 17 DNA biomarkers using droplet digital PCR (ddPCR)_ cell-free DNA_ algorithm reported as a prognostic risk score for cancer recurrence","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Explore/treat wrist joint","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"25101","description":"Explore/treat wrist joint","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FCUD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OIIB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Drug metabolism (adverse drug reactions and drug response)_ buccal specimen_ gene-drug interactions_ variant analysis of 33 genes_ including deletion/duplication analysis of C","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0438U","description":"Drug metabolism (adverse drug reactions and drug response)_ buccal specimen_ gene-drug interactions_ variant analysis of 33 genes_ including deletion/duplication analysis of C","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Externally applied transcranial magnetic stimulation with concomitant measurement of evoked cortical potentials with automated report","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0858T","description":"Externally applied transcranial magnetic stimulation with concomitant measurement of evoked cortical potentials with automated report","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NAHA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"EDUC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BGED1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JAAE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Not a valid procedure code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"ZZZZZ","description":"Not a valid procedure code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NBAE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"EBLE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"AHBF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KCJF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-Q4344","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"Q4344","description":"HCPCS-Q4344","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Wc planar back cush wd>=22in","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"E2621","description":"Wc planar back cush wd>=22in","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MJTD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Prq cardiac angioplast 1 art","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"92920","description":"Prq cardiac angioplast 1 art","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Pwc gp2 std sing pow opt cap","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"K0836","description":"Pwc gp2 std sing pow opt cap","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MDMB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Repair of heart damage","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"33545","description":"Repair of heart damage","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CHIE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"DGQC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Dehydroepiandrosterone","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"82626","description":"Dehydroepiandrosterone","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Incision of tibia","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"27705","description":"Incision of tibia","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Resect distal finger tumor","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"26262","description":"Resect distal finger tumor","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OHQC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"InnovaMatrix PD_ 1 mg","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"A2023","description":"InnovaMatrix PD_ 1 mg","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Lymph vessel x-ray trunk","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"75805","description":"Lymph vessel x-ray trunk","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Exc face tum deep < 2 cm","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"21013","description":"Exc face tum deep < 2 cm","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FIXC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Torsion ank & half solid sti","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"L2375","description":"Torsion ank & half solid sti","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KGAB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Repair rect/bladder fistula","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"45800","description":"Repair rect/bladder fistula","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BCNC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Alveoplasty w/o extraction","billing_code_type":"CDT","billing_code_type_version":"2024","billing_code":"D7320","description":"Alveoplasty w/o extraction","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JHFF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BELF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-HB221","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"HB221","description":"HIPPS-HB221","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BCKB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-C8004","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"C8004","description":"HCPCS-C8004","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CCBA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"IFAE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"IDEA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BACF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GELB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"IADD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"LGYF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"CPT-00950","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"00950","description":"CPT-00950","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GCPF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Injection_ vasopressin_ 1 unit","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"J2598","description":"Injection_ vasopressin_ 1 unit","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-CC117","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"CC117","description":"HIPPS-CC117","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-PA105","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"PA105","description":"HIPPS-PA105","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OLOA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GCHF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Filter_ non disposable w pap","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"A7039","description":"Filter_ non disposable w pap","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"AEAF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"EBUD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Synthetic sheepskin pad","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"E0188","description":"Synthetic sheepskin pad","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OIEF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BANE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NBXD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"LBWE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"DBQD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Repair prosth valve clot","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"33496","description":"Repair prosth valve clot","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JIVB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OFUE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"IBLB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Laparo proc uterus","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"58578","description":"Laparo proc uterus","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"ODUC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JHID1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-CD22B","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"CD22B","description":"HIPPS-CD22B","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KAAA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Removal of esophagus","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"43113","description":"Removal of esophagus","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Brief communication technology-based service_ e.g._ virtual check-in_ by a physician or other qualified health care professiona","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G2012","description":"Brief communication technology-based service_ e.g._ virtual check-in_ by a physician or other qualified health care professiona","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"CPT-01714","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"01714","description":"CPT-01714","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CHNA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BDAF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KDPC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CFFA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Amputation of finger/thumb","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"26952","description":"Amputation of finger/thumb","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BHEB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"IAAD IA HISTOPLASM CAPSULATUM","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"87385","description":"IAAD IA HISTOPLASM CAPSULATUM","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GEXC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BAIE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RVX3A","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RVX3A","description":"HIPPS-RVX3A","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"EGUC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-5CHKT","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"5CHKT","description":"HIPPS-5CHKT","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Tretinoin topical 5 g","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"S0117","description":"Tretinoin topical 5 g","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Correct finger deformity","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"26567","description":"Correct finger deformity","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Pulmonary service/procedure","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"94799","description":"Pulmonary service/procedure","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BGKD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JEAE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Visc & infraren abd 1 prosth","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"34845","description":"Visc & infraren abd 1 prosth","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Prep ak ischial open end","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"L5585","description":"Prep ak ischial open end","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"LERB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Thorabd diaphr hern repair","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"43337","description":"Thorabd diaphr hern repair","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GALE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Dialysis repeated eval","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"90947","description":"Dialysis repeated eval","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-HD217","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"HD217","description":"HIPPS-HD217","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GDKE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Protein e-phoresis/urine/csf","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"84166","description":"Protein e-phoresis/urine/csf","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NIKC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BIND1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-1BHK4","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"1BHK4","description":"HIPPS-1BHK4","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OCTA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"N block inj fem single","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"64447","description":"N block inj fem single","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Injection_ cerliponase alfa_ 1 mg","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"J0567","description":"Injection_ cerliponase alfa_ 1 mg","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BDHA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Potassium hydroxide preps","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"Q0112","description":"Potassium hydroxide preps","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JEGD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NJVC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CFRD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"HCSA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GFJF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OAHA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Nrv cndj test 13/> studies","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"95913","description":"Nrv cndj test 13/> studies","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BDJA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GATD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Pierce skull for drainage","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"61151","description":"Pierce skull for drainage","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MLLF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NKLA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-PD20D","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"PD20D","description":"HIPPS-PD20D","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Dental other tmj films","billing_code_type":"CDT","billing_code_type_version":"2024","billing_code":"D0321","description":"Dental other tmj films","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Silicone gel sheet_ each","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"A6025","description":"Silicone gel sheet_ each","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Assay of urine osmolality","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"83935","description":"Assay of urine osmolality","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FBUB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GCFE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Assay of protein urine","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"84156","description":"Assay of protein urine","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CISA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CALA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Scleral lens liquid bandage","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"S0515","description":"Scleral lens liquid bandage","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Furosemide injection","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"J1940","description":"Furosemide injection","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"CDT-D1501","billing_code_type":"CDT","billing_code_type_version":"2026","billing_code":"D1501","description":"CDT-D1501","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OJKB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Insertion of interlaminar/interspinous process stabilization/distraction device_ without fusion_ including image guidance when performed_ with open decompression_ lumbar; sing","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"22867","description":"Insertion of interlaminar/interspinous process stabilization/distraction device_ without fusion_ including image guidance when performed_ with open decompression_ lumbar; sing","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JHAD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-1AGN2","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"1AGN2","description":"HIPPS-1AGN2","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-BA22D","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"BA22D","description":"HIPPS-BA22D","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RHC46","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RHC46","description":"HIPPS-RHC46","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NCGF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OEHD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OBOE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Trimethobenzamide hcl inj","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"J3250","description":"Trimethobenzamide hcl inj","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"PERIURETHRAL TRANSPERINEAL ADJUSTABLE BALLOON CONTINENCE DEVICE; UNILATERAL INSERTION_ INCLUDING CYSTOURETHROSCOPY AND IMAGING GUIDANCE","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"53452","description":"PERIURETHRAL TRANSPERINEAL ADJUSTABLE BALLOON CONTINENCE DEVICE; UNILATERAL INSERTION_ INCLUDING CYSTOURETHROSCOPY AND IMAGING GUIDANCE","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Amputation follow-up surgery","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"27884","description":"Amputation follow-up surgery","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-HC15A","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"HC15A","description":"HIPPS-HC15A","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Cultr oocyte/embryo <4 days","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"89251","description":"Cultr oocyte/embryo <4 days","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OKWF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"HCYB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"CPT-00926","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"00926","description":"CPT-00926","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Cryopreserve stem cells","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"38207","description":"Cryopreserve stem cells","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Percutaneous electrical nerve field stimulation_ cranial nerves_ without implantation","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0720T","description":"Percutaneous electrical nerve field stimulation_ cranial nerves_ without implantation","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FEEF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"DIOC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Postop dsg bk ea add cast ch","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"L5410","description":"Postop dsg bk ea add cast ch","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"CPT-0945T","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"0945T","description":"CPT-0945T","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NDHF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RMC1B","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RMC1B","description":"HIPPS-RMC1B","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FIEF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-PB121","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"PB121","description":"HIPPS-PB121","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Pt talk eval hlthwkr re mdd","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"2060F","description":"Pt talk eval hlthwkr re mdd","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Implant tcat pulm vlv perq","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"33477","description":"Implant tcat pulm vlv perq","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Mon cable elec/pneum vad rep","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"Q0486","description":"Mon cable elec/pneum vad rep","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GGYD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"IILD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Chlorothiazide sodium inj","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"J1205","description":"Chlorothiazide sodium inj","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Elevated or hypertensive blood pressure reading documented_ indicated follow-up not documented_ reason not given","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"M1279","description":"Elevated or hypertensive blood pressure reading documented_ indicated follow-up not documented_ reason not given","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KIPC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Removal_ Osseointegrated Implant_ Skull; With Percutaneous Attachment To External Speech Processor","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"69726","description":"Removal_ Osseointegrated Implant_ Skull; With Percutaneous Attachment To External Speech Processor","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-HE154","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"HE154","description":"HIPPS-HE154","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JAFA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NKTC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KDTC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-1CFNX","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"1CFNX","description":"HIPPS-1CFNX","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RHX45","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RHX45","description":"HIPPS-RHX45","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OJTA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Revision of neck muscle","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"21725","description":"Revision of neck muscle","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JENC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RHB8X","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RHB8X","description":"HIPPS-RHB8X","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OCIE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FFNA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"MRI procedure","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"76498","description":"MRI procedure","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Respiratory nuclear exam","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"78599","description":"Respiratory nuclear exam","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HH PDGM","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"2AB21","description":"HH PDGM","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GGTB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Obstetrics (pre-implantation genetic testing)_ evaluation of 300000 DNA single-nucleotide polymorphisms (SNPs) by microarray_ embryonic tissue_ algorithm reported as a probabi","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0396U","description":"Obstetrics (pre-implantation genetic testing)_ evaluation of 300000 DNA single-nucleotide polymorphisms (SNPs) by microarray_ embryonic tissue_ algorithm reported as a probabi","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-LC28H","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"LC28H","description":"HIPPS-LC28H","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Repl leath cuff kafo prox th","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"L4100","description":"Repl leath cuff kafo prox th","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CHTC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"AEBF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OHFB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CDEB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Total kt/v greater than or equal to 1. 7 per week (total clearance of urea [kt] / volume [v])","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G8718","description":"Total kt/v greater than or equal to 1. 7 per week (total clearance of urea [kt] / volume [v])","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Repair of aortic valve","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"33417","description":"Repair of aortic valve","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GAMD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-CC22D","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"CC22D","description":"HIPPS-CC22D","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Vehicle mod waiver/service","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"T2039","description":"Vehicle mod waiver/service","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"DDSD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JCTC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Reinforce ulna","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"25491","description":"Reinforce ulna","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Treat slipped epiphysis","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"27181","description":"Treat slipped epiphysis","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Vincristine sulfate 1 mg inj","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"J9370","description":"Vincristine sulfate 1 mg inj","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GGED0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"PDOE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Matristem burn matrix","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"Q4120","description":"Matristem burn matrix","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"IIAC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Mst rcnt hbb < 10g/dl","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G8973","description":"Mst rcnt hbb < 10g/dl","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Gradient pressure wrap with adjustable straps_ bra_ each","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"A6589","description":"Gradient pressure wrap with adjustable straps_ bra_ each","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RHC07","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RHC07","description":"HIPPS-RHC07","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Left hrt cath w/ventrclgrphy","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"93452","description":"Left hrt cath w/ventrclgrphy","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Doc opioid tx 1x during ther","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G9578","description":"Doc opioid tx 1x during ther","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NHDA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KAXC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Prgrmg eval implantable dfb","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"93282","description":"Prgrmg eval implantable dfb","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OGRB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RLX21","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RLX21","description":"HIPPS-RLX21","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"IEAE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KDVD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Hkafo unilat torsion cable","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"L2080","description":"Hkafo unilat torsion cable","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NIIB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Vein x-ray skull","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"75870","description":"Vein x-ray skull","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-1CGM5","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"1CGM5","description":"HIPPS-1CGM5","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CCHB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OELC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MCLA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FEND1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Tah rad dissect for debulk","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"58953","description":"Tah rad dissect for debulk","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-5AFK2","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"5AFK2","description":"HIPPS-5AFK2","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-ES112","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"ES112","description":"HIPPS-ES112","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Afo pos solid ank plastic mo","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"L1960","description":"Afo pos solid ank plastic mo","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OKLF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JHDA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Pten gene full sequence","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"81321","description":"Pten gene full sequence","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Facial moulage sectional","billing_code_type":"CDT","billing_code_type_version":"2024","billing_code":"D5911","description":"Facial moulage sectional","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"ABBC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MBHF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"DGRC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FAHD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Exc h-f-nk-sp b9+marg 2.1-3","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"11423","description":"Exc h-f-nk-sp b9+marg 2.1-3","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"LGWF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"EFTF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JHLA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Remove infected skull bone","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"61501","description":"Remove infected skull bone","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-4CHK6","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"4CHK6","description":"HIPPS-4CHK6","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Laminotomy addl lumbar","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"63044","description":"Laminotomy addl lumbar","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-LE12B","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"LE12B","description":"HIPPS-LE12B","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Repair bowel opening","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"44625","description":"Repair bowel opening","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CEWE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GEVA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Woundfix_ BioWound_ Woundfix Plus_ BioWound Plus_ Woundfix Xplus or BioWound Xplus_ per square centimeter","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"Q4217","description":"Woundfix_ BioWound_ Woundfix Plus_ BioWound Plus_ Woundfix Xplus or BioWound Xplus_ per square centimeter","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OELF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Laparo radical prostatectomy","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"55866","description":"Laparo radical prostatectomy","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Revise lower leg tendon","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"27691","description":"Revise lower leg tendon","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Afo sprng wir drsflx calf bd","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"L1900","description":"Afo sprng wir drsflx calf bd","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Oncology breast mrna","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"81519","description":"Oncology breast mrna","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KGVA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"HHRE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Remove cranial cavity fluid","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"61001","description":"Remove cranial cavity fluid","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"ODCF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GGIB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-HC18F","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"HC18F","description":"HIPPS-HC18F","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JEJE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-1AFN6","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"1AFN6","description":"HIPPS-1AFN6","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Chemodenervation anal musc","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"46505","description":"Chemodenervation anal musc","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BBAE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NHFB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Chlorpromazine hcl injection","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"J3230","description":"Chlorpromazine hcl injection","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BEJA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RLX8A","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RLX8A","description":"HIPPS-RLX8A","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JEBE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BDDA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"DERC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"DEYC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"FlowerAmnioFlo_ 0.1 cc","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"Q4177","description":"FlowerAmnioFlo_ 0.1 cc","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HH PDGM","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"4HC11","description":"HH PDGM","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"DEWF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"ACUF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CIEB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FFDC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-LC246","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"LC246","description":"HIPPS-LC246","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Transfer of spinal muscle","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"27105","description":"Transfer of spinal muscle","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-LB150","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"LB150","description":"HIPPS-LB150","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Gradient compression glove_ each","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"A6581","description":"Gradient compression glove_ each","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OFGA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NHMA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Remove pilonidal cyst simple","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"11770","description":"Remove pilonidal cyst simple","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KEMA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Biopsy of cervix w/scope","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"57455","description":"Biopsy of cervix w/scope","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Ef complet w/intact nutrient","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"B4150","description":"Ef complet w/intact nutrient","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JGDA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-Q4368","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"Q4368","description":"HCPCS-Q4368","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"EBDD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JCEA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RHX31","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RHX31","description":"HIPPS-RHX31","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JEVB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Autograft Suspension_ Including Cell Processing And Application_ And All System Components","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"C1832","description":"Autograft Suspension_ Including Cell Processing And Application_ And All System Components","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GFAE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"LCQA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BIIB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Gammagard liquid injection","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"J1569","description":"Gammagard liquid injection","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-1AGK5","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"1AGK5","description":"HIPPS-1AGK5","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"DGYE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MJIB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"ADDD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KAUC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"AGLC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BBAD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Habil prevoc waiver per hr","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"T2015","description":"Habil prevoc waiver per hr","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Above knee flex cover system","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"L5964","description":"Above knee flex cover system","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-C9812","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"C9812","description":"HCPCS-C9812","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"PAWA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RML53","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RML53","description":"HIPPS-RML53","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-PA154","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"PA154","description":"HIPPS-PA154","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"ACDE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Removal of support implant","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"20670","description":"Removal of support implant","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Walker seat attachment","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"E0156","description":"Walker seat attachment","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-1AGP2","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"1AGP2","description":"HIPPS-1AGP2","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GHVA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Cardiology (coronary artery disease [CAD])_ DNA_ genome-wide association studies (564856 single-nucleotide polymorphisms [SNPs]_ targeted variant genotyping)_ patient lifestyl","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0466U","description":"Cardiology (coronary artery disease [CAD])_ DNA_ genome-wide association studies (564856 single-nucleotide polymorphisms [SNPs]_ targeted variant genotyping)_ patient lifestyl","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Excision of anal lesion(s)","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"46922","description":"Excision of anal lesion(s)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-LC10C","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"LC10C","description":"HIPPS-LC10C","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KDTD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Interrogation device evaluation (in person) with analysis_ review and report_ includes connection_ recording and disconnection per patient encounter_ implantable aortic counte","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0463T","description":"Interrogation device evaluation (in person) with analysis_ review and report_ includes connection_ recording and disconnection per patient encounter_ implantable aortic counte","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-LB18C","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"LB18C","description":"HIPPS-LB18C","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Bone/skin graft iliac crest","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"20970","description":"Bone/skin graft iliac crest","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Echo guide villus sampling","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"76945","description":"Echo guide villus sampling","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Manual Preparation And Insertion Of Drug-Delivery Device(S)_ Deep (Eg_ Subfascial) (List Separately In Addition To Code For Primary Procedure)","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"20700","description":"Manual Preparation And Insertion Of Drug-Delivery Device(S)_ Deep (Eg_ Subfascial) (List Separately In Addition To Code For Primary Procedure)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MDTC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GGWB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-HC15D","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"HC15D","description":"HIPPS-HC15D","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Perq device breast ea imag","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"19282","description":"Perq device breast ea imag","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Ureteral reflux study","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"78740","description":"Ureteral reflux study","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Accession of brush biopsy","billing_code_type":"CDT","billing_code_type_version":"2024","billing_code":"D0486","description":"Accession of brush biopsy","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KGQC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Declot vascular device","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"36593","description":"Declot vascular device","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CIAE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"IN GNOTYP CD44 EXONS 2 3 6","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0191U","description":"IN GNOTYP CD44 EXONS 2 3 6","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Gonadotropin hormone panel","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"80426","description":"Gonadotropin hormone panel","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NIHE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"B-amyloid (Abeta42) and phospho tau (181P) (pTau181)_ electrochemiluminescent immunoassay (ECLIA)_ cerebral spinal fluid_ ratio reported as positive or negative for amyloid pa","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0445U","description":"B-amyloid (Abeta42) and phospho tau (181P) (pTau181)_ electrochemiluminescent immunoassay (ECLIA)_ cerebral spinal fluid_ ratio reported as positive or negative for amyloid pa","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"ODPE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Tc99m gluceptate","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"A9550","description":"Tc99m gluceptate","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Assay of selenium","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"84255","description":"Assay of selenium","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FHPB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Anesth procedures on eye","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"14051","description":"Anesth procedures on eye","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-PE236","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"PE236","description":"HIPPS-PE236","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MKDC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FEBE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Reconstruction knee","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"27427","description":"Reconstruction knee","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-C1001","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"C1001","description":"HCPCS-C1001","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Cryosurg ablate fa each","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"19105","description":"Cryosurg ablate fa each","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NCJF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RVB1A","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RVB1A","description":"HIPPS-RVB1A","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GIFC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Assay of vitamin b-6","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"84207","description":"Assay of vitamin b-6","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Abscess imaging whole body","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"78806","description":"Abscess imaging whole body","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"LHRC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MDLD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-HC105","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"HC105","description":"HIPPS-HC105","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BDJB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"LBOE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Documentation Of Patient Reason(S) For Not Prescribing Ace Inhibitor Or Arb Or Arni Therapy (E.G._ Patient Declined_ Other Patient Reasons)","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G2094","description":"Documentation Of Patient Reason(S) For Not Prescribing Ace Inhibitor Or Arb Or Arni Therapy (E.G._ Patient Declined_ Other Patient Reasons)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Mod sedat phys/qhp ea 15 min","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"99145","description":"Mod sedat phys/qhp ea 15 min","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JDAF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NCDB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"CPT-01474","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"01474","description":"CPT-01474","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HH PDGM","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"1IB11","description":"HH PDGM","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-LC25C","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"LC25C","description":"HIPPS-LC25C","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Mpl (Mpl Proto-Oncogene_ Thrombopoietin Receptor) (Eg_ Myeloproliferative Disorder) Gene Analysis; Sequence Analysis_ Exon 10","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"81339","description":"Mpl (Mpl Proto-Oncogene_ Thrombopoietin Receptor) (Eg_ Myeloproliferative Disorder) Gene Analysis; Sequence Analysis_ Exon 10","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-PB15B","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"PB15B","description":"HIPPS-PB15B","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GBYC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GGVF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Shoulder prosthesis removal","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"23334","description":"Shoulder prosthesis removal","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Perphenazine injeciton","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"J3310","description":"Perphenazine injeciton","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KILC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Application of caries arresting medicament-per tooth","billing_code_type":"CDT","billing_code_type_version":"2024","billing_code":"D1354","description":"Application of caries arresting medicament-per tooth","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OFPF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-CD111","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"CD111","description":"HIPPS-CD111","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Correct skin color 6.0 cm/<","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"11920","description":"Correct skin color 6.0 cm/<","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Optokinetic nystagmus test","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"92544","description":"Optokinetic nystagmus test","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KEWE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CHSD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Laparoscopy appendectomy","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"44970","description":"Laparoscopy appendectomy","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Treat ankle fracture","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"28445","description":"Treat ankle fracture","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Ecmo/ecls insj prph cannula","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"33954","description":"Ecmo/ecls insj prph cannula","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Hla x-math non-cytotoxic","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"86825","description":"Hla x-math non-cytotoxic","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JIUA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FIKC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RLB30","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RLB30","description":"HIPPS-RLB30","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FFNE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MFCA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HH PDGM","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"2EB21","description":"HH PDGM","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Separate eyelid adhesions","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"68340","description":"Separate eyelid adhesions","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Hit pain imp pump diem","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"S9328","description":"Hit pain imp pump diem","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NBHC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Preventive counseling group","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"99412","description":"Preventive counseling group","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Assay of estrogen","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"82672","description":"Assay of estrogen","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Trans bench w/wo comm open","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"E0247","description":"Trans bench w/wo comm open","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RHL5B","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RHL5B","description":"HIPPS-RHL5B","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"AELB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"AHDC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CBBD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Application of paste boot","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"29580","description":"Application of paste boot","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"BRCA1 (BRCA1_ DNA repair associated)_ BRCA2 (BRCA2_ DNA repair associated) (eg_ hereditary breast and ovarian cancer) gene analysis; full duplication/deletion analysis (ie_ de","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"81164","description":"BRCA1 (BRCA1_ DNA repair associated)_ BRCA2 (BRCA2_ DNA repair associated) (eg_ hereditary breast and ovarian cancer) gene analysis; full duplication/deletion analysis (ie_ de","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"ICMC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FEMB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Bone replce graft first site","billing_code_type":"CDT","billing_code_type_version":"2024","billing_code":"D4263","description":"Bone replce graft first site","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Tx contour defects >10.0 cc","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"11954","description":"Tx contour defects >10.0 cc","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Socket insert w/o lock mech","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"L5679","description":"Socket insert w/o lock mech","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MIAD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OCCA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"IDTC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Iiv3 vacc no prsv 3 yrs+ im","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"90656","description":"Iiv3 vacc no prsv 3 yrs+ im","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Standard wheelchair","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"K0001","description":"Standard wheelchair","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OBPB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-CD12A","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"CD12A","description":"HIPPS-CD12A","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Nrv cndj tst 5-6 studies","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"95909","description":"Nrv cndj tst 5-6 studies","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Gravlee jet washer","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"A4470","description":"Gravlee jet washer","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RMX4D","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RMX4D","description":"HIPPS-RMX4D","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OCLE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Cricotracheal resection","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"31592","description":"Cricotracheal resection","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GHOC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Suture small intestine","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"44603","description":"Suture small intestine","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NIPB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GBRE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JCLC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Paricalcitol","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"J2501","description":"Paricalcitol","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BEMB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-5AGKV","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"5AGKV","description":"HIPPS-5AGKV","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Removal of head of humerus","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"23195","description":"Removal of head of humerus","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"HISC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MABB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"EBUA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-3BGPS","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"3BGPS","description":"HIPPS-3BGPS","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Shoe sole wedge outside sole","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"L3360","description":"Shoe sole wedge outside sole","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-M1494","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"M1494","description":"HCPCS-M1494","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HH PDGM","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"3IB31","description":"HH PDGM","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GIJB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FIJD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"ADHC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Levalbuterol comp con","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"J7607","description":"Levalbuterol comp con","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"AHIA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Visual field examination(s)","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"92081","description":"Visual field examination(s)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"AR (androgen receptor) (eg_ spinal and bulbar muscular atrophy_ Kennedy disease_ X chromosome inactivation) gene analysis; full gene sequence","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"81173","description":"AR (androgen receptor) (eg_ spinal and bulbar muscular atrophy_ Kennedy disease_ X chromosome inactivation) gene analysis; full gene sequence","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"EAUB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"ECTB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KBJE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"X-rays bone survey infant","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"77076","description":"X-rays bone survey infant","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"EEDF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Fentanyl citrate injeciton","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"J3010","description":"Fentanyl citrate injeciton","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"ODYE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BCPB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Parenteral supply kit premix","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"B4220","description":"Parenteral supply kit premix","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Lens bifocal add over 3.25d","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"V2220","description":"Lens bifocal add over 3.25d","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Straight knee joint heavy du","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"L2385","description":"Straight knee joint heavy du","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OLFC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-PE28E","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"PE28E","description":"HIPPS-PE28E","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OAHF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-Q4353","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"Q4353","description":"HCPCS-Q4353","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"HIQF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-C1403","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"C1403","description":"HCPCS-C1403","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OERD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BCTA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OHGA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KHOD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"ICMA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"ACEC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Extensive removal of liver","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"47122","description":"Extensive removal of liver","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"CDT-D0407","billing_code_type":"CDT","billing_code_type_version":"2026","billing_code":"D0407","description":"CDT-D0407","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Repair lip","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"40652","description":"Repair lip","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"No pcp proph low cd4 norsn","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G9217","description":"No pcp proph low cd4 norsn","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Hepatology (nonalcoholic steatohepatitis [NASH])_ miR-34a-5p_ alpha 2-macroglobulin_ YKL40_ HbA1c_ serum and whole blood_ algorithm reported as a single score for NASH activit","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0468U","description":"Hepatology (nonalcoholic steatohepatitis [NASH])_ miR-34a-5p_ alpha 2-macroglobulin_ YKL40_ HbA1c_ serum and whole blood_ algorithm reported as a single score for NASH activit","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Dentures mandibl part metal","billing_code_type":"CDT","billing_code_type_version":"2024","billing_code":"D5214","description":"Dentures mandibl part metal","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"DAOE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Create new tubal opening","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"58770","description":"Create new tubal opening","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Reconstruction of urethra","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"54308","description":"Reconstruction of urethra","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Remov vert xdrl bdy lmbr/sac","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"63303","description":"Remov vert xdrl bdy lmbr/sac","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KDCE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"PBSF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"IBUC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FIED0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OAOD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Remove wrist tendon lesion","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"25111","description":"Remove wrist tendon lesion","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FCFD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BDID0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Diagnostic laryngoscopy","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"31579","description":"Diagnostic laryngoscopy","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GEKC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Oncology (lung)_ enzyme-linked immunosorbent assay (ELISA) of 7 autoantibodies (p53_ NY-ESO-1_ CAGE_ GBU4-5_ SOX2_ MAGE A4_ and HuD)_ plasma_ algorithm reported as a categoric","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0360U","description":"Oncology (lung)_ enzyme-linked immunosorbent assay (ELISA) of 7 autoantibodies (p53_ NY-ESO-1_ CAGE_ GBU4-5_ SOX2_ MAGE A4_ and HuD)_ plasma_ algorithm reported as a categoric","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Interro eval cardiac modulj","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0418T","description":"Interro eval cardiac modulj","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OLQF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RVX42","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RVX42","description":"HIPPS-RVX42","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BECD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NHCC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CBKF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"EIHF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"IADD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BBKA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CCTC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-5BFKX","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"5BFKX","description":"HIPPS-5BFKX","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KIBE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"CPT-0639U","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"0639U","description":"CPT-0639U","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"ODVF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Rechanneling of artery","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"35351","description":"Rechanneling of artery","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NCCF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HH PDGM","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"3CA11","description":"HH PDGM","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FBMF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Injection_ olanzapine_ 0.5 mg","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"J2359","description":"Injection_ olanzapine_ 0.5 mg","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Talk re uv light pt/crgvr","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"4176F","description":"Talk re uv light pt/crgvr","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Exc leg/ankle tum deep <5 cm","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"27619","description":"Exc leg/ankle tum deep <5 cm","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RMA53","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RMA53","description":"HIPPS-RMA53","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-HE24D","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"HE24D","description":"HIPPS-HE24D","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Ext h rate sz 14 day ri only","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0382T","description":"Ext h rate sz 14 day ri only","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NFEE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Replc tth&acrlc on mtl frmwk","billing_code_type":"CDT","billing_code_type_version":"2024","billing_code":"D5670","description":"Replc tth&acrlc on mtl frmwk","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Pwc gp vhd cap chair","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"K0827","description":"Pwc gp vhd cap chair","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Bronch thermoplsty 2/> lobes","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"31661","description":"Bronch thermoplsty 2/> lobes","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CBMD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-3BGMW","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"3BGMW","description":"HIPPS-3BGMW","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"PDRC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Noncontact near-infrared spectroscopy studies of flap or wound (eg_ for measurement of deoxyhemoglobin_ oxyhemoglobin_ and ratio of tissue oxygenation [StO2]); interpretation","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0642T","description":"Noncontact near-infrared spectroscopy studies of flap or wound (eg_ for measurement of deoxyhemoglobin_ oxyhemoglobin_ and ratio of tissue oxygenation [StO2]); interpretation","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MDAE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MICE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GIXB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-CE250","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"CE250","description":"HIPPS-CE250","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"IFTE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GGKD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GENC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FDNF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OIVE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Repair eyelid defect","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"67915","description":"Repair eyelid defect","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NJJC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GEVF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Surgimend_ neonatal","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"C9360","description":"Surgimend_ neonatal","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Ca screen;flexi sigmoidscope","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G0104","description":"Ca screen;flexi sigmoidscope","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Esophagosc dilate balloon 30","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"43214","description":"Esophagosc dilate balloon 30","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JCNB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KGNC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"EHAD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Collagen gel/paste wound fil","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"A6011","description":"Collagen gel/paste wound fil","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"CPT-00944","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"00944","description":"CPT-00944","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"EELA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-BA120","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"BA120","description":"HIPPS-BA120","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"PHYF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RVB2B","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RVB2B","description":"HIPPS-RVB2B","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Neurectomy foot","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"28055","description":"Neurectomy foot","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Electrolyte panel this panel must include the following: carbon dioxide (82374) chloride (82435) potassium (84132) sodium (84295)","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"80051","description":"Electrolyte panel this panel must include the following: carbon dioxide (82374) chloride (82435) potassium (84132) sodium (84295)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Comprehensive med svc 15 min","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"H2010","description":"Comprehensive med svc 15 min","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CAPA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MKEB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JHNF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-LB114","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"LB114","description":"HIPPS-LB114","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-Q4414","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"Q4414","description":"HCPCS-Q4414","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"DHRF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OHIC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Cast sup sht arm splint fbrg","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"Q4022","description":"Cast sup sht arm splint fbrg","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Ef special metabolic inherit","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"B4157","description":"Ef special metabolic inherit","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"AIBB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RHL4D","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RHL4D","description":"HIPPS-RHL4D","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Immunization administration by intramuscular injection of severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) (coronavirus disease [COVID-19]) vaccine_ mRNA-LNP_ biva","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0121A","description":"Immunization administration by intramuscular injection of severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) (coronavirus disease [COVID-19]) vaccine_ mRNA-LNP_ biva","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-BA251","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"BA251","description":"HIPPS-BA251","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KAGC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-BA24C","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"BA24C","description":"HIPPS-BA24C","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OKBE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OFYB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"IEAD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KDDD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Posterior gait trainer","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"E8000","description":"Posterior gait trainer","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BCNC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FABF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"IBBA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Electrophysiological Evaluation Of Implantable Cardioverter-Defibrillator System With Substernal Electrode (Includes Defibrillation Threshold Evaluation_ Induction Of Arrhythm","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0577T","description":"Electrophysiological Evaluation Of Implantable Cardioverter-Defibrillator System With Substernal Electrode (Includes Defibrillation Threshold Evaluation_ Induction Of Arrhythm","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Gradient compression arm sleeve and glove combination_ custom_ each","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"A6574","description":"Gradient compression arm sleeve and glove combination_ custom_ each","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Gi endoscopic ultrasound","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"76975","description":"Gi endoscopic ultrasound","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GFQC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KHPC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Ppps_ initial visit","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G0438","description":"Ppps_ initial visit","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OBBE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-ES23A","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"ES23A","description":"HIPPS-ES23A","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-A1701","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"A1701","description":"HCPCS-A1701","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"IDTD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Ct pelvis w/dye","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"72193","description":"Ct pelvis w/dye","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MFHC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NGVC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Removal sweat gland lesion","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"11471","description":"Removal sweat gland lesion","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OBRD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BHDC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NACF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MLHD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-LE22D","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"LE22D","description":"HIPPS-LE22D","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NGKB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Laparoscope proc ureter","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"50949","description":"Laparoscope proc ureter","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KCUE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RHA43","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RHA43","description":"HIPPS-RHA43","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Documentation Of Medical Reason(S) For Not Using Multimodal Pain Management (E.G._ Allergy To Multiple Classes Of Analgesics_ Intubated Patient_ Hepatic Failure_ Patient Repor","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G2149","description":"Documentation Of Medical Reason(S) For Not Using Multimodal Pain Management (E.G._ Allergy To Multiple Classes Of Analgesics_ Intubated Patient_ Hepatic Failure_ Patient Repor","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Drainage of kidney lesion","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"50390","description":"Drainage of kidney lesion","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Application of long leg cast","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"29355","description":"Application of long leg cast","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Left Heart Catheterization For Congenital Heart Defect(S) Including Imaging Guidance By The Proceduralist To Advance The Catheter To The Target Zone_ Normal Or Abnormal Native","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"93595","description":"Left Heart Catheterization For Congenital Heart Defect(S) Including Imaging Guidance By The Proceduralist To Advance The Catheter To The Target Zone_ Normal Or Abnormal Native","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Revise aqueous shunt eye","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"66185","description":"Revise aqueous shunt eye","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CFWE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Repair tongue laceration","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"41250","description":"Repair tongue laceration","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-3BHL4","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"3BHL4","description":"HIPPS-3BHL4","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JBEB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FEXF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CGWF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BEUC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Fibrinolytic antiplasmin","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"85410","description":"Fibrinolytic antiplasmin","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OLFF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Repair fistula w/colostomy","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"45805","description":"Repair fistula w/colostomy","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Fqhc visit new patient","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G0466","description":"Fqhc visit new patient","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KACB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-CE23C","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"CE23C","description":"HIPPS-CE23C","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"LDQF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RLA3B","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RLA3B","description":"HIPPS-RLA3B","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NHJA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Bronchoscopy/needle bx each","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"31629","description":"Bronchoscopy/needle bx each","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RLX22","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RLX22","description":"HIPPS-RLX22","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Replacement of aortic valve","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"33411","description":"Replacement of aortic valve","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"AIBE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Auditory osseointegrated device_ external sound processor_ excludes transducer/actuator_ replacement only_ each","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"L8691","description":"Auditory osseointegrated device_ external sound processor_ excludes transducer/actuator_ replacement only_ each","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CCFE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FAMA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Reinforce humerus","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"24498","description":"Reinforce humerus","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"CPT-0565U","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"0565U","description":"CPT-0565U","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JDTC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-4CFM6","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"4CFM6","description":"HIPPS-4CFM6","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Mr angio pelvis w/o & w/dye","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"72198","description":"Mr angio pelvis w/o & w/dye","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Meprobamate","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G6052","description":"Meprobamate","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"PBRF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-BB28I","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"BB28I","description":"HIPPS-BB28I","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JDLF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RMC3C","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RMC3C","description":"HIPPS-RMC3C","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OHFC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CDGC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-LD11C","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"LD11C","description":"HIPPS-LD11C","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BGHA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-3BGL5","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"3BGL5","description":"HIPPS-3BGL5","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OLWB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FIAE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JHNC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FFTD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-PD141","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"PD141","description":"HIPPS-PD141","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Injection_ rituximab and hyaluronidase_ 10 mg","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"C9467","description":"Injection_ rituximab and hyaluronidase_ 10 mg","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Tissue exam by pathologist","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"88307","description":"Tissue exam by pathologist","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"AFDE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GBVF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Knee arthroscopy/surgery","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"29874","description":"Knee arthroscopy/surgery","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"ODAD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Insertion of new or replacement of permanent pacemaker with atrial transvenous electrode(s)_ with insertion of pacing electrode_ cardiac venous system_ for left ventricular pa","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"C7537","description":"Insertion of new or replacement of permanent pacemaker with atrial transvenous electrode(s)_ with insertion of pacing electrode_ cardiac venous system_ for left ventricular pa","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Exhaled air analysis o2/co2","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"94681","description":"Exhaled air analysis o2/co2","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NEEF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KAXA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Sewho erbs palsey design abd","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"L3962","description":"Sewho erbs palsey design abd","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Ct upper extremity w/dye","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"73201","description":"Ct upper extremity w/dye","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-L8720","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"L8720","description":"HCPCS-L8720","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Administration of a standardized_ evidence-based social determinants of health risk assessment tool_ 5-15 minutes","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G0136","description":"Administration of a standardized_ evidence-based social determinants of health risk assessment tool_ 5-15 minutes","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GCAA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CGFF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Incision of hip tendon","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"27003","description":"Incision of hip tendon","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BAEA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-J7528","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"J7528","description":"HCPCS-J7528","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OBWB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KBCB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CBFA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KANA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Continuous recording of movement disorder symptoms_ including bradykinesia_ dyskinesia_ and tremor for 6 days up to 10 days; set-up_ patient training_ configuration of monitor","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0534T","description":"Continuous recording of movement disorder symptoms_ including bradykinesia_ dyskinesia_ and tremor for 6 days up to 10 days; set-up_ patient training_ configuration of monitor","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FBFB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Recd f/u w/in 7d disch","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G9405","description":"Recd f/u w/in 7d disch","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"PJRF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-M1458","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"M1458","description":"HCPCS-M1458","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-CA130","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"CA130","description":"HIPPS-CA130","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KBHF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"DCOA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"HDOF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OAVA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CAMF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Remove hip pressure sore","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"15941","description":"Remove hip pressure sore","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KBUB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Pierce skull & explore","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"61250","description":"Pierce skull & explore","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"HAYF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Drain/inj joint/bursa w/us","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"20604","description":"Drain/inj joint/bursa w/us","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CEDE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Insitu hybridization manual","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"88368","description":"Insitu hybridization manual","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Insj subq impltbl dfb elctrd","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"33271","description":"Insj subq impltbl dfb elctrd","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Seven Standard Field Stereoscopic Photos With Interpretation By An Ophthalmologist Or Optometrist Documented And Reviewed","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G2103","description":"Seven Standard Field Stereoscopic Photos With Interpretation By An Ophthalmologist Or Optometrist Documented And Reviewed","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RVA40","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RVA40","description":"HIPPS-RVA40","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JDXB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Thorax spine fusion","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"22556","description":"Thorax spine fusion","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Doc post surg anatomy","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G9613","description":"Doc post surg anatomy","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"ACUA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Cesarean delivery","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"59510","description":"Cesarean delivery","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CCVC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Prep ak ischial thermo mold","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"L5580","description":"Prep ak ischial thermo mold","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Whchr litwt det arm leg rest","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"E1240","description":"Whchr litwt det arm leg rest","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"IBED0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Repair bladder-vagina lesion","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"57320","description":"Repair bladder-vagina lesion","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OIJC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CBHF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RLB35","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RLB35","description":"HIPPS-RLB35","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-LE145","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"LE145","description":"HIPPS-LE145","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GBHD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-HD224","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"HD224","description":"HIPPS-HD224","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-CB211","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"CB211","description":"HIPPS-CB211","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Oncology (Pan Tumor)_ Whole Genome Optical Genome Mapping Of Paired Malignant And Normal Dna Specimens_ Fresh Frozen Tissue_ Blood_ Or Bone Marrow_ Comparative Structural Vari","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0299U","description":"Oncology (Pan Tumor)_ Whole Genome Optical Genome Mapping Of Paired Malignant And Normal Dna Specimens_ Fresh Frozen Tissue_ Blood_ Or Bone Marrow_ Comparative Structural Vari","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"EFCB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Remove lamina/facets lumbar","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"63012","description":"Remove lamina/facets lumbar","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GAVC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-CE20A","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"CE20A","description":"HIPPS-CE20A","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GAIB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OLNF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"CPT-0932T","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"0932T","description":"CPT-0932T","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JGVB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-ES225","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"ES225","description":"HIPPS-ES225","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KFHD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Recon_ cta for surg plan","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G0288","description":"Recon_ cta for surg plan","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RLX5A","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RLX5A","description":"HIPPS-RLX5A","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BBPF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OCNC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CGQA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Combination sit to stand sys","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"E0637","description":"Combination sit to stand sys","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"IFCC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Inj paravert f jnt c/t 2 lev","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"64491","description":"Inj paravert f jnt c/t 2 lev","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FFGC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Bio mtrls to aid soft/os reg","billing_code_type":"CDT","billing_code_type_version":"2024","billing_code":"D4265","description":"Bio mtrls to aid soft/os reg","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Removal Of Hypoglossal Nerve Neurostimulator Array_ Pulse Generator_ And Distal Respiratory Sensor Electrode Or Electrode Array","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"64584","description":"Removal Of Hypoglossal Nerve Neurostimulator Array_ Pulse Generator_ And Distal Respiratory Sensor Electrode Or Electrode Array","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Removal of intranasal lesion","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"30118","description":"Removal of intranasal lesion","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JFKA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RML46","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RML46","description":"HIPPS-RML46","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FFBF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"CPT-0600U","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"0600U","description":"CPT-0600U","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Conn tiss_ non-human","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"C1763","description":"Conn tiss_ non-human","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Surgery of great vessel","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"33916","description":"Surgery of great vessel","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Canalith repositioning proc","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"95992","description":"Canalith repositioning proc","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GHTD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FIAC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Myocardial Imaging_ Positron Emission Tomography (Pet)_ Metabolic Evaluation Study (Including Ventricular Wall Motion[S] And/Or Ejection Fraction[S]_ When Performed)_ Single S","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"78429","description":"Myocardial Imaging_ Positron Emission Tomography (Pet)_ Metabolic Evaluation Study (Including Ventricular Wall Motion[S] And/Or Ejection Fraction[S]_ When Performed)_ Single S","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JHHE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"AEBC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Moderate sedation services provided by the same physician or other qualified health care professional performing a gastrointestinal endoscopic service that sedation supports_","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G0500","description":"Moderate sedation services provided by the same physician or other qualified health care professional performing a gastrointestinal endoscopic service that sedation supports_","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Lomustine 10 mg","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"S0178","description":"Lomustine 10 mg","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RHX42","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RHX42","description":"HIPPS-RHX42","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Csf shunt reprogram","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"62252","description":"Csf shunt reprogram","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NLPB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-CE246","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"CE246","description":"HIPPS-CE246","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FAPE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NGBA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CAOC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JDHA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BAGA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"EHIA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JBUD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OITB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Revision of pelvis","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"27158","description":"Revision of pelvis","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Pegaspargase injection","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"J9266","description":"Pegaspargase injection","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FCPA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OCSE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Laparo proc endocrine","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"60659","description":"Laparo proc endocrine","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Miroderm_ per sq cm","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"Q4175","description":"Miroderm_ per sq cm","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"PDOB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"PFRE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-HE25D","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"HE25D","description":"HIPPS-HE25D","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"No reason_ no refer hospice","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G9526","description":"No reason_ no refer hospice","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KHGF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-PA21B","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"PA21B","description":"HIPPS-PA21B","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BBVF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OCIA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Charger elec/combo vad_ rep","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"Q0495","description":"Charger elec/combo vad_ rep","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MADB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"CPT-0545U","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"0545U","description":"CPT-0545U","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Walker folding adjust/fixed","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"E0135","description":"Walker folding adjust/fixed","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Afo supramalleolar custom","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"L1907","description":"Afo supramalleolar custom","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Inj filgrastim excl biosimil","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"J1442","description":"Inj filgrastim excl biosimil","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"AEDA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Adalimumab","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"80145","description":"Adalimumab","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Perc d-e cor revasc t cabg s","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"C9604","description":"Perc d-e cor revasc t cabg s","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OGJA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CGYA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MCTC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OEOD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JEMB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JBHC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CCLF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KHHF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-2CHL1","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"2CHL1","description":"HIPPS-2CHL1","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NFBF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CFGB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Cervical head harness/halter","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"E0942","description":"Cervical head harness/halter","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Memory d/c status","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G9170","description":"Memory d/c status","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Hip disart sach laminat mold","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"L5600","description":"Hip disart sach laminat mold","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KATD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JANF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"ODWF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Plastazote sandal each","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"L3265","description":"Plastazote sandal each","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NLFD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KBRE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OHEA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Scan proc spinal","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"61783","description":"Scan proc spinal","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CFED0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NCHD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JCUD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-LD13B","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"LD13B","description":"HIPPS-LD13B","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Biopsy of floor of mouth","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"41108","description":"Biopsy of floor of mouth","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JCDA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"ICHD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"carePATCH_ per sq cm","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"Q4236","description":"carePATCH_ per sq cm","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"PFRF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NIUE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Decompression of leg","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"27894","description":"Decompression of leg","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FGKC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Breast reconstruction","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"19364","description":"Breast reconstruction","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BGLE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Injection_ coagulation Factor Xa (recombinant)_ inactivated (Andexxa)_ 10mg","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"C9041","description":"Injection_ coagulation Factor Xa (recombinant)_ inactivated (Andexxa)_ 10mg","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NFJC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-CD205","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"CD205","description":"HIPPS-CD205","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Insertion of central venous catheter through central venous occlusion via inferior and superior approaches (e.g._ inside-out technique)_ including imaging guidance","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"C9780","description":"Insertion of central venous catheter through central venous occlusion via inferior and superior approaches (e.g._ inside-out technique)_ including imaging guidance","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KEAA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OHLB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CAKF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"IBED1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Release encircling material","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"67115","description":"Release encircling material","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Assay of urine/urea-n","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"84540","description":"Assay of urine/urea-n","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-HB206","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"HB206","description":"HIPPS-HB206","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Liver imaging","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"78201","description":"Liver imaging","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BICF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Acupunct w/o stimul addl 15m","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"97811","description":"Acupunct w/o stimul addl 15m","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Performance Not Met: Multimodal Pain Management Was Not Used","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G2150","description":"Performance Not Met: Multimodal Pain Management Was Not Used","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Revision of circulation","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"37140","description":"Revision of circulation","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Drainage of urethra abscess","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"53040","description":"Drainage of urethra abscess","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"IBBC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OBHE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OGRF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NBJF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Oncology (ovarian)_ spheroid cell culture_ 4-drug panel (carboplatin_ doxorubicin_ gemcitabine_ paclitaxel)_ tumor chemotherapy response prediction for each drug","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0324U","description":"Oncology (ovarian)_ spheroid cell culture_ 4-drug panel (carboplatin_ doxorubicin_ gemcitabine_ paclitaxel)_ tumor chemotherapy response prediction for each drug","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Anti-reflective coating","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"V2750","description":"Anti-reflective coating","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NGIC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Treatment plan development","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"T1007","description":"Treatment plan development","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Map tachycardia add-on","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"93609","description":"Map tachycardia add-on","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OABB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"PKRA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"ADMC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Cystouretero w/congen repr","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"52400","description":"Cystouretero w/congen repr","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Cast sup body cast plaster","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"Q4001","description":"Cast sup body cast plaster","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GBLC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Decompress fingers/hand","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"26037","description":"Decompress fingers/hand","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-1BHLT","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"1BHLT","description":"HIPPS-1BHLT","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OCMF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RLB2C","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RLB2C","description":"HIPPS-RLB2C","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KFSF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Pelv & thor control gluteal","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"L2650","description":"Pelv & thor control gluteal","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"History of or active diagnosis of familial or pure hypercholesterolemia","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G9782","description":"History of or active diagnosis of familial or pure hypercholesterolemia","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Reduce bowel obstruction","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"44050","description":"Reduce bowel obstruction","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GDDA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"AmnioCoreTM_ per sq cm","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"Q4227","description":"AmnioCoreTM_ per sq cm","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Removal of implantable interstitial glucose sensor from subcutaneous pocket via incision","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0447T","description":"Removal of implantable interstitial glucose sensor from subcutaneous pocket via incision","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"LHWD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Palonosetron hcl","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"J2469","description":"Palonosetron hcl","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GGVD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-1BHPS","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"1BHPS","description":"HIPPS-1BHPS","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HH PDGM","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"1AC31","description":"HH PDGM","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-A0301","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"A0301","description":"HCPCS-A0301","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KIKD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Removal of hip prosthesis","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"27091","description":"Removal of hip prosthesis","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GIRF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Patients 66 Years Of Age And Older With At Least One Claim/Encounter For Frailty During The Measurement Period And A Dispensed Medication For Dementia During The Measurement P","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G2100","description":"Patients 66 Years Of Age And Older With At Least One Claim/Encounter For Frailty During The Measurement Period And A Dispensed Medication For Dementia During The Measurement P","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CEAD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JGBF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NBPF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Safety concerns screening not provided_ reason not otherwise specified","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G9925","description":"Safety concerns screening not provided_ reason not otherwise specified","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Photodynamic tx addl 15 min","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"96571","description":"Photodynamic tx addl 15 min","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Hla class ii semiquant panel","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"86835","description":"Hla class ii semiquant panel","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Adrenal cortex & medulla img","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"78075","description":"Adrenal cortex & medulla img","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-CB20B","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"CB20B","description":"HIPPS-CB20B","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Reconstruction of eyelid","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"67973","description":"Reconstruction of eyelid","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Treat fracture radius/ulna","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"25600","description":"Treat fracture radius/ulna","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Alcohol and/or drug services","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"H0008","description":"Alcohol and/or drug services","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"HGQA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"X-ray exam of teeth","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"70310","description":"X-ray exam of teeth","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GHNA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-3CHM4","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"3CHM4","description":"HIPPS-3CHM4","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GGGD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OCNF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KCOC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"ODRC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Fall plan of care docd","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0518F","description":"Fall plan of care docd","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Health Behavior Intervention_ Family (Without The Patient Present)_ Face-To-Face; Each Additional 15 Minutes (List Separately In Addition To Code For Primary Service)","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"96171","description":"Health Behavior Intervention_ Family (Without The Patient Present)_ Face-To-Face; Each Additional 15 Minutes (List Separately In Addition To Code For Primary Service)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Repair eyelid defect","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"67914","description":"Repair eyelid defect","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Alkaloids nos","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"80323","description":"Alkaloids nos","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Lefort i-3/> piece w/ graft","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"21147","description":"Lefort i-3/> piece w/ graft","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"CPT-1085T","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"1085T","description":"CPT-1085T","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"PJSD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"EEMF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Nerve graft arm/leg </4 cm","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"64897","description":"Nerve graft arm/leg </4 cm","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Abd imag and followup no rec","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G9550","description":"Abd imag and followup no rec","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-3BHM5","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"3BHM5","description":"HIPPS-3BHM5","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"IFBA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Esophagoscopy w/us needle bx","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"43232","description":"Esophagoscopy w/us needle bx","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CEUB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RUL52","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RUL52","description":"HIPPS-RUL52","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FECB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OHQE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BCGB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"CPT-0916T","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"0916T","description":"CPT-0916T","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KIOF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BCDE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"HFYB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"PHYE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"CPT-1016T","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"1016T","description":"CPT-1016T","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FACA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CDPC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CFIE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Chemo prolong infuse w/pump","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"96416","description":"Chemo prolong infuse w/pump","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Hit hydra 2 liter diem","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"S9375","description":"Hit hydra 2 liter diem","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-LE13B","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"LE13B","description":"HIPPS-LE13B","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-CE106","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"CE106","description":"HIPPS-CE106","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CFJD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GFBE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Parenteral administration ki","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"B4224","description":"Parenteral administration ki","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RHB14","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RHB14","description":"HIPPS-RHB14","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"AEEB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KHGC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JETC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MFDC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Reposition intraocular lens","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"66825","description":"Reposition intraocular lens","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"AGUB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Adm Tocilizu COVID-19 1st dose","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"M0249","description":"Adm Tocilizu COVID-19 1st dose","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MADC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Onc prac mgmt disagree w/gui","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G9058","description":"Onc prac mgmt disagree w/gui","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Drain neck/chest lesion","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"21501","description":"Drain neck/chest lesion","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Elbow arthroscopy/surgery","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"29834","description":"Elbow arthroscopy/surgery","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OATE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JABE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Truskin_ per sq cm","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"Q4167","description":"Truskin_ per sq cm","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FDGF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"HBQA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Norsn no ct rpt to reg","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G9326","description":"Norsn no ct rpt to reg","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Iiv no prsv increased ag im","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"90662","description":"Iiv no prsv increased ag im","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CFHB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RUX8B","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RUX8B","description":"HIPPS-RUX8B","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Nasal/sinus endoscopy surg","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"31294","description":"Nasal/sinus endoscopy surg","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FELA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CDSC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"EBMA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Children who are taking antibiotics in the 30 days prior to the diagnosis of pharyngitis","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G9703","description":"Children who are taking antibiotics in the 30 days prior to the diagnosis of pharyngitis","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GEOA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-PB151","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"PB151","description":"HIPPS-PB151","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"IFTC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NKEB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Lap revise/remv eltrd antrum","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"43648","description":"Lap revise/remv eltrd antrum","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FFEF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CFSC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Incision of thigh tendon","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"27306","description":"Incision of thigh tendon","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NDLD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-HB11A","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"HB11A","description":"HIPPS-HB11A","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"LHSD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Cyclosporine oral 25 mg","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"J7515","description":"Cyclosporine oral 25 mg","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Patients receiving rrt","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"M1199","description":"Patients receiving rrt","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KFEB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KDKF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OLIA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Teriparatide injection","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"J3110","description":"Teriparatide injection","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"ABEF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KHSF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Injection_ lurbinectedin_ 0.1 mg","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"J9223","description":"Injection_ lurbinectedin_ 0.1 mg","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GAPD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CBOF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GAHE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Fracture frame attached to b","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"E0920","description":"Fracture frame attached to b","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Ecmo/ecls insj prph cannula","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"33953","description":"Ecmo/ecls insj prph cannula","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KIDA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FCCC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BBHD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"AEDB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"AGME1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CAOB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CDNE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NAAC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Battery chrgr six volt otto","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"L7362","description":"Battery chrgr six volt otto","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Insert temp bladder cath","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"51702","description":"Insert temp bladder cath","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NJPA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"IDHC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GETB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"M/phmtrc alysishquant/semiq","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"88369","description":"M/phmtrc alysishquant/semiq","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FFPF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"IDCD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NJCA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FGPA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FGID0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BGHF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Aldosterone suppression eval","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"80408","description":"Aldosterone suppression eval","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Vbac care after delivery","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"59614","description":"Vbac care after delivery","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-BB15B","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"BB15B","description":"HIPPS-BB15B","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Us leiomyomata ablate <200","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0071T","description":"Us leiomyomata ablate <200","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Ob us nuchal meas 1 gest","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"76813","description":"Ob us nuchal meas 1 gest","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Injection_ cyclophosphamide_ not otherwise specified_ 5 mg","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"J9075","description":"Injection_ cyclophosphamide_ not otherwise specified_ 5 mg","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OAGD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"IEMF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BEKB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-LB28F","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"LB28F","description":"HIPPS-LB28F","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-AAA3B","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"AAA3B","description":"HIPPS-AAA3B","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NJVB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NGIE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"EHMF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OLBB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BCVE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"LFWE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Dental panoramic film","billing_code_type":"CDT","billing_code_type_version":"2024","billing_code":"D0330","description":"Dental panoramic film","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"HBOD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NEEC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-ES33A","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"ES33A","description":"HIPPS-ES33A","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KDDB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-CE231","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"CE231","description":"HIPPS-CE231","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CHCF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NCGF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"ODUF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GAJB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CFLE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-4BHMW","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"4BHMW","description":"HIPPS-4BHMW","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RUX3C","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RUX3C","description":"HIPPS-RUX3C","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FGBC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-1AFL2","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"1AFL2","description":"HIPPS-1AFL2","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Impl/redo electrd antrum","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"43881","description":"Impl/redo electrd antrum","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"EFTB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Implant brain electrodes","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"61760","description":"Implant brain electrodes","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"LESC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Partial hysterectomy","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"58180","description":"Partial hysterectomy","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"CDT-D5949","billing_code_type":"CDT","billing_code_type_version":"2026","billing_code":"D5949","description":"CDT-D5949","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Reduction of forehead","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"21138","description":"Reduction of forehead","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GCSF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Traumatic brain injury with Motor >22.05 & Motor <28.75._comorbidity in tier 3","billing_code_type":"CDT","billing_code_type_version":"2024","billing_code":"D0206","description":"Traumatic brain injury with Motor >22.05 & Motor <28.75._comorbidity in tier 3","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BDUD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JFEE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OLAD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"CPT-01930","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"01930","description":"CPT-01930","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Brain aneurysm repr complx","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"61697","description":"Brain aneurysm repr complx","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FIXE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GCJB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"HBWD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"IIEC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Infectious Disease_ Bacterial Vaginosis And Vaginitis_ Quantitative Real-Time Amplification Of Dna Markers For Gardnerella Vaginalis_ Atopobium Vaginae_ Megasphaera Type 1_ Ba","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"81514","description":"Infectious Disease_ Bacterial Vaginosis And Vaginitis_ Quantitative Real-Time Amplification Of Dna Markers For Gardnerella Vaginalis_ Atopobium Vaginae_ Megasphaera Type 1_ Ba","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"ACMD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Removal of implantable interstitial glucose sensor with creation of subcutaneous pocket at different anatomic site and insertion of new implantable sensor_ including system ac","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0448T","description":"Removal of implantable interstitial glucose sensor with creation of subcutaneous pocket at different anatomic site and insertion of new implantable sensor_ including system ac","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Exc hip/pelv tum deep 5 cm/>","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"27045","description":"Exc hip/pelv tum deep 5 cm/>","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KIDF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Admin influenza virus vac","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G0008","description":"Admin influenza virus vac","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RHL8D","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RHL8D","description":"HIPPS-RHL8D","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GEBF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CFRE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"CPT-1052T","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"1052T","description":"CPT-1052T","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MHMD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"HCOC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Butorphanol tartrate_ nasal","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"S0012","description":"Butorphanol tartrate_ nasal","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JDXD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GFNA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"CDT-D0202","billing_code_type":"CDT","billing_code_type_version":"2026","billing_code":"D0202","description":"CDT-D0202","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Womans shoe oxford brace","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"L3224","description":"Womans shoe oxford brace","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Lvf assess","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"3020F","description":"Lvf assess","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FEIF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Exploration of chest","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"39010","description":"Exploration of chest","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-H0052","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"H0052","description":"HCPCS-H0052","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OCTE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NBGF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OHDB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Insert non-tunnel cv cath","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"36556","description":"Insert non-tunnel cv cath","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RMC17","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RMC17","description":"HIPPS-RMC17","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NFUD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Fibrinogen antigen","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"85385","description":"Fibrinogen antigen","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"ICAA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CCSC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JGLA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OCAF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BBKB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Electroencephalogram (Eeg)_ Without Video_ Review Of Data_ Technical Description By Eeg Technologist_ Each Increment Of 12-26 Hours; Unmonitored","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"95708","description":"Electroencephalogram (Eeg)_ Without Video_ Review Of Data_ Technical Description By Eeg Technologist_ Each Increment Of 12-26 Hours; Unmonitored","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-Q4363","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"Q4363","description":"HCPCS-Q4363","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"HBOB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JBVD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FILC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Screw retained plate","billing_code_type":"CDT","billing_code_type_version":"2024","billing_code":"D7292","description":"Screw retained plate","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OBGE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BGAE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Self-mgmt educ/train 2-4 pt","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"98961","description":"Self-mgmt educ/train 2-4 pt","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"IAME1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Pd catheter anchor belt","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"A4653","description":"Pd catheter anchor belt","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CEWD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BDBC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Parenteral sol 10 gm lipids","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"B4185","description":"Parenteral sol 10 gm lipids","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Chromatography_ qualitative; paper_ 1-dimensional_ analyte not elsewhere specified","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"82487","description":"Chromatography_ qualitative; paper_ 1-dimensional_ analyte not elsewhere specified","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"ICMB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BCBF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"AFEE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Repair/graft of thigh muscle","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"27386","description":"Repair/graft of thigh muscle","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Revise kneecap with implant","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"27438","description":"Revise kneecap with implant","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Removal foreign body jawbone","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"41806","description":"Removal foreign body jawbone","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Onc dx esophageal mets recur","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G9098","description":"Onc dx esophageal mets recur","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Gc stocking garter belt","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"A6544","description":"Gc stocking garter belt","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Insert intracorporeal device","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"33979","description":"Insert intracorporeal device","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GDDB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JEJF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Surgical place mini implant","billing_code_type":"CDT","billing_code_type_version":"2024","billing_code":"D6013","description":"Surgical place mini implant","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JIBD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Ambulatory bp recording","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"93786","description":"Ambulatory bp recording","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-CC18H","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"CC18H","description":"HIPPS-CC18H","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-Q4346","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"Q4346","description":"HCPCS-Q4346","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Unskilled respitecare /diem","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"S5151","description":"Unskilled respitecare /diem","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Chest wall manipulation","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"94668","description":"Chest wall manipulation","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GHMC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"IBMA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JBTB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"METF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MDMC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"CPT-98985","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"98985","description":"CPT-98985","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Pt asked re symp auto dysfxn","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"4326F","description":"Pt asked re symp auto dysfxn","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OKMD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"CPT-37264","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"37264","description":"CPT-37264","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"IILE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Hearing aid_ disp_ binaural","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"V5263","description":"Hearing aid_ disp_ binaural","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Intmd rpr face/mm >30.0 cm","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"12057","description":"Intmd rpr face/mm >30.0 cm","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"LARB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FEEC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MCUF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KDSF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-ATP22","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"ATP22","description":"HIPPS-ATP22","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OJNA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BBEF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BHNC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-4BGL1","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"4BGL1","description":"HIPPS-4BGL1","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Gluc monitor purchase","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"S1030","description":"Gluc monitor purchase","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NALC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Treat wrist bone fracture","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"25650","description":"Treat wrist bone fracture","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NGJE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Laiv vacc pandemic intranasl","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"90664","description":"Laiv vacc pandemic intranasl","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-CB14A","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"CB14A","description":"HIPPS-CB14A","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Remove in/ex hem grps w/fist","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"46262","description":"Remove in/ex hem grps w/fist","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NHJB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-4BFM3","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"4BFM3","description":"HIPPS-4BFM3","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Wrist/elbow bowden cable mol","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"L6580","description":"Wrist/elbow bowden cable mol","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Suction lipectomy lwr extrem","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"15879","description":"Suction lipectomy lwr extrem","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-A9612","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"A9612","description":"HCPCS-A9612","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Transcatheter tricuspid valve annulus reconstruction with implantation of adjustable annulus reconstruction device_ percutaneous approach","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0545T","description":"Transcatheter tricuspid valve annulus reconstruction with implantation of adjustable annulus reconstruction device_ percutaneous approach","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CDBA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Hydrate iv infusion add-on","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"96361","description":"Hydrate iv infusion add-on","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-A4297","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"A4297","description":"HCPCS-A4297","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Performance Not Met: The Residual Change Score Is Less Than 0","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G2167","description":"Performance Not Met: The Residual Change Score Is Less Than 0","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Remove cartilage for graft","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"20912","description":"Remove cartilage for graft","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FADA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-PE135","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"PE135","description":"HIPPS-PE135","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"PLRF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CHUE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OEPD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NEKB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"PKQA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Scleral cover shell","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"V2627","description":"Scleral cover shell","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Ins vag brachytx device","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"57156","description":"Ins vag brachytx device","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OJEE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"PCOE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BAHD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JBNB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CHRA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CIBA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RVL32","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RVL32","description":"HIPPS-RVL32","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Surgical repair of root resorption - molar","billing_code_type":"CDT","billing_code_type_version":"2024","billing_code":"D3473","description":"Surgical repair of root resorption - molar","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-J9275","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"J9275","description":"HCPCS-J9275","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JBMB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-3BHLU","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"3BHLU","description":"HIPPS-3BHLU","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Ho w/o joints cf","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"L3919","description":"Ho w/o joints cf","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"EILD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"EDUE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KGDB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FICF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OLYB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-Q4351","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"Q4351","description":"HCPCS-Q4351","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Chylmd trach dna amp probe","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"87491","description":"Chylmd trach dna amp probe","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-1AHK5","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"1AHK5","description":"HIPPS-1AHK5","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Injection for shoulder x-ray","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"23350","description":"Injection for shoulder x-ray","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-C7566","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"C7566","description":"HCPCS-C7566","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Crutch underarm pair wood","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"E0112","description":"Crutch underarm pair wood","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CHDB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Assay of gonadotropin (fsh)","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"83001","description":"Assay of gonadotropin (fsh)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-2BFKV","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"2BFKV","description":"HIPPS-2BFKV","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-1AGM4","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"1AGM4","description":"HIPPS-1AGM4","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OAGE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FHVB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KALF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Home infusion/visit 2 hrs","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"99601","description":"Home infusion/visit 2 hrs","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-LE144","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"LE144","description":"HIPPS-LE144","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"IFBA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KBKE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"IEUA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"PKQC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"AETE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OAOA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RLB53","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RLB53","description":"HIPPS-RLB53","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KCTF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JETD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GBGA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RVA31","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RVA31","description":"HIPPS-RVA31","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Abltj Perc Cryoabltj Img Gdn Nrv Plex/Trncl Nrv","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0442T","description":"Abltj Perc Cryoabltj Img Gdn Nrv Plex/Trncl Nrv","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"P-mastectomy w/ln removal","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"19302","description":"P-mastectomy w/ln removal","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CGLB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"IFTF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JDIE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"DCWC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Evaluation heart device","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"93640","description":"Evaluation heart device","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-2BFL2","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"2BFL2","description":"HIPPS-2BFL2","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-LB160","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"LB160","description":"HIPPS-LB160","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Hospital Special Treatment Room Support Component (Hstrsc) Administration Of Chemotherapy Procedures","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"X0618","description":"Hospital Special Treatment Room Support Component (Hstrsc) Administration Of Chemotherapy Procedures","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"AFDA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"ICIF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Drainage of pelvic abscess","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"57010","description":"Drainage of pelvic abscess","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Office visit after hours","billing_code_type":"CDT","billing_code_type_version":"2024","billing_code":"D9440","description":"Office visit after hours","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CCAC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KEBB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Revision of penis","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"54430","description":"Revision of penis","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Smear complex stain","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"87209","description":"Smear complex stain","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-HC14B","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"HC14B","description":"HIPPS-HC14B","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NKXE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-1CFKT","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"1CFKT","description":"HIPPS-1CFKT","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KILE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NJFA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GCFD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MKEA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"AGID1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JGCE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BDJD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BBHF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OCGB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"HGSB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KGOD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GBVD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"No doc of dsm-iv","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G9213","description":"No doc of dsm-iv","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CIQF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OLQE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"EHMC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GISE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OJVD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RMX16","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RMX16","description":"HIPPS-RMX16","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"LGYB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"LGYA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Bacterium antibody","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"86609","description":"Bacterium antibody","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-AAA34","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"AAA34","description":"HIPPS-AAA34","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-Q5139","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"Q5139","description":"HCPCS-Q5139","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KFPC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OLPE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RUB1C","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RUB1C","description":"HIPPS-RUB1C","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CGRC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FDVF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"EABF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BBDA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"IHHB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Ilr device eval progr","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"93285","description":"Ilr device eval progr","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"PERF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"IGHB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JITE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KEVB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Exclusion Of Left Atrial Appendage_ Open_ Performed At The Time Of Other Sternotomy Or Thoracotomy Procedure(S)_ Any Method (Eg_ Excision_ Isolation Via Stapling_ Oversewing_","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"33268","description":"Exclusion Of Left Atrial Appendage_ Open_ Performed At The Time Of Other Sternotomy Or Thoracotomy Procedure(S)_ Any Method (Eg_ Excision_ Isolation Via Stapling_ Oversewing_","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"IIIF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OCEC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Skel musc relaxant 3 or more","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"80370","description":"Skel musc relaxant 3 or more","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Replace/revise brain shunt","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"62230","description":"Replace/revise brain shunt","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Pt disch to home by day#7","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G8818","description":"Pt disch to home by day#7","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Removal of scrotum lesion","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"55120","description":"Removal of scrotum lesion","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GEDC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Injection_ trilaciclib_ 1 mg","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"J1448","description":"Injection_ trilaciclib_ 1 mg","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Revise eye sockets","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"21267","description":"Revise eye sockets","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CDID0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"intravenous moderate  (conscious) sedation/analgesia- first 15 minutes","billing_code_type":"CDT","billing_code_type_version":"2024","billing_code":"D9239","description":"intravenous moderate  (conscious) sedation/analgesia- first 15 minutes","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Mr ang lwr ext w or w/o dye","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"73725","description":"Mr ang lwr ext w or w/o dye","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FIVA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-3CHLS","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"3CHLS","description":"HIPPS-3CHLS","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"AHED0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-L5827","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"L5827","description":"HCPCS-L5827","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Art byp pop-tibl-prl-other","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"35671","description":"Art byp pop-tibl-prl-other","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RVB50","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RVB50","description":"HIPPS-RVB50","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OLQD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Kt/v >/= 1.7","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"3084F","description":"Kt/v >/= 1.7","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"PLRA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NFVC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"EEAF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Wireless pressure sensor","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"C2624","description":"Wireless pressure sensor","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JHDB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KIGC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BAKB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Injection_ epoetin alfa_ biosimilar_ (Retacrit) (for non ESRD use)_ 1000 units","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"Q5106","description":"Injection_ epoetin alfa_ biosimilar_ (Retacrit) (for non ESRD use)_ 1000 units","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KAHE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OCJC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OHLE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OGSE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Pt referral for ect docd","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"4067F","description":"Pt referral for ect docd","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RLA17","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RLA17","description":"HIPPS-RLA17","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Incision/fixation of femur","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"27165","description":"Incision/fixation of femur","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"EIAA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Acetate conc sol per gallon","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"A4708","description":"Acetate conc sol per gallon","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Repr elbw med ligmnt w/tissu","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"24345","description":"Repr elbw med ligmnt w/tissu","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Cad meas qual act perform","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G8498","description":"Cad meas qual act perform","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Documentation of sexual activity","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G9818","description":"Documentation of sexual activity","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-1CFKX","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"1CFKX","description":"HIPPS-1CFKX","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CFHA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FHJD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Eye exam new patient","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"92004","description":"Eye exam new patient","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Door to punc time >2hr_ nrg","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G9582","description":"Door to punc time >2hr_ nrg","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-LD110","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"LD110","description":"HIPPS-LD110","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Mercaptopurine 50 mg","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"S0108","description":"Mercaptopurine 50 mg","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Removal of ureter","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"50650","description":"Removal of ureter","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Fetal surg pulmon sequest","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"S2403","description":"Fetal surg pulmon sequest","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GEBE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"EDMB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BFXF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"CPT-00215","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"00215","description":"CPT-00215","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"ODIC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Incise spine&cord 2 trx thrc","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"63197","description":"Incise spine&cord 2 trx thrc","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Vestibular Evoked Myogenic Potential (Vemp) Testing_ With Interpretation And Report; Cervical (Cvemp) And Ocular (Ovemp)","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"92519","description":"Vestibular Evoked Myogenic Potential (Vemp) Testing_ With Interpretation And Report; Cervical (Cvemp) And Ocular (Ovemp)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NAGB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CDQD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Physical therapy evaluation: high complexity_ requiring these components: A history of present problem with 3 or more personal factors and/or comorbidities that impact the pla","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"97163","description":"Physical therapy evaluation: high complexity_ requiring these components: A history of present problem with 3 or more personal factors and/or comorbidities that impact the pla","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-PA28A","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"PA28A","description":"HIPPS-PA28A","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Lens trifocal speciality","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"V2399","description":"Lens trifocal speciality","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Remov vert idrl bdy thrclmbr","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"63306","description":"Remov vert idrl bdy thrclmbr","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"ODXD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BIXF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"AELE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"HDSA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Chimeric antigen receptor T-cell (CAR-T) therapy; CAR-T cell administration_ autologous","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0540T","description":"Chimeric antigen receptor T-cell (CAR-T) therapy; CAR-T cell administration_ autologous","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JELE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CAGB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Cocaine or metabolite","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G6044","description":"Cocaine or metabolite","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-1AHL6","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"1AHL6","description":"HIPPS-1AHL6","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Limited motion knee joint","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"L2184","description":"Limited motion knee joint","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RHA3C","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RHA3C","description":"HIPPS-RHA3C","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-HC13D","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"HC13D","description":"HIPPS-HC13D","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GAKD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-3BGPX","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"3BGPX","description":"HIPPS-3BGPX","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KFAF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BGVA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-3AGNT","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"3AGNT","description":"HIPPS-3AGNT","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-CC231","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"CC231","description":"HIPPS-CC231","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CCHA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BDXA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Whfo_ rigid w/o joints","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"L3808","description":"Whfo_ rigid w/o joints","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CIMC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Opn tx complx malar fx","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"21365","description":"Opn tx complx malar fx","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-1BHKT","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"1BHKT","description":"HIPPS-1BHKT","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"CYP2D6 (cytochrome P450_ family 2_ subfamily D_ polypeptide 6) (eg_ drug metabolism) gene analysis_ targeted sequence analysis (ie_ 3_ gene duplication/multiplication) (List s","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0076U","description":"CYP2D6 (cytochrome P450_ family 2_ subfamily D_ polypeptide 6) (eg_ drug metabolism) gene analysis_ targeted sequence analysis (ie_ 3_ gene duplication/multiplication) (List s","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NFDD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Rxt breast appl place/remov","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"C9726","description":"Rxt breast appl place/remov","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GCOD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OIWD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Opioids & opiate analogs 1/2","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"80362","description":"Opioids & opiate analogs 1/2","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"EGTA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"EFHA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Injection_ hydroxocobalamin_ intravenous_ 25 mg","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"J3424","description":"Injection_ hydroxocobalamin_ intravenous_ 25 mg","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NKXB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-3CHNW","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"3CHNW","description":"HIPPS-3CHNW","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Electroencephalogram With Video (Veeg)_ Review Of Data_ Technical Description By Eeg Technologist_ 2-12 Hours; With Continuous_ Real-Time Monitoring And Maintenance","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"95713","description":"Electroencephalogram With Video (Veeg)_ Review Of Data_ Technical Description By Eeg Technologist_ 2-12 Hours; With Continuous_ Real-Time Monitoring And Maintenance","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OJPD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CHWE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JEDD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OIJB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Behavior identification assessment_ administered by a physician or other qualified health care professional_ each 15 minutes of the physician_s or other qualified health care","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"97151","description":"Behavior identification assessment_ administered by a physician or other qualified health care professional_ each 15 minutes of the physician_s or other qualified health care","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Electroencephalogram (Eeg)_ Continuous Recording_ Physician Or Other Qualified Health Care Professional Review Of Recorded Events_ Analysis Of Spike And Seizure Detection_ Int","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"95724","description":"Electroencephalogram (Eeg)_ Continuous Recording_ Physician Or Other Qualified Health Care Professional Review Of Recorded Events_ Analysis Of Spike And Seizure Detection_ Int","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-4CGK2","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"4CGK2","description":"HIPPS-4CGK2","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-CE18G","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"CE18G","description":"HIPPS-CE18G","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Optx post ankle fx","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"27769","description":"Optx post ankle fx","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Puncture drainage of lesion","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"10160","description":"Puncture drainage of lesion","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JECB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"HDRE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"IBIC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"DFWD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"LCQC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KHNF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Patients With Mechanical Prosthetic Heart Valve","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G0043","description":"Patients With Mechanical Prosthetic Heart Valve","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Lens sphc trifo 7.25-12/4.25","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"V2313","description":"Lens sphc trifo 7.25-12/4.25","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OHPE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"IHAB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-J0607","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"J0607","description":"HCPCS-J0607","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-PD246","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"PD246","description":"HIPPS-PD246","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NLPF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"LFWD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NKTA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Interferential stim 2 chan","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"S8130","description":"Interferential stim 2 chan","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OHNB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Rocking bed w/ or w/o side r","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"E0462","description":"Rocking bed w/ or w/o side r","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"AGIF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"IAAD IA ESCHERICHIA COLI 0157","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"87335","description":"IAAD IA ESCHERICHIA COLI 0157","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"IECB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BBBB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"EFMB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Veneer repair","billing_code_type":"CDT","billing_code_type_version":"2024","billing_code":"D2983","description":"Veneer repair","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Chiropractic medicine mips specialty set","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G0065","description":"Chiropractic medicine mips specialty set","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CGKA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Patient Screened For Tobacco Use And Received Tobacco Cessation Intervention On The Date Of The Encounter Or Within The Previous 12 Months (Counseling_ Pharmacotherapy_ Or Bot","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G0030","description":"Patient Screened For Tobacco Use And Received Tobacco Cessation Intervention On The Date Of The Encounter Or Within The Previous 12 Months (Counseling_ Pharmacotherapy_ Or Bot","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"AGTD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"CPT-1030T","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"1030T","description":"CPT-1030T","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JDLD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JHJA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Ecg/review interpret only","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"93272","description":"Ecg/review interpret only","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HH PDGM","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"2KB11","description":"HH PDGM","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RMC25","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RMC25","description":"HIPPS-RMC25","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NIHA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-ES38E","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"ES38E","description":"HIPPS-ES38E","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Limited dental tx primary","billing_code_type":"CDT","billing_code_type_version":"2024","billing_code":"D8010","description":"Limited dental tx primary","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Replace picc cath","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"36584","description":"Replace picc cath","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GIOE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Hereditary prostate cancer-related disorders_ genomic sequence analysis panel using next-generation sequencing (NGS)_ Sanger sequencing_ multiplex ligation-dependent probe amp","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0475U","description":"Hereditary prostate cancer-related disorders_ genomic sequence analysis panel using next-generation sequencing (NGS)_ Sanger sequencing_ multiplex ligation-dependent probe amp","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NCDA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-1AHNT","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"1AHNT","description":"HIPPS-1AHNT","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-CA206","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"CA206","description":"HIPPS-CA206","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MIMB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OBVC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BIJE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OFBF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GFFE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FGEA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Catheter placement in coronary artery(s) for coronary angiography_ including intraprocedural injection(s) for coronary angiography_ imaging supervision and interpretation with","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"C7557","description":"Catheter placement in coronary artery(s) for coronary angiography_ including intraprocedural injection(s) for coronary angiography_ imaging supervision and interpretation with","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RHL20","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RHL20","description":"HIPPS-RHL20","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-4AFM1","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"4AFM1","description":"HIPPS-4AFM1","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-PC130","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"PC130","description":"HIPPS-PC130","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GAFD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Injection_ amisulpride_ 1 mg","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"C9153","description":"Injection_ amisulpride_ 1 mg","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"CPT-0990T","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"0990T","description":"CPT-0990T","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Hook/hand_ hvy dty_ vol open","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"L6721","description":"Hook/hand_ hvy dty_ vol open","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NEAA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Warfarin or another FDA-approved oral anticoagulant is prescribed","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G8967","description":"Warfarin or another FDA-approved oral anticoagulant is prescribed","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Laparoscopic Insertion Of New Or Replacement Of Permanent Implantable Synchronized Diaphragmatic Stimulation System For Augmentation Of Cardiac Function_ Including An Implanta","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0674T","description":"Laparoscopic Insertion Of New Or Replacement Of Permanent Implantable Synchronized Diaphragmatic Stimulation System For Augmentation Of Cardiac Function_ Including An Implanta","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FIVB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MBEC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GDRD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NHFE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Recd cortico >=10mg/day >60d","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G9467","description":"Recd cortico >=10mg/day >60d","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Bld glucose monitor w voice","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"E2100","description":"Bld glucose monitor w voice","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Lens_ >= 1.66 p/>=1.80 g","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"V2783","description":"Lens_ >= 1.66 p/>=1.80 g","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Remove wrist/forearm lesion","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"25115","description":"Remove wrist/forearm lesion","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Chlamydia antibody","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"86631","description":"Chlamydia antibody","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OHYC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Drain chest lesion","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"21502","description":"Drain chest lesion","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Control nose/throat bleeding","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"42971","description":"Control nose/throat bleeding","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GHOE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"PLWC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JBDB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JDCE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"PKYB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NETC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"1high risk no ord","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G9366","description":"1high risk no ord","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Fee covid-19 vac 2 res","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0014A","description":"Fee covid-19 vac 2 res","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NIJB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-ES15C","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"ES15C","description":"HIPPS-ES15C","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KDUB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Removal/revision of cast","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"29700","description":"Removal/revision of cast","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Surgical pathology reports that do not contain impression or conclusion of or recommendation for testing of mmr by immunohistochemistry_ msi by dna-based testing status_ or bo","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"M1195","description":"Surgical pathology reports that do not contain impression or conclusion of or recommendation for testing of mmr by immunohistochemistry_ msi by dna-based testing status_ or bo","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"ICID0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Removal of total or near total non-infected mesh or other prosthesis at the time of initial or recurrent anterior abdominal hernia repair or parastomal hernia repair_ any appr","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"49623","description":"Removal of total or near total non-infected mesh or other prosthesis at the time of initial or recurrent anterior abdominal hernia repair or parastomal hernia repair_ any appr","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Replacement of aortic valve","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"33410","description":"Replacement of aortic valve","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Electroencephalogram (Eeg)_ Continuous Recording_ Physician Or Other Qualified Health Care Professional Review Of Recorded Events_ Analysis Of Spike And Seizure Detection_ Int","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"95723","description":"Electroencephalogram (Eeg)_ Continuous Recording_ Physician Or Other Qualified Health Care Professional Review Of Recorded Events_ Analysis Of Spike And Seizure Detection_ Int","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Application of finger splint","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"29130","description":"Application of finger splint","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"PCYA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"AHTC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-J7172","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"J7172","description":"HCPCS-J7172","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-3BFNW","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"3BFNW","description":"HIPPS-3BFNW","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OBBA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-2BFL4","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"2BFL4","description":"HIPPS-2BFL4","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-CB130","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"CB130","description":"HIPPS-CB130","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BAVE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Assay of free testosterone","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"84402","description":"Assay of free testosterone","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FIME1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Treat fx distal radial","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"25606","description":"Treat fx distal radial","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-1CHPT","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"1CHPT","description":"HIPPS-1CHPT","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OIBB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Exc neck les sc < 3 cm","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"21555","description":"Exc neck les sc < 3 cm","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FCKC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Non-disposable underpads_ all sizes","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"A4553","description":"Non-disposable underpads_ all sizes","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JDMD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NINE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Hepb vacc 2 dose adolesc im","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"90743","description":"Hepb vacc 2 dose adolesc im","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NHNB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"EIAC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"AIBD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OGIB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Culture of specimen by kit","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"87084","description":"Culture of specimen by kit","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Repair stern/nuss w/o scope","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"21742","description":"Repair stern/nuss w/o scope","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NCDA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"HBQE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Endovascular Repair Of Iliac Artery At The Time Of Aorto-Iliac Artery Endograft Placement By Deployment Of An Iliac Branched Endograft Including Pre-Procedure Sizing And Devic","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"34717","description":"Endovascular Repair Of Iliac Artery At The Time Of Aorto-Iliac Artery Endograft Placement By Deployment Of An Iliac Branched Endograft Including Pre-Procedure Sizing And Devic","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-BB125","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"BB125","description":"HIPPS-BB125","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FAXA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OJAC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"PKSC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NJME1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"AEAB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GFAD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NJLD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OFEF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BFBF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OKUE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-HB134","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"HB134","description":"HIPPS-HB134","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CHOD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-A6519","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"A6519","description":"HCPCS-A6519","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OCWE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RUX26","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RUX26","description":"HIPPS-RUX26","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OGKA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"AIIE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BBTD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Inj multihance","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"A9577","description":"Inj multihance","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-B0104","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"B0104","description":"HCPCS-B0104","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Incise thigh tendon & fascia","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"27305","description":"Incise thigh tendon & fascia","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"LFWE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Drug metabolism (adverse drug reactions and drug response)_ targeted sequence analysis_ 20 gene variants and CYP2D6 deletion or duplication analysis with reported genotype and","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0380U","description":"Drug metabolism (adverse drug reactions and drug response)_ targeted sequence analysis_ 20 gene variants and CYP2D6 deletion or duplication analysis with reported genotype and","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-1CHPW","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"1CHPW","description":"HIPPS-1CHPW","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FGKF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Biopsy of prostate","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"55705","description":"Biopsy of prostate","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-LD260","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"LD260","description":"HIPPS-LD260","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-3BFNV","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"3BFNV","description":"HIPPS-3BFNV","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GEWB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MGCB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Explore/treat eye socket","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"67430","description":"Explore/treat eye socket","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Cast sup lng arm splint fbrg","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"Q4018","description":"Cast sup lng arm splint fbrg","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Christian sci pract visit","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"S9900","description":"Christian sci pract visit","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GIKA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"High risk prostate cancer","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"3273F","description":"High risk prostate cancer","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KGMA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"IDEA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KAXE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Wheelchair calf rest","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"E0995","description":"Wheelchair calf rest","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CBJE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Hearing aid_ monaural_ itc","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"V5243","description":"Hearing aid_ monaural_ itc","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GDCB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NLBF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Hearing aid_ BICROS_ behind the ear","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"V5220","description":"Hearing aid_ BICROS_ behind the ear","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-1AFPW","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"1AFPW","description":"HIPPS-1AFPW","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JHUF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KEYD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"All inclusive payment for services related to highly coordinated and integrated opioid use disorder (oud) treatment services furnished for the demonstration project","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G2172","description":"All inclusive payment for services related to highly coordinated and integrated opioid use disorder (oud) treatment services furnished for the demonstration project","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Lap vent/abd hernia repair","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"49652","description":"Lap vent/abd hernia repair","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Injection_ belantamab mafodontin-blmf_ 0.5 mg","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"C9069","description":"Injection_ belantamab mafodontin-blmf_ 0.5 mg","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Sleep study unatt&resp efft","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"95806","description":"Sleep study unatt&resp efft","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Prosthesis modification","billing_code_type":"CDT","billing_code_type_version":"2024","billing_code":"D5875","description":"Prosthesis modification","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RML54","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RML54","description":"HIPPS-RML54","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GIPC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-ES150","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"ES150","description":"HIPPS-ES150","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Cast sup shrt leg plaster","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"Q4037","description":"Cast sup shrt leg plaster","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-2BHMV","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"2BHMV","description":"HIPPS-2BHMV","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-B1702","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"B1702","description":"HCPCS-B1702","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"PKYA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CDRC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Cone beam ct capt maxilla","billing_code_type":"CDT","billing_code_type_version":"2024","billing_code":"D0382","description":"Cone beam ct capt maxilla","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Special eye evaluation","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"92020","description":"Special eye evaluation","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FDFD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Radiation treatment delivery","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G6007","description":"Radiation treatment delivery","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CIQB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NHUB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Dynamic cavernosometry","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"54231","description":"Dynamic cavernosometry","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"PJSA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JAGB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HH PDGM","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"4IB11","description":"HH PDGM","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RVA2D","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RVA2D","description":"HIPPS-RVA2D","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OEQD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-B0503","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"B0503","description":"HCPCS-B0503","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Socket insert below knee","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"L5655","description":"Socket insert below knee","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BIMD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GIXE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FDDB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-M1399","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"M1399","description":"HCPCS-M1399","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Dialysis procedure with single evaluation by a physician or other qualified health care professional for acute kidney injury without ESRD","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G0492","description":"Dialysis procedure with single evaluation by a physician or other qualified health care professional for acute kidney injury without ESRD","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KEDF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-1AHNU","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"1AHNU","description":"HIPPS-1AHNU","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"PGRF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Stroke with Motor >22.35 & Motor <26.15 & Age <84.5_ without comorbidities","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"A0109","description":"Stroke with Motor >22.35 & Motor <26.15 & Age <84.5_ without comorbidities","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RLA8X","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RLA8X","description":"HIPPS-RLA8X","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-C9809","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"C9809","description":"HCPCS-C9809","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Clinical decision support mechanism InveniQA semantic answers in medicine _ as defined by the Medicare appropriate use criteria program","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G1014","description":"Clinical decision support mechanism InveniQA semantic answers in medicine _ as defined by the Medicare appropriate use criteria program","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Excision of tongue fold","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"41115","description":"Excision of tongue fold","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KDOD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CCTD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"MOST_ per sq cm","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"Q4328","description":"MOST_ per sq cm","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Special pump services","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"99191","description":"Special pump services","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KGCB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Tricyclic & cyclicals 6/more","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"80337","description":"Tricyclic & cyclicals 6/more","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NKLB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Ct thorax w/o & w/dye","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"71270","description":"Ct thorax w/o & w/dye","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Laminate labial veneer","billing_code_type":"CDT","billing_code_type_version":"2024","billing_code":"D2960","description":"Laminate labial veneer","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Hearing aid exam both ears","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"92591","description":"Hearing aid exam both ears","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OHPC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Patients seen within 7 weeks following the date of injection and are screened for elevated intraocular pressure (iop) with tonometry with documented iop >25 mm hg and a plan o","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"M1323","description":"Patients seen within 7 weeks following the date of injection and are screened for elevated intraocular pressure (iop) with tonometry with documented iop >25 mm hg and a plan o","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-2CFMS","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"2CFMS","description":"HIPPS-2CFMS","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Resect back tum 5 cm/>","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"21936","description":"Resect back tum 5 cm/>","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NKUF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"AIBC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"PBSF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-CB155","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"CB155","description":"HIPPS-CB155","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Acesso AC_ per sq cm","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"Q4312","description":"Acesso AC_ per sq cm","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Red cell mass single","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"78120","description":"Red cell mass single","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Doc funct and care plan","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G8539","description":"Doc funct and care plan","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"LEYF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Extraoral first film","billing_code_type":"CDT","billing_code_type_version":"2024","billing_code":"D0250","description":"Extraoral first film","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Removal of pm generator","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"33233","description":"Removal of pm generator","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RHL23","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RHL23","description":"HIPPS-RHL23","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Corticotropin injection","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"J0800","description":"Corticotropin injection","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BGCE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Doc reas on statin or contra","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G9507","description":"Doc reas on statin or contra","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NEDF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"CPT-00322","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"00322","description":"CPT-00322","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"CPT-37277","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"37277","description":"CPT-37277","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OGAE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Postop dsg cast chg elb dis/","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"L6382","description":"Postop dsg cast chg elb dis/","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-4AHLT","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"4AHLT","description":"HIPPS-4AHLT","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OBCE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Pet imaging initial dx","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G0252","description":"Pet imaging initial dx","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Pt w/dxa no results doc","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G8400","description":"Pt w/dxa no results doc","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OHTF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"CPT-0973T","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"0973T","description":"CPT-0973T","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-PA24A","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"PA24A","description":"HIPPS-PA24A","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Parasymp&symp hrt rate test","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"95943","description":"Parasymp&symp hrt rate test","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-5BFKW","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"5BFKW","description":"HIPPS-5BFKW","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Ecmo/ecls repos perph cnula","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"33964","description":"Ecmo/ecls repos perph cnula","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Endoluminal bx urtr rnl plvs","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"50606","description":"Endoluminal bx urtr rnl plvs","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FGFE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RHC3B","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RHC3B","description":"HIPPS-RHC3B","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BIVF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FIXC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-CD24C","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"CD24C","description":"HIPPS-CD24C","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CEDD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Botulism ig iv","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"90288","description":"Botulism ig iv","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NBLC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GIGC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OCHA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Psych diag eval w/med srvcs","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"90792","description":"Psych diag eval w/med srvcs","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Blood glucose test strips","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"A4772","description":"Blood glucose test strips","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Esophageal mucosal integrity testing by electrical impedance_ transoral (list separately in addition to code for primary procedure)","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"C9777","description":"Esophageal mucosal integrity testing by electrical impedance_ transoral (list separately in addition to code for primary procedure)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Revise palsy hand tendon(s)","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"25316","description":"Revise palsy hand tendon(s)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"LFRD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Hocm 350-399mg/ml iodine_1ml","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"Q9963","description":"Hocm 350-399mg/ml iodine_1ml","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-1AHKX","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"1AHKX","description":"HIPPS-1AHKX","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CCSB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GHCC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RUL12","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RUL12","description":"HIPPS-RUL12","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JIEE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Vein x-ray neck","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"75860","description":"Vein x-ray neck","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Gastric mucosa imaging","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"78261","description":"Gastric mucosa imaging","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CICE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"EBAE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BEVE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"AIUB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Cast sup sht arm splnt ped p","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"Q4023","description":"Cast sup sht arm splnt ped p","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GHQB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Ureter endoscopy & treatment","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"50957","description":"Ureter endoscopy & treatment","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CAJB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JIIF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-LC225","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"LC225","description":"HIPPS-LC225","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Repl batt alkaline 1.5 v","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"K0603","description":"Repl batt alkaline 1.5 v","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"HEQE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"AHAD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OGIB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KACB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Face tent","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"A4619","description":"Face tent","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KHPC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Assert comm tx pgm per diem","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"H0040","description":"Assert comm tx pgm per diem","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Remove fix space maintainer","billing_code_type":"CDT","billing_code_type_version":"2024","billing_code":"D1555","description":"Remove fix space maintainer","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Repair shoulder capsule","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"23466","description":"Repair shoulder capsule","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Candida species panel (C. albicans_ C. glabrata_ C. parapsilosis_ C. kruseii_ C tropicalis_ and C. auris)_ amplified probe technique with qualitative report of the presence or","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0068U","description":"Candida species panel (C. albicans_ C. glabrata_ C. parapsilosis_ C. kruseii_ C tropicalis_ and C. auris)_ amplified probe technique with qualitative report of the presence or","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MDAC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Patient treatment and final evaluation complete","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"M1010","description":"Patient treatment and final evaluation complete","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"HFQE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-M1451","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"M1451","description":"HCPCS-M1451","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RHA34","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RHA34","description":"HIPPS-RHA34","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Repair arterial blockage","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"35472","description":"Repair arterial blockage","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Revise graft w/vein","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"35884","description":"Revise graft w/vein","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FAUF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Av fuse uppr arm cephalic","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"36818","description":"Av fuse uppr arm cephalic","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Drainage of pilonidal cyst","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"10080","description":"Drainage of pilonidal cyst","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BCPC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-ES315","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"ES315","description":"HIPPS-ES315","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JDMD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KFWC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Cultured chondrocytes implnt","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"J7330","description":"Cultured chondrocytes implnt","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Interv hlth/behav fam w/pt","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"96154","description":"Interv hlth/behav fam w/pt","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Patient identified as tobacco user did not receive tobacco cessation intervention during the measurement period or in the six months prior to the measurement period (counselin","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"M1289","description":"Patient identified as tobacco user did not receive tobacco cessation intervention during the measurement period or in the six months prior to the measurement period (counselin","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KDEC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BHCB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OKEA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Dipropylacetic acid free","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"80165","description":"Dipropylacetic acid free","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Reoperation carotid add-on","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"35390","description":"Reoperation carotid add-on","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CDCD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CDWB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KHUC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"AFDE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-4CHLX","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"4CHLX","description":"HIPPS-4CHLX","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BFLC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Urinalysis glass test","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"81020","description":"Urinalysis glass test","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"IFBC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"CPT-01916","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"01916","description":"CPT-01916","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CENF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OCMF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-HC251","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"HC251","description":"HIPPS-HC251","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-5CFKW","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"5CFKW","description":"HIPPS-5CFKW","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"DBWD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Absorpt drg > 48 sq in w/o b","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"A6253","description":"Absorpt drg > 48 sq in w/o b","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Topical prep rx aoe","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"4130F","description":"Topical prep rx aoe","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-3AGKW","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"3AGKW","description":"HIPPS-3AGKW","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OCFC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"EGCE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"HAYF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MBEC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NKUB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Elisa hiv-1/hiv-2 screen","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G0433","description":"Elisa hiv-1/hiv-2 screen","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"EFED1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Close chest after drainage","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"32810","description":"Close chest after drainage","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Venipuncture home/snf","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"S9529","description":"Venipuncture home/snf","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NEAC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Diethylstilbestrol injection","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"J9165","description":"Diethylstilbestrol injection","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BDNC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GCCE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Bl draw <3 yrs scalp vein","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"36405","description":"Bl draw <3 yrs scalp vein","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FBLE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Excision of uvula","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"42140","description":"Excision of uvula","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"X-ray exam of middle ear","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"70134","description":"X-ray exam of middle ear","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NAND1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"CDT-D0503","billing_code_type":"CDT","billing_code_type_version":"2026","billing_code":"D0503","description":"CDT-D0503","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MAHE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OAYD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Sugars single quant","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"84378","description":"Sugars single quant","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-PA235","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"PA235","description":"HIPPS-PA235","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Cranial prosthesis","billing_code_type":"CDT","billing_code_type_version":"2024","billing_code":"D5924","description":"Cranial prosthesis","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CIJE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OBTA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KFKE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"EGHC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NHJC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CFFC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Endocerv curettage w/scope","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"57456","description":"Endocerv curettage w/scope","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OEOA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"PLSF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Radiation Therapy For Bladder Cancer Under The Radiation Oncology Model_ 90 Day Episode_ Technical Component","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"M1075","description":"Radiation Therapy For Bladder Cancer Under The Radiation Oncology Model_ 90 Day Episode_ Technical Component","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MHBA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KIGB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"EAAC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FDUE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Kyphosis pad floating","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"L1025","description":"Kyphosis pad floating","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CFCE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"PGWA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NFNF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Patient was referred to another provider or specialist during the performance period","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G9968","description":"Patient was referred to another provider or specialist during the performance period","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Removal of urethra lesion","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"53230","description":"Removal of urethra lesion","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"CPT-64658","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"64658","description":"CPT-64658","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BCFA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KHJC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"EAUD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Porcelain/ceramic retainer","billing_code_type":"CDT","billing_code_type_version":"2024","billing_code":"D6548","description":"Porcelain/ceramic retainer","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Subsequent psychiatric collaborative care management_ first 60 minutes in a subsequent month of behavioral health care manager activities_ in consultation with a psychiatric c","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"99493","description":"Subsequent psychiatric collaborative care management_ first 60 minutes in a subsequent month of behavioral health care manager activities_ in consultation with a psychiatric c","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-LD28D","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"LD28D","description":"HIPPS-LD28D","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OJGE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Behind ear hearing aid","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"V5060","description":"Behind ear hearing aid","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Destruction of skin lesions","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"17283","description":"Destruction of skin lesions","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Injection_ factor VIII_ (antihemophilic factor_ recombinant)_ (Nuwiq)_ 1 IU","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"J7209","description":"Injection_ factor VIII_ (antihemophilic factor_ recombinant)_ (Nuwiq)_ 1 IU","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NGGF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-C9811","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"C9811","description":"HCPCS-C9811","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-BB18X","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"BB18X","description":"HIPPS-BB18X","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Drain shoulder lesion","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"23030","description":"Drain shoulder lesion","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OBBA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Treat fracture radius/ulna","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"25605","description":"Treat fracture radius/ulna","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Dxa ordered for osteo","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G8861","description":"Dxa ordered for osteo","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NLBA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-HB15C","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"HB15C","description":"HIPPS-HB15C","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-2CGK4","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"2CGK4","description":"HIPPS-2CGK4","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OHBD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"CPT-1031T","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"1031T","description":"CPT-1031T","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-LC114","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"LC114","description":"HIPPS-LC114","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Miscellaneous external component_ supply or accessory for use with the Argus II Retinal Prosthesis System","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"L8608","description":"Miscellaneous external component_ supply or accessory for use with the Argus II Retinal Prosthesis System","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JECE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Augmentative analysis of chest computed tomography (CT) imaging data to provide categorical diagnostic subtype classification of interstitial lung disease; radiological data p","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0880T","description":"Augmentative analysis of chest computed tomography (CT) imaging data to provide categorical diagnostic subtype classification of interstitial lung disease; radiological data p","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Thaw preserved stem cells","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"38208","description":"Thaw preserved stem cells","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Hosp bed semi-elect w/ mattr","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"E0294","description":"Hosp bed semi-elect w/ mattr","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Lso flex no ri stays pre ots","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"L0628","description":"Lso flex no ri stays pre ots","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"DGWB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NILC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"PAQB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NDHC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Nursing facility care init","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"99306","description":"Nursing facility care init","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-3BGM1","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"3BGM1","description":"HIPPS-3BGM1","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"IELD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KDUA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-3AGN2","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"3AGN2","description":"HIPPS-3AGN2","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Clot factor fletcher fact","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"85292","description":"Clot factor fletcher fact","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Belt/harness extremity","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"E0945","description":"Belt/harness extremity","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CEVE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FBPD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-1BFM1","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"1BFM1","description":"HIPPS-1BFM1","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Lincomycin injection","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"J2010","description":"Lincomycin injection","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Crown full noble metal cast","billing_code_type":"CDT","billing_code_type_version":"2024","billing_code":"D6792","description":"Crown full noble metal cast","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JFUC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OHNE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Hep b surface antibody","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"86706","description":"Hep b surface antibody","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-2BHKV","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"2BHKV","description":"HIPPS-2BHKV","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Incision/drain abscess intra","billing_code_type":"CDT","billing_code_type_version":"2024","billing_code":"D7511","description":"Incision/drain abscess intra","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NJBD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OHRD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KCWD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Repair shoulder capsule","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"23460","description":"Repair shoulder capsule","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BEEE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Anaphylaxis due to the vaccine on or before the date of the encounter","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"M1311","description":"Anaphylaxis due to the vaccine on or before the date of the encounter","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"PEWC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Oncology (prostate)_ multianalyte molecular profile by photometric detection of macromolecules adsorbed on nanosponge array slides with machine learning_ utilizing first morni","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0228U","description":"Oncology (prostate)_ multianalyte molecular profile by photometric detection of macromolecules adsorbed on nanosponge array slides with machine learning_ utilizing first morni","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Pralatrexate injection","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"J9307","description":"Pralatrexate injection","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CBDE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Hpv high-risk types","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"87624","description":"Hpv high-risk types","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"AFME1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-LB146","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"LB146","description":"HIPPS-LB146","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MBEF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"X-ray exam hips bi 3-4 views","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"73522","description":"X-ray exam hips bi 3-4 views","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-ES211","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"ES211","description":"HIPPS-ES211","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MLME0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CBBB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"CPT-55708","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"55708","description":"CPT-55708","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"HDQE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MGCB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GCNF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FHHF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BGUF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Cath_ inf_ per/cent/midline","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"C1751","description":"Cath_ inf_ per/cent/midline","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MCTC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Methotrexate sodium inj","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"J9260","description":"Methotrexate sodium inj","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NLAE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FHCA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Spun microhematocrit","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"85013","description":"Spun microhematocrit","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Eval laryngoscopy sense tst","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"92615","description":"Eval laryngoscopy sense tst","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Culture aerobic identify","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"87077","description":"Culture aerobic identify","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Relocate pocket for defib","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"33223","description":"Relocate pocket for defib","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KHXD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Fem/popl revasc w/stent","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"37226","description":"Fem/popl revasc w/stent","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"CPT-0588U","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"0588U","description":"CPT-0588U","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NJHA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Treatment x10sv retinopathy","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"67228","description":"Treatment x10sv retinopathy","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NHUD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Surgimend_ fetal","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"C9358","description":"Surgimend_ fetal","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JCDB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RMA8C","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RMA8C","description":"HIPPS-RMA8C","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-LB21C","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"LB21C","description":"HIPPS-LB21C","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Insertion or replacement of intracardiac ischemia monitoring system_ including testing of the lead and monitor_ initial system programming_ and imaging supervision and interpr","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0525T","description":"Insertion or replacement of intracardiac ischemia monitoring system_ including testing of the lead and monitor_ initial system programming_ and imaging supervision and interpr","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GCNF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"HCWB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FETE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Treat clavicle dislocation","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"23520","description":"Treat clavicle dislocation","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Oncology (lung)_ flow cytometry_ sputum_ 5 markers (meso-tetra [4-carboxyphenyl] porphyrin [TCPP]_ CD206_ CD66b_ CD3_ CD19)_ algorithm reported as likelihood of lung cancer","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0406U","description":"Oncology (lung)_ flow cytometry_ sputum_ 5 markers (meso-tetra [4-carboxyphenyl] porphyrin [TCPP]_ CD206_ CD66b_ CD3_ CD19)_ algorithm reported as likelihood of lung cancer","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OJCC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KHQB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Exploration for testis","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"54550","description":"Exploration for testis","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OJJA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"METD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Seat upholstery_ replacement","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"E0981","description":"Seat upholstery_ replacement","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RML43","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RML43","description":"HIPPS-RML43","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Remove ureter stent percut","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"50384","description":"Remove ureter stent percut","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Dem severity class severe","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"1493F","description":"Dem severity class severe","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HH PDGM","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"4IB31","description":"HH PDGM","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Ocular blood flow measure","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0198T","description":"Ocular blood flow measure","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"ABCD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Nonpneumatic sequential compression garment_ half leg","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"K1033","description":"Nonpneumatic sequential compression garment_ half leg","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-1BGKU","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"1BGKU","description":"HIPPS-1BGKU","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BIFE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-LD225","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"LD225","description":"HIPPS-LD225","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Nonemergency transport air","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"A0140","description":"Nonemergency transport air","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GHJE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NFTC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Assay of ggt","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"82977","description":"Assay of ggt","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"ACIC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-2BGM4","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"2BGM4","description":"HIPPS-2BGM4","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FEAC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KAEA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BAJC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Deluxe lens feature","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"V2702","description":"Deluxe lens feature","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-PC155","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"PC155","description":"HIPPS-PC155","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KFWF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Percutaneous Implantation Or Replacement Of Integrated Single Device Neurostimulation System Including Electrode Array And Receiver Or Pulse Generator_ Including Analysis_ Pro","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0587T","description":"Percutaneous Implantation Or Replacement Of Integrated Single Device Neurostimulation System Including Electrode Array And Receiver Or Pulse Generator_ Including Analysis_ Pro","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JILD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Nursing fac discharge day","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"99316","description":"Nursing fac discharge day","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Absorp drg <= 16 suc pump","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"K0744","description":"Absorp drg <= 16 suc pump","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RLA8H","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RLA8H","description":"HIPPS-RLA8H","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OGWA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BFBB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Contact lens pmma spherical","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"V2500","description":"Contact lens pmma spherical","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Assess hlth/behave init","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"96150","description":"Assess hlth/behave init","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Unlisted procedure_ intestine","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G6021","description":"Unlisted procedure_ intestine","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"DEQF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Maple syrup urine disease monitoring by patient-collected blood card sample_ quantitative measurement of allo-isoleucine_ leucine_ isoleucine_ and valine_ liquid chromatograph","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0381U","description":"Maple syrup urine disease monitoring by patient-collected blood card sample_ quantitative measurement of allo-isoleucine_ leucine_ isoleucine_ and valine_ liquid chromatograph","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CEIB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OEXB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MCMC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BGAF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JBIF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RHA31","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RHA31","description":"HIPPS-RHA31","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GBXA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Pancreatectomy","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"48154","description":"Pancreatectomy","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CIKE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OFAA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OICD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NBEF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Neg press wound tx >50 cm","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"97608","description":"Neg press wound tx >50 cm","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CBJE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BFBD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MDAB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FFPB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"CPT-01502","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"01502","description":"CPT-01502","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BCJE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OBXE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OEGD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Vit d 1 25-dihydroxy","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"82652","description":"Vit d 1 25-dihydroxy","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Esophagus surgery for veins","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"43401","description":"Esophagus surgery for veins","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-3CHLV","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"3CHLV","description":"HIPPS-3CHLV","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Enterectomy w/o taper cong","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"44126","description":"Enterectomy w/o taper cong","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-PD230","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"PD230","description":"HIPPS-PD230","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"AEAD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BDVF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Ibutilide fumarate injection","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"J1742","description":"Ibutilide fumarate injection","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Surgical path gross","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"88300","description":"Surgical path gross","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Injection_ emicizumab-kxwh_ 0.5 mg","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"Q9995","description":"Injection_ emicizumab-kxwh_ 0.5 mg","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"IAUE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Digitization of glass microscope slides for special stain_ including interpretation and report_ histochemical stain on frozen tissue block (List separately in addition to code","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0758T","description":"Digitization of glass microscope slides for special stain_ including interpretation and report_ histochemical stain on frozen tissue block (List separately in addition to code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-1BHM6","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"1BHM6","description":"HIPPS-1BHM6","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Treatment of retina","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"67145","description":"Treatment of retina","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MEME1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Foot exam performed","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"2028F","description":"Foot exam performed","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-4AFKW","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"4AFKW","description":"HIPPS-4AFKW","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BBXC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Onc dx nsclc stg3a no progre","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G9065","description":"Onc dx nsclc stg3a no progre","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GGCD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Injection_ C1 esterase inhibitor (human)_ Haegarda_ 10 units","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"C9015","description":"Injection_ C1 esterase inhibitor (human)_ Haegarda_ 10 units","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"DIRB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Prepare face/oral prosthesis","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"21077","description":"Prepare face/oral prosthesis","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JHBA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Shoe clubfoot wedge","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"L3380","description":"Shoe clubfoot wedge","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Patient unable to complete the neck fs prom at initial evaluation and/or discharge due to blindness_ illiteracy_ severe mental incapacity or language incompatibility_ and an a","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"M1149","description":"Patient unable to complete the neck fs prom at initial evaluation and/or discharge due to blindness_ illiteracy_ severe mental incapacity or language incompatibility_ and an a","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-CD23B","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"CD23B","description":"HIPPS-CD23B","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OBGB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Patient is not on a statin therapy","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G9797","description":"Patient is not on a statin therapy","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MKLF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Nerve graft hand/foot >4 cm","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"64896","description":"Nerve graft hand/foot >4 cm","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"ADME1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-4CGKU","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"4CGKU","description":"HIPPS-4CGKU","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"DCSD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BEDA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Cabg vein five","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"33514","description":"Cabg vein five","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Prkns diag rviewed","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"1400F","description":"Prkns diag rviewed","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BECF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KFQE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CEHD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FGCA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OHHF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Kidney endoscopy","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"50575","description":"Kidney endoscopy","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-2CGMV","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"2CGMV","description":"HIPPS-2CGMV","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OFGF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"EFBD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Knee-shin exo frict swg & st","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"L5712","description":"Knee-shin exo frict swg & st","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Radiologic examination_ abdomen; complete acute abdomen series_ including supine_ erect_ and/or decubitus views_ single view chest","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"74022","description":"Radiologic examination_ abdomen; complete acute abdomen series_ including supine_ erect_ and/or decubitus views_ single view chest","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KHMB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Voice amplifier","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"L8510","description":"Voice amplifier","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Knee orthosis (KO)_ single upright_ thigh and calf_ with adjustable flexion and extension joint (unicentric or polycentric)_ medial-lateral and rotation control_ with or witho","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"L1851","description":"Knee orthosis (KO)_ single upright_ thigh and calf_ with adjustable flexion and extension joint (unicentric or polycentric)_ medial-lateral and rotation control_ with or witho","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GGFC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Suture small intestine","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"44602","description":"Suture small intestine","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Ext h rate sz 15-30 days","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0383T","description":"Ext h rate sz 15-30 days","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Place cath carotid/inom art","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"36223","description":"Place cath carotid/inom art","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OEWE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Temporal bone surgery","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"69979","description":"Temporal bone surgery","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"LDRD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Injection_ rituximab 10 mg and hyaluronidase","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"J9311","description":"Injection_ rituximab 10 mg and hyaluronidase","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GCKF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Patient treatment and final evaluation complete","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"M1012","description":"Patient treatment and final evaluation complete","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OHOC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JFKA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JCED1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KBUF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Visual field examination(s)","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"92082","description":"Visual field examination(s)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Site no lung or lung cx","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G9424","description":"Site no lung or lung cx","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KFFC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OCPB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FFIB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NATE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RHX8H","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RHX8H","description":"HIPPS-RHX8H","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-Q5168","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"Q5168","description":"HCPCS-Q5168","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Hearing aid_ monaural_ cic","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"V5242","description":"Hearing aid_ monaural_ cic","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Injection_ acetaminophen (hikma) not therapeutically equivalent to j0131_ 10 mg","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"J0137","description":"Injection_ acetaminophen (hikma) not therapeutically equivalent to j0131_ 10 mg","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JDLA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FHEC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GHNB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"CDT-D2101","billing_code_type":"CDT","billing_code_type_version":"2026","billing_code":"D2101","description":"CDT-D2101","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"ADIF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KHSC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FIDD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Dialysate sol test kit_ each","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"A4760","description":"Dialysate sol test kit_ each","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CBBB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NAHD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JFXC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CHHB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Apply spine prosth device","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"22851","description":"Apply spine prosth device","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FBHA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Dental recement bridge","billing_code_type":"CDT","billing_code_type_version":"2024","billing_code":"D6930","description":"Dental recement bridge","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-BB116","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"BB116","description":"HIPPS-BB116","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Levorphanol tartrate inj","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"J1960","description":"Levorphanol tartrate inj","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Neutralizing antibody_ severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2)(Coronavirus disease[COVID-19]);screen","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"86408","description":"Neutralizing antibody_ severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2)(Coronavirus disease[COVID-19]);screen","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"At least two orders for the same high-risk medication","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G9637","description":"At least two orders for the same high-risk medication","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FDCE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Documentation Stating Patient Has A Diagnosis Of A Degenerative Neurological Condition Such As Als_ Ms_ Or Parkinson_S Diagnosed At Any Time Before Or During The Episode Of Ca","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"M1107","description":"Documentation Stating Patient Has A Diagnosis Of A Degenerative Neurological Condition Such As Als_ Ms_ Or Parkinson_S Diagnosed At Any Time Before Or During The Episode Of Ca","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-CD226","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"CD226","description":"HIPPS-CD226","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GDDD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"IEMD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-C8005","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"C8005","description":"HCPCS-C8005","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Tracheostomy care kit","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"A4629","description":"Tracheostomy care kit","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Revision or removal of neurostimulator electrode array_ sacral_ with integrated neurostimulator","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0787T","description":"Revision or removal of neurostimulator electrode array_ sacral_ with integrated neurostimulator","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RHA17","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RHA17","description":"HIPPS-RHA17","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CIHD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"PKQC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Donor hysterectomy (including cold preservation); open_ from cadaver donor","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0664T","description":"Donor hysterectomy (including cold preservation); open_ from cadaver donor","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Carry goal status","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G8985","description":"Carry goal status","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Compression bandage","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"S8431","description":"Compression bandage","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NIKF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JGUB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NADA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Fluorine-18 fluorodeoxygluco","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"S8085","description":"Fluorine-18 fluorodeoxygluco","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Assay of thyroid activity","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"84442","description":"Assay of thyroid activity","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KIPF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"PERF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GEIC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"IIHA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"P32 na phosphate","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"A9563","description":"P32 na phosphate","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NBUC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GDCC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Self-Measured Blood Pressure Using A Device Validated For Clinical Accuracy; Separate Self-Measurements Of Two Readings One Minute Apart_ Twice Daily Over A 30-Day Period (Min","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"99474","description":"Self-Measured Blood Pressure Using A Device Validated For Clinical Accuracy; Separate Self-Measurements Of Two Readings One Minute Apart_ Twice Daily Over A 30-Day Period (Min","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KFHF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Sleeve_ inter limb comp dev","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"A4600","description":"Sleeve_ inter limb comp dev","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Destroy vag lesions complex","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"57065","description":"Destroy vag lesions complex","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Report ckd measures","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G8487","description":"Report ckd measures","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NLHC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OAHE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Renin stimulation panel","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"80417","description":"Renin stimulation panel","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BFAB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RUC5D","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RUC5D","description":"HIPPS-RUC5D","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Gradient compression garment_ toe caps_ each","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"A6572","description":"Gradient compression garment_ toe caps_ each","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Anes spine transthor w/vent","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"62651","description":"Anes spine transthor w/vent","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Oncology (neoplasia)_ exome and transcriptome sequence analysis for sequence variants_ gene copy number amplifications and deletions_ gene rearrangements_ microsatellite insta","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0329U","description":"Oncology (neoplasia)_ exome and transcriptome sequence analysis for sequence variants_ gene copy number amplifications and deletions_ gene rearrangements_ microsatellite insta","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-CA260","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"CA260","description":"HIPPS-CA260","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FDVD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JAMD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"HBSD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CGGB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OHUA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"AHCC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FEBD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"CPT-1068T","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"1068T","description":"CPT-1068T","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Colonoscopy through stoma; with ablation of tumor(s)_ polyp(s)_ or other lesion(s) not amenable to removal by hot biopsy forceps_ bipolar cautery or snare technique","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G6019","description":"Colonoscopy through stoma; with ablation of tumor(s)_ polyp(s)_ or other lesion(s) not amenable to removal by hot biopsy forceps_ bipolar cautery or snare technique","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Diabetic management program_","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"S9455","description":"Diabetic management program_","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BEJA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KEPF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-A6611","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"A6611","description":"HCPCS-A6611","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Ca screen;pelvic/breast exam","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G0101","description":"Ca screen;pelvic/breast exam","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GAJE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RMX41","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RMX41","description":"HIPPS-RMX41","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CGFE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"PAS (Consumer)","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"W1792","description":"PAS (Consumer)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GAGC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"CPT-92629","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"92629","description":"CPT-92629","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-LE28A","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"LE28A","description":"HIPPS-LE28A","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JICD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Wound cleanser any type/size","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"A6260","description":"Wound cleanser any type/size","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-BB130","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"BB130","description":"HIPPS-BB130","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Consult inc prep of slides","billing_code_type":"CDT","billing_code_type_version":"2024","billing_code":"D0485","description":"Consult inc prep of slides","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Assay of carnitine","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"82379","description":"Assay of carnitine","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OLWD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-HE14C","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"HE14C","description":"HIPPS-HE14C","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Unskilled respite care /15m","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"S5150","description":"Unskilled respite care /15m","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Patients age 65 or older in institutional special needs plans (SNP) or residing in long-term care with POS code 32_ 33_ 34_ 54_ or 56 any time during the measurement period","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G9938","description":"Patients age 65 or older in institutional special needs plans (SNP) or residing in long-term care with POS code 32_ 33_ 34_ 54_ or 56 any time during the measurement period","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JGCF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Exploratory heart surgery","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"33315","description":"Exploratory heart surgery","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Esrd srv 2-3 vsts p mo 2-11","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"90955","description":"Esrd srv 2-3 vsts p mo 2-11","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Speech Language Pathology Mips Specialty Set","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G4034","description":"Speech Language Pathology Mips Specialty Set","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KABB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Sex chromatin identification","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"88140","description":"Sex chromatin identification","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"CPT-1111T","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"1111T","description":"CPT-1111T","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Patient Was Provided Pallative Care Services Any Time During The Measurement Period","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G9993","description":"Patient Was Provided Pallative Care Services Any Time During The Measurement Period","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Excise sacral spine tumor","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"49215","description":"Excise sacral spine tumor","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"IBHA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"CPT-55715","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"55715","description":"CPT-55715","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"EHTE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MFBE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"IIEF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Prgrmg dev eval impltbl sys","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"93260","description":"Prgrmg dev eval impltbl sys","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OCTB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Dental case management - care coordination","billing_code_type":"CDT","billing_code_type_version":"2024","billing_code":"D9992","description":"Dental case management - care coordination","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KCDD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Injection_ coagulation factor ix (recombinant)_ ixinity_ 1 i.u.","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"J7213","description":"Injection_ coagulation factor ix (recombinant)_ ixinity_ 1 i.u.","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Gr 34 nonsealed leadacid","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"E2358","description":"Gr 34 nonsealed leadacid","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CDWE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Glucose blood test","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"82962","description":"Glucose blood test","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KDAC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Prosthesis_ breast_ imp","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"C1789","description":"Prosthesis_ breast_ imp","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Destruction of skin lesions","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"17108","description":"Destruction of skin lesions","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"AAAD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OCHB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BHND1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KIPA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Fit contac lens for managmnt","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"92072","description":"Fit contac lens for managmnt","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-LD21A","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"LD21A","description":"HIPPS-LD21A","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Mammo assess susp docd","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"3344F","description":"Mammo assess susp docd","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Compression stocking bk30-40","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"A6531","description":"Compression stocking bk30-40","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NIED0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NFJA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-HD20A","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"HD20A","description":"HIPPS-HD20A","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OIBF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NFDD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-A1402","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"A1402","description":"HCPCS-A1402","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RLX55","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RLX55","description":"HIPPS-RLX55","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KFWA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-4CGL4","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"4CGL4","description":"HIPPS-4CGL4","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FBED0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KCEF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Osteopath manj 1-2 regions","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"98925","description":"Osteopath manj 1-2 regions","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Ep & ablate ventric tachy","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"93654","description":"Ep & ablate ventric tachy","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RHA60","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RHA60","description":"HIPPS-RHA60","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Case presentation_ subsequent to detailed and extensive treatment planning","billing_code_type":"CDT","billing_code_type_version":"2024","billing_code":"D9450","description":"Case presentation_ subsequent to detailed and extensive treatment planning","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Release thumb contracture","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"26508","description":"Release thumb contracture","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Hair trnspl 1-15 punch grfts","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"15775","description":"Hair trnspl 1-15 punch grfts","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"ECLC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Needle biopsy chest lining","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"32400","description":"Needle biopsy chest lining","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Resect foot/toe tumor 3 cm/>","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"28047","description":"Resect foot/toe tumor 3 cm/>","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Intraoral con def inter plt","billing_code_type":"CDT","billing_code_type_version":"2024","billing_code":"D5958","description":"Intraoral con def inter plt","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Anesthesia for intracranial procedures; cerebrospinal fluid shunting proced","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0135U","description":"Anesthesia for intracranial procedures; cerebrospinal fluid shunting proced","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Contrst x-ray urinary tract","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"74400","description":"Contrst x-ray urinary tract","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JIHC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"IDIC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-3AFM3","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"3AFM3","description":"HIPPS-3AFM3","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RUA55","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RUA55","description":"HIPPS-RUA55","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RLA8E","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RLA8E","description":"HIPPS-RLA8E","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"CPT-01130","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"01130","description":"CPT-01130","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RMC8B","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RMC8B","description":"HIPPS-RMC8B","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Surgical opening of throat","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"42955","description":"Surgical opening of throat","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Ready gradient sleeve","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"S8424","description":"Ready gradient sleeve","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CFAC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RUC41","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RUC41","description":"HIPPS-RUC41","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Platelet survival","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"78191","description":"Platelet survival","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FBIC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Hf assessment tool completed","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"3117F","description":"Hf assessment tool completed","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"AADF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"LDQC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"HEWE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OAKF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Endo knee-shin fluid swg/sta","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"L5828","description":"Endo knee-shin fluid swg/sta","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-J9174","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"J9174","description":"HCPCS-J9174","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Prosthetic type socket molde","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"L2350","description":"Prosthetic type socket molde","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Power module combo vad_ rep","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"Q0479","description":"Power module combo vad_ rep","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Pt not elig","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G9626","description":"Pt not elig","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-CE28X","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"CE28X","description":"HIPPS-CE28X","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-1CFNS","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"1CFNS","description":"HIPPS-1CFNS","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"RHD&RHCE GNTYP NEXT GNRJ SEQ","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0222U","description":"RHD&RHCE GNTYP NEXT GNRJ SEQ","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-LE201","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"LE201","description":"HIPPS-LE201","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"EAMF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NGPD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BIVA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Antigen therapy services","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"95147","description":"Antigen therapy services","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JAIC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JHAF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-PC13A","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"PC13A","description":"HIPPS-PC13A","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"HEWF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OJMF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RMX8D","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RMX8D","description":"HIPPS-RMX8D","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-ES117","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"ES117","description":"HIPPS-ES117","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"CPT-76014","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"76014","description":"CPT-76014","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OHLC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KBGF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-LE213","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"LE213","description":"HIPPS-LE213","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"EHHB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OLJD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Hit anti-hemophil diem","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"S9345","description":"Hit anti-hemophil diem","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JIBC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-ES10B","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"ES10B","description":"HIPPS-ES10B","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Whirlpool therapy","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"97022","description":"Whirlpool therapy","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RUB52","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RUB52","description":"HIPPS-RUB52","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RUX54","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RUX54","description":"HIPPS-RUX54","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KESB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Anesth spine cord surgery","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"67051","description":"Anesth spine cord surgery","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NGEE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FDDB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"CPT-0503U","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"0503U","description":"CPT-0503U","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Incise skull repair","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"62121","description":"Incise skull repair","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Drug assay_ definitive_ 100 or more drugs or metabolites_ urine_ quantitative liquid chromatography with tandem mass spectrometry (LC-MS/MS) using multiple reaction monitoring","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0148U","description":"Drug assay_ definitive_ 100 or more drugs or metabolites_ urine_ quantitative liquid chromatography with tandem mass spectrometry (LC-MS/MS) using multiple reaction monitoring","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Speech evaluation complex","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"70371","description":"Speech evaluation complex","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Csit perf on low chd rsk","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G8965","description":"Csit perf on low chd rsk","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KBCB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-G0536","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"G0536","description":"HCPCS-G0536","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KITE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Chemo by both infusion and o","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"Q0085","description":"Chemo by both infusion and o","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GAJB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-HE234","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"HE234","description":"HIPPS-HE234","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"EATC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Remove electrode/thoracotomy","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"33238","description":"Remove electrode/thoracotomy","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FDAF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OEVE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MGIA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"ODVE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CARD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Colonoscopy w/ndl aspir/bx","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"44407","description":"Colonoscopy w/ndl aspir/bx","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"AFDA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"HIOD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Chest x-ray stereo frontal","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"71015","description":"Chest x-ray stereo frontal","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Neuropsychological testing (eg_ Wisconsin Card Sorting Test)_ administered by a computer_ with qualified health care professional interpretation and report","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"96120","description":"Neuropsychological testing (eg_ Wisconsin Card Sorting Test)_ administered by a computer_ with qualified health care professional interpretation and report","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GASE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Iliac revasc w/stent add-on","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"37223","description":"Iliac revasc w/stent add-on","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"ICBC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Pulmonary tissue ventilation analysis using software-based processing of data from separately captured cinefluorograph images; in combination with computed tomography (CT) ima","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0808T","description":"Pulmonary tissue ventilation analysis using software-based processing of data from separately captured cinefluorograph images; in combination with computed tomography (CT) ima","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OCXD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"EIUD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GECD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Glucagon tolerance panel","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"80422","description":"Glucagon tolerance panel","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NECA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GDAD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"W/c lateral trunk/hip suppor","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"E0956","description":"W/c lateral trunk/hip suppor","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RML0D","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RML0D","description":"HIPPS-RML0D","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CDMA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FCLB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OLNC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Reconstruct lower jaw bone","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"21247","description":"Reconstruct lower jaw bone","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CHUF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Repair arterial trunk","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"33786","description":"Repair arterial trunk","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Programming device evaluation (in person) with iterative adjustment of the implantable device to test the function of the device and select optimal permanent programmed values","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0826T","description":"Programming device evaluation (in person) with iterative adjustment of the implantable device to test the function of the device and select optimal permanent programmed values","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JGMB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"CDT-D0903","billing_code_type":"CDT","billing_code_type_version":"2026","billing_code":"D0903","description":"CDT-D0903","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GFAF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RMX15","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RMX15","description":"HIPPS-RMX15","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Vestibular device implantation_ unilateral","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0725T","description":"Vestibular device implantation_ unilateral","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Drain cerebro spinal fluid","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"62272","description":"Drain cerebro spinal fluid","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-CE221","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"CE221","description":"HIPPS-CE221","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Cntct lens gas permbl bifocl","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"V2512","description":"Cntct lens gas permbl bifocl","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Hepatitis B virus (HBV) status assessed and results interpreted prior to initiating anti-TNF (tumor necrosis factor) therapy","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G9912","description":"Hepatitis B virus (HBV) status assessed and results interpreted prior to initiating anti-TNF (tumor necrosis factor) therapy","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BAVA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KGAE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BBDF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Interest escort in non er","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"A0090","description":"Interest escort in non er","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Qty act card prev mg perf","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G9677","description":"Qty act card prev mg perf","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-C1603","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"C1603","description":"HCPCS-C1603","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Catheter for hysterography","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"58340","description":"Catheter for hysterography","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"ODJE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Nushield 1 square cm","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"Q4160","description":"Nushield 1 square cm","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"HGYE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NHGC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Pt edu re alcoh drnkng done","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"4158F","description":"Pt edu re alcoh drnkng done","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Release of lower leg tendon","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"27680","description":"Release of lower leg tendon","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FBHB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Hospice services for patient provided any time during the measurement period","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G9718","description":"Hospice services for patient provided any time during the measurement period","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OKVE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FDVE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Assessment Of Salivary Flow By Measurement","billing_code_type":"CDT","billing_code_type_version":"2024","billing_code":"D0419","description":"Assessment Of Salivary Flow By Measurement","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Guided tiss regen resorble","billing_code_type":"CDT","billing_code_type_version":"2024","billing_code":"D4266","description":"Guided tiss regen resorble","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Neuromuscular stim for scoli","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"E0744","description":"Neuromuscular stim for scoli","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BCUA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"IFTA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KGEF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OKBB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KGVF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Main/clean max prosthesis","billing_code_type":"CDT","billing_code_type_version":"2024","billing_code":"D5993","description":"Main/clean max prosthesis","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"N block inj axillary","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"64417","description":"N block inj axillary","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Patient exhibits 2 or more risk factors for postoperative vomiting","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G9954","description":"Patient exhibits 2 or more risk factors for postoperative vomiting","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MFIC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Ivf canc a aspir case rate","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"S4020","description":"Ivf canc a aspir case rate","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"ACIF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KBRB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NJEB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"LIYD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Diaper serv reusable diaper","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"T4538","description":"Diaper serv reusable diaper","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"LIRB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BFHB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GAEB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RVA8B","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RVA8B","description":"HIPPS-RVA8B","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-CB28C","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"CB28C","description":"HIPPS-CB28C","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Destruction of skin lesions","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"17270","description":"Destruction of skin lesions","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HH PDGM","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"2BB11","description":"HH PDGM","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"AEDB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OLUD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Herpes simplex type 2 test","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"86696","description":"Herpes simplex type 2 test","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-HB21C","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"HB21C","description":"HIPPS-HB21C","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"CPT-01522","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"01522","description":"CPT-01522","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"IEMF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Remove vertebral body add-on","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"63091","description":"Remove vertebral body add-on","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"CDT-D1603","billing_code_type":"CDT","billing_code_type_version":"2026","billing_code":"D1603","description":"CDT-D1603","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Patient with diagnosis of osteoporosis on date of encounter","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"M1153","description":"Patient with diagnosis of osteoporosis on date of encounter","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RHC02","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RHC02","description":"HIPPS-RHC02","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Contact lens fitting","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"92311","description":"Contact lens fitting","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"DBRF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"IGDD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"CPT-1082T","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"1082T","description":"CPT-1082T","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KIFA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Sales tax","billing_code_type":"CDT","billing_code_type_version":"2024","billing_code":"D9985","description":"Sales tax","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Remove brain cavity shunt","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"62256","description":"Remove brain cavity shunt","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"CDT-D2003","billing_code_type":"CDT","billing_code_type_version":"2026","billing_code":"D2003","description":"CDT-D2003","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MGBE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Meg evoked single","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"95966","description":"Meg evoked single","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-3CGL2","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"3CGL2","description":"HIPPS-3CGL2","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NJAC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"LBYD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"DFQD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Oncology Care Model (OCM) Monthly Enhanced Oncology Oncology Services (MEOS) payment for enhanced care management services for OCM beneficiaries.","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G9678","description":"Oncology Care Model (OCM) Monthly Enhanced Oncology Oncology Services (MEOS) payment for enhanced care management services for OCM beneficiaries.","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-PE141","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"PE141","description":"HIPPS-PE141","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NICC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Electrical stimulation","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"97032","description":"Electrical stimulation","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GABF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CFRC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GDOD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Herpes simplex nes antbdy","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"86694","description":"Herpes simplex nes antbdy","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-E1033","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"E1033","description":"HCPCS-E1033","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GAXF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Women who had an endometrial ablation procedure during the year prior to the index date (exclusive of the index date)","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G9822","description":"Women who had an endometrial ablation procedure during the year prior to the index date (exclusive of the index date)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CHTF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RLA42","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RLA42","description":"HIPPS-RLA42","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Fluoroestradiol f 18_ diagnostic_ 1 millicurie","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"A9591","description":"Fluoroestradiol f 18_ diagnostic_ 1 millicurie","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BGIB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Fun stat score le not done","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G8658","description":"Fun stat score le not done","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Insrt/redo pn/gastr stimul","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"64590","description":"Insrt/redo pn/gastr stimul","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FHNB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RLX2A","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RLX2A","description":"HIPPS-RLX2A","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CIJD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Pmkr_ dual_ non rate-resp","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"C2619","description":"Pmkr_ dual_ non rate-resp","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-HC104","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"HC104","description":"HIPPS-HC104","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"EADA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-2CGK2","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"2CGK2","description":"HIPPS-2CGK2","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NJKC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Endovenous catheter directed chemical ablation with balloon isolation of incompetent extremity vein_ open or percutaneous_ including all vascular access_ catheter manipulation","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0524T","description":"Endovenous catheter directed chemical ablation with balloon isolation of incompetent extremity vein_ open or percutaneous_ including all vascular access_ catheter manipulation","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FEJE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Revise & repair chest wall","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"32906","description":"Revise & repair chest wall","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"IDHD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JFPF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-LB12C","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"LB12C","description":"HIPPS-LB12C","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Repair blood vessel lesion","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"35241","description":"Repair blood vessel lesion","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GIAB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Patient not receiving a first course of anti-tnf therapy","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G8871","description":"Patient not receiving a first course of anti-tnf therapy","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"CPT-01844","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"01844","description":"CPT-01844","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Oncology (prostate)_ exosome-based analysis of 442 small noncoding RNAs (sncRNAs) by quantitative reverse transcription polymerase chain reaction (RT-qPCR)_ urine_ reported as","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0343U","description":"Oncology (prostate)_ exosome-based analysis of 442 small noncoding RNAs (sncRNAs) by quantitative reverse transcription polymerase chain reaction (RT-qPCR)_ urine_ reported as","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Prenatalcare enhanced srv pk","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"H1005","description":"Prenatalcare enhanced srv pk","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NCFA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Repair of spinal herniation","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"63704","description":"Repair of spinal herniation","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Dias bp less 90","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G8754","description":"Dias bp less 90","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-HD156","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"HD156","description":"HIPPS-HD156","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Lactoferrin fecal (quant)","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"83631","description":"Lactoferrin fecal (quant)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-PB14B","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"PB14B","description":"HIPPS-PB14B","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Novafix_ per square centimeter","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"Q4208","description":"Novafix_ per square centimeter","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"LIWD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Repl bat t.e.n.s. own by pt","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"A4630","description":"Repl bat t.e.n.s. own by pt","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OKME1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GAFF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KADC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OECA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CHHD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CFAF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OFVB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Pt w/o dysphag/wt loss/nutr","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"3761F","description":"Pt w/o dysphag/wt loss/nutr","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Assay of corticosteroids 17","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"83491","description":"Assay of corticosteroids 17","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Assay of cryofibrinogen","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"82585","description":"Assay of cryofibrinogen","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"EAAC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CDYB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"EITD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"CPT-97009","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"97009","description":"CPT-97009","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-PB144","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"PB144","description":"HIPPS-PB144","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"EDAB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Repair defect of artery","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"35001","description":"Repair defect of artery","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-2BHLW","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"2BHLW","description":"HIPPS-2BHLW","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-HE21A","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"HE21A","description":"HIPPS-HE21A","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Ganciclovir long act implant","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"J7310","description":"Ganciclovir long act implant","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Fetal surg cong cyst malf","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"S2402","description":"Fetal surg cong cyst malf","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FDXE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GGIE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RUX8D","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RUX8D","description":"HIPPS-RUX8D","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"DIRD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Metacarpophalangeal implant","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"L8630","description":"Metacarpophalangeal implant","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NJME0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Transplant hand tendon","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"26480","description":"Transplant hand tendon","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Cytopath c/v thin layer","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"88142","description":"Cytopath c/v thin layer","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Surgical exposure of root surface without apicoectomy or repair of root resorption - anterior","billing_code_type":"CDT","billing_code_type_version":"2024","billing_code":"D3501","description":"Surgical exposure of root surface without apicoectomy or repair of root resorption - anterior","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Open red simp malar/zygom fx","billing_code_type":"CDT","billing_code_type_version":"2024","billing_code":"D7650","description":"Open red simp malar/zygom fx","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Exc face-mm b9+marg 0.6-1 cm","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"11441","description":"Exc face-mm b9+marg 0.6-1 cm","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MLMD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Open thrombect av fistula","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"36831","description":"Open thrombect av fistula","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"ADLE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KCOD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GADA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Xcm biologic tiss matrix 1cm","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"Q4142","description":"Xcm biologic tiss matrix 1cm","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-Q4337","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"Q4337","description":"HCPCS-Q4337","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"CPT-0980T","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"0980T","description":"CPT-0980T","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-3BGLT","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"3BGLT","description":"HIPPS-3BGLT","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JGDD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Symes type ptb brim design s","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"L5632","description":"Symes type ptb brim design s","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Contact lens fitting","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"92310","description":"Contact lens fitting","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"IDHA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JHTC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BBFF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Urinary pouch on barr w/flng","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"A5073","description":"Urinary pouch on barr w/flng","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Lap gastr bypass incl smll i","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"43645","description":"Lap gastr bypass incl smll i","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KDDC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KFLC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Reconstruction of urethra","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"54322","description":"Reconstruction of urethra","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Cogenex Flowable Amnion_ per 0.5 cc","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"Q4230","description":"Cogenex Flowable Amnion_ per 0.5 cc","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Remote in-home visit for the evaluation and management of an established patient for use only in a Medicare-approved Bundled Payments for Care Improvement Advanced (BPCI Advan","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G9983","description":"Remote in-home visit for the evaluation and management of an established patient for use only in a Medicare-approved Bundled Payments for Care Improvement Advanced (BPCI Advan","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Therapeutic pneumothorax","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"32960","description":"Therapeutic pneumothorax","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Cast sup long leg plaster","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"Q4029","description":"Cast sup long leg plaster","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"CPT-0927T","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"0927T","description":"CPT-0927T","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Remove digit nerve lesion","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"64776","description":"Remove digit nerve lesion","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KEKE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BGVD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Expose behav assessment","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0362T","description":"Expose behav assessment","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JFBF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"AETA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KBQD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KHDF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"External upper limb tremor stimulator of the peripheral nerves of the wrist","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"E0734","description":"External upper limb tremor stimulator of the peripheral nerves of the wrist","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OKGC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CHTB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CAXE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Dialysis training incompl","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"90993","description":"Dialysis training incompl","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OGRB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Clsd reduct compd mandble fx","billing_code_type":"CDT","billing_code_type_version":"2024","billing_code":"D7740","description":"Clsd reduct compd mandble fx","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Exploration popliteal artery","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"35741","description":"Exploration popliteal artery","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-1CGL6","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"1CGL6","description":"HIPPS-1CGL6","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-3BHM4","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"3BHM4","description":"HIPPS-3BHM4","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Patient identified as a tobacco user received tobacco cessation intervention (counseling and/or pharmacotherapy)","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G9906","description":"Patient identified as a tobacco user received tobacco cessation intervention (counseling and/or pharmacotherapy)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Revise circulation to head","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"61710","description":"Revise circulation to head","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FECD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"IBID0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"HFWF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KHKD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BHID1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Shoulder arthroscopy/surgery","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"29823","description":"Shoulder arthroscopy/surgery","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GHQC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JDEB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Doc order given stop antibio","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"4049F","description":"Doc order given stop antibio","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Amniply_ for topical use only_ per square centimeter","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"Q4249","description":"Amniply_ for topical use only_ per square centimeter","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"CPT-1098T","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"1098T","description":"CPT-1098T","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KEND1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HH PDGM","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"2AA11","description":"HH PDGM","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Intmd rpr face/mm 7.6-12.5cm","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"12054","description":"Intmd rpr face/mm 7.6-12.5cm","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Photodynmc tx 30 min add-on","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"96570","description":"Photodynmc tx 30 min add-on","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"ADEE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FFDF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Assay of silica","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"84285","description":"Assay of silica","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Patient-Months Where There Are More Than One Medicare Capitated Payment (Mcp) Provider Listed For The Month","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G1025","description":"Patient-Months Where There Are More Than One Medicare Capitated Payment (Mcp) Provider Listed For The Month","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Cytotoxic antibody screening","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"86808","description":"Cytotoxic antibody screening","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Tobramycin sulfate injection","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"J3260","description":"Tobramycin sulfate injection","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OLSF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FFAD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Incision of tendon & muscle","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"23405","description":"Incision of tendon & muscle","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Crown porcelain/ceramic subs","billing_code_type":"CDT","billing_code_type_version":"2024","billing_code":"D2740","description":"Crown porcelain/ceramic subs","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GINB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Cath_ bal dil_ non-vascular","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"C1726","description":"Cath_ bal dil_ non-vascular","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"ODWC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-A0903","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"A0903","description":"HCPCS-A0903","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"HFQD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BDXF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"PKRB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Pwr pck base combo vad_ rep","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"Q0489","description":"Pwr pck base combo vad_ rep","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NKBC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Wet-dry dressings rx recmd","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"4265F","description":"Wet-dry dressings rx recmd","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Strep a dna quant","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"87652","description":"Strep a dna quant","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-CE251","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"CE251","description":"HIPPS-CE251","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JHDA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NJXB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Cntct gas permeable sphericl","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"V2510","description":"Cntct gas permeable sphericl","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"DBOC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OFOF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"AFAE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"CPT-1021T","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"1021T","description":"CPT-1021T","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NDGE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-J0616","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"J0616","description":"HCPCS-J0616","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Wheelchair brake extension","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"E0961","description":"Wheelchair brake extension","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CDPC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GBLB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OCGB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Oncology (colorectal)_ quantitative assessment of three urine metabolites","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0107U","description":"Oncology (colorectal)_ quantitative assessment of three urine metabolites","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-CD120","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"CD120","description":"HIPPS-CD120","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-LD241","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"LD241","description":"HIPPS-LD241","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Whirlpool non-portable","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"E1310","description":"Whirlpool non-portable","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Indic for head ct not valid","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G9533","description":"Indic for head ct not valid","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JEJE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"EELB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CFVA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OCOD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FGMA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"CPT-01232","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"01232","description":"CPT-01232","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FCGF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-M1482","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"M1482","description":"HCPCS-M1482","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NENF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Screening performed and positive and provision of recommendations","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G9919","description":"Screening performed and positive and provision of recommendations","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Wound prep f/n/hf/g","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"15004","description":"Wound prep f/n/hf/g","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GEGB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"AGHA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OBLB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"X-ray exam of ankle","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"73600","description":"X-ray exam of ankle","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Dent therapeutic drug inject","billing_code_type":"CDT","billing_code_type_version":"2024","billing_code":"D9610","description":"Dent therapeutic drug inject","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-L1933","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"L1933","description":"HCPCS-L1933","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Manual breast pump","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"E0602","description":"Manual breast pump","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"DIOC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BINF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-LB20B","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"LB20B","description":"HIPPS-LB20B","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BFBA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FHJF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Gradient compression bandaging supply_ padded textile_ per linear yard_ any width_ each","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"A6606","description":"Gradient compression bandaging supply_ padded textile_ per linear yard_ any width_ each","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"ADTE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-CA113","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"CA113","description":"HIPPS-CA113","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"PLQF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Patients who died from cancer","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G9846","description":"Patients who died from cancer","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OIKC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Colonoscopy w/resection","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"44403","description":"Colonoscopy w/resection","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OIBB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Non-elastic extremity binder","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"A4465","description":"Non-elastic extremity binder","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OCID0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Psychological testing (includes psychodiagnostic assessment of emotionality_ intellectual abilities_ personality and psychopathology_ eg_ MMPI_ Rorschach_ WAIS)_ per hour of t","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"96101","description":"Psychological testing (includes psychodiagnostic assessment of emotionality_ intellectual abilities_ personality and psychopathology_ eg_ MMPI_ Rorschach_ WAIS)_ per hour of t","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Stroke with Motor <22.35 & Age <84.5_ comorbidity in tier 3 (HIPPS rate code)","billing_code_type":"CDT","billing_code_type_version":"2024","billing_code":"D0110","description":"Stroke with Motor <22.35 & Age <84.5_ comorbidity in tier 3 (HIPPS rate code)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Hep c rna done prior to med","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G9203","description":"Hep c rna done prior to med","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Revision of upper arm","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"24940","description":"Revision of upper arm","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OGQC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Remove palate/lesion","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"42120","description":"Remove palate/lesion","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"CPT-01160","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"01160","description":"CPT-01160","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Resect enlarged toe","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"28341","description":"Resect enlarged toe","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Partial removal of toe","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"28153","description":"Partial removal of toe","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"W/c medial thigh support","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"E0957","description":"W/c medial thigh support","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KFRA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Egd varices ligation","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"43244","description":"Egd varices ligation","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FHUE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Repair communication device","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"V5336","description":"Repair communication device","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"HFWB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Implant neuroelectrde addl","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"61864","description":"Implant neuroelectrde addl","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RML16","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RML16","description":"HIPPS-RML16","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Resect diaphragm complex","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"39561","description":"Resect diaphragm complex","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"DISC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JIJB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BFAC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-PE20A","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"PE20A","description":"HIPPS-PE20A","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"AGAA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-AAA44","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"AAA44","description":"HIPPS-AAA44","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CEAE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JHVD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Bronchoscopy/lung bx addl","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"31632","description":"Bronchoscopy/lung bx addl","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NIAA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NIUA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KHXD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Remove sperm pouch lesion","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"55680","description":"Remove sperm pouch lesion","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NKJF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"EBHE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-A0802","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"A0802","description":"HCPCS-A0802","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-1CGL3","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"1CGL3","description":"HIPPS-1CGL3","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JHTC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Remove ear lesion","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"69540","description":"Remove ear lesion","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CGLD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"ABBF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Iliac bone graft microvasc","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"20956","description":"Iliac bone graft microvasc","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JFVA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FHLB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Patient admitted to palliative care services","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"M1017","description":"Patient admitted to palliative care services","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Afo tib fx semi-rigid","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"L2114","description":"Afo tib fx semi-rigid","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"LCYA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Excision of esophagus lesion","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"43101","description":"Excision of esophagus lesion","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Dihydrocodeinone","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G6045","description":"Dihydrocodeinone","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"AAUE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-A1805","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"A1805","description":"HCPCS-A1805","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OKHE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OIAC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Pet image skull-thigh","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"78812","description":"Pet image skull-thigh","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Rerevise eye muscles add-on","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"67332","description":"Rerevise eye muscles add-on","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"DIWD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"LAOC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JEFA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Ct head/brain w/dye","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"70460","description":"Ct head/brain w/dye","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Implt/rpl crtd sns dev lead","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0267T","description":"Implt/rpl crtd sns dev lead","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Tc99m sestamibi","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"A9500","description":"Tc99m sestamibi","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Revise spine eltrd perq aray","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"63663","description":"Revise spine eltrd perq aray","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FCDD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"CO GNOTYP AQP1 EXON 1","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0181U","description":"CO GNOTYP AQP1 EXON 1","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GGTA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Injection abdominal shunt","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"49427","description":"Injection abdominal shunt","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BFTE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-1CFPT","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"1CFPT","description":"HIPPS-1CFPT","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"EBUD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FDKF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Incise spine&cord 2 trx crvl","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"63196","description":"Incise spine&cord 2 trx crvl","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KCWE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FFLD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Home visit sing/m/fam couns","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"99510","description":"Home visit sing/m/fam couns","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Ko elastic w/joints pre ots","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"L1812","description":"Ko elastic w/joints pre ots","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CHUE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Abutment Supported Retainer - Porcelain Fused To Titanium And Titanium Alloys","billing_code_type":"CDT","billing_code_type_version":"2024","billing_code":"D6195","description":"Abutment Supported Retainer - Porcelain Fused To Titanium And Titanium Alloys","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Hearing aid_ prog_ bin_ bte","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"V5253","description":"Hearing aid_ prog_ bin_ bte","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"X-ray exam neck spine 2-3 vw","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"72040","description":"X-ray exam neck spine 2-3 vw","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FBGA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"CPT-98979","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"98979","description":"CPT-98979","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OLQD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"X-ray exam sacrum tailbone","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"72220","description":"X-ray exam sacrum tailbone","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-A0402","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"A0402","description":"HCPCS-A0402","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Replace socket hip","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"L5702","description":"Replace socket hip","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Pt recvd 2 rx anti-emet agt","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"4558F","description":"Pt recvd 2 rx anti-emet agt","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Ank symes mold sckt sach ft","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"L5050","description":"Ank symes mold sckt sach ft","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NFUD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KDHC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MBTC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CIIE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FENE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Tube_ pneum wheel drive tire","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"E2382","description":"Tube_ pneum wheel drive tire","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OJAC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Coronary art/grft angio s&i","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"93455","description":"Coronary art/grft angio s&i","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GDOC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Peginesatide injection","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"J0890","description":"Peginesatide injection","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KAYA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Patients who died from cancer","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G9849","description":"Patients who died from cancer","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"CPT-0611U","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"0611U","description":"CPT-0611U","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JECA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"EDHD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"EIDC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Myelography lumbar injection","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"62303","description":"Myelography lumbar injection","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"HBWF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JBCC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Intraoral - complete series of radiographic images - image capture only","billing_code_type":"CDT","billing_code_type_version":"2024","billing_code":"D0709","description":"Intraoral - complete series of radiographic images - image capture only","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OJXB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FCFD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Fo pip dip no jt spr pre ots","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"L3927","description":"Fo pip dip no jt spr pre ots","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FEDD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"No doc opioid tx 1x at ther","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G9579","description":"No doc opioid tx 1x at ther","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Crown lengthen hard tissue","billing_code_type":"CDT","billing_code_type_version":"2024","billing_code":"D4249","description":"Crown lengthen hard tissue","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GGYF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FAFC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"IAHC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KDXD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RHA45","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RHA45","description":"HIPPS-RHA45","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KCDB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Safety equipment","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"E0700","description":"Safety equipment","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"IADC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CIGB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Cgh test developmental delay","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"S3870","description":"Cgh test developmental delay","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-3BFNX","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"3BFNX","description":"HIPPS-3BFNX","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KGWB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NANA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Syphilis test non-trep qual","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"86592","description":"Syphilis test non-trep qual","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NLLA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JEEA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FDCF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Surgical obturator","billing_code_type":"CDT","billing_code_type_version":"2024","billing_code":"D5931","description":"Surgical obturator","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OBXE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OHHF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Anesth insert penis device","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"93851","description":"Anesth insert penis device","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Lumbar spine fusion","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"22558","description":"Lumbar spine fusion","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Reconstruction of throat","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"42950","description":"Reconstruction of throat","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MEAB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GEND0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"DIQB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RMB8X","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RMB8X","description":"HIPPS-RMB8X","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OFMC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GEVC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"No surg proc w/in 30 days","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G8628","description":"No surg proc w/in 30 days","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Dental cephalometric film","billing_code_type":"CDT","billing_code_type_version":"2024","billing_code":"D0340","description":"Dental cephalometric film","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FGLB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FGFC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Immunohisto antb addl slide","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"88341","description":"Immunohisto antb addl slide","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Battery charger_ dual mode","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"E2367","description":"Battery charger_ dual mode","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Insert tandem cuff","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"53444","description":"Insert tandem cuff","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Ablation Of Malignant Prostate Tissue_ Transrectal_ With High Intensity-Focused Ultrasound (Hifu)_ Including Ultrasound Guidance","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"55880","description":"Ablation Of Malignant Prostate Tissue_ Transrectal_ With High Intensity-Focused Ultrasound (Hifu)_ Including Ultrasound Guidance","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OLDA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"PJWE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-BB13C","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"BB13C","description":"HIPPS-BB13C","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"PAOA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Removal of tear sac","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"68520","description":"Removal of tear sac","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Repair/graft radius & ulna","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"25426","description":"Repair/graft radius & ulna","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OFTC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Repair/revise wrist joint","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"25320","description":"Repair/revise wrist joint","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CFKB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Removal of forearm lesion","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"25120","description":"Removal of forearm lesion","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Voice current status","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G9171","description":"Voice current status","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"CPT-37271","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"37271","description":"CPT-37271","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JHFF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-1BGL4","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"1BGL4","description":"HIPPS-1BGL4","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"CDT-D5940","billing_code_type":"CDT","billing_code_type_version":"2026","billing_code":"D5940","description":"CDT-D5940","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Ecg monit/reprt up to 48 hrs","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"93224","description":"Ecg monit/reprt up to 48 hrs","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CIHE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"LCWB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RUX46","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RUX46","description":"HIPPS-RUX46","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GHSF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Laryngoplasty_ medialization_ unilateral","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"31591","description":"Laryngoplasty_ medialization_ unilateral","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Gammagraft","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"Q4111","description":"Gammagraft","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GIBD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"DHSA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Transurethral destruction of prostate tissue; by radiofrequency water vapor (steam) thermal therapy","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"C9748","description":"Transurethral destruction of prostate tissue; by radiofrequency water vapor (steam) thermal therapy","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Lap rmvl gastr adj device","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"43772","description":"Lap rmvl gastr adj device","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-3AHLS","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"3AHLS","description":"HIPPS-3AHLS","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NLIB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Treat shoulder blade fx","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"23570","description":"Treat shoulder blade fx","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JFVF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CCWE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CDKA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Cerebrospinal fluid scan","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"78630","description":"Cerebrospinal fluid scan","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"IAMF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Neurology (Alzheimer Disease)_ Mrna_ Gene Expression Profiling By Rna Sequencing Of 24 Genes_ Whole Blood_ Algorithm Reported As Predictive Risk Score","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0289U","description":"Neurology (Alzheimer Disease)_ Mrna_ Gene Expression Profiling By Rna Sequencing Of 24 Genes_ Whole Blood_ Algorithm Reported As Predictive Risk Score","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-1CHKW","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"1CHKW","description":"HIPPS-1CHKW","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GDPD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JFMB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Fuse pancreas cyst and bowel","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"48540","description":"Fuse pancreas cyst and bowel","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CDLC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Hla typing a b or c","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"86813","description":"Hla typing a b or c","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NDFB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"HGRE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"HGRC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-CE13A","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"CE13A","description":"HIPPS-CE13A","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"LHOA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Plast socket jts/thgh lacer","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"L5105","description":"Plast socket jts/thgh lacer","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MJCE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RLX40","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RLX40","description":"HIPPS-RLX40","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"IBMF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Incise sperm duct pouch","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"55600","description":"Incise sperm duct pouch","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Treat wrist dislocation","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"25675","description":"Treat wrist dislocation","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NDCA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Interprofessional telephone/internet/electronic health record clinical question/request for specialty recommendations by a treating/requesting physician or other qualified hea","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G9037","description":"Interprofessional telephone/internet/electronic health record clinical question/request for specialty recommendations by a treating/requesting physician or other qualified hea","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Dyphylline injection","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"J1180","description":"Dyphylline injection","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GGVA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BFDB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RMC8I","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RMC8I","description":"HIPPS-RMC8I","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GGRF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Housing & integrated adhesiv","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"A7508","description":"Housing & integrated adhesiv","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NLCA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KAMA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Egd tube/cath insertion","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"43241","description":"Egd tube/cath insertion","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FHUC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CCMA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Close mult vsd w/resection","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"33676","description":"Close mult vsd w/resection","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OGDD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Patient age 65 or older in institutional special needs plans (SNP) or residing in long-term care with POS code 32_ 33_ 34_ 54_ or 56 any time during the measurement period","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G9901","description":"Patient age 65 or older in institutional special needs plans (SNP) or residing in long-term care with POS code 32_ 33_ 34_ 54_ or 56 any time during the measurement period","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Subtalar arthro w/deb","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"29906","description":"Subtalar arthro w/deb","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RUX16","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RUX16","description":"HIPPS-RUX16","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OJRD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Revise knuckle with implant","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"26531","description":"Revise knuckle with implant","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CGPC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OKXC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NIKD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"ECLF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Itch severity assessment score is reduced by 2 or more points from the initial (index) assessment score to the follow-up visit score","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"M1205","description":"Itch severity assessment score is reduced by 2 or more points from the initial (index) assessment score to the follow-up visit score","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Injection_ eteplirsen_ 10 mg","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"J1428","description":"Injection_ eteplirsen_ 10 mg","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Lymphocyte transformation","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"86353","description":"Lymphocyte transformation","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Bp out of nrml limits","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G9274","description":"Bp out of nrml limits","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RMB53","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RMB53","description":"HIPPS-RMB53","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Heparin neutralization","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"85525","description":"Heparin neutralization","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Pov group 2 std up to 300lbs","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"K0806","description":"Pov group 2 std up to 300lbs","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Spec site no cutaneous","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G9430","description":"Spec site no cutaneous","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HH PDGM","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"1IA11","description":"HH PDGM","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"D5w/0.45ns w kcl and mgs04","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"S5014","description":"D5w/0.45ns w kcl and mgs04","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BAED0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"EHAA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Cytogenetics 3-5","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"88272","description":"Cytogenetics 3-5","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"CPT-37284","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"37284","description":"CPT-37284","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Artery x-rays arms/legs","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"75716","description":"Artery x-rays arms/legs","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-4CHM6","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"4CHM6","description":"HIPPS-4CHM6","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Intravascular ultrasound (non-coronary vessel) during diagnostic evaluation and/or therapeutic intervention; initial vessel (list separately in addition to code f","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"37250","description":"Intravascular ultrasound (non-coronary vessel) during diagnostic evaluation and/or therapeutic intervention; initial vessel (list separately in addition to code f","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GIWE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Ct angio abdominal arteries","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"75635","description":"Ct angio abdominal arteries","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"CT/MRI chest follup not rec","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G9556","description":"CT/MRI chest follup not rec","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KEFE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FGDA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NHAC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BGVC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-3AFLU","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"3AFLU","description":"HIPPS-3AFLU","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Anesth surgery of rib","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"47451","description":"Anesth surgery of rib","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"IGLC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"DHRF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BITA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Deluxe item","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"S1001","description":"Deluxe item","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Amphotericin b","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"J0285","description":"Amphotericin b","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RHX3B","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RHX3B","description":"HIPPS-RHX3B","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BCXF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FFMA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Single vitamin nos","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"A9152","description":"Single vitamin nos","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Ins cath ren art 1st unilat","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"36251","description":"Ins cath ren art 1st unilat","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Incision of kidney","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"50065","description":"Incision of kidney","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CDHE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OAHF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Root surgery molar","billing_code_type":"CDT","billing_code_type_version":"2024","billing_code":"D3425","description":"Root surgery molar","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Patients who were in hospice at any time during the performance period","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"M1025","description":"Patients who were in hospice at any time during the performance period","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KBWB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FHUC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Cognition and functional assessment using standardized instruments with development of recorded care plan for the patient with cognitive impairment_ history obtained from pati","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G0505","description":"Cognition and functional assessment using standardized instruments with development of recorded care plan for the patient with cognitive impairment_ history obtained from pati","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Craniofacial approach skull","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"61581","description":"Craniofacial approach skull","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Very long chain acyl-coenzyme A (CoA) dehydrogenase (VLCAD)_ leukocyte enzyme activity_ whole blood","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0257U","description":"Very long chain acyl-coenzyme A (CoA) dehydrogenase (VLCAD)_ leukocyte enzyme activity_ whole blood","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Documentation Of System Reason(S) For An Interval Of Less Than 3 Years Since The Last Colonoscopy (E.G._ Unable To Locate Previous Colonoscopy Report_ Previous Colonoscopy Rep","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G9999","description":"Documentation Of System Reason(S) For An Interval Of Less Than 3 Years Since The Last Colonoscopy (E.G._ Unable To Locate Previous Colonoscopy Report_ Previous Colonoscopy Rep","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Oct brst/node i&r per spec","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0352T","description":"Oct brst/node i&r per spec","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RHX5C","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RHX5C","description":"HIPPS-RHX5C","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"PFOC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FEXD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MCIA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Removal and reimplantation of anterior segment intraocular nonbiodegradable drug-eluting implant","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0661T","description":"Removal and reimplantation of anterior segment intraocular nonbiodegradable drug-eluting implant","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Laparoscopy remove adnexa","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"58661","description":"Laparoscopy remove adnexa","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FIDF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Oxygen concentrator_ dual","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"E1391","description":"Oxygen concentrator_ dual","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"ICEC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CABC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BAMA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GHED0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"ODTE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"HCOB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Endovascular repair of infrarenal aorta by deployment of an aorto-aortic tube endograft including pre-procedure sizing and device selection_ all nonselective catheterization(s","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"34702","description":"Endovascular repair of infrarenal aorta by deployment of an aorto-aortic tube endograft including pre-procedure sizing and device selection_ all nonselective catheterization(s","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"EHEB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GCSE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GBAD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JAAB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-BB28H","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"BB28H","description":"HIPPS-BB28H","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"PGSB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OBHD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CDGC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RHA4D","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RHA4D","description":"HIPPS-RHA4D","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NELD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Removal of foot foreign body","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"28190","description":"Removal of foot foreign body","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Online Digital Evaluation And Management Service_ For An Established Patient_ For Up To 7 Days_ Cumulative Time During The 7 Days; 5-10 Minutes","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"99421","description":"Online Digital Evaluation And Management Service_ For An Established Patient_ For Up To 7 Days_ Cumulative Time During The 7 Days; 5-10 Minutes","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GBUD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-LC18A","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"LC18A","description":"HIPPS-LC18A","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OECD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Rmvl icar ischm mntrng dvce","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0307T","description":"Rmvl icar ischm mntrng dvce","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-1BHMV","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"1BHMV","description":"HIPPS-1BHMV","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Mastoid surgery revision","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"69605","description":"Mastoid surgery revision","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BIFE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-3AHKV","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"3AHKV","description":"HIPPS-3AHKV","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OJFB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OAFB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OHCC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Insertion palate prosthesis","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"42281","description":"Insertion palate prosthesis","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BAHF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FIMF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CHDD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Radiation Therapy For Lymphoma Under The Radiation Oncology Model_ 90 Day Episode_ Technical Component","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"M1097","description":"Radiation Therapy For Lymphoma Under The Radiation Oncology Model_ 90 Day Episode_ Technical Component","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JBCD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Neox 100 or Clarix 100_ per sq cm","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"Q4156","description":"Neox 100 or Clarix 100_ per sq cm","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Dialysis equipment noc","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"E1699","description":"Dialysis equipment noc","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-BA114","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"BA114","description":"HIPPS-BA114","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-LC105","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"LC105","description":"HIPPS-LC105","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Inject for spine disk x-ray","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"62290","description":"Inject for spine disk x-ray","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Intestine transplant live","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"44136","description":"Intestine transplant live","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Remove transplanted kidney","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"50370","description":"Remove transplanted kidney","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NKPC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Open biopsy or excision of deep cervical node(s) with intraoperative identification (eg_ mapping) of sentinel lymph node(s) including injection of non-radioactive dye when per","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"C7503","description":"Open biopsy or excision of deep cervical node(s) with intraoperative identification (eg_ mapping) of sentinel lymph node(s) including injection of non-radioactive dye when per","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FBKB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"ADDB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Mediastinoscopy_ with or without biopsy","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"39400","description":"Mediastinoscopy_ with or without biopsy","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Sipuleucel-t auto cd54+","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"Q2043","description":"Sipuleucel-t auto cd54+","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RLB43","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RLB43","description":"HIPPS-RLB43","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"DASC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"IDTC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BHAB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MDLF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-HE260","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"HE260","description":"HIPPS-HE260","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MKLD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BAJA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OBEC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KFJC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NLXA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Analysis of saliva sample","billing_code_type":"CDT","billing_code_type_version":"2024","billing_code":"D0418","description":"Analysis of saliva sample","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-CB18I","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"CB18I","description":"HIPPS-CB18I","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OJLF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"CPT-37281","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"37281","description":"CPT-37281","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OISE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Drug metabolism (warfarin drug response)_ targeted sequence analysis (ie_ CYP2C9_ CYP4F2_ VKORC1_ rs12777823)","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0030U","description":"Drug metabolism (warfarin drug response)_ targeted sequence analysis (ie_ CYP2C9_ CYP4F2_ VKORC1_ rs12777823)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Treat hand dislocation","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"26670","description":"Treat hand dislocation","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Procarbazine_ oral","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"S0182","description":"Procarbazine_ oral","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Influenza imm status assess","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"1030F","description":"Influenza imm status assess","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Stroke with Motor <26.15 & Age >84.5_ comorbidity in tier 1","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"B0108","description":"Stroke with Motor <26.15 & Age >84.5_ comorbidity in tier 1","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GHYD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GDRD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"EHMB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Drain open abdom abscess","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"49040","description":"Drain open abdom abscess","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"AAME0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Inj potassium chloride","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"J3480","description":"Inj potassium chloride","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-2BGL3","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"2BGL3","description":"HIPPS-2BGL3","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Establish access to artery","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"36100","description":"Establish access to artery","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KDUA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CAJC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Heat lamp without stand","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"E0200","description":"Heat lamp without stand","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Compression stocking bk18-30","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"A6530","description":"Compression stocking bk18-30","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-BB124","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"BB124","description":"HIPPS-BB124","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KHRB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MGHC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FDUF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-3BGM4","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"3BGM4","description":"HIPPS-3BGM4","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Temsirolimus injection","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"J9330","description":"Temsirolimus injection","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Trnscth renal symp denrv bil","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0339T","description":"Trnscth renal symp denrv bil","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OAAA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Hf mg qual act perform","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G8551","description":"Hf mg qual act perform","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MKCE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NGNB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"CPT-92930","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"92930","description":"CPT-92930","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Revise & repair chest wall","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"32905","description":"Revise & repair chest wall","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CDFD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"AETC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FECC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GFND1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Transcatheter implantation of wireless pulmonary artery pressure sensor for long-term hemodynamic monitoring_ including deployment and calibration of the sensor_ right heart c","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"33289","description":"Transcatheter implantation of wireless pulmonary artery pressure sensor for long-term hemodynamic monitoring_ including deployment and calibration of the sensor_ right heart c","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Endovascular Venous Arterialization_ Tibial Or Peroneal Vein_ With Transcatheter Placement Of Intravascular Stent Graft(S) And Closure By Any Method_ Including Percutaneous Or","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0620T","description":"Endovascular Venous Arterialization_ Tibial Or Peroneal Vein_ With Transcatheter Placement Of Intravascular Stent Graft(S) And Closure By Any Method_ Including Percutaneous Or","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CAKC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Injection_ daptomycin (xellia) not therapeutically equivalent to j0878_ 1 mg","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"J0873","description":"Injection_ daptomycin (xellia) not therapeutically equivalent to j0878_ 1 mg","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"PBQC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"LGWC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FHKB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"AFTA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GDOB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Exsufflation belt_ includes all supplies and accessories","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"A4468","description":"Exsufflation belt_ includes all supplies and accessories","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NHBB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RHX8X","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RHX8X","description":"HIPPS-RHX8X","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RMC1A","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RMC1A","description":"HIPPS-RMC1A","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GETC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CDOE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FFDB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HH PDGM","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"2BB21","description":"HH PDGM","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OKAB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NGXF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Rare diseases (constitutional/heritable disorders)_ whole mitochondrial genome sequence with heteroplasmy detection and deletion analysis_ nuclear-encoded mitochondrial gene a","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0417U","description":"Rare diseases (constitutional/heritable disorders)_ whole mitochondrial genome sequence with heteroplasmy detection and deletion analysis_ nuclear-encoded mitochondrial gene a","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Insertion Of Ventricular Assist Device_ Percutaneous_ Including Radiological Supervision And Interpretation; Right Heart_ Venous Access Only","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"33995","description":"Insertion Of Ventricular Assist Device_ Percutaneous_ Including Radiological Supervision And Interpretation; Right Heart_ Venous Access Only","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-2BFMU","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"2BFMU","description":"HIPPS-2BFMU","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JFGE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NJFA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BFLB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-CE25C","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"CE25C","description":"HIPPS-CE25C","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"IHBF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NCHF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Remove spine lamina 1 crvl","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"63045","description":"Remove spine lamina 1 crvl","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"PFSA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RVB25","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RVB25","description":"HIPPS-RVB25","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Nuclear diagnostic exam","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"78999","description":"Nuclear diagnostic exam","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FBMB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RUX31","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RUX31","description":"HIPPS-RUX31","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CGEC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Revision of eyelid","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"21280","description":"Revision of eyelid","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CBIB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-J7601","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"J7601","description":"HCPCS-J7601","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"CPT-0580U","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"0580U","description":"CPT-0580U","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CELC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"ACAE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Reconstruction of jaw","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"21246","description":"Reconstruction of jaw","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Contact lens fitting","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"92313","description":"Contact lens fitting","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"AEHE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"ECDE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"CPT-00932","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"00932","description":"CPT-00932","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-5CHKS","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"5CHKS","description":"HIPPS-5CHKS","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-C9300","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"C9300","description":"HCPCS-C9300","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OKTA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NHGD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Heparin assay","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"85520","description":"Heparin assay","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OBPD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BFMC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Quality care in mental health and substance use disorders mips value pathway","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"M1369","description":"Quality care in mental health and substance use disorders mips value pathway","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Repair bowel fistula","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"44650","description":"Repair bowel fistula","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"PASE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-HC28G","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"HC28G","description":"HIPPS-HC28G","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KEYD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-J0165","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"J0165","description":"HCPCS-J0165","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Functional Status Was Not Measured By The Oxford Knee Score (Oks) At One Year (9 To 15 Months) Postoperatively","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"M1141","description":"Functional Status Was Not Measured By The Oxford Knee Score (Oks) At One Year (9 To 15 Months) Postoperatively","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"DHSD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MLHC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GCUD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GFRA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Lens_ 1.54-1.65 p/1.60-1.79g","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"V2782","description":"Lens_ 1.54-1.65 p/1.60-1.79g","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Gastric suction pump hme mdl","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"E2000","description":"Gastric suction pump hme mdl","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MHEE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"PLSA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BIAE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Ftl cgen abnor two proteins","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"81508","description":"Ftl cgen abnor two proteins","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Rechanneling of artery","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"35303","description":"Rechanneling of artery","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Oncology (breast ductal carcinoma in situ)_ mRNA_ gene expression profiling by real-time RT-PCR of 12 genes (7 content and 5 housekeeping)_ utilizing formalin-fixed paraffin-e","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0045U","description":"Oncology (breast ductal carcinoma in situ)_ mRNA_ gene expression profiling by real-time RT-PCR of 12 genes (7 content and 5 housekeeping)_ utilizing formalin-fixed paraffin-e","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RVA32","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RVA32","description":"HIPPS-RVA32","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RMC30","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RMC30","description":"HIPPS-RMC30","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Home ventilator_ multi-function respiratory device_ also performs any or all of the additional functions of oxygen concentratio","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"E0467","description":"Home ventilator_ multi-function respiratory device_ also performs any or all of the additional functions of oxygen concentratio","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-A6614","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"A6614","description":"HCPCS-A6614","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BEKD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KBCF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KBAC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-PD204","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"PD204","description":"HIPPS-PD204","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-PA14C","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"PA14C","description":"HIPPS-PA14C","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BIFA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JFUE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KBEB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Digitization of glass microscope slides for in situ hybridization (eg_ FISH)_ per specimen; initial single probe stain procedure (List separately in addition to code for prima","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0848T","description":"Digitization of glass microscope slides for in situ hybridization (eg_ FISH)_ per specimen; initial single probe stain procedure (List separately in addition to code for prima","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GBRC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"EBLD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CDEB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CCYC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Inter limb compress dev nos","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"E0676","description":"Inter limb compress dev nos","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RHB06","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RHB06","description":"HIPPS-RHB06","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Treat knee dislocation","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"27552","description":"Treat knee dislocation","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Dark field examination","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"87164","description":"Dark field examination","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JGCD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Introduction of percutaneous transhepatic stent for internal and external biliary drainage","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"47511","description":"Introduction of percutaneous transhepatic stent for internal and external biliary drainage","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"CPT-0619U","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"0619U","description":"CPT-0619U","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JDXD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Patients who did not have a net increase in pam score of at least 3 points within 6 to 12 month period","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"M1349","description":"Patients who did not have a net increase in pam score of at least 3 points within 6 to 12 month period","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Skin sub graft face/nk/hf/g","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"15275","description":"Skin sub graft face/nk/hf/g","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Rmvl & rplcmt dfb gen 2 lead","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"33263","description":"Rmvl & rplcmt dfb gen 2 lead","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"EGHC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JHCB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OFFB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-LC260","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"LC260","description":"HIPPS-LC260","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"ODTF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OFEE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"IEAE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NDPF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"ECUB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Physical therapy evaluation: moderate complexity_ requiring these components: A history of present problem with 1-2 personal factors and/or comorbidities that impact the plan","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"97162","description":"Physical therapy evaluation: moderate complexity_ requiring these components: A history of present problem with 1-2 personal factors and/or comorbidities that impact the plan","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Pentastarch 10% solution","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"J2513","description":"Pentastarch 10% solution","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CILA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RVA45","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RVA45","description":"HIPPS-RVA45","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Cltx thigh fx w/mnpj","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"27268","description":"Cltx thigh fx w/mnpj","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Diskectomy_ anterior_ with d","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"S2351","description":"Diskectomy_ anterior_ with d","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OGCC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Ct angio abd&pelv w/o&w/dye","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"74174","description":"Ct angio abd&pelv w/o&w/dye","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Treat metacarpal fracture","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"26615","description":"Treat metacarpal fracture","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FFJC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CBMD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-4BHL6","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"4BHL6","description":"HIPPS-4BHL6","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CIKC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"HEQA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JHMC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CBSC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Mometasone furoate sinus implant_ 10 micrograms","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"J7401","description":"Mometasone furoate sinus implant_ 10 micrograms","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Repair forearm tendon/muscle","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"25272","description":"Repair forearm tendon/muscle","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Medical foods for noninborn errors of metabolism","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"S9432","description":"Medical foods for noninborn errors of metabolism","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Nasal prosthesis","billing_code_type":"CDT","billing_code_type_version":"2024","billing_code":"D5913","description":"Nasal prosthesis","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JBFF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Ziconotide injection","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"J2278","description":"Ziconotide injection","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"ABHB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"HFRF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RHX3C","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RHX3C","description":"HIPPS-RHX3C","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"S&i stent/chest vert art","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0076T","description":"S&i stent/chest vert art","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-Q4367","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"Q4367","description":"HCPCS-Q4367","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Cryopreservation sperm","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"89259","description":"Cryopreservation sperm","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-1AGKX","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"1AGKX","description":"HIPPS-1AGKX","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"AFUD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"IIUB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OGFD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-HC254","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"HC254","description":"HIPPS-HC254","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-CB14B","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"CB14B","description":"HIPPS-CB14B","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GFUE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KDOF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JEBB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"AEDE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Endo cholangiopancreatograph","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"43262","description":"Endo cholangiopancreatograph","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Excision of bile duct cyst","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"47715","description":"Excision of bile duct cyst","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Electroencephalogram (Eeg)_ Without Video_ Review Of Data_ Technical Description By Eeg Technologist_ Each Increment Of 12-26 Hours; With Continuous_ Real-Time Monitoring And","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"95710","description":"Electroencephalogram (Eeg)_ Without Video_ Review Of Data_ Technical Description By Eeg Technologist_ Each Increment Of 12-26 Hours; With Continuous_ Real-Time Monitoring And","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"5+ cc sterile syringe&needle","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"A4209","description":"5+ cc sterile syringe&needle","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Removal and replacement of wireless cardiac stimulator for left ventricular pacing; pulse generator component(s) (battery and/or transmitter)","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0519T","description":"Removal and replacement of wireless cardiac stimulator for left ventricular pacing; pulse generator component(s) (battery and/or transmitter)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KGKE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"AHHC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Chemodenerv musc migraine","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"64615","description":"Chemodenerv musc migraine","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GFTE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-CB154","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"CB154","description":"HIPPS-CB154","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Hocm <=149 mg/ml iodine_ 1ml","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"Q9958","description":"Hocm <=149 mg/ml iodine_ 1ml","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-2AGL5","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"2AGL5","description":"HIPPS-2AGL5","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-LC25D","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"LC25D","description":"HIPPS-LC25D","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JGDC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OJRF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JAXB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Remove foreign body adbomen","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"49402","description":"Remove foreign body adbomen","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"CDT-D1001","billing_code_type":"CDT","billing_code_type_version":"2026","billing_code":"D1001","description":"CDT-D1001","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JHCB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MGDE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Incision of rectal abscess","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"46045","description":"Incision of rectal abscess","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HH PDGM","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"1JA11","description":"HH PDGM","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KHEC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Percutaneous vertebroplasties (bone biopsies included when performed)_ first cervicothoracic and any additional cervicothoracic or lumbosacral vertebral bodies_ unilateral or","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"C7504","description":"Percutaneous vertebroplasties (bone biopsies included when performed)_ first cervicothoracic and any additional cervicothoracic or lumbosacral vertebral bodies_ unilateral or","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NIBE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"EFTB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FHDA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GFCD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Enteral feed sup kit grav by","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"B4036","description":"Enteral feed sup kit grav by","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JIUA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NEFF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CHQD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BETD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Doc daily aspirin or contra","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G9277","description":"Doc daily aspirin or contra","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-5AGKW","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"5AGKW","description":"HIPPS-5AGKW","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Albumin (human)_ 5%_ 250 ml","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"P9045","description":"Albumin (human)_ 5%_ 250 ml","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KHPB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JEAB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Artificial saliva","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"A9155","description":"Artificial saliva","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KHRA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"DFSF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-PB241","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"PB241","description":"HIPPS-PB241","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CEDC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OCWB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Exc s/n/h/f/g mal+mrg 0.6-1","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"11621","description":"Exc s/n/h/f/g mal+mrg 0.6-1","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"ABMB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Exc face les sc <2 cm","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"21011","description":"Exc face les sc <2 cm","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CBCA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-B0404","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"B0404","description":"HCPCS-B0404","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-5AGK1","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"5AGK1","description":"HIPPS-5AGK1","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"DDYA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CIDB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OKYB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KCIE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Alert device_ noc","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"A9280","description":"Alert device_ noc","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"IDEE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-2AFK2","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"2AFK2","description":"HIPPS-2AFK2","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Radiation Therapy For Brain Metastases Under The Radiation Oncology Model_ 90 Day Episode_ Professional Component","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"M1078","description":"Radiation Therapy For Brain Metastases Under The Radiation Oncology Model_ 90 Day Episode_ Professional Component","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Quant pupillometry w/rprt","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0341T","description":"Quant pupillometry w/rprt","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CDGA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-J7531","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"J7531","description":"HCPCS-J7531","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Injection_ pegcetacoplan_ intravitreal_ 1 mg","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"J2781","description":"Injection_ pegcetacoplan_ intravitreal_ 1 mg","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"LGOB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NHPD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MGEA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-C1602","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"C1602","description":"HCPCS-C1602","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Drug Assay_ Presumptive_ 30 Or More Drugs Or Metabolites_ Urine_ Liquid Chromatography With Tandem Mass Spectrometry (Lc-Ms/Ms) Using Multiple Reaction Monitoring (Mrm)","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0227U","description":"Drug Assay_ Presumptive_ 30 Or More Drugs Or Metabolites_ Urine_ Liquid Chromatography With Tandem Mass Spectrometry (Lc-Ms/Ms) Using Multiple Reaction Monitoring (Mrm)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"CPT-1038T","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"1038T","description":"CPT-1038T","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FAIC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KBOB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"CPT-92637","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"92637","description":"CPT-92637","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KFGF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MADE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Cataract measures group","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G8906","description":"Cataract measures group","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Culture othr specimn aerobic","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"87070","description":"Culture othr specimn aerobic","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-1AGLW","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"1AGLW","description":"HIPPS-1AGLW","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Maternity care procedure","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"59899","description":"Maternity care procedure","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FIUD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GGOE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Adoptive immunotherapy","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"S2107","description":"Adoptive immunotherapy","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NHAE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BBLD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-1BFM6","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"1BFM6","description":"HIPPS-1BFM6","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BEMB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"AGUB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MIAB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Pos back post/lat wdth>=22in","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"E2616","description":"Pos back post/lat wdth>=22in","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CFEB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CDQB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OEHD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GIAC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NFNC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-Q4385","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"Q4385","description":"HCPCS-Q4385","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NBAC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-J1809","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"J1809","description":"HCPCS-J1809","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Injection_ tremelimumab-actl_ 1 mg","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"J9347","description":"Injection_ tremelimumab-actl_ 1 mg","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OIJF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"LARF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CFWC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Dilated retinal eye exam with interpretation by an ophthalmologist or optometrist or artificial intelligence (ai) interpretation documented and reviewed; without evidence of r","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"M1221","description":"Dilated retinal eye exam with interpretation by an ophthalmologist or optometrist or artificial intelligence (ai) interpretation documented and reviewed; without evidence of r","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JDLC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Transab or transvag us","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G8806","description":"Transab or transvag us","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Cast sup sht arm splnt ped f","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"Q4024","description":"Cast sup sht arm splnt ped f","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RVB8C","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RVB8C","description":"HIPPS-RVB8C","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Adhesive clip applied to the skin to secure external electrical nerve stimulator controller_ each","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"A4438","description":"Adhesive clip applied to the skin to secure external electrical nerve stimulator controller_ each","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Lens polycarb or equal","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"V2784","description":"Lens polycarb or equal","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"ADBE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-3BFL6","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"3BFL6","description":"HIPPS-3BFL6","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Buprenorphine implant_ 74.2 mg","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"J0570","description":"Buprenorphine implant_ 74.2 mg","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) (coronavirus disease [COVID-19]) vaccine_ mRNA-LNP_ 25 mcg/0.25 mL dosage_ for intramuscular use","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"91321","description":"Severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) (coronavirus disease [COVID-19]) vaccine_ mRNA-LNP_ 25 mcg/0.25 mL dosage_ for intramuscular use","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CCAA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-1CGP3","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"1CGP3","description":"HIPPS-1CGP3","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Seg pneumatic appli half leg","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"E0669","description":"Seg pneumatic appli half leg","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Radiation Therapy For Lung Cancer Under The Radiation Oncology Model_ 90 Day Episode_ Professional Component","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"M1094","description":"Radiation Therapy For Lung Cancer Under The Radiation Oncology Model_ 90 Day Episode_ Professional Component","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"No doc rsn do qual life assm","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G9635","description":"No doc rsn do qual life assm","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NGLA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GFEC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Replace vad pump ext","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"33981","description":"Replace vad pump ext","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MBLF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Mohs addl stage","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"17312","description":"Mohs addl stage","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Bone strength and fracture-risk assessment using digital X-ray radiogrammetry-bone mineral density (DXR-BMD) analysis of bone mineral density (BMD) utilizing data from a digit","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0749T","description":"Bone strength and fracture-risk assessment using digital X-ray radiogrammetry-bone mineral density (DXR-BMD) analysis of bone mineral density (BMD) utilizing data from a digit","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OLUC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BICC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NGEB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Application of shoulder cast","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"29055","description":"Application of shoulder cast","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Assay of thyroid (t3 or t4)","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"84479","description":"Assay of thyroid (t3 or t4)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"ODLC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OKMC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BFLA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"IFUD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MKLD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Mra w/o cont_ abd","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"C8901","description":"Mra w/o cont_ abd","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Remove pulse generator","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"33241","description":"Remove pulse generator","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"CPT-01120","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"01120","description":"CPT-01120","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Pericardial Drainage With Insertion Of Indwelling Catheter_ Percutaneous_ Including Fluoroscopy And/Or Ultrasound Guidance_ When Performed; Birth Through 5 Years Of Age Or Any","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"33018","description":"Pericardial Drainage With Insertion Of Indwelling Catheter_ Percutaneous_ Including Fluoroscopy And/Or Ultrasound Guidance_ When Performed; Birth Through 5 Years Of Age Or Any","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KCTE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CHBB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Hearing aid dispensing fee","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"V5110","description":"Hearing aid dispensing fee","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Insert heart pm atrial","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"33206","description":"Insert heart pm atrial","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Pt not eligible ace/arb","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G8936","description":"Pt not eligible ace/arb","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Synthetic resorbable wound dressing_ sterile_ pad size 16 sq in or less_ without adhesive border_ each dressing","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"A6460","description":"Synthetic resorbable wound dressing_ sterile_ pad size 16 sq in or less_ without adhesive border_ each dressing","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"ODHB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OEYD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NDUE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RMA1C","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RMA1C","description":"HIPPS-RMA1C","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"CPT-00851","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"00851","description":"CPT-00851","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-PC146","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"PC146","description":"HIPPS-PC146","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Pfizer-BioNTech Covid-19 vaccine administration tris-sucrose pediatric - second dose (SARSCOV2 COVID-19 VAC mRNA 10mcg/0.2mL tris-sucrose IM DOSE 2)","billing_code_type":"CDT","billing_code_type_version":"2024","billing_code":"D1714","description":"Pfizer-BioNTech Covid-19 vaccine administration tris-sucrose pediatric - second dose (SARSCOV2 COVID-19 VAC mRNA 10mcg/0.2mL tris-sucrose IM DOSE 2)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-CD24D","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"CD24D","description":"HIPPS-CD24D","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Radxps in end rprt4fluro pxd","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"6045F","description":"Radxps in end rprt4fluro pxd","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Vertebral axial decompressio","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"S9090","description":"Vertebral axial decompressio","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Inj ceftolozane tazobactam","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"J0695","description":"Inj ceftolozane tazobactam","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Repair heart-vein defect","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"33732","description":"Repair heart-vein defect","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BAVA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Injection(s)_ of diagnostic or therapeutic substance(s) (eg_ anesthetic_ antispasmodic_ opioid_ steroid_ other solution)_ not including neurolytic substances_ including needle","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"62321","description":"Injection(s)_ of diagnostic or therapeutic substance(s) (eg_ anesthetic_ antispasmodic_ opioid_ steroid_ other solution)_ not including neurolytic substances_ including needle","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JACC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Close tear system fistula","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"68770","description":"Close tear system fistula","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Pwc gp 2 xtra hd cap chair","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"K0829","description":"Pwc gp 2 xtra hd cap chair","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Nonpower mattress overlay","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"E0371","description":"Nonpower mattress overlay","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-PB113","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"PB113","description":"HIPPS-PB113","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Chromosome analysis 45","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"88263","description":"Chromosome analysis 45","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Revise cornea with implant","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"65770","description":"Revise cornea with implant","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-1AHM4","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"1AHM4","description":"HIPPS-1AHM4","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CFUF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JDNF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Repair septal defect","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"33852","description":"Repair septal defect","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Volume deplete of harvest","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"38214","description":"Volume deplete of harvest","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Ldl-c 100-129 mg/dl","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"3049F","description":"Ldl-c 100-129 mg/dl","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"AFBC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JEKF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JFUF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"AELF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Radiation handling","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"77790","description":"Radiation handling","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GAOB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BCMD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CEXA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Injection torsemide 10 mg/ml","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"J3265","description":"Injection torsemide 10 mg/ml","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FHMA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"HDQC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Injection_ bupivacaine (posimir)_ 1 mg","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"C9144","description":"Injection_ bupivacaine (posimir)_ 1 mg","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Facial prosthesis","billing_code_type":"CDT","billing_code_type_version":"2024","billing_code":"D5919","description":"Facial prosthesis","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Inj heparin sodium per 10 u","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"J1642","description":"Inj heparin sodium per 10 u","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-ES24A","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"ES24A","description":"HIPPS-ES24A","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-A0505","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"A0505","description":"HCPCS-A0505","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Chlamydia igm antibody","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"86632","description":"Chlamydia igm antibody","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BHFE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KIVB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KCBB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-4CFLV","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"4CFLV","description":"HIPPS-4CFLV","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-2CHM3","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"2CHM3","description":"HIPPS-2CHM3","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Pland chemo docd b/4 txmnt","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0519F","description":"Pland chemo docd b/4 txmnt","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Annual gynecological examina","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"S0610","description":"Annual gynecological examina","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Adaptive behavior treatment with protocol modification administered by physician or other qualified health care professional with one patient; first 30 minutes of patient face","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0368T","description":"Adaptive behavior treatment with protocol modification administered by physician or other qualified health care professional with one patient; first 30 minutes of patient face","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"DBQC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KIBC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"CPT-01832","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"01832","description":"CPT-01832","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Oxygen concentrator","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"E1390","description":"Oxygen concentrator","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Lab labial veneer resin","billing_code_type":"CDT","billing_code_type_version":"2024","billing_code":"D2961","description":"Lab labial veneer resin","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-PC156","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"PC156","description":"HIPPS-PC156","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Exc face-mm b9+marg >4 cm","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"11446","description":"Exc face-mm b9+marg >4 cm","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RHB8H","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RHB8H","description":"HIPPS-RHB8H","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FAVA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CCMC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Gradient pressure wrap with adjustable straps_ foot_ each","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"A6587","description":"Gradient pressure wrap with adjustable straps_ foot_ each","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Functional outcome assessment not documented as being performed_ documentation the patient is not eligible for a functional outcome assessment using a standardized tool at the","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G8540","description":"Functional outcome assessment not documented as being performed_ documentation the patient is not eligible for a functional outcome assessment using a standardized tool at the","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-M1398","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"M1398","description":"HCPCS-M1398","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NHLC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MCHB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Tooth transplantation","billing_code_type":"CDT","billing_code_type_version":"2024","billing_code":"D7272","description":"Tooth transplantation","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-M1465","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"M1465","description":"HCPCS-M1465","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NGXB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OGWC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Exfoliative cytolog collect","billing_code_type":"CDT","billing_code_type_version":"2024","billing_code":"D7287","description":"Exfoliative cytolog collect","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Patient responded completely true for the question of patient felt this provider and team saw me as a person_ not just someone with a medical problem","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"M1248","description":"Patient responded completely true for the question of patient felt this provider and team saw me as a person_ not just someone with a medical problem","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GGPB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KCYF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JEBC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CCUF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CCOE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"EHEB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NFEC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-M1456","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"M1456","description":"HCPCS-M1456","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"EHIF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"DFRC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MJHC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-J2004","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"J2004","description":"HCPCS-J2004","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"ODTE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Transposition ovary(s)","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"58825","description":"Transposition ovary(s)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KHKF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Lancet device each","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"A4258","description":"Lancet device each","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Culture_ Typing; Identification Of Blood Pathogen And Resistance Typing_ When Performed_ By Nucleic Acid (Dna Or Rna) Probe_ Multiplexed Amplified Probe Technique Including Mu","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"87154","description":"Culture_ Typing; Identification Of Blood Pathogen And Resistance Typing_ When Performed_ By Nucleic Acid (Dna Or Rna) Probe_ Multiplexed Amplified Probe Technique Including Mu","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BBBA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RMX43","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RMX43","description":"HIPPS-RMX43","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"AAMB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KDQB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CGLA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"LDSF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Injection_ leuprolide acetate for depot suspension (fensolvi)_ 0.25 mg","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"J1951","description":"Injection_ leuprolide acetate for depot suspension (fensolvi)_ 0.25 mg","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Repair carpal bone shorten","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"25394","description":"Repair carpal bone shorten","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-CB15C","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"CB15C","description":"HIPPS-CB15C","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-1AFPX","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"1AFPX","description":"HIPPS-1AFPX","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-CB22D","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"CB22D","description":"HIPPS-CB22D","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"CDT-D1301","billing_code_type":"CDT","billing_code_type_version":"2026","billing_code":"D1301","description":"CDT-D1301","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NEUE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NJLD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Rectal control system for vaginal insertion_ for long term use_ includes pump and all supplies and accessories_ any type each","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"A4563","description":"Rectal control system for vaginal insertion_ for long term use_ includes pump and all supplies and accessories_ any type each","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"CPT-0928T","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"0928T","description":"CPT-0928T","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NCNE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Albumin (human)_5%_ 50ml","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"P9041","description":"Albumin (human)_5%_ 50ml","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CAID0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Adj skin pro wc cus wd>=22in","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"E2623","description":"Adj skin pro wc cus wd>=22in","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OJIE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GDED1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BBLE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KEUC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-3CGNW","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"3CGNW","description":"HIPPS-3CGNW","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Revision of hip bones","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"27156","description":"Revision of hip bones","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JEJD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Hand muscle testing manual","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"95832","description":"Hand muscle testing manual","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"ADLB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-PC18B","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"PC18B","description":"HIPPS-PC18B","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MGMC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"DCYB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Revision of pharyngeal walls","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"42892","description":"Revision of pharyngeal walls","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RUB54","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RUB54","description":"HIPPS-RUB54","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Documentation of medical reason(s) for not counting previous ct and cardiac nuclear medicine (myocardial perfusion) studies (eg_CT studies performed for radiation treatment)","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G9323","description":"Documentation of medical reason(s) for not counting previous ct and cardiac nuclear medicine (myocardial perfusion) studies (eg_CT studies performed for radiation treatment)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Parenteral solution hepatic","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"B5100","description":"Parenteral solution hepatic","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Removal of vein clot","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"34490","description":"Removal of vein clot","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-CD131","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"CD131","description":"HIPPS-CD131","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Anesth surgery of breast","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"40651","description":"Anesth surgery of breast","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-PE21A","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"PE21A","description":"HIPPS-PE21A","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"X-ray bile duct endoscopy","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"74328","description":"X-ray bile duct endoscopy","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-CC10A","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"CC10A","description":"HIPPS-CC10A","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BGPE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Closed tx nose fx w/o stablj","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"21315","description":"Closed tx nose fx w/o stablj","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Targeted genomic sequence analysis panel_ acute myelogenous leukemia_ DNA analysis_ 194 genes_ interrogation for sequence variants_ copy number variants or rearrangements","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0050U","description":"Targeted genomic sequence analysis panel_ acute myelogenous leukemia_ DNA analysis_ 194 genes_ interrogation for sequence variants_ copy number variants or rearrangements","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Revise thumb tendon","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"26496","description":"Revise thumb tendon","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CDOD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CCQE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-HC13C","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"HC13C","description":"HIPPS-HC13C","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Colonoscopy w/decompression","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"45393","description":"Colonoscopy w/decompression","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NCGC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Bronchoscopy dilate/fx repr","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"31630","description":"Bronchoscopy dilate/fx repr","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Management of new patient-caregiver dyad with dementia_ low complexity_ for use in CMMI model","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G0519","description":"Management of new patient-caregiver dyad with dementia_ low complexity_ for use in CMMI model","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Bk thigh lacer non-molded","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"L5680","description":"Bk thigh lacer non-molded","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CFWF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NBIE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"ODHF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BGJB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Unspecified oral anti-emetic","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"Q0181","description":"Unspecified oral anti-emetic","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"CPT-1103T","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"1103T","description":"CPT-1103T","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FFTF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Rbc leukocytes reduced","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"P9016","description":"Rbc leukocytes reduced","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GCLE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OETA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OGXA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NDHB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Prednisolone acetate inj","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"J2650","description":"Prednisolone acetate inj","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OKRA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GCWB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Removal of support implant","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"20680","description":"Removal of support implant","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KBNA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-Q0519","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"Q0519","description":"HCPCS-Q0519","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Exc back les sc 3 cm/>","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"21931","description":"Exc back les sc 3 cm/>","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FFID1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FHNE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Right Heart Catheterization For Congenital Heart Defect(S) Including Imaging Guidance By The Proceduralist To Advance The Catheter To The Target Zone; Normal Native Connection","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"93593","description":"Right Heart Catheterization For Congenital Heart Defect(S) Including Imaging Guidance By The Proceduralist To Advance The Catheter To The Target Zone; Normal Native Connection","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MEBA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"EHHA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Oral mr contrast_ 100 ml","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"Q9954","description":"Oral mr contrast_ 100 ml","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MIAE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Pt scrned for inj drug use","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"4290F","description":"Pt scrned for inj drug use","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"IGDB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JHUF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Clinical Decision Support Mechanism_ Qualified Tool Not Otherwise Specified_ As Defined By The Medicare Appropriate Use Criteria Program","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G1011","description":"Clinical Decision Support Mechanism_ Qualified Tool Not Otherwise Specified_ As Defined By The Medicare Appropriate Use Criteria Program","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Donor pneumonectomy","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"32850","description":"Donor pneumonectomy","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Thoracic passive restor cap","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"L6370","description":"Thoracic passive restor cap","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Electrophoretic test","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"82664","description":"Electrophoretic test","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OAGF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Reconstruction of bile ducts","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"47800","description":"Reconstruction of bile ducts","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KIFE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Mini-prop remote joystick","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"E2312","description":"Mini-prop remote joystick","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-B0902","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"B0902","description":"HCPCS-B0902","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"LFQE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FHGC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RLA36","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RLA36","description":"HIPPS-RLA36","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Major Abdominal Blood Vessels","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"77059","description":"Major Abdominal Blood Vessels","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MIBA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Infectious agent antigen detection by immunoassay with direct optical (ie_ visual) observation; Influenza","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"87804","description":"Infectious agent antigen detection by immunoassay with direct optical (ie_ visual) observation; Influenza","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"DEOB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Open tx dprsd front sinus fx","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"21343","description":"Open tx dprsd front sinus fx","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"CPT-01922","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"01922","description":"CPT-01922","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MELB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Water circ cold pad w pump","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"E0218","description":"Water circ cold pad w pump","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Colonoscopy for bleeding","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"44391","description":"Colonoscopy for bleeding","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-4BFM1","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"4BFM1","description":"HIPPS-4BFM1","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Revise ocular implant","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"65150","description":"Revise ocular implant","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GEDD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Personalized_ anterior and lateral interbody cage (implantable)","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"C1831","description":"Personalized_ anterior and lateral interbody cage (implantable)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"EGLF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Professional services for the administration of subcutaneous immunotherapy for each infusion drug administration calendar day i","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G0069","description":"Professional services for the administration of subcutaneous immunotherapy for each infusion drug administration calendar day i","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CEGA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JGKE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Unlisted px extraocular musc","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"67399","description":"Unlisted px extraocular musc","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FGUB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Card MRI veloc flow mapping","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"75565","description":"Card MRI veloc flow mapping","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Multiple sleep latency test","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"95805","description":"Multiple sleep latency test","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KGDA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Tcd emboli detect w/o inj","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"93892","description":"Tcd emboli detect w/o inj","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FIJC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KGJA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MKHD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Pros sock single ply bk","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"L8470","description":"Pros sock single ply bk","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Hearing aid_ digit_ bin_ bte","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"V5261","description":"Hearing aid_ digit_ bin_ bte","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-Q4359","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"Q4359","description":"HCPCS-Q4359","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MKDE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CDUF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Remove self-contd penis pros","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"54415","description":"Remove self-contd penis pros","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"IGTC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GFUA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-Q5143","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"Q5143","description":"HCPCS-Q5143","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Romiplostim injection","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"J2796","description":"Romiplostim injection","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"ECDF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GABA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"ADDC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-CE101","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"CE101","description":"HIPPS-CE101","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BFLD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OGPE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JCFE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OIMA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-BB254","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"BB254","description":"HIPPS-BB254","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Dynamic fine wire emg","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"96003","description":"Dynamic fine wire emg","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"No vis inj at surg/1mos post","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G9630","description":"No vis inj at surg/1mos post","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"AGAD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Remove bone fixation device","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"20694","description":"Remove bone fixation device","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Hospital Special Treatment Room Support Component (Hstrsc) Cardiac Catheterization Procedures","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"X0622","description":"Hospital Special Treatment Room Support Component (Hstrsc) Cardiac Catheterization Procedures","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RMA44","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RMA44","description":"HIPPS-RMA44","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Patients age 66 or older in institutional special needs plans (snp) or residing in long term care with pos code 32_ 33_ 34_ 54_ or 56 for more than 90 consecutive days during","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"M1284","description":"Patients age 66 or older in institutional special needs plans (snp) or residing in long term care with pos code 32_ 33_ 34_ 54_ or 56 for more than 90 consecutive days during","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Assay of total testosterone","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"84403","description":"Assay of total testosterone","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NBEA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Cover eye w/membrane suture","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"65779","description":"Cover eye w/membrane suture","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-3AGKX","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"3AGKX","description":"HIPPS-3AGKX","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JIFC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OGSD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RLX0C","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RLX0C","description":"HIPPS-RLX0C","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Removal of foot lesion","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"28090","description":"Removal of foot lesion","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NITE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OGVF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Revise palsy hand tendon(s)","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"25315","description":"Revise palsy hand tendon(s)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JBEE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NAGB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JCNE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MILF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OBSE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NEXC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"AACB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-A0602","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"A0602","description":"HCPCS-A0602","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KCVA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MIIB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OKPF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CEYE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CITC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NCCC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Antigen therapy services","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"95144","description":"Antigen therapy services","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"IMM ADMN SARSCOV2 30MCG/0.3ML DIL RECON 1ST DOSE","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0001A","description":"IMM ADMN SARSCOV2 30MCG/0.3ML DIL RECON 1ST DOSE","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JDCE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JFXF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Lymphocytotoxicity assay","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"86805","description":"Lymphocytotoxicity assay","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"HHOC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-ES15B","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"ES15B","description":"HIPPS-ES15B","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JBXD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OJJE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-PB15D","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"PB15D","description":"HIPPS-PB15D","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Inj follitropin alfa 75 iu","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"S0126","description":"Inj follitropin alfa 75 iu","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"CPT-00732","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"00732","description":"CPT-00732","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-PC220","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"PC220","description":"HIPPS-PC220","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NHNE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-PE12C","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"PE12C","description":"HIPPS-PE12C","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OLSB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Fluoroscopy (separate procedure)_ up to 1 hour physician or other qualified health care professional time","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"76000","description":"Fluoroscopy (separate procedure)_ up to 1 hour physician or other qualified health care professional time","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-M1472","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"M1472","description":"HCPCS-M1472","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HH PDGM","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"2KC31","description":"HH PDGM","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"CDT-D0301","billing_code_type":"CDT","billing_code_type_version":"2026","billing_code":"D0301","description":"CDT-D0301","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FENB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Hematology (genetic thrombosis)_ genomic sequence analysis of 12 genes_ blood_ buccal swab_ or amniotic fluid (Versiti™ Thrombosis Panel","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0278U","description":"Hematology (genetic thrombosis)_ genomic sequence analysis of 12 genes_ blood_ buccal swab_ or amniotic fluid (Versiti™ Thrombosis Panel","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JCPD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Supply allowance for adjunctive continuous glucose monitor (CGM)_ includes all supplies and accessories_ 1 month supply = 1 unit of service","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"A4238","description":"Supply allowance for adjunctive continuous glucose monitor (CGM)_ includes all supplies and accessories_ 1 month supply = 1 unit of service","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BCBC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NJLA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Patients who had a baseline pam score and a second score within 6 to 12 month of baseline pam score","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"M1345","description":"Patients who had a baseline pam score and a second score within 6 to 12 month of baseline pam score","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"IABC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-3CHP6","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"3CHP6","description":"HIPPS-3CHP6","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-AAA50","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"AAA50","description":"HIPPS-AAA50","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NFLA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"PEOE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JEXA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Injection alemtuzumab 1 mg","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"Q9979","description":"Injection alemtuzumab 1 mg","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FGKA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KDXE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Tongue to lip surgery","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"41510","description":"Tongue to lip surgery","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NKXD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Imaging coil_ mr_ insertable","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"C1770","description":"Imaging coil_ mr_ insertable","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FGFD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CAFB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NDUC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"LHQC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FFMC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-BB234","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"BB234","description":"HIPPS-BB234","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Syringe w/needle insulin 3cc","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"A4232","description":"Syringe w/needle insulin 3cc","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KIPC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FHIF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"AGHB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KDSC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Trabecular Bone Score (Tbs)_ Structural Condition Of The Bone Microarchitecture; Technical Preparation And Transmission Of Data For Analysis To Be Performed Elsewhere","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"77090","description":"Trabecular Bone Score (Tbs)_ Structural Condition Of The Bone Microarchitecture; Technical Preparation And Transmission Of Data For Analysis To Be Performed Elsewhere","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Lev 5 hosp type b ed visit","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G0384","description":"Lev 5 hosp type b ed visit","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"PHWD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GGHA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JDFE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Remove jaw joint cartilage","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"21060","description":"Remove jaw joint cartilage","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Documentation Of Medical Reason(S) For Not On A Daily Aspirin Or Other Antiplatelet (E.G. History Of Gastrointestinal Bleed_ Intra-Cranial Bleed_ Blood Disorders_ Idiopathic T","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G2128","description":"Documentation Of Medical Reason(S) For Not On A Daily Aspirin Or Other Antiplatelet (E.G. History Of Gastrointestinal Bleed_ Intra-Cranial Bleed_ Blood Disorders_ Idiopathic T","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GHDF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Ercp remove forgn body duct","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"43275","description":"Ercp remove forgn body duct","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Eye suture during surgery","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"67335","description":"Eye suture during surgery","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"RARE DS GEN DNA ALYS EA COMP","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0213U","description":"RARE DS GEN DNA ALYS EA COMP","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Radiation Oncology Mips Specialty Set","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G4031","description":"Radiation Oncology Mips Specialty Set","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Opioid &opiate analog 5/more","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"80364","description":"Opioid &opiate analog 5/more","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CIYA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Injection_ reslizumab_ 1 mg (Cinqair)","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"C9481","description":"Injection_ reslizumab_ 1 mg (Cinqair)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Cystourethro w/addl implant","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"52442","description":"Cystourethro w/addl implant","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Remove anal fist subq","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"46270","description":"Remove anal fist subq","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"IHUC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Remove ventricular device","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"33978","description":"Remove ventricular device","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CGKA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GDDB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RLB17","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RLB17","description":"HIPPS-RLB17","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"M.pneumon dna amp probe","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"87581","description":"M.pneumon dna amp probe","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-HC25C","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"HC25C","description":"HIPPS-HC25C","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"ODYF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"APOL1 (apolipoprotein L1) (eg_ chronic kidney disease)_ risk variants (G1_ G2)","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0355U","description":"APOL1 (apolipoprotein L1) (eg_ chronic kidney disease)_ risk variants (G1_ G2)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KAJD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Extensive surgery of throat","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"42844","description":"Extensive surgery of throat","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Habil ed waiver per hour","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"T2013","description":"Habil ed waiver per hour","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OJJC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MJAA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"IFBD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"PLYE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JBKE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JHGF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FFAC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Hit anti-tnf per diem","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"S9359","description":"Hit anti-tnf per diem","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OEQC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BDCB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"CPT-98986","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"98986","description":"CPT-98986","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FDBB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RVL31","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RVL31","description":"HIPPS-RVL31","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Cardioassist internal","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"92970","description":"Cardioassist internal","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Death did not occur during the index acute care hospitalization","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G9815","description":"Death did not occur during the index acute care hospitalization","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MCIA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MGLB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NGBB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Pt w/o 3+ post-opnausea&vom","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"4557F","description":"Pt w/o 3+ post-opnausea&vom","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Surg dx exam anorectal","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"45990","description":"Surg dx exam anorectal","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"EFEA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BEGB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BGNE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BIUB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Duplex scan of hemodialysis fistula_ computer-aided_ limited (volume flow_ diameter_ and depth_ including only body of fistula)","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0876T","description":"Duplex scan of hemodialysis fistula_ computer-aided_ limited (volume flow_ diameter_ and depth_ including only body of fistula)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Patients listed on the kidney-pancreas transplant waitlist or who received a living donor transplant within the first year following initiation of dialysis","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"M1259","description":"Patients listed on the kidney-pancreas transplant waitlist or who received a living donor transplant within the first year following initiation of dialysis","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Laparoscopic proc","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"45400","description":"Laparoscopic proc","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JCGA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CIIB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KCPB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KBIF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JBKB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BAGF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Reduction of forehead","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"21139","description":"Reduction of forehead","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"IFLA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KCLE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RLB5B","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RLB5B","description":"HIPPS-RLB5B","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"DGQD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CHDC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Dxa bone density/peripheral","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"77081","description":"Dxa bone density/peripheral","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"HHYE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OBSA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GGVC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-4BFM4","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"4BFM4","description":"HIPPS-4BFM4","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KACD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"PAWF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BCVB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Onc dx colon extent unknown","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G9089","description":"Onc dx colon extent unknown","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KEPC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-1CGK4","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"1CGK4","description":"HIPPS-1CGK4","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Therapy exercise joint rx","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"4018F","description":"Therapy exercise joint rx","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RVL25","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RVL25","description":"HIPPS-RVL25","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JCUF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GFFE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"LISD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BGPC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Cryopreservation oocyte(s)","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0357T","description":"Cryopreservation oocyte(s)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GGLE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Repositioning of previously implanted aortic counterpulsation ventricular assist device; subcutaneous electrode","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0460T","description":"Repositioning of previously implanted aortic counterpulsation ventricular assist device; subcutaneous electrode","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Discography cerv/thor spine","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"72285","description":"Discography cerv/thor spine","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RLB8F","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RLB8F","description":"HIPPS-RLB8F","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Cysto/uretero stricture tx","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"52344","description":"Cysto/uretero stricture tx","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Nonpneumatic compression controller without calibrated gradient pressure","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"K1031","description":"Nonpneumatic compression controller without calibrated gradient pressure","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Maxillofacial prosthesis","billing_code_type":"CDT","billing_code_type_version":"2024","billing_code":"D5999","description":"Maxillofacial prosthesis","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Injection for wrist x-ray","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"25246","description":"Injection for wrist x-ray","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BIXE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GGRC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Endovascular repair of iliac artery bifurcation (eg_ aneurysm_ pseudoaneurysm_ arteriovenous malformation_ trauma_ dissection) using bifurcated endograft from the common iliac","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0254T","description":"Endovascular repair of iliac artery bifurcation (eg_ aneurysm_ pseudoaneurysm_ arteriovenous malformation_ trauma_ dissection) using bifurcated endograft from the common iliac","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"CPT-0583U","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"0583U","description":"CPT-0583U","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Repair of leg tendon each","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"27664","description":"Repair of leg tendon each","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Repos nstim apnea sensing ld","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0433T","description":"Repos nstim apnea sensing ld","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Wound(s) care non-selective","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"97602","description":"Wound(s) care non-selective","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GECF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FHGF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JHVB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-PC14D","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"PC14D","description":"HIPPS-PC14D","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"IHUF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Biopsy of soft tissues","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"27041","description":"Biopsy of soft tissues","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Repair dura","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"61619","description":"Repair dura","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MHMB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KEPA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KFEC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-BA28A","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"BA28A","description":"HIPPS-BA28A","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Cytogenetic study","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"88299","description":"Cytogenetic study","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KCTB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Plan of care for moderate to severe pain not documented on or before the date of the second visit with a clinician_ reason not","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"M1002","description":"Plan of care for moderate to severe pain not documented on or before the date of the second visit with a clinician_ reason not","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OGPD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RML07","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RML07","description":"HIPPS-RML07","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FELD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JABF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Cone beam ct both jaws","billing_code_type":"CDT","billing_code_type_version":"2024","billing_code":"D0383","description":"Cone beam ct both jaws","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-C9813","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"C9813","description":"HCPCS-C9813","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-4AFLS","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"4AFLS","description":"HIPPS-4AFLS","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RVC8H","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RVC8H","description":"HIPPS-RVC8H","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OEYF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"ODQD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FIUB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Injection_ sodium thiosulfate (hope)_ 100 mg","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"J0209","description":"Injection_ sodium thiosulfate (hope)_ 100 mg","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KHLE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"PKQF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FFCF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KINC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Removal_ Osseointegrated Implant_ Skull; With Magnetic Transcutaneous Attachment To External Speech Processor","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"69727","description":"Removal_ Osseointegrated Implant_ Skull; With Magnetic Transcutaneous Attachment To External Speech Processor","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"HARD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Open insertion or replacement of integrated neurostimulation system for bladder dysfunction including electrode(s) (eg_ array or leadless)_ and pulse generator or receiver_ in","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0816T","description":"Open insertion or replacement of integrated neurostimulation system for bladder dysfunction including electrode(s) (eg_ array or leadless)_ and pulse generator or receiver_ in","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Remove eyelid lining lesion","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"68130","description":"Remove eyelid lining lesion","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-1CGN5","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"1CGN5","description":"HIPPS-1CGN5","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Ecmo/ecls rmvl perph cannula","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"33969","description":"Ecmo/ecls rmvl perph cannula","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Pt w/pseudobulb affect/als","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"3756F","description":"Pt w/pseudobulb affect/als","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OFMB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NLIE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Destruction penis lesion(s)","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"54055","description":"Destruction penis lesion(s)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Digitization of glass microscope slides for morphometric analysis_ in situ hybridization (quantitative or semiquantitative)_ manual_ per specimen; initial single probe stain p","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0851T","description":"Digitization of glass microscope slides for morphometric analysis_ in situ hybridization (quantitative or semiquantitative)_ manual_ per specimen; initial single probe stain p","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GHBA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JEJF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Non-ionizing diagnostic procedure capable of quantifying_ monitoring_ and recording changes in structure of enamel_ dentin_ and cementum","billing_code_type":"CDT","billing_code_type_version":"2024","billing_code":"D0600","description":"Non-ionizing diagnostic procedure capable of quantifying_ monitoring_ and recording changes in structure of enamel_ dentin_ and cementum","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"EAHA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FDNA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OCME0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"AIUF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KCIF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BEXE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Diag laparo separate proc","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"49320","description":"Diag laparo separate proc","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KBQE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JBXD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Treat finger fracture each","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"26765","description":"Treat finger fracture each","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-J7529","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"J7529","description":"HCPCS-J7529","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GDLF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"HASB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Treat lower jaw fracture","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"21465","description":"Treat lower jaw fracture","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Radiation Therapy For Uterine Cancer Under The Radiation Oncology Model_ 90 Day Episode_ Technical Component","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"M1105","description":"Radiation Therapy For Uterine Cancer Under The Radiation Oncology Model_ 90 Day Episode_ Technical Component","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JIND1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-M1461","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"M1461","description":"HCPCS-M1461","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"PGOB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-4AHMT","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"4AHMT","description":"HIPPS-4AHMT","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GBFA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BIHC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Indwelling catheter special","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"A4340","description":"Indwelling catheter special","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"CPT-01190","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"01190","description":"CPT-01190","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-3AGN1","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"3AGN1","description":"HIPPS-3AGN1","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Sigmoidoscopy w/plcmt stent","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"45347","description":"Sigmoidoscopy w/plcmt stent","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GEKA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Antinomyces antibody","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"86602","description":"Antinomyces antibody","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Remote in-home visit for the e&m of an estab patient for use only in the Medicare-approved Comprehensive Care for Joint Replacement model_ which requires 2 of 3 key components","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G9488","description":"Remote in-home visit for the e&m of an estab patient for use only in the Medicare-approved Comprehensive Care for Joint Replacement model_ which requires 2 of 3 key components","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Oncology (Breast Ductal Carcinoma In Situ)_ Protein Expression Profiling By Immunohistochemistry Of 7 Proteins (Cox2_ Foxa1_ Her2_ Ki-67_ P16_ Pr_ Siah2)_ With 4 Clinicopathol","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0295U","description":"Oncology (Breast Ductal Carcinoma In Situ)_ Protein Expression Profiling By Immunohistochemistry Of 7 Proteins (Cox2_ Foxa1_ Her2_ Ki-67_ P16_ Pr_ Siah2)_ With 4 Clinicopathol","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Remote in-home visit for the evaluation and management of a new patient for use only in a Medicare-approved Bundled Payments for Care Improvement Advanced (BPCI Advanced) mode","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G9981","description":"Remote in-home visit for the evaluation and management of a new patient for use only in a Medicare-approved Bundled Payments for Care Improvement Advanced (BPCI Advanced) mode","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JGKA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Partial removal foot fascia","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"28060","description":"Partial removal foot fascia","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Ext amb infusn pump insulin","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"E0784","description":"Ext amb infusn pump insulin","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JGEF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Home visit est patient","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"99349","description":"Home visit est patient","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"P2y inhib not presc doc reas","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G9439","description":"P2y inhib not presc doc reas","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"CPT-0666U","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"0666U","description":"CPT-0666U","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BCGB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Attach bladder/urethra","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"51841","description":"Attach bladder/urethra","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-HE140","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"HE140","description":"HIPPS-HE140","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-HB11B","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"HB11B","description":"HIPPS-HB11B","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CFDE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HH PDGM","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"3DB21","description":"HH PDGM","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"PLWB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"EEME0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Treat lower leg joint","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"27829","description":"Treat lower leg joint","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MHHB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FCBB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Catheter_ ureteral","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"C1758","description":"Catheter_ ureteral","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"ADEA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RHL50","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RHL50","description":"HIPPS-RHL50","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-1BFLS","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"1BFLS","description":"HIPPS-1BFLS","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"PBRD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Explore adrenal gland","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"60545","description":"Explore adrenal gland","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-CE150","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"CE150","description":"HIPPS-CE150","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NHIF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OAPA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Patient is currently on a daily aspirin or other antiplatelet","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G9793","description":"Patient is currently on a daily aspirin or other antiplatelet","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Bile duct endoscopy add-on","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"47550","description":"Bile duct endoscopy add-on","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NAUF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CCOA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FCDB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Disposable liner/shield/pad","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"T4535","description":"Disposable liner/shield/pad","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Resp suction oral interface","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"A7047","description":"Resp suction oral interface","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KHGA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OANC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OGOD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"LDQD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"IITA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Dmd dup/delet analysis","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"81161","description":"Dmd dup/delet analysis","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"LIYF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"HGQB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NIVA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FHCD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HH PDGM","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"2JA21","description":"HH PDGM","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BIBF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FFVB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KHBB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Insert picc cath","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"36568","description":"Insert picc cath","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Chd risk imt study","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0126T","description":"Chd risk imt study","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-PC121","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"PC121","description":"HIPPS-PC121","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Resuscitation bag","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"S8999","description":"Resuscitation bag","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"DDOC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Assay synovial fluid mucin","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"83872","description":"Assay synovial fluid mucin","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"PLWB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OLBB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Hepatitis c probe&rvrs trnsc","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"87521","description":"Hepatitis c probe&rvrs trnsc","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BAVB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-PC24D","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"PC24D","description":"HIPPS-PC24D","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Fixed appliance therapy habt","billing_code_type":"CDT","billing_code_type_version":"2024","billing_code":"D8220","description":"Fixed appliance therapy habt","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Non coring needle or stylet","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"A4212","description":"Non coring needle or stylet","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Partial removal of rib","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"21610","description":"Partial removal of rib","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Reconstruct urethra/bladder","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"53431","description":"Reconstruct urethra/bladder","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RHC15","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RHC15","description":"HIPPS-RHC15","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Reusable pull-on any size","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"T4536","description":"Reusable pull-on any size","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"AEIE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Percutaneous Injection Of Allogeneic Cellular And/Or Tissue-Based Product_ Intervertebral Disc_ Unilateral Or Bilateral Injection_ With Fluoroscopic Guidance_ Lumbar; Each Add","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0628T","description":"Percutaneous Injection Of Allogeneic Cellular And/Or Tissue-Based Product_ Intervertebral Disc_ Unilateral Or Bilateral Injection_ With Fluoroscopic Guidance_ Lumbar; Each Add","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-CA146","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"CA146","description":"HIPPS-CA146","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Revise penis/urethra","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"54332","description":"Revise penis/urethra","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Alcohol/subs interv >30 min","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G0397","description":"Alcohol/subs interv >30 min","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"ABUD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"BRCA1 (BRCA1_ DNA repair associated) (eg_ hereditary breast and ovarian cancer) gene analysis; full duplication/deletion analysis (ie_ detection of large gene rearrangements)","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"81166","description":"BRCA1 (BRCA1_ DNA repair associated) (eg_ hereditary breast and ovarian cancer) gene analysis; full duplication/deletion analysis (ie_ detection of large gene rearrangements)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NLFD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Patients who use hospice services any time during the measurement period","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G9802","description":"Patients who use hospice services any time during the measurement period","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"EEED0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CBYD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"IITA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GHPE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RVA14","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RVA14","description":"HIPPS-RVA14","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-4AGMU","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"4AGMU","description":"HIPPS-4AGMU","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Intracranial vessel surgery","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"61680","description":"Intracranial vessel surgery","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NFFB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Laparotomy islet cell transp","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G0343","description":"Laparotomy islet cell transp","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KEGA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Ovine_ up to 999 usp units","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"J3471","description":"Ovine_ up to 999 usp units","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MCUA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Repair of hydrocele","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"55060","description":"Repair of hydrocele","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GCAF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NDIA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Pt reas no hcv infect","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G9453","description":"Pt reas no hcv infect","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"EHCD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Amitriptyline injection","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"J1320","description":"Amitriptyline injection","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"LDRA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Anticoagulant mgmt subseq","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"99364","description":"Anticoagulant mgmt subseq","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GDBE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BDVC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Vantas implant","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"J9225","description":"Vantas implant","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Pharmacy supplying fee for hiv pre-exposure prophylaxis fda approved prescription drug_ per 30-days","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"Q0516","description":"Pharmacy supplying fee for hiv pre-exposure prophylaxis fda approved prescription drug_ per 30-days","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FDFC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-CC24C","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"CC24C","description":"HIPPS-CC24C","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Proctosigmoidoscopy dilate","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"45303","description":"Proctosigmoidoscopy dilate","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Crown 3/4 resin-based compos","billing_code_type":"CDT","billing_code_type_version":"2024","billing_code":"D2712","description":"Crown 3/4 resin-based compos","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CDIB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"HHYF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Oncology (hepatic)_ mRNA expression levels of 161 genes_ utilizing fresh he","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0110U","description":"Oncology (hepatic)_ mRNA expression levels of 161 genes_ utilizing fresh he","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GDFC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MFUA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"IILB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-HE256","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"HE256","description":"HIPPS-HE256","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MEAD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Ven thrombosis images bilat","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"78458","description":"Ven thrombosis images bilat","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Treat metatarsal fracture","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"28485","description":"Treat metatarsal fracture","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CHHB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"ODFE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NKLA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CEGF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CGPE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Reimplant ureter in bladder","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"50785","description":"Reimplant ureter in bladder","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Aqueous shunt eye w/graft","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"66180","description":"Aqueous shunt eye w/graft","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-3AFMT","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"3AFMT","description":"HIPPS-3AFMT","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FDLC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GFUD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Echo exam of fetal heart","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"76826","description":"Echo exam of fetal heart","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RMA36","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RMA36","description":"HIPPS-RMA36","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FBNE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CILF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Ntiol category 4","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"Q1004","description":"Ntiol category 4","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MILE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KHNA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GATA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JFXB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-LC23B","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"LC23B","description":"HIPPS-LC23B","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OAJE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NKEC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KAFB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RUC4D","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RUC4D","description":"HIPPS-RUC4D","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OGDF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"ODMF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MEHA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NHXF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"LHSC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KHNF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JDND1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"IFMF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Lymph vessel x-ray trunk","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"75807","description":"Lymph vessel x-ray trunk","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Employment - Job Coaching 1:1","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"W1733","description":"Employment - Job Coaching 1:1","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OFME0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"AFDD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KIDE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JEXA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Osteopath manj 3-4 regions","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"98926","description":"Osteopath manj 3-4 regions","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CEMB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JBLD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Pt rcv >=10mg daily predniso","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"4194F","description":"Pt rcv >=10mg daily predniso","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NDPF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Single lens spectacle mount","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"V2610","description":"Single lens spectacle mount","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Pov group 2 vhd 451-600 lbs","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"K0808","description":"Pov group 2 vhd 451-600 lbs","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Urine reagent strips/tablets","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"A4250","description":"Urine reagent strips/tablets","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-HC216","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"HC216","description":"HIPPS-HC216","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Special radiation treatment","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"77470","description":"Special radiation treatment","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OEVA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BBJA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Repair stomach opening","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"43870","description":"Repair stomach opening","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FAFB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"PJYF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CFXB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Removal Of Pulse Generator Only_ Permanent Implantable Synchronized Diaphragmatic Stimulation System For Augmentation Of Cardiac Function","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0682T","description":"Removal Of Pulse Generator Only_ Permanent Implantable Synchronized Diaphragmatic Stimulation System For Augmentation Of Cardiac Function","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MAMD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MBBC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FHGA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JCXB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Open skull for drainage","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"61314","description":"Open skull for drainage","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Cystouretero w/renal strict","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"52346","description":"Cystouretero w/renal strict","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Extensive prostate surgery","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"55865","description":"Extensive prostate surgery","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BICE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KIUF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Small bowel endoscopy","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"44369","description":"Small bowel endoscopy","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KEMF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BCJD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FEKE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GDKB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OBXD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RVC16","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RVC16","description":"HIPPS-RVC16","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MLBC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Assistive technology assess","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"97755","description":"Assistive technology assess","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NELD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OCTA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KDCE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NDMC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"PFWD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Pt rcvng esa thxpy","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"4171F","description":"Pt rcvng esa thxpy","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Flex-walk sys low ext prosth","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"L5981","description":"Flex-walk sys low ext prosth","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Remove eye/revise socket","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"65114","description":"Remove eye/revise socket","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-LC28F","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"LC28F","description":"HIPPS-LC28F","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NDNE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HH PDGM","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"4JB21","description":"HH PDGM","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JDJD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CBEC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FDHC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BCNF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KEXD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-C9175","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"C9175","description":"HCPCS-C9175","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-3BHLT","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"3BHLT","description":"HIPPS-3BHLT","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Pre-visit patient screening","billing_code_type":"CDT","billing_code_type_version":"2024","billing_code":"D9912","description":"Pre-visit patient screening","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"CPT-0515U","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"0515U","description":"CPT-0515U","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NEUA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Tract frame attach headboard","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"E0840","description":"Tract frame attach headboard","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Cortisol free","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"82530","description":"Cortisol free","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JDDC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JIAD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Idarubicin hcl injection","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"J9211","description":"Idarubicin hcl injection","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OHVF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MCIE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Removal of temporary anchorage device [screw retained plate]_ requiring flap","billing_code_type":"CDT","billing_code_type_version":"2024","billing_code":"D7298","description":"Removal of temporary anchorage device [screw retained plate]_ requiring flap","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"PGRA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Inj trimetrexate glucoronate","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"J3305","description":"Inj trimetrexate glucoronate","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GFEA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Lwr xtr vasc stdy bilat","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"93924","description":"Lwr xtr vasc stdy bilat","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GBVD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CFIE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Gradient compression bandaging supply_ high density foam sheet_ per 250 square centimeters_ each","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"A6600","description":"Gradient compression bandaging supply_ high density foam sheet_ per 250 square centimeters_ each","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OEAE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Insertion of wireless cardiac stimulator for left ventricular pacing_ including device interrogation and programming_ and imaging supervision and interpretation_ when performe","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0517T","description":"Insertion of wireless cardiac stimulator for left ventricular pacing_ including device interrogation and programming_ and imaging supervision and interpretation_ when performe","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OBTB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Patient prescribed a 180-day course of treatment with beta-blockers post discharge for AMI","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G9803","description":"Patient prescribed a 180-day course of treatment with beta-blockers post discharge for AMI","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Remove pulmonary shunt","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"33924","description":"Remove pulmonary shunt","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"CPT-00866","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"00866","description":"CPT-00866","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"EAAF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CGSF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MAID0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FFUA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Elbow arthroscopy/surgery","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"29837","description":"Elbow arthroscopy/surgery","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"IDMA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-B0502","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"B0502","description":"HCPCS-B0502","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Onc rspse chmotx rx motility cntrst tomography","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0083U","description":"Onc rspse chmotx rx motility cntrst tomography","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JHMA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"EAEA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GCSD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KDCD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OJRB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RHL53","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RHL53","description":"HIPPS-RHL53","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Tenecteplase injection","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"J3101","description":"Tenecteplase injection","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Infectious agent antigen detection by immunoassay with direct optical (ie_ visual) observation; Streptococcus_ group B","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"87802","description":"Infectious agent antigen detection by immunoassay with direct optical (ie_ visual) observation; Streptococcus_ group B","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Inj_ phenylephrine ketorolac","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"C9447","description":"Inj_ phenylephrine ketorolac","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GAOE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-3CGMV","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"3CGMV","description":"HIPPS-3CGMV","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CDRF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Resect/excise cranial lesion","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"61605","description":"Resect/excise cranial lesion","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MJEC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BIAA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FHEB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Flex thermoplastic collar mo","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"L0130","description":"Flex thermoplastic collar mo","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Biopsy of toe joint lining","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"28054","description":"Biopsy of toe joint lining","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HH PDGM","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"1JC11","description":"HH PDGM","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Injection_ burosumab-twza_ 1 mg","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"J0584","description":"Injection_ burosumab-twza_ 1 mg","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-3CFN1","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"3CFN1","description":"HIPPS-3CFN1","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FIAA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GBPD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Seat width 24-27 in","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"E2202","description":"Seat width 24-27 in","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BFFF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Inherited bone marrow failure syndromes (IBMFS) (eg_ Fanconi anemia_ dyskeratosis congenita_ Diamond-Blackfan anemia_ Shwachman-Diamond syndrome_ GATA2 deficiency syndrome_ co","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"81441","description":"Inherited bone marrow failure syndromes (IBMFS) (eg_ Fanconi anemia_ dyskeratosis congenita_ Diamond-Blackfan anemia_ Shwachman-Diamond syndrome_ GATA2 deficiency syndrome_ co","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BCCE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GBEE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OEOD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CHTD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FEDC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HH PDGM","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"1IB31","description":"HH PDGM","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Gc stocking thighlngth 18-30","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"A6533","description":"Gc stocking thighlngth 18-30","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MBBF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"CPT-1018T","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"1018T","description":"CPT-1018T","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CDEF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OCAE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CCNE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"ADHE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GETA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CDVC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GCXE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OCJA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Adult speech aid","billing_code_type":"CDT","billing_code_type_version":"2024","billing_code":"D5953","description":"Adult speech aid","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Injection_ sulfamethoxazole","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"S0039","description":"Injection_ sulfamethoxazole","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"PIYC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CDFA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RUC22","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RUC22","description":"HIPPS-RUC22","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Fuse hand bones with graft","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"25825","description":"Fuse hand bones with graft","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RHL30","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RHL30","description":"HIPPS-RHL30","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NLBD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BBAB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CFIC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Cast sup sht leg splnt ped f","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"Q4048","description":"Cast sup sht leg splnt ped f","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KAVC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FCUA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RMB50","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RMB50","description":"HIPPS-RMB50","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BIXB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Assay nonendocrine receptor","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"84238","description":"Assay nonendocrine receptor","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Perq tcat intratrl septl sht","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0613T","description":"Perq tcat intratrl septl sht","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Rechanneling of artery","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"35331","description":"Rechanneling of artery","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Revision of urethra","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"53460","description":"Revision of urethra","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"PAQA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Symes type poster opening so","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"L5634","description":"Symes type poster opening so","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BALD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Injection_ carboxydextran-coated superparamagnetic iron oxide_ per study dose","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"A9697","description":"Injection_ carboxydextran-coated superparamagnetic iron oxide_ per study dose","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"AIHD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FBAD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HH PDGM","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"4EB31","description":"HH PDGM","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Transplantation of heart","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"33945","description":"Transplantation of heart","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Establish brain cavity shunt","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"62223","description":"Establish brain cavity shunt","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Cystouretero w/biopsy","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"52354","description":"Cystouretero w/biopsy","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Amiodarone","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"80151","description":"Amiodarone","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Tob user recd cess interv","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G9458","description":"Tob user recd cess interv","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Initiation and monitoring marginal (extended) cadaver donor lung(s) organ perfusion system by physician or qualified health care professional_ including physiological and labo","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0496T","description":"Initiation and monitoring marginal (extended) cadaver donor lung(s) organ perfusion system by physician or qualified health care professional_ including physiological and labo","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Proctosigmoidoscopy removal","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"45315","description":"Proctosigmoidoscopy removal","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GAXC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-LC28C","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"LC28C","description":"HIPPS-LC28C","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KGUA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Therapeutic exercises","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"97110","description":"Therapeutic exercises","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Memory current status","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G9168","description":"Memory current status","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"DEWD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MEIE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Suicide risk assessed","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"3085F","description":"Suicide risk assessed","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-Q5165","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"Q5165","description":"HCPCS-Q5165","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-1BHPT","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"1BHPT","description":"HIPPS-1BHPT","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"ADUD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Limited (30 minutes) in-home visit for an existing patient post-discharge. For use only in a Medicare-approved CMMI model. (Services must be furnished within a beneficiary’s h","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G2007","description":"Limited (30 minutes) in-home visit for an existing patient post-discharge. For use only in a Medicare-approved CMMI model. (Services must be furnished within a beneficiary’s h","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OFAC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Postop follow-up visit","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"99024","description":"Postop follow-up visit","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Srch for ct w in 12 mos","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G9341","description":"Srch for ct w in 12 mos","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JGVA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Human ig iv","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"90283","description":"Human ig iv","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GDPA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GCYD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OLMA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"CPT-01744","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"01744","description":"CPT-01744","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OLQE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MICA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GDTE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Treatment of thigh fracture","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"27506","description":"Treatment of thigh fracture","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Endovasc visc aorta 4 graft","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"34844","description":"Endovasc visc aorta 4 graft","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FEJC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Metaproterenol non-comp con","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"J7668","description":"Metaproterenol non-comp con","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Leptospira antibody","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"86720","description":"Leptospira antibody","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OHED0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Asp presc disch","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G9435","description":"Asp presc disch","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"PLRC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Anesth repair of hernia","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"75651","description":"Anesth repair of hernia","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CDNC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"CPT-60660","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"60660","description":"CPT-60660","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Amalgam three surfaces perma","billing_code_type":"CDT","billing_code_type_version":"2024","billing_code":"D2160","description":"Amalgam three surfaces perma","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JAME0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HH PDGM","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"2HC11","description":"HH PDGM","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":">85y scope othr rsn","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G9661","description":">85y scope othr rsn","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OJND0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Semen anal vol/count/mot","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"89320","description":"Semen anal vol/count/mot","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"EGAE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Report_ diabetes measures","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G8485","description":"Report_ diabetes measures","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KEIA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-LD18E","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"LD18E","description":"HIPPS-LD18E","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"IGAA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GADC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CAKF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NAME0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BCBF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Rural health clinic or federally qualified health center (RHC/FQHC) only_ psychiatric collaborative care model (psychiatric COCM)_ 60 minutes or more of clinical staff time fo","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G0512","description":"Rural health clinic or federally qualified health center (RHC/FQHC) only_ psychiatric collaborative care model (psychiatric COCM)_ 60 minutes or more of clinical staff time fo","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"CPT-55877","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"55877","description":"CPT-55877","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KFSD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FIFF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Genome (eg_ unexplained constitutional or heritable disorder or syndrome)_ ultra-rapid sequence analysis","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0426U","description":"Genome (eg_ unexplained constitutional or heritable disorder or syndrome)_ ultra-rapid sequence analysis","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CBNC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Clin tx mdd not comm","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G8960","description":"Clin tx mdd not comm","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JEPD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"EGCC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KHUB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FHJB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KHVB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Hospice in ltch","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"Q5007","description":"Hospice in ltch","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"IDUF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RVX41","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RVX41","description":"HIPPS-RVX41","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KDPF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NCFF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KCQE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FDNC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RVB5B","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RVB5B","description":"HIPPS-RVB5B","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"IGUB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BHKA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MHDB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NHBD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Repair salivary duct","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"42505","description":"Repair salivary duct","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OGVB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"LDYF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RUL0C","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RUL0C","description":"HIPPS-RUL0C","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"LHQF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RMX10","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RMX10","description":"HIPPS-RMX10","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Oncology (Lung)_ Mrna_ Quantitative Pcr Analysis Of 11 Genes (Bag1_ Brca1_ Cdc6_ Cdk2Ap1_ Erbb3_ Fut3_ Il11_ Lck_ Rnd3_ Sh3Bgr_ Wnt3A) And 3 Reference Genes (Esd_ Tbp_ Yap1)_","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0288U","description":"Oncology (Lung)_ Mrna_ Quantitative Pcr Analysis Of 11 Genes (Bag1_ Brca1_ Cdc6_ Cdk2Ap1_ Erbb3_ Fut3_ Il11_ Lck_ Rnd3_ Sh3Bgr_ Wnt3A) And 3 Reference Genes (Esd_ Tbp_ Yap1)_","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Cyclosporin parenteral 250mg","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"J7516","description":"Cyclosporin parenteral 250mg","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-PE18A","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"PE18A","description":"HIPPS-PE18A","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Urethral insert","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"A4336","description":"Urethral insert","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OAHD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GAAC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RVX51","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RVX51","description":"HIPPS-RVX51","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NETA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"IEHB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Commode chair pail or pan","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"E0167","description":"Commode chair pail or pan","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Structured Day Habilitation Group 1:1","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"W0105","description":"Structured Day Habilitation Group 1:1","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Induced abortion 25-28 wks","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"S2265","description":"Induced abortion 25-28 wks","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Tibial arthroscopy/surgery","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"29856","description":"Tibial arthroscopy/surgery","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Excision of tongue lesion","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"41112","description":"Excision of tongue lesion","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MKAC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JFLE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FBAB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"ECTD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"CPT-0550U","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"0550U","description":"CPT-0550U","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Percutaneous arteriovenous fistula creation_ upper extremity_ single access of both the peripheral artery and peripheral vein_ including fistula maturation procedures (eg_ tra","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"36836","description":"Percutaneous arteriovenous fistula creation_ upper extremity_ single access of both the peripheral artery and peripheral vein_ including fistula maturation procedures (eg_ tra","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"CPT-01444","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"01444","description":"CPT-01444","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HH PDGM","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"2KC21","description":"HH PDGM","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OCWF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Pwc gp2 std mult pow opt s/b","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"K0841","description":"Pwc gp2 std mult pow opt s/b","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BDTD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-4CFMT","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"4CFMT","description":"HIPPS-4CFMT","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Qualified Nonphysician Healthcare Professional Online Assessment_ For An Established Patient_ For Up To Seven Days_ Cumulative Time During The 7 Days; 5-10 Minutes","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G2061","description":"Qualified Nonphysician Healthcare Professional Online Assessment_ For An Established Patient_ For Up To Seven Days_ Cumulative Time During The 7 Days; 5-10 Minutes","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"IAMF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Multiple surgery abdomen","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"49220","description":"Multiple surgery abdomen","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"EEIA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FGHF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-2AGMU","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"2AGMU","description":"HIPPS-2AGMU","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Repair biceps tendon","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"23430","description":"Repair biceps tendon","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"ICUC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Hepatitis b dna dir probe","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"87515","description":"Hepatitis b dna dir probe","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"ODMF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Drainage of urethra abscess","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"53060","description":"Drainage of urethra abscess","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OKDA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KAMF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RLA60","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RLA60","description":"HIPPS-RLA60","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"X-ray exam of jaw joint","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"70332","description":"X-ray exam of jaw joint","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-HB13B","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"HB13B","description":"HIPPS-HB13B","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Oasis tri-layer wound matrix","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"Q4124","description":"Oasis tri-layer wound matrix","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"CDT-D7252","billing_code_type":"CDT","billing_code_type_version":"2026","billing_code":"D7252","description":"CDT-D7252","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CDND1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CIWE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-PD160","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"PD160","description":"HIPPS-PD160","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JGFE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Injection_ acetaminophen (b braun) not therapeutically equivalent to j0131_ 10 mg","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"J0136","description":"Injection_ acetaminophen (b braun) not therapeutically equivalent to j0131_ 10 mg","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KGNA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KGNE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NDUF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Child fostercare th per diem","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"S5145","description":"Child fostercare th per diem","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JCHC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FCXA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Repair clitoris","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"56805","description":"Repair clitoris","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JEUE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GGOD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Ost sknbar w/o conv<=4 sq in","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"A4414","description":"Ost sknbar w/o conv<=4 sq in","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Opn tx dprsd malar fracture","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"21360","description":"Opn tx dprsd malar fracture","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Migration inhibitory factor","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"86378","description":"Migration inhibitory factor","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NAMC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Maint drug infus cath per wk","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"A4221","description":"Maint drug infus cath per wk","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"ABBD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"ACTA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MBMC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"DESB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Incision of urethra","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"53000","description":"Incision of urethra","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Onc dx gastric unknown nos","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G9104","description":"Onc dx gastric unknown nos","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Ecmo/ecls insj ctr cannula","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"33956","description":"Ecmo/ecls insj ctr cannula","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OAXD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CENC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-CC126","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"CC126","description":"HIPPS-CC126","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Venography for congenital heart defect(s)_ including catheter placement_ and radiological supervision and interpretation; azygos/hemiazygos venous system (List separately in a","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"93585","description":"Venography for congenital heart defect(s)_ including catheter placement_ and radiological supervision and interpretation; azygos/hemiazygos venous system (List separately in a","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BHPA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BHPD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RMC0D","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RMC0D","description":"HIPPS-RMC0D","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Major vessel shunt","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"33762","description":"Major vessel shunt","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"CPT-0685U","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"0685U","description":"CPT-0685U","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-CE144","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"CE144","description":"HIPPS-CE144","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NFXF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GDDE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Culture typing added method","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"87158","description":"Culture typing added method","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BEJE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Decompression of leg","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"27893","description":"Decompression of leg","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RUA0C","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RUA0C","description":"HIPPS-RUA0C","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-CD112","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"CD112","description":"HIPPS-CD112","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Contrast exam thoracic aorta","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"75600","description":"Contrast exam thoracic aorta","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-Q5172","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"Q5172","description":"HCPCS-Q5172","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-CA12D","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"CA12D","description":"HIPPS-CA12D","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"EFEB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-4BHL1","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"4BHL1","description":"HIPPS-4BHL1","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RUB2C","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RUB2C","description":"HIPPS-RUB2C","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Hip flexible cover system","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"L5966","description":"Hip flexible cover system","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-ES22D","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"ES22D","description":"HIPPS-ES22D","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MKIB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"ODCB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Knee arthroscopy/surgery","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"29851","description":"Knee arthroscopy/surgery","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GEDA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NLUD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CIME1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BFTC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Aspirate pleura w/ imaging","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"32555","description":"Aspirate pleura w/ imaging","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CHXE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CBXB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KBNF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"PEYE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Pt surv improv bsline tx","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G9603","description":"Pt surv improv bsline tx","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Trim nail(s) any number","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"11719","description":"Trim nail(s) any number","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JDTB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Qty act diab retin mg perf","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G9672","description":"Qty act diab retin mg perf","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Ko single upright pre cst","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"L1843","description":"Ko single upright pre cst","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CFQA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CCLC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-CA116","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"CA116","description":"HIPPS-CA116","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-3AFMV","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"3AFMV","description":"HIPPS-3AFMV","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Prescription drug_brand name","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"S5001","description":"Prescription drug_brand name","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"EHLC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"PBRF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Pwc gp 2 hd cap chair","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"K0825","description":"Pwc gp 2 hd cap chair","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"LDSC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CFFF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"HHWD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NFEF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JIHD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RVX14","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RVX14","description":"HIPPS-RVX14","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-LE22C","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"LE22C","description":"HIPPS-LE22C","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GGSF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MLLD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-CA221","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"CA221","description":"HIPPS-CA221","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Lap place gastr adj device","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"43770","description":"Lap place gastr adj device","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CFVF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Intravasc us heart add-on","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"92979","description":"Intravasc us heart add-on","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Adult day care per half day","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"S5101","description":"Adult day care per half day","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GBJE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OBJB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"HDOD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"ACED0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-3AGMU","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"3AGMU","description":"HIPPS-3AGMU","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Injection eye drug","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"67028","description":"Injection eye drug","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GAEF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Myocardial Perfusion Echo Ischm/Viability Assmt","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0439T","description":"Myocardial Perfusion Echo Ischm/Viability Assmt","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"CPT-0476U","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"0476U","description":"CPT-0476U","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JEGC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Lipoprotein bld by nmr","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"83704","description":"Lipoprotein bld by nmr","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MCEC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KIBF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-3CFMW","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"3CFMW","description":"HIPPS-3CFMW","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Endovas aaa repr w/2-p part","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"34802","description":"Endovas aaa repr w/2-p part","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"PCOA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OCQF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JGIA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-G0564","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"G0564","description":"HCPCS-G0564","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Matristem wound matrix","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"Q4119","description":"Matristem wound matrix","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Inj bulking agent anal canal","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"L8605","description":"Inj bulking agent anal canal","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Doc stroke after cas","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G9257","description":"Doc stroke after cas","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Coronectomy","billing_code_type":"CDT","billing_code_type_version":"2024","billing_code":"D7251","description":"Coronectomy","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FETC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"PLWA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CDED1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OBND1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KCHB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-3BGL4","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"3BGL4","description":"HIPPS-3BGL4","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Documentation of medical reason(s) for not documenting and reviewing spirometry results (e.g._ patients with dementia or tracheostomy)","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"M1215","description":"Documentation of medical reason(s) for not documenting and reviewing spirometry results (e.g._ patients with dementia or tracheostomy)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"IIMB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"LFWD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"PuraPly XT_ per sq cm","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"Q4197","description":"PuraPly XT_ per sq cm","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KBLE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OGMA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Resect arm/elbow tum 5 cm/>","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"24079","description":"Resect arm/elbow tum 5 cm/>","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Rbc osmotic fragility","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"85557","description":"Rbc osmotic fragility","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Complete ft_ per square centimeter","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"Q4271","description":"Complete ft_ per square centimeter","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"AR (androgen receptor) (eg_ spinal and bulbar muscular atrophy_ Kennedy disease_ X chromosome inactivation) gene analysis; known familial variant","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"81174","description":"AR (androgen receptor) (eg_ spinal and bulbar muscular atrophy_ Kennedy disease_ X chromosome inactivation) gene analysis; known familial variant","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Special service/proc/report","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"99199","description":"Special service/proc/report","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"EBBC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Ortho shoe add full sole","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"L3540","description":"Ortho shoe add full sole","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-2AHLT","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"2AHLT","description":"HIPPS-2AHLT","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Esophageal motility (manometric study of the esophagus and/or gastroesophageal junction) study with interpretation and report; with stimulation or perfusion during 3-dimensn","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0241T","description":"Esophageal motility (manometric study of the esophagus and/or gastroesophageal junction) study with interpretation and report; with stimulation or perfusion during 3-dimensn","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CHPD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CDVC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FGJE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Esophageal recording","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"93616","description":"Esophageal recording","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OBWA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FDMD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Lung function test (mbc/mvv)","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"94200","description":"Lung function test (mbc/mvv)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"IFLF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Flutemetamol F18_ diagnostic_ per study dose_ up to 5 millicuries","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"Q9982","description":"Flutemetamol F18_ diagnostic_ per study dose_ up to 5 millicuries","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Hemophilia clot factor noc","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"J7199","description":"Hemophilia clot factor noc","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Eps Gast Cardia Plic","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"C9724","description":"Eps Gast Cardia Plic","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-2CHM4","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"2CHM4","description":"HIPPS-2CHM4","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Repair mouth laceration","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"40831","description":"Repair mouth laceration","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Valvuloplasty w/cp bypass","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"33403","description":"Valvuloplasty w/cp bypass","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RMX60","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RMX60","description":"HIPPS-RMX60","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KIFF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MHLA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CABA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NHMB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Clinical Decision Support Mechanism Applied Pathways_ As Defined By The Medicare Appropriate Use Criteria Program","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G1000","description":"Clinical Decision Support Mechanism Applied Pathways_ As Defined By The Medicare Appropriate Use Criteria Program","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RML5A","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RML5A","description":"HIPPS-RML5A","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"ODLD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Who nontorsion jnts pre ots","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"L3916","description":"Who nontorsion jnts pre ots","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FHVE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Skin splt grft trnk/arm/leg","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"15100","description":"Skin splt grft trnk/arm/leg","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KILD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KEIB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JIUB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Iris Prosthesis","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"C1839","description":"Iris Prosthesis","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GGCF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OBIE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"IBHE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Cryo-Cord_ per sq cm","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"Q4237","description":"Cryo-Cord_ per sq cm","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"EAMB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-L6032","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"L6032","description":"HCPCS-L6032","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"IFDD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GAPF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MHIB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Assay of intrinsic factor","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"83528","description":"Assay of intrinsic factor","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Quant results activity &symp","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"3115F","description":"Quant results activity &symp","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Rbc irradiated","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"P9038","description":"Rbc irradiated","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Inj olanzapine 2.5mg","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"S0166","description":"Inj olanzapine 2.5mg","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"PERD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Gauze <= 16 sq in w/border","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"A6219","description":"Gauze <= 16 sq in w/border","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-PE28X","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"PE28X","description":"HIPPS-PE28X","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Bamlanivimab_ 700 mg","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"Q0239","description":"Bamlanivimab_ 700 mg","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KBJF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KCKA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"DAYC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-4AFKX","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"4AFKX","description":"HIPPS-4AFKX","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KEIE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Initial visit for episode","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0525F","description":"Initial visit for episode","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"FXN (frataxin) (eg_ Friedreich ataxia) gene analysis; full gene sequence","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"81286","description":"FXN (frataxin) (eg_ Friedreich ataxia) gene analysis; full gene sequence","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Uri episodes where the patient had a competing comorbid condition during the 12 months prior to or on the episode date (e.g._ tuberculosis_ neutropenia_ cystic fibrosis_ chron","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G2173","description":"Uri episodes where the patient had a competing comorbid condition during the 12 months prior to or on the episode date (e.g._ tuberculosis_ neutropenia_ cystic fibrosis_ chron","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KHSB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HH PDGM","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"1EB11","description":"HH PDGM","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RUL2C","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RUL2C","description":"HIPPS-RUL2C","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Diphtheria antitoxin","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"90296","description":"Diphtheria antitoxin","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KAJC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Amputation of midfoot","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"28800","description":"Amputation of midfoot","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Brompheniramine maleate inj","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"J0945","description":"Brompheniramine maleate inj","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Cytopath cell enhance tech","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"88112","description":"Cytopath cell enhance tech","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JAXD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OFIF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MBDC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Scr c/v cyto_ autosys_ rescr","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G0148","description":"Scr c/v cyto_ autosys_ rescr","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GENE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FAMD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Hemoglobin-oxygen affinity","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"82820","description":"Hemoglobin-oxygen affinity","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RVB21","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RVB21","description":"HIPPS-RVB21","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Assay of urea nitrogen","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"84520","description":"Assay of urea nitrogen","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"PAYA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Artery x-ray each vessel","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"75774","description":"Artery x-ray each vessel","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JAVD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GFVB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"ODCF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Perq dev soft tiss 1st imag","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"10035","description":"Perq dev soft tiss 1st imag","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Non-sterile gloves","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"A4927","description":"Non-sterile gloves","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KHMF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-ES301","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"ES301","description":"HIPPS-ES301","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CDWC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Removal of gallbladder","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"47612","description":"Removal of gallbladder","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Open bowel to skin","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"44300","description":"Open bowel to skin","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GEWE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"CPT-01340","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"01340","description":"CPT-01340","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Decompressive craniotomy","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"61322","description":"Decompressive craniotomy","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Organic acid single quant","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"83921","description":"Organic acid single quant","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Reconstruct maxilla segment","billing_code_type":"CDT","billing_code_type_version":"2024","billing_code":"D7947","description":"Reconstruct maxilla segment","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Rbc sed rate automated","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"85652","description":"Rbc sed rate automated","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Removal of gum tissue","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"41830","description":"Removal of gum tissue","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OEJE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"LASF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-CB111","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"CB111","description":"HIPPS-CB111","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"IALC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Revision/removal of kneecap","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"27424","description":"Revision/removal of kneecap","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KELD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-PD110","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"PD110","description":"HIPPS-PD110","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FGJD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"3d-crt/imrt received","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"4165F","description":"3d-crt/imrt received","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Hosp bed total elect w/ matt","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"E0296","description":"Hosp bed total elect w/ matt","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JGPE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Rehab thxpy options w/pt","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"4400F","description":"Rehab thxpy options w/pt","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Kidney imaging morphol","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"78700","description":"Kidney imaging morphol","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Intentional replantation","billing_code_type":"CDT","billing_code_type_version":"2024","billing_code":"D3470","description":"Intentional replantation","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Systemic antimicrobials not prescribed","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G9959","description":"Systemic antimicrobials not prescribed","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"BRCA1_ BRCA2 (breast cancer 1 and 2) (eg_ hereditary breast and ovarian cancer) gene analysis; full sequence analysis and common duplication/deletion variants in BRCA1 (ie_ ex","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"81211","description":"BRCA1_ BRCA2 (breast cancer 1 and 2) (eg_ hereditary breast and ovarian cancer) gene analysis; full sequence analysis and common duplication/deletion variants in BRCA1 (ie_ ex","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"CPT-00930","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"00930","description":"CPT-00930","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Parathyrd planar w/wo subtrj","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"78071","description":"Parathyrd planar w/wo subtrj","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Injection_ durvalumab_ 10 mg","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"C9492","description":"Injection_ durvalumab_ 10 mg","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-CA24C","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"CA24C","description":"HIPPS-CA24C","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JBHB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-PA18B","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"PA18B","description":"HIPPS-PA18B","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Back Pain As Measured By The Visual Analog Scale (Vas) At One Year (9 To 15 Months) Postoperatively Was Less Than Or Equal To 3.0 Or Back Pain Measured By The Visual Analog Sc","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G2138","description":"Back Pain As Measured By The Visual Analog Scale (Vas) At One Year (9 To 15 Months) Postoperatively Was Less Than Or Equal To 3.0 Or Back Pain Measured By The Visual Analog Sc","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-BA116","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"BA116","description":"HIPPS-BA116","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Kafo femoral fx cast rigid","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"L2136","description":"Kafo femoral fx cast rigid","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CEVF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Spkt/v less than 1. 2 (single-pool clearance of urea [kt] / volume [v])_ reason not given","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G8717","description":"Spkt/v less than 1. 2 (single-pool clearance of urea [kt] / volume [v])_ reason not given","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"AEUD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-HD12A","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"HD12A","description":"HIPPS-HD12A","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MATD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NJLB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OESA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OFPA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KCDC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Release of foot tendon","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"28225","description":"Release of foot tendon","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-CB256","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"CB256","description":"HIPPS-CB256","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"LGOD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"DCOD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MCCE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Dolasetron mesylate oral","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"Q0180","description":"Dolasetron mesylate oral","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FAGF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HH PDGM","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"3FC31","description":"HH PDGM","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"CPT-00740","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"00740","description":"CPT-00740","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SARSCOV2 VAC 3 MCG TRS-SUCR","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"91308","description":"SARSCOV2 VAC 3 MCG TRS-SUCR","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Surgery to stop leg growth","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"27477","description":"Surgery to stop leg growth","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GEXD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RHB3D","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RHB3D","description":"HIPPS-RHB3D","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OGLD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Bicarbonate conc pow per pac","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"A4707","description":"Bicarbonate conc pow per pac","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-M0236","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"M0236","description":"HCPCS-M0236","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Cysto w/ureter stricture tx","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"52341","description":"Cysto w/ureter stricture tx","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RML21","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RML21","description":"HIPPS-RML21","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NKHC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"EHAB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Plasma protein fract_5%_50ml","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"P9043","description":"Plasma protein fract_5%_50ml","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OIRE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-PB24C","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"PB24C","description":"HIPPS-PB24C","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-LB230","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"LB230","description":"HIPPS-LB230","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Excise parotid gland/lesion","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"42420","description":"Excise parotid gland/lesion","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"EHHB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JEUA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-HB125","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"HB125","description":"HIPPS-HB125","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Rebound matrix_ per square centimeter","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"Q4296","description":"Rebound matrix_ per square centimeter","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"EHED1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Initial foot exam pt lops","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G0245","description":"Initial foot exam pt lops","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"IAUB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JDJE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Toe loop/holder_ each","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"E0952","description":"Toe loop/holder_ each","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-4CHMW","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"4CHMW","description":"HIPPS-4CHMW","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GGQC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OAYF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Injection_ inotuzumab ozogamicin_ 0.1 mg","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"J9229","description":"Injection_ inotuzumab ozogamicin_ 0.1 mg","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Remove shoulder blade lesion","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"23182","description":"Remove shoulder blade lesion","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Esw wound healing addl wound","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0300T","description":"Esw wound healing addl wound","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"HCWE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OKAB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OAGF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KIUA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-A1602","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"A1602","description":"HCPCS-A1602","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OJSE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-HE240","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"HE240","description":"HIPPS-HE240","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"DFWA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KBJC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"IFLE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GGAB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Removal of leg artery clot","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"34203","description":"Removal of leg artery clot","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OIMB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"EFAC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CBFD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NIXA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-J0643","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"J0643","description":"HCPCS-J0643","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Daclizumab_ parenteral","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"J7513","description":"Daclizumab_ parenteral","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Fusion of ureter & kidney","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"50740","description":"Fusion of ureter & kidney","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Assay of imipramine","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G6036","description":"Assay of imipramine","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Doc reas no us","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G8807","description":"Doc reas no us","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NHNA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MGTB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-LD230","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"LD230","description":"HIPPS-LD230","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Transport chair_ ped size","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"E1037","description":"Transport chair_ ped size","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NIID0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Itraconazole","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"80189","description":"Itraconazole","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OHSE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Diabetic management program_","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"S9141","description":"Diabetic management program_","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Podiatry Mips Specialty Set","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G4028","description":"Podiatry Mips Specialty Set","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JBTE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Whlchr special size/constrc","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"E1220","description":"Whlchr special size/constrc","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Assay galactose transferase","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"82775","description":"Assay galactose transferase","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MAEB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OKCD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Thoracoscopy w/pleurodesis","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"32650","description":"Thoracoscopy w/pleurodesis","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Dialysis circuit_ introduction of needle(s) and/or catheter(s)_ with diagnostic angiography of the dialysis circuit_ including all direct puncture(s) and catheter placement(s)","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"C7530","description":"Dialysis circuit_ introduction of needle(s) and/or catheter(s)_ with diagnostic angiography of the dialysis circuit_ including all direct puncture(s) and catheter placement(s)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CBTE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Sock fracture or equal each","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"L3995","description":"Sock fracture or equal each","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"AGCE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"ODSB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BILE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-CD114","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"CD114","description":"HIPPS-CD114","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OCPB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Thrombomodulin","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"85337","description":"Thrombomodulin","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CISB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OGOC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-CB205","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"CB205","description":"HIPPS-CB205","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RHX03","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RHX03","description":"HIPPS-RHX03","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"IAAC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"IFNL3 (interferon_ lambda 3) (eg_ drug response)_ gene analysis_ rs12979860 variant","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"81283","description":"IFNL3 (interferon_ lambda 3) (eg_ drug response)_ gene analysis_ rs12979860 variant","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CFUB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GEYD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Topical ox deliver sys_ nos","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"E0446","description":"Topical ox deliver sys_ nos","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CGHB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CAEB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JHHC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Patients not on any kidney or kidney-pancreas transplant waitlist as of the last day of each month during the measurement period","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"M1270","description":"Patients not on any kidney or kidney-pancreas transplant waitlist as of the last day of each month during the measurement period","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Combined anteroposterior colporrhaphy_ including cystourethroscopy_ when performed; with enterocele repair","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"57265","description":"Combined anteroposterior colporrhaphy_ including cystourethroscopy_ when performed; with enterocele repair","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"ICLF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CCHE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NHID1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Treatment of urethra lesion","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"53260","description":"Treatment of urethra lesion","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BFUD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MKCD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Streptokinase antibody","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"86590","description":"Streptokinase antibody","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CCJD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Patient did not respond to the question of patient felt this provider and team saw me as a person_ not just someone with a medical problem","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"M1241","description":"Patient did not respond to the question of patient felt this provider and team saw me as a person_ not just someone with a medical problem","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OKDC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Dental bitewing single film","billing_code_type":"CDT","billing_code_type_version":"2024","billing_code":"D0270","description":"Dental bitewing single film","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RHL10","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RHL10","description":"HIPPS-RHL10","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Chemotherapy infusion method","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"96425","description":"Chemotherapy infusion method","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Removal of anorectal lesion","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"45108","description":"Removal of anorectal lesion","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"IIDD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BEHC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Extracorp shock wv tx ms nos","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0019T","description":"Extracorp shock wv tx ms nos","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"EETC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-CE134","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"CE134","description":"HIPPS-CE134","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KIFC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-PB14A","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"PB14A","description":"HIPPS-PB14A","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FEXC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-J0618","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"J0618","description":"HCPCS-J0618","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Remove humerus lesion","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"23174","description":"Remove humerus lesion","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"IFBD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Pediatric febrile illness (Kawasaki disease [KD])_ interferon alpha-inducible protein 27 (IFI27) and mast cell-expressed membrane protein 1 (MCEMP1)_ RNA_ using reverse transc","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0389U","description":"Pediatric febrile illness (Kawasaki disease [KD])_ interferon alpha-inducible protein 27 (IFI27) and mast cell-expressed membrane protein 1 (MCEMP1)_ RNA_ using reverse transc","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FAFE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Refitting of obturator","billing_code_type":"CDT","billing_code_type_version":"2024","billing_code":"D5933","description":"Refitting of obturator","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Electronic Analysis With Simple Programming Of Implanted Integrated Neurostimulation System (Eg_ Electrode Array And Receiver)_ Including Contact Group(S)_ Amplitude_ Pulse Wi","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0589T","description":"Electronic Analysis With Simple Programming Of Implanted Integrated Neurostimulation System (Eg_ Electrode Array And Receiver)_ Including Contact Group(S)_ Amplitude_ Pulse Wi","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KITA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NJIF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RVC53","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RVC53","description":"HIPPS-RVC53","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"ODFF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-Q4341","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"Q4341","description":"HCPCS-Q4341","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CGEF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-BB28C","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"BB28C","description":"HIPPS-BB28C","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Cellular therapy","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"M0075","description":"Cellular therapy","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"CPT-15013","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"15013","description":"CPT-15013","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MHED0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NGGC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"HBRE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OHWC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-4AFKT","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"4AFKT","description":"HIPPS-4AFKT","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"PIRD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Advancing cancer care mips value pathways","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"M0001","description":"Advancing cancer care mips value pathways","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"LCQD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MGIE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-1AHL5","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"1AHL5","description":"HIPPS-1AHL5","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RHB53","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RHB53","description":"HIPPS-RHB53","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CFQF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Wrist arthroscopy","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"29840","description":"Wrist arthroscopy","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FAGE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"CPT-00836","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"00836","description":"CPT-00836","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-PD11A","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"PD11A","description":"HIPPS-PD11A","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JHKD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Assay of b hexosaminidase","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"83080","description":"Assay of b hexosaminidase","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Insrt pulse gen w/mult leads","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"33231","description":"Insrt pulse gen w/mult leads","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Abut support crown titanium","billing_code_type":"CDT","billing_code_type_version":"2024","billing_code":"D6094","description":"Abut support crown titanium","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Food thickener oral","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"B4100","description":"Food thickener oral","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NLIA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JCBA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Jaw motion rehab system","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"E1700","description":"Jaw motion rehab system","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GBDB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KICA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Periodontal scaling & root","billing_code_type":"CDT","billing_code_type_version":"2024","billing_code":"D4341","description":"Periodontal scaling & root","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GFQB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-PE11A","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"PE11A","description":"HIPPS-PE11A","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Revision of bladder & bowel","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"51960","description":"Revision of bladder & bowel","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HH PDGM","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"1HC11","description":"HH PDGM","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Mra w/cont_ lwr ext","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"C8912","description":"Mra w/cont_ lwr ext","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Vasc embolize/occlude artery","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"37242","description":"Vasc embolize/occlude artery","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-1AFP1","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"1AFP1","description":"HIPPS-1AFP1","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CAVF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Nutrition class","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"S9452","description":"Nutrition class","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Drainage of mouth lesion","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"41015","description":"Drainage of mouth lesion","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Factor viii","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"J7190","description":"Factor viii","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-CD13B","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"CD13B","description":"HIPPS-CD13B","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NGMB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Psychiatry (anxiety disorders)_ mRNA_ gene expression profiling by RNA sequencing of 15 biomarkers_ whole blood_ algorithm reported as predictive risk score","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0437U","description":"Psychiatry (anxiety disorders)_ mRNA_ gene expression profiling by RNA sequencing of 15 biomarkers_ whole blood_ algorithm reported as predictive risk score","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FDBD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"DIWF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JHUD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RHB33","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RHB33","description":"HIPPS-RHB33","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GDDC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NFPC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Card output measure subsq","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"93562","description":"Card output measure subsq","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Repair radius or ulna","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"25400","description":"Repair radius or ulna","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"CDT-D5878","billing_code_type":"CDT","billing_code_type_version":"2026","billing_code":"D5878","description":"CDT-D5878","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Laparoscope proc renal","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"50549","description":"Laparoscope proc renal","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"X-ray exam of facial bones","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"70140","description":"X-ray exam of facial bones","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Quality care for the treatment of ear_ nose_ and throat disorders mips value pathway","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"M1367","description":"Quality care for the treatment of ear_ nose_ and throat disorders mips value pathway","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Repair of metatarsals","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"28322","description":"Repair of metatarsals","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"H2o stat docd dehydrated","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"2031F","description":"H2o stat docd dehydrated","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Repair of nail bed","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"11760","description":"Repair of nail bed","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Respiratory pathogen_ multiplex reverse transcription and multiplex amplified probe technique_ multiple types or subtypes_ 14 targets (adenovirus_ coronavirus_ human metapneum","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0098U","description":"Respiratory pathogen_ multiplex reverse transcription and multiplex amplified probe technique_ multiple types or subtypes_ 14 targets (adenovirus_ coronavirus_ human metapneum","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GBUC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OCVC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FFKE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Total lung lavage","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"32997","description":"Total lung lavage","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CBRF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FIHA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Tourniquet for dialysis_ ea","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"A4929","description":"Tourniquet for dialysis_ ea","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"PKYF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MIME0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Colonoscopy_ flexible_ with initial transendoscopic mechanical dilation (eg_ nondrug-coated balloon) followed by therapeutic drug delivery by drug-coated balloon catheter for","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0885T","description":"Colonoscopy_ flexible_ with initial transendoscopic mechanical dilation (eg_ nondrug-coated balloon) followed by therapeutic drug delivery by drug-coated balloon catheter for","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GBAE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BFHE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Injection_ meloxicam_ 1 mg","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"J1738","description":"Injection_ meloxicam_ 1 mg","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Partial removal of fibula","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"27641","description":"Partial removal of fibula","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Explore orbit/remove lesion","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"61333","description":"Explore orbit/remove lesion","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Drain outer ear canal lesion","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"69020","description":"Drain outer ear canal lesion","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GFIC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NFTF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CFMC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Post op service lvrs min 6","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G0305","description":"Post op service lvrs min 6","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GIME0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Hkafo torsion ball bearing j","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"L2060","description":"Hkafo torsion ball bearing j","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RUC8H","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RUC8H","description":"HIPPS-RUC8H","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"ADBB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"IBCA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Epoprostenol dilutant","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"S0155","description":"Epoprostenol dilutant","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Esophagoscopy balloon <30mm","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"43220","description":"Esophagoscopy balloon <30mm","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Venography for congenital heart defect(s)_ including catheter placement_ and radiological supervision and interpretation; venovenous collaterals originating at or above the he","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"93587","description":"Venography for congenital heart defect(s)_ including catheter placement_ and radiological supervision and interpretation; venovenous collaterals originating at or above the he","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KELA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CEOC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CHQB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"EFAA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"DBOA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NBIB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-BA210","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"BA210","description":"HIPPS-BA210","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-ES25A","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"ES25A","description":"HIPPS-ES25A","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GHQF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RMA5A","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RMA5A","description":"HIPPS-RMA5A","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Plmt nephrostomy catheter","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"50432","description":"Plmt nephrostomy catheter","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OCAB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OIPB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JIKB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Rigid ped wc adjustable","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"E1235","description":"Rigid ped wc adjustable","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Incision of palm tendon","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"26450","description":"Incision of palm tendon","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Edetate disodium per 150 mg","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"J3520","description":"Edetate disodium per 150 mg","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GBSE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KIFB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HH PDGM","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"4DB11","description":"HH PDGM","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"IFEB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-CA25D","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"CA25D","description":"HIPPS-CA25D","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BGNE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Rehabilitation program 1/2 d","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"H2001","description":"Rehabilitation program 1/2 d","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Place catheter in artery","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"36013","description":"Place catheter in artery","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-CE125","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"CE125","description":"HIPPS-CE125","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CDXC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"ABMF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BBED0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-ES34A","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"ES34A","description":"HIPPS-ES34A","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-PA246","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"PA246","description":"HIPPS-PA246","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OHTA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"IEIE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Pulm funct tst plethysmograp","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"94726","description":"Pulm funct tst plethysmograp","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MGHA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RHL0C","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RHL0C","description":"HIPPS-RHL0C","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Nicotine patch legend","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"S4990","description":"Nicotine patch legend","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Mra_ w/o dye_ upper extr","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"C8935","description":"Mra_ w/o dye_ upper extr","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Radiation Therapy For Cervical Cancer Under The Radiation Oncology Model_ 90 Day Episode_ Technical Component","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"M1083","description":"Radiation Therapy For Cervical Cancer Under The Radiation Oncology Model_ 90 Day Episode_ Technical Component","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-M1442","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"M1442","description":"HCPCS-M1442","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CDAE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KHYE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"CPT-16370","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"16370","description":"CPT-16370","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KGPC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Crown resin w/ base metal","billing_code_type":"CDT","billing_code_type_version":"2024","billing_code":"D2721","description":"Crown resin w/ base metal","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Exploration of spinal fusion","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"22830","description":"Exploration of spinal fusion","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OGRF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"ODDE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CDYD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NCNC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OCNB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CGCE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-BA18F","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"BA18F","description":"HIPPS-BA18F","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GDDE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Oct breast surg cavity i&r","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0354T","description":"Oct breast surg cavity i&r","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-LC13B","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"LC13B","description":"HIPPS-LC13B","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CILB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"IGEA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Clinical decision support mechanism Health Help_ as defined by the Medicare appropriate use criteria program","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G1017","description":"Clinical decision support mechanism Health Help_ as defined by the Medicare appropriate use criteria program","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"External patient-activated_ physician- or other qualified health care professional-prescribed_ electrocardiographic rhythm derived event recorder without 24 hour attended moni","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0497T","description":"External patient-activated_ physician- or other qualified health care professional-prescribed_ electrocardiographic rhythm derived event recorder without 24 hour attended moni","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FDKE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-AAA21","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"AAA21","description":"HIPPS-AAA21","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NHUE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"X-ray exam of wrist","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"73100","description":"X-ray exam of wrist","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OJOF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Grad comp non-elastic bk","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"A6545","description":"Grad comp non-elastic bk","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OKTC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JADC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Fetal surg noc","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"S2409","description":"Fetal surg noc","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NJFC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-2AHM2","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"2AHM2","description":"HIPPS-2AHM2","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-1AGN4","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"1AGN4","description":"HIPPS-1AGN4","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NFPE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"IFCE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"HARF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Genital surgery procedure","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"58999","description":"Genital surgery procedure","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-PD150","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"PD150","description":"HIPPS-PD150","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"PBQB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Insert bladder cath complex","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"51703","description":"Insert bladder cath complex","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OGXC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"CPT-37299","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"37299","description":"CPT-37299","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OFSE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Immunodiffusion ouchterlony","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"86331","description":"Immunodiffusion ouchterlony","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NLAC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Porfimer sodium injection","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"J9600","description":"Porfimer sodium injection","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BFAB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"PAWE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Injection_ copanlisib_ 1 mg","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"C9030","description":"Injection_ copanlisib_ 1 mg","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-CC18F","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"CC18F","description":"HIPPS-CC18F","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GCAD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-1AGN3","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"1AGN3","description":"HIPPS-1AGN3","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JIDC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Assess hlth/behave subseq","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"96151","description":"Assess hlth/behave subseq","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GAYB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MDHF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"IICE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GCXD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Epidrm a-grft f/n/hf/g addl","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"15116","description":"Epidrm a-grft f/n/hf/g addl","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Open biopsy of lung pleura","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"32098","description":"Open biopsy of lung pleura","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BDMF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KBCC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"AITE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FECE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Cyp2c9 gene com variants","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"81227","description":"Cyp2c9 gene com variants","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"IATD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Bl donor search management","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"38204","description":"Bl donor search management","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Minimally invasive direct co","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"S2206","description":"Minimally invasive direct co","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OEEA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OFVF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OJJC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GGSC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MACE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OAQB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"IBID1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JGXC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JAIF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MALC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JAKC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"PCYF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KAFC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FDIA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KIHC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NLPB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-5CHK4","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"5CHK4","description":"HIPPS-5CHK4","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"CPT-0594U","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"0594U","description":"CPT-0594U","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CBUE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"AEBF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FDDF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Kerecis omega3 marigen shield_ per square centimeter","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"A2019","description":"Kerecis omega3 marigen shield_ per square centimeter","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MKUA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KGDC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KCGF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Laparoscopic Removal Of Diaphragmatic Lead(S)_ Permanent Implantable Synchronized Diaphragmatic Stimulation System For Augmentation Of Cardiac Function","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0679T","description":"Laparoscopic Removal Of Diaphragmatic Lead(S)_ Permanent Implantable Synchronized Diaphragmatic Stimulation System For Augmentation Of Cardiac Function","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KISA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KGDD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"IFIE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"EHUC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Removal of bladder cyst","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"51500","description":"Removal of bladder cyst","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KIID0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Hearing aid_ digit_ bin_ ite","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"V5260","description":"Hearing aid_ digit_ bin_ ite","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JIKF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RHL8E","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RHL8E","description":"HIPPS-RHL8E","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Ligation of neck artery","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"37600","description":"Ligation of neck artery","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Swallow current status","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G8996","description":"Swallow current status","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-PA225","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"PA225","description":"HIPPS-PA225","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KDJB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GIMF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BGHE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Apply rem fixation device","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"20660","description":"Apply rem fixation device","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JHCA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Create passage to kidney","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"52334","description":"Create passage to kidney","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Casting/strapping procedure","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"29799","description":"Casting/strapping procedure","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"EIIA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"CPT-1047T","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"1047T","description":"CPT-1047T","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-BA18C","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"BA18C","description":"HIPPS-BA18C","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"DHOC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Radiation treatment delivery","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"77412","description":"Radiation treatment delivery","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Cult skin grft f/n/hfg add","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"15156","description":"Cult skin grft f/n/hfg add","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"CPT-00532","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"00532","description":"CPT-00532","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Removal sweat gland lesion","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"11470","description":"Removal sweat gland lesion","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OELB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Oncology (colorectal cancer)_ qualitative real-time PCR of 35 variants of KRAS and NRAS genes (exons 2_ 3_ 4)_ formalin-fixed paraffin-embedded (FFPE)_ predictive_ identificat","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0471U","description":"Oncology (colorectal cancer)_ qualitative real-time PCR of 35 variants of KRAS and NRAS genes (exons 2_ 3_ 4)_ formalin-fixed paraffin-embedded (FFPE)_ predictive_ identificat","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Mobility goal status","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G8979","description":"Mobility goal status","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Nsg aide service up to 15min","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"T1004","description":"Nsg aide service up to 15min","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-G0560","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"G0560","description":"HCPCS-G0560","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Treat finger fracture each","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"26735","description":"Treat finger fracture each","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Injection_ cetirizine hydrochloride_ 1mg","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"C9057","description":"Injection_ cetirizine hydrochloride_ 1mg","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BGND1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RMB4C","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RMB4C","description":"HIPPS-RMB4C","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"EBTF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"The collection of physiologic data digitally stored and/or transmitted by the patient to the home health agency (i.e._ remote patient monitoring)","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G0322","description":"The collection of physiologic data digitally stored and/or transmitted by the patient to the home health agency (i.e._ remote patient monitoring)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Inj vocal cord bulking agent","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"L8607","description":"Inj vocal cord bulking agent","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"EHDE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BDNB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"PGYA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-C0205","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"C0205","description":"HCPCS-C0205","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Repair Of Fixed Retainer_ Includes Reattachment - Maxillary","billing_code_type":"CDT","billing_code_type_version":"2024","billing_code":"D8701","description":"Repair Of Fixed Retainer_ Includes Reattachment - Maxillary","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"CPT-0957T","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"0957T","description":"CPT-0957T","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BFXE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"AATF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NLEA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-B0305","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"B0305","description":"HCPCS-B0305","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"LHQE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Comp animat ret imag series","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0380T","description":"Comp animat ret imag series","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NHNE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-CB235","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"CB235","description":"HIPPS-CB235","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Radiation physics consult","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"77336","description":"Radiation physics consult","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Smear special stain","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"87207","description":"Smear special stain","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Injection_ argatroban","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"C9121","description":"Injection_ argatroban","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Repair tcat mitral valve","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"33418","description":"Repair tcat mitral valve","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KIJD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BBEB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FAHB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GCFE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RUC43","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RUC43","description":"HIPPS-RUC43","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NLTD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Pw actuator replacement","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"E2378","description":"Pw actuator replacement","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"HGWA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Infectious agent detection by nucleic acid (DNA or RNA)_ human papillomavirus (HPV) for five or more separately reported high-risk HPV types (eg_ 16_ 18_ 31_ 33_ 35_ 39_ 45_ 5","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0500T","description":"Infectious agent detection by nucleic acid (DNA or RNA)_ human papillomavirus (HPV) for five or more separately reported high-risk HPV types (eg_ 16_ 18_ 31_ 33_ 35_ 39_ 45_ 5","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Factor viia","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"J7189","description":"Factor viia","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NLNC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CHQA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Immunization administration by intramuscular injection of severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) (coronavirus disease [COVID-19]) vaccine_ single dose","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"90480","description":"Immunization administration by intramuscular injection of severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) (coronavirus disease [COVID-19]) vaccine_ single dose","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Dilat macular exam done","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"2021F","description":"Dilat macular exam done","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"PBWA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Becaplermin gel 1%_ 0.5 gm","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"S0157","description":"Becaplermin gel 1%_ 0.5 gm","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Open femoral artery exposure for delivery of endovascular prosthesis_ by groin incision_ unilateral (List separately in addition to code for primary procedure)","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"34812","description":"Open femoral artery exposure for delivery of endovascular prosthesis_ by groin incision_ unilateral (List separately in addition to code for primary procedure)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Path rprt w/ pt pn cat et al","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"3267F","description":"Path rprt w/ pt pn cat et al","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OGQA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JFXD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KISC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Relieve pressure on nerve(s)","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"64722","description":"Relieve pressure on nerve(s)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RVC0B","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RVC0B","description":"HIPPS-RVC0B","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Psych svcs provided","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"4060F","description":"Psych svcs provided","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BEIA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Shoulder prosthesis removal","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"23335","description":"Shoulder prosthesis removal","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Glycopyrrolate comp unit","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"J7643","description":"Glycopyrrolate comp unit","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Somatosensory testing","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"95925","description":"Somatosensory testing","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GCJF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HH PDGM","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"4AC21","description":"HH PDGM","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Tis trnfr e/n/e/l10.1-30sqcm","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"14061","description":"Tis trnfr e/n/e/l10.1-30sqcm","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Rebuild eardrum structures","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"69632","description":"Rebuild eardrum structures","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Remove vert xdrl body thrlmb","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"63302","description":"Remove vert xdrl body thrlmb","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NJUF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CGTC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-4AGM1","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"4AGM1","description":"HIPPS-4AGM1","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Blood typing antigen system","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"86911","description":"Blood typing antigen system","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Hydration iv infusion init","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"96360","description":"Hydration iv infusion init","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GFOB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Dyspnea mngmnt plan docd","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0535F","description":"Dyspnea mngmnt plan docd","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GCNC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Antinuclear antibodies (ana)","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"86039","description":"Antinuclear antibodies (ana)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Multiple-family group behavior management/modification training for parent(s)/guardian(s)/caregiver(s) of patients with a mental or physical health diagnosis_ administered by","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"96203","description":"Multiple-family group behavior management/modification training for parent(s)/guardian(s)/caregiver(s) of patients with a mental or physical health diagnosis_ administered by","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JFTE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MFMA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"LEOD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"LFQD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Solid organ neoplasm_ genomic sequence analysis panel_ cell-free nucleic acid (eg_ plasma)_ interrogation for sequence variants; DNA analysis or combined DNA and RNA analysis_","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"81462","description":"Solid organ neoplasm_ genomic sequence analysis panel_ cell-free nucleic acid (eg_ plasma)_ interrogation for sequence variants; DNA analysis or combined DNA and RNA analysis_","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Docrsn for catheter","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G9239","description":"Docrsn for catheter","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"PGSF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Muscle test 2 limbs","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"95861","description":"Muscle test 2 limbs","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Pos air press adhere no perf","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G8855","description":"Pos air press adhere no perf","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Remove ankle joint lining","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"27625","description":"Remove ankle joint lining","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BHUD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JHNB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-3BGLV","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"3BGLV","description":"HIPPS-3BGLV","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Budesonide comp con","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"J7634","description":"Budesonide comp con","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JFNE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MLLF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Rpr ing hernia baby blocked","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"49496","description":"Rpr ing hernia baby blocked","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"AEEC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-3CFNS","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"3CFNS","description":"HIPPS-3CFNS","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-PC116","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"PC116","description":"HIPPS-PC116","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"EBCC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CARA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Local anesthesia","billing_code_type":"CDT","billing_code_type_version":"2024","billing_code":"D9215","description":"Local anesthesia","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Temp anchorage dev w flap","billing_code_type":"CDT","billing_code_type_version":"2024","billing_code":"D7293","description":"Temp anchorage dev w flap","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CBOF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"EBCD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-4CHK4","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"4CHK4","description":"HIPPS-4CHK4","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Remove eyelid lesions","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"67805","description":"Remove eyelid lesions","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MAAB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Tc99m disofenin","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"A9510","description":"Tc99m disofenin","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NJAE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Reconstruction of nose","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"30420","description":"Reconstruction of nose","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Stent_ coated/cov w/del sys","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"C1874","description":"Stent_ coated/cov w/del sys","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OGXB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MLCC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MGDA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JGHB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"DGWE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RLA32","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RLA32","description":"HIPPS-RLA32","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"IDUB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-3BFMS","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"3BFMS","description":"HIPPS-3BFMS","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BFAA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"EFUF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Surgraft_ per square centimeter","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"Q4209","description":"Surgraft_ per square centimeter","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Patients who received cervical cytology or an HPV test","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G9806","description":"Patients who received cervical cytology or an HPV test","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Micro exam prep & report","billing_code_type":"CDT","billing_code_type_version":"2024","billing_code":"D0473","description":"Micro exam prep & report","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Collagen crosslinks","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"82523","description":"Collagen crosslinks","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-HB28X","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"HB28X","description":"HIPPS-HB28X","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HH PDGM","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"3CB31","description":"HH PDGM","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"X-ray upper gi delay w/kub","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"74241","description":"X-ray upper gi delay w/kub","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MELC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OLWB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FDJD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Plnning pt spec fenest graft","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"34839","description":"Plnning pt spec fenest graft","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KHFE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"EEEA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-2BFL5","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"2BFL5","description":"HIPPS-2BFL5","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FDMD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NFEA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OIMD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-1CGL5","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"1CGL5","description":"HIPPS-1CGL5","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Oncology (hematolymphoid neoplasm)_ genomic sequence analysis using multiplex (PCR) and next-generation sequencing with algorithm_ quantification of dominant clonal sequence(s","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0364U","description":"Oncology (hematolymphoid neoplasm)_ genomic sequence analysis using multiplex (PCR) and next-generation sequencing with algorithm_ quantification of dominant clonal sequence(s","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OGMA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Nuclear rx iv admin","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"79101","description":"Nuclear rx iv admin","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-PD210","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"PD210","description":"HIPPS-PD210","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"PIGF Preeclampsia Screen_ PerkinElmer Genetics","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0243U","description":"PIGF Preeclampsia Screen_ PerkinElmer Genetics","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JCFF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BIFD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GFVD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OJIB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Rx ace or arb therapy","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G8935","description":"Rx ace or arb therapy","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OHIC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FCNE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Methocarbamol injection","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"J2800","description":"Methocarbamol injection","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Excision addl breast lesion","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"19126","description":"Excision addl breast lesion","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Cytp fna eval ea addl","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"88177","description":"Cytp fna eval ea addl","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MGLF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Brachytx_ non-str_hdr ir-192","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"C1717","description":"Brachytx_ non-str_hdr ir-192","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"EADB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OJUD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GDMB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Tap block bi injection","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"64488","description":"Tap block bi injection","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BIFA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BEXE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OKNC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Remove aortic assist device","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"33968","description":"Remove aortic assist device","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KIYE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CEUA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Basic support routine suppls","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"A0382","description":"Basic support routine suppls","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Incise spine nrv >2 segmnts","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"63190","description":"Incise spine nrv >2 segmnts","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NHKE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Admit w/in 180d req remov","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G9410","description":"Admit w/in 180d req remov","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CGAB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Screening proctoscopy","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"S0601","description":"Screening proctoscopy","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"IGLA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Anesth intrcrn nerve","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"22051","description":"Anesth intrcrn nerve","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"HERC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Anesth heart surg <1 yr","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"56152","description":"Anesth heart surg <1 yr","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BFDD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FGHC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"ADIE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"CPT-1013T","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"1013T","description":"CPT-1013T","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Anterior thoracic vertebral body tethering_ including thoracoscopy_ when performed; 8 or more vertebral segments","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"22837","description":"Anterior thoracic vertebral body tethering_ including thoracoscopy_ when performed; 8 or more vertebral segments","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Patient did not receive adjuvant treatment course including both chemotherapy and her2-targeted therapy","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G2208","description":"Patient did not receive adjuvant treatment course including both chemotherapy and her2-targeted therapy","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OGDE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KBHB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"DEYF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HH PDGM","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"1LA31","description":"HH PDGM","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Nerve palsy microsurg graft","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"15842","description":"Nerve palsy microsurg graft","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"HGRB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"HGYB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Hepc measures grp","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G8545","description":"Hepc measures grp","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OJXA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-CB212","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"CB212","description":"HIPPS-CB212","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JFGA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Stereotactic radiation trmt","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"77432","description":"Stereotactic radiation trmt","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Ketorolac tromethamine inj","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"J1885","description":"Ketorolac tromethamine inj","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NCAD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JGAE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"PFWC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Electronic analysis of implanted neurostimulator pulse generator/transmitter (eg_ contact group[s]_ interleaving_ amplitude_ pulse width_ frequency [Hz]_ on/off cycling_ burst","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"95976","description":"Electronic analysis of implanted neurostimulator pulse generator/transmitter (eg_ contact group[s]_ interleaving_ amplitude_ pulse width_ frequency [Hz]_ on/off cycling_ burst","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MCEE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CFQC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CHNC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"HEWC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OLXB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CFDF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Injection_ copanlisib_ 1 mg","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"J9057","description":"Injection_ copanlisib_ 1 mg","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CEKD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KIHB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"CPT-01969","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"01969","description":"CPT-01969","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KHOA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Revise ulnar nerve at wrist","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"64719","description":"Revise ulnar nerve at wrist","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RLA3C","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RLA3C","description":"HIPPS-RLA3C","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KBMA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GHBF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KBAA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Onc dx brst metastic/ recur","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G9075","description":"Onc dx brst metastic/ recur","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Auric/peri pain assessed","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"1116F","description":"Auric/peri pain assessed","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"IAAD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GBOD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KCTD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Art byp axillary-pop-tibial","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"35623","description":"Art byp axillary-pop-tibial","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Cytopath c/v auto in fluid","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"88174","description":"Cytopath c/v auto in fluid","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"So hard plas stabili pre ots","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"L3678","description":"So hard plas stabili pre ots","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Realignment of lower leg","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"27712","description":"Realignment of lower leg","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GHEB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"CPT-62330","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"62330","description":"CPT-62330","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-Q4402","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"Q4402","description":"HCPCS-Q4402","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BADA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-J2313","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"J2313","description":"HCPCS-J2313","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MIUF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Remove hip pressure sore","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"15945","description":"Remove hip pressure sore","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NAMA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MGTC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-HD28I","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"HD28I","description":"HIPPS-HD28I","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"CPT-00174","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"00174","description":"CPT-00174","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"ODHB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Ciltacabtagene autoleucel_ up to 100 million autologous B-cell maturation antigen (BCMA) directed CAR-positive T cells_ including leukapheresis and dose preparation procedures","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"C9098","description":"Ciltacabtagene autoleucel_ up to 100 million autologous B-cell maturation antigen (BCMA) directed CAR-positive T cells_ including leukapheresis and dose preparation procedures","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"AATE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Rechanneling of artery","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"35341","description":"Rechanneling of artery","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Excise excess skin arm/hand","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"15837","description":"Excise excess skin arm/hand","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BBEE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Esoph optical endomicroscopy","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"43206","description":"Esoph optical endomicroscopy","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Repair blood vessel lesion","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"35281","description":"Repair blood vessel lesion","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Percutaneous arteriovenous fistula creation (AVF)_ direct_ any site_ by tissue approximation using thermal resistance e","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G2170","description":"Percutaneous arteriovenous fistula creation (AVF)_ direct_ any site_ by tissue approximation using thermal resistance e","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CHTC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"X-ray exam of wrist","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"73110","description":"X-ray exam of wrist","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BEHD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OFFE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FFBD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-BA225","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"BA225","description":"HIPPS-BA225","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-3BHLX","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"3BHLX","description":"HIPPS-3BHLX","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Laparo cholecystoenterostomy","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"47570","description":"Laparo cholecystoenterostomy","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NDTD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MBIC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OBYD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CDGD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CETC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GGMD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RVX16","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RVX16","description":"HIPPS-RVX16","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"ADLA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KALC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Evaluation of speech fluency","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"92521","description":"Evaluation of speech fluency","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KACF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"AGME0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FDHE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Anesth repair of hernia","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"75051","description":"Anesth repair of hernia","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GBXF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Intmd rpr n-hf/genit20.1-30","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"12046","description":"Intmd rpr n-hf/genit20.1-30","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CGMD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"O shoe convert to sof counte","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"L3590","description":"O shoe convert to sof counte","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OAOC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CHVB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Removal of metatarsal","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"28140","description":"Removal of metatarsal","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KCBF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JCMC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"EIUC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CFJA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JCAD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Neonate crit care subsq","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"99469","description":"Neonate crit care subsq","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-3BHK6","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"3BHK6","description":"HIPPS-3BHK6","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-Q4349","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"Q4349","description":"HCPCS-Q4349","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Spec coll non-blood:a/d test","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"H0048","description":"Spec coll non-blood:a/d test","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Injection_ Cyclophosphamide_ (Auromedics)_ 10 Mg","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"C9087","description":"Injection_ Cyclophosphamide_ (Auromedics)_ 10 Mg","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Medical home level ii","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G9149","description":"Medical home level ii","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KEBD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Patients with an active diagnosis or history of cancer (except basal cell and squamous cell skin carcinoma)_ patients who are h","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"M1018","description":"Patients with an active diagnosis or history of cancer (except basal cell and squamous cell skin carcinoma)_ patients who are h","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OBKD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"teledentistry - asynchronous; information stored and forwarded to dentist for subse","billing_code_type":"CDT","billing_code_type_version":"2024","billing_code":"D9996","description":"teledentistry - asynchronous; information stored and forwarded to dentist for subse","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Removal of ureter stone","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"50620","description":"Removal of ureter stone","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OKQC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JCCA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-2AGLS","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"2AGLS","description":"HIPPS-2AGLS","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-3BGMT","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"3BGMT","description":"HIPPS-3BGMT","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NKIA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Injection_ triamcinolone acetonide_ preservative-free_ extended-release_ microsphere formulation_ 1 mg","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"J3304","description":"Injection_ triamcinolone acetonide_ preservative-free_ extended-release_ microsphere formulation_ 1 mg","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CEDC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"2 pc drainable ost pouch","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"A4413","description":"2 pc drainable ost pouch","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Radiopharmaceutical Localization Of Tumor_ Inflammatory Process Or Distribution Of Radiopharmaceutical Agent(S) (Includes Vascular Flow And Blood Pool Imaging_ When Performed)","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"78830","description":"Radiopharmaceutical Localization Of Tumor_ Inflammatory Process Or Distribution Of Radiopharmaceutical Agent(S) (Includes Vascular Flow And Blood Pool Imaging_ When Performed)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Cardiac Output Measurement(S)_ Thermodilution Or Other Indicator Dilution Method_ Performed During Cardiac Catheterization For The Evaluation Of Congenital Heart Defects (List","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"93598","description":"Cardiac Output Measurement(S)_ Thermodilution Or Other Indicator Dilution Method_ Performed During Cardiac Catheterization For The Evaluation Of Congenital Heart Defects (List","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OLHE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"DAYC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OEJD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Composite skin graft","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"15760","description":"Composite skin graft","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NKMF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Repair of eye wound","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"65285","description":"Repair of eye wound","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NKJC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GHPB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FGBF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GABC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MAMD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"DCRA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Injection_ esmolol hydrochloride_ 10 mg","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"J1805","description":"Injection_ esmolol hydrochloride_ 10 mg","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NIID1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Cltx thigh fx","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"27267","description":"Cltx thigh fx","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Insertion of infusion pump","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"36260","description":"Insertion of infusion pump","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MGEB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RUC21","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RUC21","description":"HIPPS-RUC21","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Brachytx_ non-stranded_ nos","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"C2699","description":"Brachytx_ non-stranded_ nos","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-1AHL3","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"1AHL3","description":"HIPPS-1AHL3","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"IFAD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CGQA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-1BHK3","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"1BHK3","description":"HIPPS-1BHK3","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JHDF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"PLOB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NCED1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FCHE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-2BFMS","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"2BFMS","description":"HIPPS-2BFMS","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-CE136","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"CE136","description":"HIPPS-CE136","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Treat tail bone fracture","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"27200","description":"Treat tail bone fracture","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BDMD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-4AFK6","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"4AFK6","description":"HIPPS-4AFK6","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-5BGK6","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"5BGK6","description":"HIPPS-5BGK6","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Art byp grft subclav-axilary","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"35516","description":"Art byp grft subclav-axilary","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HH PDGM","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"3JA21","description":"HH PDGM","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Pwc gp3 std sing pow opt s/b","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"K0856","description":"Pwc gp3 std sing pow opt s/b","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KBJB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-3CHKU","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"3CHKU","description":"HIPPS-3CHKU","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Gene test niemann-pick","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"S3849","description":"Gene test niemann-pick","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GCDE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Screening tests dm done","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"3754F","description":"Screening tests dm done","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"ADDD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-LE14C","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"LE14C","description":"HIPPS-LE14C","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Us leiomyomata ablate >200","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0072T","description":"Us leiomyomata ablate >200","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NAUC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Msh2 gene known variants","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"81296","description":"Msh2 gene known variants","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Who w/o joints cf","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"L3906","description":"Who w/o joints cf","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-HE11A","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"HE11A","description":"HIPPS-HE11A","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GIHA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BCJF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OIAA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"ECAB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NCEC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NGGB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GDXB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OGXD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Creatine mb fraction","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"82553","description":"Creatine mb fraction","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-PC13C","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"PC13C","description":"HIPPS-PC13C","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Incise skull for brain wound","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"61571","description":"Incise skull for brain wound","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Clot inhibit prot s free","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"85306","description":"Clot inhibit prot s free","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"HDQA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RLX23","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RLX23","description":"HIPPS-RLX23","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KEAF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Repair/graft eye lesion","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"66225","description":"Repair/graft eye lesion","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JCDE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Apply multlay comprs lwr leg","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"29581","description":"Apply multlay comprs lwr leg","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BFGA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Colchicine injection","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"J0760","description":"Colchicine injection","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Revise hernia & sperm veins","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"55540","description":"Revise hernia & sperm veins","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Lung transplant single","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"32851","description":"Lung transplant single","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OAFE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BFGC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GFBB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FGUC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"IETE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NHFF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GISD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BFUA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CHCE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Manual adult wc w tiltinspac","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"E1161","description":"Manual adult wc w tiltinspac","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"ODIB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Noc retail items andsupplies","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"T1999","description":"Noc retail items andsupplies","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Vein x-ray liver","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"75891","description":"Vein x-ray liver","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Surgical mask","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"A4928","description":"Surgical mask","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Patient treatment and final evaluation complete","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"M1015","description":"Patient treatment and final evaluation complete","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Assay alkaline phosphatases","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"84080","description":"Assay alkaline phosphatases","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"DIRE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KHSA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Leflunomide","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"80193","description":"Leflunomide","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MBED1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JGGF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Ini phq9 >9 no remiss >=5","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G9395","description":"Ini phq9 >9 no remiss >=5","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Approp ace/arb tstng done","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"4188F","description":"Approp ace/arb tstng done","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Breast prosthesis nos","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"L8039","description":"Breast prosthesis nos","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Chromosome study additional","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"88289","description":"Chromosome study additional","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CAYA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Control throat bleeding","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"42961","description":"Control throat bleeding","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NIBD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Methyl aminolevulinate_ top","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"J7309","description":"Methyl aminolevulinate_ top","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FFAB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Cytotoxic antibody screening","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"86807","description":"Cytotoxic antibody screening","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Breath tst attain/anal c-14","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"78267","description":"Breath tst attain/anal c-14","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Laser surgery eye strands","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"67031","description":"Laser surgery eye strands","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Sp bone algrft struct add-on","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"20931","description":"Sp bone algrft struct add-on","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RLB8E","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RLB8E","description":"HIPPS-RLB8E","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Extrnl beam other than prost","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"4201F","description":"Extrnl beam other than prost","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"PHRC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NFMA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Place ndl musc/tis for rt","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"20555","description":"Place ndl musc/tis for rt","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Harvest vein for bypass","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"35500","description":"Harvest vein for bypass","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BEKA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Injection_ fluphenazine hcl_ 1.25 mg","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"J2679","description":"Injection_ fluphenazine hcl_ 1.25 mg","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Orthoptic/pleoptic training","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"92065","description":"Orthoptic/pleoptic training","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-J0138","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"J0138","description":"HCPCS-J0138","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-ES317","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"ES317","description":"HIPPS-ES317","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-LE134","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"LE134","description":"HIPPS-LE134","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Injection for cholangiogram","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"47531","description":"Injection for cholangiogram","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BATF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Patients 66 Years Of Age Or Older And Had At Least One Claim/Encounter For Frailty During The Measurement Period And A Dispensed Dementia Medication","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G2127","description":"Patients 66 Years Of Age Or Older And Had At Least One Claim/Encounter For Frailty During The Measurement Period And A Dispensed Dementia Medication","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RLX54","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RLX54","description":"HIPPS-RLX54","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-LB15B","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"LB15B","description":"HIPPS-LB15B","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"HCSF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"U1nonsealed leadacid battery","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"E2364","description":"U1nonsealed leadacid battery","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"PJOA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"No hist cd4+ cell count <350","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"3493F","description":"No hist cd4+ cell count <350","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-HC260","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"HC260","description":"HIPPS-HC260","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Prescrl fuse w/ instr l5-s1","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"22586","description":"Prescrl fuse w/ instr l5-s1","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OGSB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"AACD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RMB8C","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RMB8C","description":"HIPPS-RMB8C","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MCLF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FFHA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"EEEB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CHEC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Platelet antibodies","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"86022","description":"Platelet antibodies","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MFUD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RVX06","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RVX06","description":"HIPPS-RVX06","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KAWB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OHCD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RVB26","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RVB26","description":"HIPPS-RVB26","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Posaconazole","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"80187","description":"Posaconazole","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"PBYF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Brachytherapy needle","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"C1715","description":"Brachytherapy needle","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BBAB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KGGD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OFCD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FGND0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Dialyzer_ each","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"A4690","description":"Dialyzer_ each","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Heart muscle imaging (pet)","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"78459","description":"Heart muscle imaging (pet)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Amputation of lower leg","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"27880","description":"Amputation of lower leg","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-CC18D","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"CC18D","description":"HIPPS-CC18D","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Excision of tongue lesion","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"41113","description":"Excision of tongue lesion","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Tlso flex trnk sj-ss pre cst","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"L0456","description":"Tlso flex trnk sj-ss pre cst","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KBLC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"NEURO INH ATAXIA DNA 12 COM","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0216U","description":"NEURO INH ATAXIA DNA 12 COM","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Hemodialysis machine","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"E1590","description":"Hemodialysis machine","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Patients who use hospice services any time during the measurement period","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G9809","description":"Patients who use hospice services any time during the measurement period","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-1BHNV","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"1BHNV","description":"HIPPS-1BHNV","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CCAF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BGBC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MAUB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-PD28B","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"PD28B","description":"HIPPS-PD28B","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GAEF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CDSA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"HHRA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"ODLB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NFCF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KGRA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OELF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Caloric vestibular test_ each irrigation (binaural_ bithermalstimulation constitutes four tests)_ with recording","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"92543","description":"Caloric vestibular test_ each irrigation (binaural_ bithermalstimulation constitutes four tests)_ with recording","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OILC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MEMB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"IBAE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-J0609","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"J0609","description":"HCPCS-J0609","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HH PDGM","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"3GB31","description":"HH PDGM","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"IGCF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"One-way allow prorated trip","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"P9604","description":"One-way allow prorated trip","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FBIF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Oxytocin injection","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"J2590","description":"Oxytocin injection","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-HE28E","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"HE28E","description":"HIPPS-HE28E","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Contour back for ped size wc","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"E2293","description":"Contour back for ped size wc","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Ra meas qual act perform","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G8499","description":"Ra meas qual act perform","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Self-help/peer svc per 15min","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"H0038","description":"Self-help/peer svc per 15min","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Bupren/nal over 10mg bupreno","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"J0575","description":"Bupren/nal over 10mg bupreno","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Injection_ immune globulin (Cutaquig)_ 100 mg","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"J1551","description":"Injection_ immune globulin (Cutaquig)_ 100 mg","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NGDD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RVL23","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RVL23","description":"HIPPS-RVL23","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RVB52","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RVB52","description":"HIPPS-RVB52","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KHOD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OLIF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GAKF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CERF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"PFQD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"DESC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CIBB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Bone marrow imaging mult","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"78103","description":"Bone marrow imaging mult","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Cnslng chldbrng women epi","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"4340F","description":"Cnslng chldbrng women epi","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BCCB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KIMB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MKLF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"PROTON THERAPY","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"77524","description":"PROTON THERAPY","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"EEHC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MHMA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-CC131","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"CC131","description":"HIPPS-CC131","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Respite not-in-home per diem","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"H0045","description":"Respite not-in-home per diem","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OIDC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FCAC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Ongoing Care Not Indicated_ Patient Seen Only 1-2 Visits (E.G._ Home Program Only_ Referred To Another Provider Or Facility_ Consultation Only)","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"M1113","description":"Ongoing Care Not Indicated_ Patient Seen Only 1-2 Visits (E.G._ Home Program Only_ Referred To Another Provider Or Facility_ Consultation Only)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OKQF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JGXE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Laparoscopy vagus nerve","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"43652","description":"Laparoscopy vagus nerve","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"EFIF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Cystoscopy prostatic imp 1-3","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"C9739","description":"Cystoscopy prostatic imp 1-3","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-C0503","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"C0503","description":"HCPCS-C0503","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KGMF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GFQF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-1CFLX","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"1CFLX","description":"HIPPS-1CFLX","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-M1400","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"M1400","description":"HCPCS-M1400","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-4AHMU","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"4AHMU","description":"HIPPS-4AHMU","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Tmj arthroscopy discectomy","billing_code_type":"CDT","billing_code_type_version":"2024","billing_code":"D7876","description":"Tmj arthroscopy discectomy","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-M1428","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"M1428","description":"HCPCS-M1428","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Closure of nephrovisceral fistula (eg_ renocolic)_ including visceral repair; thoracic approach","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"50526","description":"Closure of nephrovisceral fistula (eg_ renocolic)_ including visceral repair; thoracic approach","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Position seat spec orth need","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"T5001","description":"Position seat spec orth need","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RMX8G","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RMX8G","description":"HIPPS-RMX8G","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Anogenital exam child w imag","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"99170","description":"Anogenital exam child w imag","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NELB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Group therapeutic procedures","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"97150","description":"Group therapeutic procedures","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Aqueous shunt prosthesis","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"L8612","description":"Aqueous shunt prosthesis","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NIFE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Patient had anaphylaxis due to the tetanus_ diphtheria or pertussis vaccine any time on or before the patient_s 13th birthday","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"M1161","description":"Patient had anaphylaxis due to the tetanus_ diphtheria or pertussis vaccine any time on or before the patient_s 13th birthday","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FIHA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Patients with a history of heart transplant or with a left ventricular assist device (lvad)","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"M1152","description":"Patients with a history of heart transplant or with a left ventricular assist device (lvad)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"ACCE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"EHIE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OHQD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Drainable plastic pch w fcpl","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"A4375","description":"Drainable plastic pch w fcpl","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"EICE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CEJE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FDGE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"EHCA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"IGAD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-LE22B","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"LE22B","description":"HIPPS-LE22B","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-L6039","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"L6039","description":"HCPCS-L6039","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Fixed bilat space maintainer","billing_code_type":"CDT","billing_code_type_version":"2024","billing_code":"D1515","description":"Fixed bilat space maintainer","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KDRB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"No rsk fac or 1 mod risk te","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G8970","description":"No rsk fac or 1 mod risk te","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NGCF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MGMA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Closed tx nose fx w/ stablj","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"21320","description":"Closed tx nose fx w/ stablj","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MKBE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JBMF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GHSD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Brain imaging (pet)","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"78609","description":"Brain imaging (pet)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FEPF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"ACUD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"DFRE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Hemi-wheelchair fixed arms","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"E1085","description":"Hemi-wheelchair fixed arms","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-PB120","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"PB120","description":"HIPPS-PB120","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Solid skin barrier 6x6","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"A5121","description":"Solid skin barrier 6x6","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"AIDF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RUC1B","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RUC1B","description":"HIPPS-RUC1B","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"EGDA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"CPT-0958T","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"0958T","description":"CPT-0958T","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Mccd_ initial rate","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G9001","description":"Mccd_ initial rate","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Dilation of anal sphincter","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"45905","description":"Dilation of anal sphincter","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Resect neck tumor 5 cm/>","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"21558","description":"Resect neck tumor 5 cm/>","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JHTD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FFBE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Unlisted ambulance service","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"A0999","description":"Unlisted ambulance service","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KABF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RVL5D","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RVL5D","description":"HIPPS-RVL5D","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Rapid desensitization","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"95180","description":"Rapid desensitization","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Documentation patient unable to communicate and informant not available","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G2183","description":"Documentation patient unable to communicate and informant not available","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Partial removal of colon","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"44144","description":"Partial removal of colon","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KAQF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BGKF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Incision of finger tendon","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"26455","description":"Incision of finger tendon","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CHIB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OBSA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Body fluid cell count","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"89050","description":"Body fluid cell count","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Inject for sacroiliac joint","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G0259","description":"Inject for sacroiliac joint","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Photo patch test","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"95052","description":"Photo patch test","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Injection_ tocilizumab-bavi (tofidence)_ biosimilar_ 1 mg","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"Q5133","description":"Injection_ tocilizumab-bavi (tofidence)_ biosimilar_ 1 mg","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"IIME0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Prev visit est age 1-4","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"99392","description":"Prev visit est age 1-4","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Home visit est patient","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"99348","description":"Home visit est patient","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GFCB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OJTA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RMC4A","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RMC4A","description":"HIPPS-RMC4A","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Remove wrist joint cartilage","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"25107","description":"Remove wrist joint cartilage","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HH PDGM","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"2FB21","description":"HH PDGM","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KFVC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NBFF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Insert bladder catheter","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"51701","description":"Insert bladder catheter","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"IADA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OLGC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OEIF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BGBD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"CPT-87812","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"87812","description":"CPT-87812","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NGFD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OCAB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-HD18C","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"HD18C","description":"HIPPS-HD18C","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"CPT-00632","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"00632","description":"CPT-00632","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MKDD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GIBE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-LE136","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"LE136","description":"HIPPS-LE136","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Pt no dchg home postop day 7","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G9602","description":"Pt no dchg home postop day 7","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KEOA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NHHF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GASB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BAGC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NCUE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RVA51","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RVA51","description":"HIPPS-RVA51","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Implant supported retainer","billing_code_type":"CDT","billing_code_type_version":"2024","billing_code":"D6075","description":"Implant supported retainer","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FBNB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FECD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"AHIF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-ES251","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"ES251","description":"HIPPS-ES251","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CIWE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KCYC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NJPF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JEHF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NDLF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NFIF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Hla x-match noncytotoxc addl","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"86826","description":"Hla x-match noncytotoxc addl","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"DARB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BCCA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Adjustable chair for esrd pt","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"E1570","description":"Adjustable chair for esrd pt","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"HARC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NHEA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KDBC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OHJB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Splice spleen/kidney veins","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"37181","description":"Splice spleen/kidney veins","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Patient screened for tobacco use and identified as a tobacco user","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"M1283","description":"Patient screened for tobacco use and identified as a tobacco user","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GEDF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OFVE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"ACDF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Receiving esrd mcp dialysis services by the provider on the last day of the reporting month","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"M1269","description":"Receiving esrd mcp dialysis services by the provider on the last day of the reporting month","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Sub pt/ot goal status","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G8994","description":"Sub pt/ot goal status","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"ACTE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-4AFKS","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"4AFKS","description":"HIPPS-4AFKS","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MDIB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Catheter placement in coronary artery(s) for coronary angiography_ including intraprocedural injection(s) for coronary angiography_ with iliac and/or femoral artery angiograph","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"C7517","description":"Catheter placement in coronary artery(s) for coronary angiography_ including intraprocedural injection(s) for coronary angiography_ with iliac and/or femoral artery angiograph","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KHFF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Lifestyle mod 4th stage","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"S0342","description":"Lifestyle mod 4th stage","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BBMC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Bk/ak locking mechanism","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"L5671","description":"Bk/ak locking mechanism","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JDED0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Intracranial vessel surgery","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"61690","description":"Intracranial vessel surgery","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GHMC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"EDLD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Closure ureter/bowel fistula","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"50930","description":"Closure ureter/bowel fistula","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FCCB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CBNF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Removal of upper jaw","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"31230","description":"Removal of upper jaw","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Recording of fetal magnetic cardiac signal using at least 3 channels; signal extraction_ technical analysis_ and result","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0477T","description":"Recording of fetal magnetic cardiac signal using at least 3 channels; signal extraction_ technical analysis_ and result","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Diagnostic endoscopic retrograde cholangiopancreatography (ercp)_ including collection of specimen(s) by brushing or washing_ when performed_ with endoscopic cannulation of pa","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"C7541","description":"Diagnostic endoscopic retrograde cholangiopancreatography (ercp)_ including collection of specimen(s) by brushing or washing_ when performed_ with endoscopic cannulation of pa","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Drainage of scrotum","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"54700","description":"Drainage of scrotum","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RUX52","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RUX52","description":"HIPPS-RUX52","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HH PDGM","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"2GC31","description":"HH PDGM","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-CD136","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"CD136","description":"HIPPS-CD136","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"CPT-0541U","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"0541U","description":"CPT-0541U","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Cath w/o bag 2-way silicone","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"A4312","description":"Cath w/o bag 2-way silicone","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CFSD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Walker w trunk support","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"E0140","description":"Walker w trunk support","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CEEA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Mccd_ home monitoring","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G9006","description":"Mccd_ home monitoring","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"EGLB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-A4545","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"A4545","description":"HCPCS-A4545","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"EIMA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-2AHK5","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"2AHK5","description":"HIPPS-2AHK5","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OIMB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KDRD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-HD260","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"HD260","description":"HIPPS-HD260","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NJTB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Incise & treat bladder","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"51030","description":"Incise & treat bladder","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BCMB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NKXE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KBFB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Intraop oct breast cavity","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0353T","description":"Intraop oct breast cavity","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-CA212","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"CA212","description":"HIPPS-CA212","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-HC250","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"HC250","description":"HIPPS-HC250","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CGAD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OJFE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Med txmnt options rvwd w/pt","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"4325F","description":"Med txmnt options rvwd w/pt","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"X-ray exam of ankle","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"73610","description":"X-ray exam of ankle","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CIVC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Decompress fingers/hand","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"26035","description":"Decompress fingers/hand","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Pelvic control band & belt b","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"L2640","description":"Pelvic control band & belt b","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-M1415","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"M1415","description":"HCPCS-M1415","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OEND0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Breath recording infant","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"94772","description":"Breath recording infant","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"PFWB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Comprehensive Care Management For A Single High-Risk Disease Services_ E.G. Principal Care Management_ At Least 30 Minutes Of Clinical Staff Time Directed By A Physician Or Ot","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G2065","description":"Comprehensive Care Management For A Single High-Risk Disease Services_ E.G. Principal Care Management_ At Least 30 Minutes Of Clinical Staff Time Directed By A Physician Or Ot","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Treat knuckle dislocation","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"26705","description":"Treat knuckle dislocation","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"CPT-00802","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"00802","description":"CPT-00802","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"PCSA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Repair lower leg epiphyses","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"27734","description":"Repair lower leg epiphyses","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-HB25D","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"HB25D","description":"HIPPS-HB25D","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OFHA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Diazoxide injection","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"J1730","description":"Diazoxide injection","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MCME0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NIGA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Perq dev breast 1st mr guide","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"19287","description":"Perq dev breast 1st mr guide","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FCFE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"IFCF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NIDB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Oncology (non-small cell lung cancer)_ cell-free DNA from plasma_ targeted sequence analysis of at least 109 genes_ including sequence variants_ substitutions_ insertions_ del","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0397U","description":"Oncology (non-small cell lung cancer)_ cell-free DNA from plasma_ targeted sequence analysis of at least 109 genes_ including sequence variants_ substitutions_ insertions_ del","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-3CHPV","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"3CHPV","description":"HIPPS-3CHPV","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NLDC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"ICID1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"remove broken implant retaining screw","billing_code_type":"CDT","billing_code_type_version":"2024","billing_code":"D6096","description":"remove broken implant retaining screw","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"HDRF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Extensive jaw surgery","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"21045","description":"Extensive jaw surgery","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"HGSE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GCBC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NHIA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Thyroidectomy_ total or complete with parathyroid autotransplantation","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"C7555","description":"Thyroidectomy_ total or complete with parathyroid autotransplantation","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"LCRD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Infratemporal approach/skull","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"61590","description":"Infratemporal approach/skull","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Rural health clinic or federally qualified health center (RHC or FQHC) only_ general care management_ 20 minutes or more of clinical staff time for chronic care management ser","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G0511","description":"Rural health clinic or federally qualified health center (RHC or FQHC) only_ general care management_ 20 minutes or more of clinical staff time for chronic care management ser","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CGXC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"LBQC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"PKWE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-4BFKS","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"4BFKS","description":"HIPPS-4BFKS","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-J0601","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"J0601","description":"HCPCS-J0601","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KBPF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Reduct compnd facial bone fx","billing_code_type":"CDT","billing_code_type_version":"2024","billing_code":"D7780","description":"Reduct compnd facial bone fx","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"IBMB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-HC13B","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"HC13B","description":"HIPPS-HC13B","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NHAF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JGTC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Cervical semi-rigid adjustab","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"L0140","description":"Cervical semi-rigid adjustab","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Antigen therapy services","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"95149","description":"Antigen therapy services","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-J3403","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"J3403","description":"HCPCS-J3403","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Repair of knee ligaments","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"27409","description":"Repair of knee ligaments","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"HCOF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Injection_ daxibotulinumtoxina-lanm_ 1 unit","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"C9160","description":"Injection_ daxibotulinumtoxina-lanm_ 1 unit","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OCAF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"AHDA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"ICHD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BFBF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Injection_ ferric derisomaltose_ 10 mg","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"J1437","description":"Injection_ ferric derisomaltose_ 10 mg","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KFLF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NKAE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"CPT-1087T","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"1087T","description":"CPT-1087T","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-1CFP6","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"1CFP6","description":"HIPPS-1CFP6","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Bifoc prscp lens","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"S0506","description":"Bifoc prscp lens","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Dilated macular exam was not performed_ reason not otherwise specified","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G9977","description":"Dilated macular exam was not performed_ reason not otherwise specified","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Rabies ig heat treated","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"90376","description":"Rabies ig heat treated","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KCOB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MKMD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GBSB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Perq plmt bile duct stent","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"47539","description":"Perq plmt bile duct stent","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-HE24B","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"HE24B","description":"HIPPS-HE24B","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NHPD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Cast sup sht arm ped plaster","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"Q4011","description":"Cast sup sht arm ped plaster","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"EAIA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Hdr rdncl skn surf brachytx","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"77767","description":"Hdr rdncl skn surf brachytx","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Revision of horseshoe kidney","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"50540","description":"Revision of horseshoe kidney","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-ES30D","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"ES30D","description":"HIPPS-ES30D","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FIGD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FIPE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Removal of brain lesion","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"61518","description":"Removal of brain lesion","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JFJD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-LE24D","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"LE24D","description":"HIPPS-LE24D","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GDCE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Ost pch drain 2 piece system","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"A4426","description":"Ost pch drain 2 piece system","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-CE145","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"CE145","description":"HIPPS-CE145","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"PCYE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GEME0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NKKF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-3AFK6","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"3AFK6","description":"HIPPS-3AFK6","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OCXB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JHFC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JBLC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RVB3C","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RVB3C","description":"HIPPS-RVB3C","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Percutaneous pulmonary artery revascularization by stent placement_ initial; abnormal connections_ bilateral","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"33903","description":"Percutaneous pulmonary artery revascularization by stent placement_ initial; abnormal connections_ bilateral","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GHHF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Neuropsychiatry (eg_ depression_ anxiety)_ genomic sequence analysis panel_ variant analysis of 13 genes_ saliva or buccal swab_ report of each gene phenotype","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0419U","description":"Neuropsychiatry (eg_ depression_ anxiety)_ genomic sequence analysis panel_ variant analysis of 13 genes_ saliva or buccal swab_ report of each gene phenotype","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JAEF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CHOC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Resect/excise lesion skull","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"61615","description":"Resect/excise lesion skull","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RHA1B","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RHA1B","description":"HIPPS-RHA1B","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RUX41","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RUX41","description":"HIPPS-RUX41","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FDNF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OIKF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Plasmaprotein fract_5%_250ml","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"P9048","description":"Plasmaprotein fract_5%_250ml","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RVL13","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RVL13","description":"HIPPS-RVL13","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"IDAC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Er/ip hosp =/>2 in 12 mos","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G9522","description":"Er/ip hosp =/>2 in 12 mos","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Bilirubin total transcut","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"88720","description":"Bilirubin total transcut","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HH PDGM","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"2BB31","description":"HH PDGM","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Repair of digit nerve","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"64831","description":"Repair of digit nerve","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KFQA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-L8697","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"L8697","description":"HCPCS-L8697","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Telecare equipment installation and removal","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"W2024","description":"Telecare equipment installation and removal","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Zanamivir_inhalation pwd 10m","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G9018","description":"Zanamivir_inhalation pwd 10m","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Intraocular pressure (iop) reduced by a value of greater than or equal to 20% from the pre-intervention level","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"M1225","description":"Intraocular pressure (iop) reduced by a value of greater than or equal to 20% from the pre-intervention level","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Microsomal antibody each","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"86376","description":"Microsomal antibody each","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Drug screen one/mult class","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"80303","description":"Drug screen one/mult class","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"AGEC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RUB03","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RUB03","description":"HIPPS-RUB03","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Destruction of intraosseous basivertebral nerve_ each additional vertebral body_ including imaging guidance (e.g._ fluoroscopy)","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"C9753","description":"Destruction of intraosseous basivertebral nerve_ each additional vertebral body_ including imaging guidance (e.g._ fluoroscopy)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BELD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Excursion amplifier pulley t","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"L6641","description":"Excursion amplifier pulley t","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GDMD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GEHB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MDTF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"DGSA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Reopening of abdomen","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"49002","description":"Reopening of abdomen","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Adapter_ single-use (i.e._ disposable)_ for attaching ultrasound system to upper gastrointestinal endoscope","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"C1606","description":"Adapter_ single-use (i.e._ disposable)_ for attaching ultrasound system to upper gastrointestinal endoscope","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FETF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OECC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KAUB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Ct maxillofacial w/o & w/dye","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"70488","description":"Ct maxillofacial w/o & w/dye","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-CE156","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"CE156","description":"HIPPS-CE156","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Influenza virus vaccine_ quadrivalent (IIV4)_ split virus_ preservative free_ 0.5 mL dosage_ for intramuscular use","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"90686","description":"Influenza virus vaccine_ quadrivalent (IIV4)_ split virus_ preservative free_ 0.5 mL dosage_ for intramuscular use","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CHNB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RUC05","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RUC05","description":"HIPPS-RUC05","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Patients who are identified as having an intolerance or allergy to beta-blocker therapy","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G9800","description":"Patients who are identified as having an intolerance or allergy to beta-blocker therapy","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"DBOB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Patient_ who has a reactive hcv antibody test_ and has a follow up hcv viral test that detected hcv viremia_ has hcv treatment initiated within 3 months of the reactive hcv an","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"M1228","description":"Patient_ who has a reactive hcv antibody test_ and has a follow up hcv viral test that detected hcv viremia_ has hcv treatment initiated within 3 months of the reactive hcv an","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-4CHLU","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"4CHLU","description":"HIPPS-4CHLU","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"ArdeoGraft_ per sq cm","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"Q4333","description":"ArdeoGraft_ per sq cm","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KESE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Hiv rna vrl ldnot<lmts quntf","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"3503F","description":"Hiv rna vrl ldnot<lmts quntf","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Extracranial bilat study","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"93880","description":"Extracranial bilat study","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"100 insulin syringes","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"S8490","description":"100 insulin syringes","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Injection_ tremelimumab-actl_ 1 mg","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"C9147","description":"Injection_ tremelimumab-actl_ 1 mg","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MLTE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MCIB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OFGB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OBRC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Fibrinolytic plasminogen","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"85421","description":"Fibrinolytic plasminogen","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"EHCD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RMB51","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RMB51","description":"HIPPS-RMB51","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"CPT-0953T","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"0953T","description":"CPT-0953T","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GBED0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JDUE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BHLF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FBDF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NCNF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GIYA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Assay of prolactin","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"84146","description":"Assay of prolactin","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OITA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NHTE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Electroconvulsive therapy","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"90870","description":"Electroconvulsive therapy","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"IFUF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HH PDGM","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"1LC21","description":"HH PDGM","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Immunohisto antibody slide","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"88344","description":"Immunohisto antibody slide","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NLEE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Onlay cst nbl mtl >=3 surfac","billing_code_type":"CDT","billing_code_type_version":"2024","billing_code":"D6615","description":"Onlay cst nbl mtl >=3 surfac","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BFVD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KIWF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RML40","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RML40","description":"HIPPS-RML40","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Dilate urethra stricture","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"53620","description":"Dilate urethra stricture","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"ACHB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-CA22A","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"CA22A","description":"HIPPS-CA22A","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-PB13D","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"PB13D","description":"HIPPS-PB13D","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Round caliper and plate atta","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"L2240","description":"Round caliper and plate atta","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OKTE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-PA217","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"PA217","description":"HIPPS-PA217","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FGXD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Digitization of glass microscope slides for cytopathology_ evaluation of fine needle aspirate; immediate cytohistologic study to determine adequacy for diagnosis_ each separat","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0836T","description":"Digitization of glass microscope slides for cytopathology_ evaluation of fine needle aspirate; immediate cytohistologic study to determine adequacy for diagnosis_ each separat","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BDFA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Total knee arthroplasty","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"27447","description":"Total knee arthroplasty","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Intraoral periapical ea add","billing_code_type":"CDT","billing_code_type_version":"2024","billing_code":"D0230","description":"Intraoral periapical ea add","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CIUD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"CPT-0591U","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"0591U","description":"CPT-0591U","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NJMF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JBGE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GGQC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MACB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"CPT-0924T","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"0924T","description":"CPT-0924T","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Fecal bilirubin test","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"82252","description":"Fecal bilirubin test","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Revise eyelashes","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"67825","description":"Revise eyelashes","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-ES13D","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"ES13D","description":"HIPPS-ES13D","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Revision of aqueous shunt","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"66184","description":"Revision of aqueous shunt","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FCTA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Prq card angio/athrect 1 art","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"92924","description":"Prq card angio/athrect 1 art","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-PE28F","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"PE28F","description":"HIPPS-PE28F","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Perq plmt bile duct stent","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"47540","description":"Perq plmt bile duct stent","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"AAMD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Injection_ pemetrexed (Teva) not therapeutically equivalent to J9305_ 10 mg","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"J9314","description":"Injection_ pemetrexed (Teva) not therapeutically equivalent to J9305_ 10 mg","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"IFUA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OFKF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GGMA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Txmnts 2 phys/qhp by 1 mon","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"5020F","description":"Txmnts 2 phys/qhp by 1 mon","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Dermabind dl_ per square centimeter","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"Q4287","description":"Dermabind dl_ per square centimeter","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OFHD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Cine/video x-rays add-on","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"76125","description":"Cine/video x-rays add-on","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OJXD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Fusion of hip joint","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"27284","description":"Fusion of hip joint","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RVA50","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RVA50","description":"HIPPS-RVA50","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HH PDGM","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"3BA31","description":"HH PDGM","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-CD11A","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"CD11A","description":"HIPPS-CD11A","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GCSF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Remove intrauterine device","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"58301","description":"Remove intrauterine device","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"LGOE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-2CHLV","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"2CHLV","description":"HIPPS-2CHLV","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KEXB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Intmd rpr face/mm 2.6-5.0 cm","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"12052","description":"Intmd rpr face/mm 2.6-5.0 cm","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"ODGC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KGNB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Eyeglasses delux frames","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"V2025","description":"Eyeglasses delux frames","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-CC256","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"CC256","description":"HIPPS-CC256","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CBLC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"IAAF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-1CFPU","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"1CFPU","description":"HIPPS-1CFPU","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OHNF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FBHD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"PLOC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Lap mobil splenic fl add-on","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"44213","description":"Lap mobil splenic fl add-on","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OCMB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OFYB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FHHB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FBBB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Cast sup sht leg splnt ped p","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"Q4047","description":"Cast sup sht leg splnt ped p","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KGDA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CETA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-4BGM2","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"4BGM2","description":"HIPPS-4BGM2","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"CPT-01961","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"01961","description":"CPT-01961","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Treat fracture of ulna","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"25545","description":"Treat fracture of ulna","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OBPA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"AEAD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Space maintainer_ removable bilateral_ mandibular","billing_code_type":"CDT","billing_code_type_version":"2024","billing_code":"D1527","description":"Space maintainer_ removable bilateral_ mandibular","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"AEBD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KCWB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Postop ea cast chg & realign","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"L6386","description":"Postop ea cast chg & realign","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Repair testis injury","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"54670","description":"Repair testis injury","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-CB18B","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"CB18B","description":"HIPPS-CB18B","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GDBC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Cystourethroscopy_ with ureteroscopy and/or pyeloscopy_ with lithotripsy (ureteral catheterization is included) and vacuum aspiration of the kidney_ collecting system and uret","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"C9761","description":"Cystourethroscopy_ with ureteroscopy and/or pyeloscopy_ with lithotripsy (ureteral catheterization is included) and vacuum aspiration of the kidney_ collecting system and uret","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Psychological or neuropsychological test administration and scoring by technician_ two or more tests_ any method; each additional 30 minutes (List separately in addition to co","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"96139","description":"Psychological or neuropsychological test administration and scoring by technician_ two or more tests_ any method; each additional 30 minutes (List separately in addition to co","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KCBC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BCID1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"corticotomy - one to three teeth or tooth spaces_ per quadrant","billing_code_type":"CDT","billing_code_type_version":"2024","billing_code":"D7296","description":"corticotomy - one to three teeth or tooth spaces_ per quadrant","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"AEMD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OFKF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GIBA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GEKE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Cannula nasal","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"A4615","description":"Cannula nasal","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Revise windpipe scar","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"31830","description":"Revise windpipe scar","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OJBD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CDGE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"CPT-16075","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"16075","description":"CPT-16075","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Orthoptic training; under supervision of a physician or other qualified health care professional","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"92066","description":"Orthoptic training; under supervision of a physician or other qualified health care professional","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GFSF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OEQF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Hospice evaluation preelecti","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G0337","description":"Hospice evaluation preelecti","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Nursing fac care subseq","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"99308","description":"Nursing fac care subseq","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FGHE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KBJF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-CB28H","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"CB28H","description":"HIPPS-CB28H","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"DDRB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Drainage of skin abscess","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"10060","description":"Drainage of skin abscess","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KAUB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Colonoscopy_ flexible; proximal to splenic flexure; with ablation of tumor(s)_ polyp(s)_ or other lesion(s) not amenable to removal by hot biopsy forceps_ bipolar cautery","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G6024","description":"Colonoscopy_ flexible; proximal to splenic flexure; with ablation of tumor(s)_ polyp(s)_ or other lesion(s) not amenable to removal by hot biopsy forceps_ bipolar cautery","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HH PDGM","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"2JA11","description":"HH PDGM","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MLAB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"PLRD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"AHLF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GEKE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Treatment of gum lesion","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"41850","description":"Treatment of gum lesion","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"CPT-1093T","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"1093T","description":"CPT-1093T","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"CPT-16072","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"16072","description":"CPT-16072","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-Q4407","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"Q4407","description":"HCPCS-Q4407","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NHAB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CIAC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Onlay repair","billing_code_type":"CDT","billing_code_type_version":"2024","billing_code":"D2982","description":"Onlay repair","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Cath_ intravas ultrasound","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"C1753","description":"Cath_ intravas ultrasound","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Antipsychotics nos 4-6","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"80343","description":"Antipsychotics nos 4-6","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-B1504","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"B1504","description":"HCPCS-B1504","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"PBRD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Imaging of the head (CT or MRI) was obtained","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"M1027","description":"Imaging of the head (CT or MRI) was obtained","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JIBE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BDDF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GFQE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Exc abd tum over 5 cm","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"49204","description":"Exc abd tum over 5 cm","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-HE211","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"HE211","description":"HIPPS-HE211","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-Q0234","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"Q0234","description":"HCPCS-Q0234","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-PD14D","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"PD14D","description":"HIPPS-PD14D","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"WoundPlus_ per sq cm","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"Q4326","description":"WoundPlus_ per sq cm","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JATB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"PFWB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BIJC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Ext ureth clmp or compr dvc","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"A4356","description":"Ext ureth clmp or compr dvc","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JBFF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Continuous in-person monitoring and intervention (eg_ psychotherapy_ crisis intervention)_ as needed_ during psychedelic medication therapy; clinical staff under the direction","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0822T","description":"Continuous in-person monitoring and intervention (eg_ psychotherapy_ crisis intervention)_ as needed_ during psychedelic medication therapy; clinical staff under the direction","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Aud osseo dev_ int/ext comp","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"L8690","description":"Aud osseo dev_ int/ext comp","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RUB22","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RUB22","description":"HIPPS-RUB22","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Whlchr ampu fxd arm leg rest","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"E1170","description":"Whlchr ampu fxd arm leg rest","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OFGE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"PLQA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Transcatheter Tricuspid Valve Repair_ Percutaneous Approach; Each Additional Prosthesis During Same Session (List Separately In Addition To Code For Primary Procedure)","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0570T","description":"Transcatheter Tricuspid Valve Repair_ Percutaneous Approach; Each Additional Prosthesis During Same Session (List Separately In Addition To Code For Primary Procedure)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Transperineal periurethral balloon continence device; unilateral placement_ including cystoscopy and fluoroscopy","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0549T","description":"Transperineal periurethral balloon continence device; unilateral placement_ including cystoscopy and fluoroscopy","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Caloric vestibular test","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"92533","description":"Caloric vestibular test","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Test sock wrist disart/bel e","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"L6680","description":"Test sock wrist disart/bel e","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NDNA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MCBD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KHTD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-PB224","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"PB224","description":"HIPPS-PB224","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JFUB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-J8541","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"J8541","description":"HCPCS-J8541","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KASA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CAKD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Nasal endoscopy dx","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"31231","description":"Nasal endoscopy dx","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CGYF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Transcatheter removal and replacement of permanent single-chamber leadless pacemaker_ right atrial_ including imaging guidance (eg_ fluoroscopy_ venous ultrasound_ right atria","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0825T","description":"Transcatheter removal and replacement of permanent single-chamber leadless pacemaker_ right atrial_ including imaging guidance (eg_ fluoroscopy_ venous ultrasound_ right atria","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Test rbc protoporphyrin","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"84203","description":"Test rbc protoporphyrin","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Cast sup lng leg splnt plstr","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"Q4041","description":"Cast sup lng leg splnt plstr","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Gefitinib oral","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"J8565","description":"Gefitinib oral","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"LCOC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-1CGLT","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"1CGLT","description":"HIPPS-1CGLT","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KGCA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KDJF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Cst hgh nble mtl inlay 2 srf","billing_code_type":"CDT","billing_code_type_version":"2024","billing_code":"D6602","description":"Cst hgh nble mtl inlay 2 srf","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Ajcc cln cncr stage 2 docd","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"3386F","description":"Ajcc cln cncr stage 2 docd","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JFKD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CECB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OEOE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Hit cont antiemetic diem","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"S9351","description":"Hit cont antiemetic diem","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"ACUC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KGGC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Remove mesh from abd wall","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"11008","description":"Remove mesh from abd wall","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MGBC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KFFE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MJME1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GIND0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JDCD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OIEE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"EDHB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"IGBB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KBLD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OHXE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Remove tear gland lesion","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"68550","description":"Remove tear gland lesion","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Office-Based Treatment For Opioid Use Disorder_ Including Care Coordination_ Individual Therapy And Group Therapy And Counseling; At Least 60 Minutes In A Subsequent Calendar","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G2087","description":"Office-Based Treatment For Opioid Use Disorder_ Including Care Coordination_ Individual Therapy And Group Therapy And Counseling; At Least 60 Minutes In A Subsequent Calendar","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Six volt bat otto bock/eq ea","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"L7360","description":"Six volt bat otto bock/eq ea","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"No xray/ct/ et al ordd","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"3320F","description":"No xray/ct/ et al ordd","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RMX31","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RMX31","description":"HIPPS-RMX31","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BCLC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"HFWC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"EHBF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Excision hyperplastic tissue","billing_code_type":"CDT","billing_code_type_version":"2024","billing_code":"D7970","description":"Excision hyperplastic tissue","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"CPT-0922T","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"0922T","description":"CPT-0922T","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-4AHK3","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"4AHK3","description":"HIPPS-4AHK3","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-BA146","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"BA146","description":"HIPPS-BA146","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MFAC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OLCC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NEBB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Screen mammo doc rev","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"3014F","description":"Screen mammo doc rev","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FBPA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"EFUE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"ABHD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NDJE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Removal of brain lesion","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"61524","description":"Removal of brain lesion","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"DBWD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BBDE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KBOE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JAUB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-PA114","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"PA114","description":"HIPPS-PA114","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Exploration of kidney","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"50010","description":"Exploration of kidney","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NDVA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"CPT-0561U","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"0561U","description":"CPT-0561U","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FDVA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Kyphectomy 3 or more","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"22819","description":"Kyphectomy 3 or more","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Patient was a permanent nursing home resident at any time during the performance period","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"M1058","description":"Patient was a permanent nursing home resident at any time during the performance period","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JCME0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JHXD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"EHTA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NHXB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"C-reactive protein","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"86140","description":"C-reactive protein","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Cystoscopy and treatment","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"52234","description":"Cystoscopy and treatment","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"PDQC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Remove thigh pressure sore","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"15952","description":"Remove thigh pressure sore","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BDPB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"IHCB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Ear mold/insert_ disp","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"V5265","description":"Ear mold/insert_ disp","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-CA28G","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"CA28G","description":"HIPPS-CA28G","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NLEA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-J0759","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"J0759","description":"HCPCS-J0759","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"PEOB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-CB18G","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"CB18G","description":"HIPPS-CB18G","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"AECD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GDCF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Bx/exc idrl spine lesn thrc","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"63281","description":"Bx/exc idrl spine lesn thrc","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-CB260","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"CB260","description":"HIPPS-CB260","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"DGWA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Norsn not first line amox","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G9314","description":"Norsn not first line amox","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FGFB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Functional Status Measured By The Oswestry Disability Index (Odi Version 2.1A) At One Year (9 To 15 Months) Postoperatively Was Less Than Or Equal To 22 Or Functional Status M","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G2142","description":"Functional Status Measured By The Oswestry Disability Index (Odi Version 2.1A) At One Year (9 To 15 Months) Postoperatively Was Less Than Or Equal To 22 Or Functional Status M","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KDFE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Test for chlorohydrocarbons","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"82441","description":"Test for chlorohydrocarbons","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Treat metatarsal fracture","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"28475","description":"Treat metatarsal fracture","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-HC234","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"HC234","description":"HIPPS-HC234","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Hospice home care in hospice","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"Q5010","description":"Hospice home care in hospice","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"ABAC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"IGHE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NHMD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"EGED1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OFCC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"PERA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"AHEF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OEMF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NJHF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CGIC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Partial removal of pancreas","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"48140","description":"Partial removal of pancreas","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Shoulder arthroscopy/surgery","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"29822","description":"Shoulder arthroscopy/surgery","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Complete ivf nos case rate","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"S4015","description":"Complete ivf nos case rate","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"LAOC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Anesthesia for intracranial procedures; vascular procedures","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0133U","description":"Anesthesia for intracranial procedures; vascular procedures","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JFID1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KHUC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OCDA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Conformity evaluation","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"V5020","description":"Conformity evaluation","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Onc dx prostate clinical met","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G9133","description":"Onc dx prostate clinical met","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NBFF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CGKC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"CDT-D2956","billing_code_type":"CDT","billing_code_type_version":"2026","billing_code":"D2956","description":"CDT-D2956","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"EAIC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"LIOA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OJUC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JEBD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JBVA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JHLD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JFME0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Dilate ic vasospasm init","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"61640","description":"Dilate ic vasospasm init","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"X-ray exam of small bowel","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"74250","description":"X-ray exam of small bowel","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"DASF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-LE18X","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"LE18X","description":"HIPPS-LE18X","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Injection_ casirivimab and imdevimab_ 1200 mg","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"Q0244","description":"Injection_ casirivimab and imdevimab_ 1200 mg","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Intraoral con def mod palat","billing_code_type":"CDT","billing_code_type_version":"2024","billing_code":"D5959","description":"Intraoral con def mod palat","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"PDSC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Place needles pelvic for rt","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"55920","description":"Place needles pelvic for rt","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JBHF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-PB101","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"PB101","description":"HIPPS-PB101","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BBCE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"HHRD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Transcatheter removal and replacement of permanent dual-chamber leadless pacemaker_ including imaging?guidance (eg_ fluoroscopy_ venous ultrasound_ right atrial angiography_ r","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0802T","description":"Transcatheter removal and replacement of permanent dual-chamber leadless pacemaker_ including imaging?guidance (eg_ fluoroscopy_ venous ultrasound_ right atrial angiography_ r","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JIDB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JHEA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Incision of large bowel","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"44025","description":"Incision of large bowel","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GHCB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Non-traumatic spinal cord injury with Motor <23.75._comorbidity in tier 1","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"B0506","description":"Non-traumatic spinal cord injury with Motor <23.75._comorbidity in tier 1","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Removal of palm tendon each","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"26170","description":"Removal of palm tendon each","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JCGF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NCHC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Patient is undergoing palliative dialysis with a catheter","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G9747","description":"Patient is undergoing palliative dialysis with a catheter","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JCIB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CGUC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"ODRB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NIJE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KCMA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-1BGNT","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"1BGNT","description":"HIPPS-1BGNT","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"CPT-00402","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"00402","description":"CPT-00402","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Sinusoidal rotational test","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"92546","description":"Sinusoidal rotational test","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BAUF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JGVC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Health Behavior Intervention_ Individual_ Face-To-Face; Each Additional 15 Minutes (List Separately In Addition To Code For Primary Service)","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"96159","description":"Health Behavior Intervention_ Individual_ Face-To-Face; Each Additional 15 Minutes (List Separately In Addition To Code For Primary Service)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HH PDGM","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"2CC31","description":"HH PDGM","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Documentation of medical reason for not receiving combination therapy consisting of at least two prophylactic pharmacologic antiemetic agents of different classes preoperative","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G9957","description":"Documentation of medical reason for not receiving combination therapy consisting of at least two prophylactic pharmacologic antiemetic agents of different classes preoperative","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KHHD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KBSB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CDTA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Flulaval vacc_ 3 yrs & >_ im","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"Q2036","description":"Flulaval vacc_ 3 yrs & >_ im","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"End of life counseling","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"S0257","description":"End of life counseling","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-PA13A","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"PA13A","description":"HIPPS-PA13A","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"LFQF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"IAED1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BBCB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-LC135","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"LC135","description":"HIPPS-LC135","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FEIC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Injection_ givosiran_ 0.5mg","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"C9056","description":"Injection_ givosiran_ 0.5mg","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Probe_ Image-Guided_ Robotic_ Waterjet Ablation","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"C2596","description":"Probe_ Image-Guided_ Robotic_ Waterjet Ablation","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FFEC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KGDD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Transfer of embryo","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"58976","description":"Transfer of embryo","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-M1389","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"M1389","description":"HCPCS-M1389","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"HIWC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OHWE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MKHF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"N.gonorrhoeae dna amp prob","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"87591","description":"N.gonorrhoeae dna amp prob","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FGDC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CCEF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Treat sternum fracture","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"21820","description":"Treat sternum fracture","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Imm admin by intramusc inj of (SARS-CoV-2) (coronavirus disease [COVID-19]) vacc_ mRNA-LNP_ spike protein_ preserv free_ 30mcg/0.3 mL dose_ tris-sucrose formula_ booster dose","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0054A","description":"Imm admin by intramusc inj of (SARS-CoV-2) (coronavirus disease [COVID-19]) vacc_ mRNA-LNP_ spike protein_ preserv free_ 30mcg/0.3 mL dose_ tris-sucrose formula_ booster dose","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Injection_ ranibizumab-nuna_ biosimilar_ (Byooviz)_ 0.1 mg","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"Q5124","description":"Injection_ ranibizumab-nuna_ biosimilar_ (Byooviz)_ 0.1 mg","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HH PDGM","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"1IB21","description":"HH PDGM","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BCAA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BFCA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-3CHP2","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"3CHP2","description":"HIPPS-3CHP2","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GCCA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OERB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Home blood glucose monitor for use with integrated lancing/blood sample testing cartridge","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"E2104","description":"Home blood glucose monitor for use with integrated lancing/blood sample testing cartridge","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"No scr utr malig/us/samp rng","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G9620","description":"No scr utr malig/us/samp rng","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"ABLD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Laparoscopy splenectomy","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"38120","description":"Laparoscopy splenectomy","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Drainage of palm bursas","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"26030","description":"Drainage of palm bursas","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KAQE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CGXA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GFME1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KEHD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"No impr vis acuit w/in 90d","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G9517","description":"No impr vis acuit w/in 90d","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Assay of insulin","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"83527","description":"Assay of insulin","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-ES20D","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"ES20D","description":"HIPPS-ES20D","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-1CGM2","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"1CGM2","description":"HIPPS-1CGM2","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-PA230","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"PA230","description":"HIPPS-PA230","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Hhcp-serv of ot_ea 15 min","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G0152","description":"Hhcp-serv of ot_ea 15 min","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"AEDF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Remove radius head implant","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"24164","description":"Remove radius head implant","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"ABMD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Partial removal of lip","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"40530","description":"Partial removal of lip","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-3BFL4","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"3BFL4","description":"HIPPS-3BFL4","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OCED1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Adjust bone fixation device","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"20693","description":"Adjust bone fixation device","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Hit hydra total diem","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"S9373","description":"Hit hydra total diem","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Patients who did not have a follow-up assessment or did not have an assessment within 30 to 180 days after the index assessment during the performance period","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"M1341","description":"Patients who did not have a follow-up assessment or did not have an assessment within 30 to 180 days after the index assessment during the performance period","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-LD115","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"LD115","description":"HIPPS-LD115","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RUC52","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RUC52","description":"HIPPS-RUC52","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HBA1/HBA2 (alpha globin 1 and alpha globin 2) (eg_ alpha thalassemia_ Hb Bart hydrops fetalis syndrome_ HbH disease)_ gene analysis; duplication/deletion variants","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"81269","description":"HBA1/HBA2 (alpha globin 1 and alpha globin 2) (eg_ alpha thalassemia_ Hb Bart hydrops fetalis syndrome_ HbH disease)_ gene analysis; duplication/deletion variants","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JFBB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-HB126","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"HB126","description":"HIPPS-HB126","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Adalimumab injection","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"J0135","description":"Adalimumab injection","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KFWB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Pne scrn done doc not ind","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G9281","description":"Pne scrn done doc not ind","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Laryngoscop w/arytenoidectom","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"31560","description":"Laryngoscop w/arytenoidectom","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"AHLE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FAEA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FBAA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OKJE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Cath_ ep_ 19 or few elect","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"C1730","description":"Cath_ ep_ 19 or few elect","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FACB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FIXB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NHID0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Cardiac ion channelopathies (eg_ Brugada syndrome_ long QT syndrome_ short QT syndrome_ catecholaminergic polymorphic ventricular tachycardia); duplication/deletion gene analy","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"81414","description":"Cardiac ion channelopathies (eg_ Brugada syndrome_ long QT syndrome_ short QT syndrome_ catecholaminergic polymorphic ventricular tachycardia); duplication/deletion gene analy","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-BA14B","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"BA14B","description":"HIPPS-BA14B","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Repair of hand or foot nerve","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"64836","description":"Repair of hand or foot nerve","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"PEWD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Repair single ventricle","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"33619","description":"Repair single ventricle","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Puncture/clear windpipe","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"31612","description":"Puncture/clear windpipe","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FCLB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"ADTD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JBTD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Esano aca_ per square centimeter","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"Q4275","description":"Esano aca_ per square centimeter","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CHSF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OGXF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Shoulder lock actuator","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"L6647","description":"Shoulder lock actuator","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KEPB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Insj iris prosth sec io lens","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0618T","description":"Insj iris prosth sec io lens","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HH PDGM","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"2IA31","description":"HH PDGM","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"AHCD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FHME1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Atten goal status","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G9166","description":"Atten goal status","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OJEC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-Q4399","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"Q4399","description":"HCPCS-Q4399","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-CA14D","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"CA14D","description":"HIPPS-CA14D","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Spirometry results with confirmed airflow obstruction (fev1/fvc < 70%) documented and reviewed","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"M1214","description":"Spirometry results with confirmed airflow obstruction (fev1/fvc < 70%) documented and reviewed","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Assay of etiocholanolone","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"82696","description":"Assay of etiocholanolone","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-PA226","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"PA226","description":"HIPPS-PA226","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NJDB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"EGBC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MFTD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Albumin ischemia modified","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"82045","description":"Albumin ischemia modified","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Injection_ paliperidone palmitate extended release (invega hafyera_ or invega trinza)_ 1 mg","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"J2427","description":"Injection_ paliperidone palmitate extended release (invega hafyera_ or invega trinza)_ 1 mg","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KCQC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Clinical decision support mechanism Speed of Care_ as defined by the Medicare appropriate use criteria program","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G1016","description":"Clinical decision support mechanism Speed of Care_ as defined by the Medicare appropriate use criteria program","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"CPT-43889","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"43889","description":"CPT-43889","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NFAD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Mis sup/acc imp vad","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"Q0508","description":"Mis sup/acc imp vad","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GFFB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"ABBC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Clinician Documented That Patient Recevied Vascular Access Other Than Autogenous AV Fistula_ Reason not Specified","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G8532","description":"Clinician Documented That Patient Recevied Vascular Access Other Than Autogenous AV Fistula_ Reason not Specified","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"PIQB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CDRB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Denture reln part mand chr","billing_code_type":"CDT","billing_code_type_version":"2024","billing_code":"D5741","description":"Denture reln part mand chr","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Clinician documented that patient was not an eligible candidate for evaluation of footwear as patient is bilateral lower extremity amputee","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G2180","description":"Clinician documented that patient was not an eligible candidate for evaluation of footwear as patient is bilateral lower extremity amputee","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RMA52","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RMA52","description":"HIPPS-RMA52","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Hospice services for patient occurred any time during the measurement period","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G9720","description":"Hospice services for patient occurred any time during the measurement period","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NHKC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RLB51","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RLB51","description":"HIPPS-RLB51","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NHMF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NDDC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Ext h rate epi sz 14 days","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0381T","description":"Ext h rate epi sz 14 days","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Ablate bone tumor(s) perq","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"20982","description":"Ablate bone tumor(s) perq","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OEKD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"I & d vag hematoma non-ob","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"57023","description":"I & d vag hematoma non-ob","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JGIF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Egd us transmural injxn/mark","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"43253","description":"Egd us transmural injxn/mark","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Dx bronchoscope/lavage","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"31624","description":"Dx bronchoscope/lavage","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NCVC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"HISC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Compres burngarment bodysuit","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"A6501","description":"Compres burngarment bodysuit","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-LC255","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"LC255","description":"HIPPS-LC255","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FAMB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KABA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JCKE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Ko dbl upright w/air pre ots","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"L1848","description":"Ko dbl upright w/air pre ots","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"ICUB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Ferumoxytol_ non-esrd","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"Q0138","description":"Ferumoxytol_ non-esrd","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MBMD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Methsuximide","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G6054","description":"Methsuximide","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GHJE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Metaproterenol non-comp unit","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"J7669","description":"Metaproterenol non-comp unit","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RVC02","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RVC02","description":"HIPPS-RVC02","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KBHE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OFWA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"IDH2 (isocitrate dehydrogenase 2 [NADP+]_ mitochondrial) (eg_ glioma)_ common variants (eg_ R140W_ R172M)","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"81121","description":"IDH2 (isocitrate dehydrogenase 2 [NADP+]_ mitochondrial) (eg_ glioma)_ common variants (eg_ R140W_ R172M)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Spectrophotometry","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"84311","description":"Spectrophotometry","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JBEF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NABF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Ped crit care transport","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"99466","description":"Ped crit care transport","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OCRB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-Q5164","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"Q5164","description":"HCPCS-Q5164","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FFME1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BDLF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Eeg over 1 hour","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"95813","description":"Eeg over 1 hour","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OALA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Documentation of patient reason(s) for not having records of negative or managed positive TB screen (e.g._ patient does not return for Mantoux (PPD) skin test evaluation)","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G9932","description":"Documentation of patient reason(s) for not having records of negative or managed positive TB screen (e.g._ patient does not return for Mantoux (PPD) skin test evaluation)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-4CHM4","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"4CHM4","description":"HIPPS-4CHM4","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FBCA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Treat ankle dislocation","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"27846","description":"Treat ankle dislocation","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"AIUA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FAKC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-4AHLW","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"4AHLW","description":"HIPPS-4AHLW","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JGXA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FFKC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Flebogamma injection","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"J1572","description":"Flebogamma injection","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-CA25A","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"CA25A","description":"HIPPS-CA25A","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JBBE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Patient did not achieve a PDC of at least 75% for their asthma controller medication","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G9811","description":"Patient did not achieve a PDC of at least 75% for their asthma controller medication","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OCTB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Explore chest vessels","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"35820","description":"Explore chest vessels","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"IEME0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"PAQA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BDKF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CFVF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GCCD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-1AFNU","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"1AFNU","description":"HIPPS-1AFNU","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JIXC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Nonemergency transport bus","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"A0110","description":"Nonemergency transport bus","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FCFA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Alcohol/drug screening","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"H0049","description":"Alcohol/drug screening","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CHPF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Revision of major vein","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"37660","description":"Revision of major vein","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Dispensing fee bicros","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"V5240","description":"Dispensing fee bicros","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KGFB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"ICHF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GBXB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BIFF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Eardrum revision","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"69450","description":"Eardrum revision","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Injection_ aprepitant_ 1 mg","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"J0185","description":"Injection_ aprepitant_ 1 mg","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BETE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-5CHKW","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"5CHKW","description":"HIPPS-5CHKW","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-A0106","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"A0106","description":"HCPCS-A0106","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Endovascular repair of infrarenal aorta and/or iliac artery(ies) by deployment of an aorto-bi-iliac endograft including pre-procedure sizing and device selection_ all nonselec","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"34706","description":"Endovascular repair of infrarenal aorta and/or iliac artery(ies) by deployment of an aorto-bi-iliac endograft including pre-procedure sizing and device selection_ all nonselec","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BGDD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Remote Therapeutic Monitoring Treatment Management Services_ Physician Or Other Qualified Health Care Professional Time In A Calendar Month Requiring At Least One Interactive","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"98980","description":"Remote Therapeutic Monitoring Treatment Management Services_ Physician Or Other Qualified Health Care Professional Time In A Calendar Month Requiring At Least One Interactive","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CIFF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Intracardiac ecg (ice)","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"93662","description":"Intracardiac ecg (ice)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NEHB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"ODTC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KBXD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-LE15A","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"LE15A","description":"HIPPS-LE15A","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"CPT-0533U","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"0533U","description":"CPT-0533U","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Incise inner ear nerve","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"69915","description":"Incise inner ear nerve","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KHTB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-CC134","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"CC134","description":"HIPPS-CC134","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"ACLA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Pharmacy supplying fee for hiv pre-exposure prophylaxis fda approved prescription drug_ per 90-days","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"Q0518","description":"Pharmacy supplying fee for hiv pre-exposure prophylaxis fda approved prescription drug_ per 90-days","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CEAD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Biopsy nail unit","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"11755","description":"Biopsy nail unit","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Endovasc taa repr w/o subcl","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"33881","description":"Endovasc taa repr w/o subcl","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Injection_ pegfilgrastim 6mg","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"J2505","description":"Injection_ pegfilgrastim 6mg","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Lap radical hyst","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"58548","description":"Lap radical hyst","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KCKD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-1BFK2","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"1BFK2","description":"HIPPS-1BFK2","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-ES111","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"ES111","description":"HIPPS-ES111","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Prolonged iv inf_ req pump","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"C8957","description":"Prolonged iv inf_ req pump","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NKXA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Removal of hydrocele","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"55040","description":"Removal of hydrocele","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"ADED0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MKLA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"AEHB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Surgical boot each infant","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"L3208","description":"Surgical boot each infant","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Kyphectomy 1-2 segments","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"22818","description":"Kyphectomy 1-2 segments","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Treat wrist dislocation","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"25660","description":"Treat wrist dislocation","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Adult companioncare per 15m","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"S5135","description":"Adult companioncare per 15m","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"PDOF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KHUE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-PD231","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"PD231","description":"HIPPS-PD231","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JHGC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GAKD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"AABD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Repair of vagina","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"57200","description":"Repair of vagina","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-LD216","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"LD216","description":"HIPPS-LD216","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-1CFKS","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"1CFKS","description":"HIPPS-1CFKS","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RUL1A","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RUL1A","description":"HIPPS-RUL1A","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BGUB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-LB14C","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"LB14C","description":"HIPPS-LB14C","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KDXE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Nrv cndj test 11-12 studies","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"95912","description":"Nrv cndj test 11-12 studies","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"AEHC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JCMA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CBCB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"EGTC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Lap sleeve gastrectomy","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"43775","description":"Lap sleeve gastrectomy","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KEMA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-LD22A","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"LD22A","description":"HIPPS-LD22A","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OJKC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Ablation_ Benign Thyroid Nodule(S)_ Percutaneous_ Laser_ Including Imaging Guidance","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0673T","description":"Ablation_ Benign Thyroid Nodule(S)_ Percutaneous_ Laser_ Including Imaging Guidance","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RMB3A","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RMB3A","description":"HIPPS-RMB3A","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"AHME1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OABD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JCVA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"CPT-1049T","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"1049T","description":"CPT-1049T","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NGGD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Assay of sex hormone globul","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"84270","description":"Assay of sex hormone globul","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GCRA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Team conf w/o pat by hc pro","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"99368","description":"Team conf w/o pat by hc pro","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Fall risk assessment docd","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"3288F","description":"Fall risk assessment docd","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FBFA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MAIF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Ct chest spine w/dye","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"72129","description":"Ct chest spine w/dye","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-1CFL4","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"1CFL4","description":"HIPPS-1CFL4","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OEFC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"EHDD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"EDHC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JITD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Injection_ amivantamab-vmjw_ 2 mg","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"J9061","description":"Injection_ amivantamab-vmjw_ 2 mg","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MCDA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Alloderm","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"Q4116","description":"Alloderm","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Oncology (melanoma)_ gene expression profiling by RTqPCR_ <i>PRAME</i> and <i>LINC00518</i>_ superficial collection using adhesive patch(es)","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0089U","description":"Oncology (melanoma)_ gene expression profiling by RTqPCR_ <i>PRAME</i> and <i>LINC00518</i>_ superficial collection using adhesive patch(es)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Not disch home by day #2","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G8838","description":"Not disch home by day #2","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GDQB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KERE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BCBA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-CE21B","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"CE21B","description":"HIPPS-CE21B","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CIHD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KBLB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-LC160","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"LC160","description":"HIPPS-LC160","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-LC254","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"LC254","description":"HIPPS-LC254","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OCHF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MBBB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Tc99m bicisate","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"A9557","description":"Tc99m bicisate","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Digitization of glass microscope slides for special stain_ including interpretation and report_ group I_ for microorganisms (eg_ acid fast_ methenamine silver) (List separatel","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0756T","description":"Digitization of glass microscope slides for special stain_ including interpretation and report_ group I_ for microorganisms (eg_ acid fast_ methenamine silver) (List separatel","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Hearing aid monaural in ear","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"V5050","description":"Hearing aid monaural in ear","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"LFOC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-B1201","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"B1201","description":"HCPCS-B1201","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"CDT-D0504","billing_code_type":"CDT","billing_code_type_version":"2026","billing_code":"D0504","description":"CDT-D0504","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Air ambulanc nonemerg fixed","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"S9960","description":"Air ambulanc nonemerg fixed","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Device evaluation and interrogation of intraocular retinal electrode array (eg_ retinal prosthesis)_ in person_ including reprogramming and visual training_ when performed_ wi","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0473T","description":"Device evaluation and interrogation of intraocular retinal electrode array (eg_ retinal prosthesis)_ in person_ including reprogramming and visual training_ when performed_ wi","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Remove ureter calculus","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"51065","description":"Remove ureter calculus","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CAQA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Misc integral lens serv","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"S0590","description":"Misc integral lens serv","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-ES31A","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"ES31A","description":"HIPPS-ES31A","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-1AFN4","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"1AFN4","description":"HIPPS-1AFN4","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Nerve stimulator for tx n&v","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"E0765","description":"Nerve stimulator for tx n&v","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MFBB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GGHB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"EGID1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"ECHD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-1BGK6","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"1BGK6","description":"HIPPS-1BGK6","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"PCSB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RVX2C","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RVX2C","description":"HIPPS-RVX2C","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BBBE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RVL54","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RVL54","description":"HIPPS-RVL54","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GHGC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"IGCB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OARE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Epoetin beta non esrd","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"J0888","description":"Epoetin beta non esrd","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Assist living waiver/diem","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"T2031","description":"Assist living waiver/diem","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OHBA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KFGD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Improve visual funct","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G0913","description":"Improve visual funct","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Stereoscopic x-ray guidance","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G6002","description":"Stereoscopic x-ray guidance","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"AHAD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Esrd srv 4 visits p mo 20+","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"90960","description":"Esrd srv 4 visits p mo 20+","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Hearing aid repair/modifying","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"V5014","description":"Hearing aid repair/modifying","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"F5 gene","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"81241","description":"F5 gene","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Treat elbow dislocation","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"24615","description":"Treat elbow dislocation","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Cath_ translumin angio laser","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"C1885","description":"Cath_ translumin angio laser","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-3BGPV","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"3BGPV","description":"HIPPS-3BGPV","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FDJF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Transtracheal oxygen cath","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"A4608","description":"Transtracheal oxygen cath","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GBEB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Ct abd & pelv w/contrast","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"74177","description":"Ct abd & pelv w/contrast","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KFOB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Tis trnfr e/n/e/l 10 sq cm/<","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"14060","description":"Tis trnfr e/n/e/l 10 sq cm/<","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GBNC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OEVC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Antisperm antibodies test","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"S3655","description":"Antisperm antibodies test","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Stroke with Motor >26.15 & Motor <30.05._comorbidity in tier 3","billing_code_type":"CDT","billing_code_type_version":"2024","billing_code":"D0107","description":"Stroke with Motor >26.15 & Motor <30.05._comorbidity in tier 3","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Re-exploration of chest","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"32120","description":"Re-exploration of chest","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BAEE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Trabeculostomy Ab Interno By Laser; With Use Of Ophthalmic Endoscope","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0622T","description":"Trabeculostomy Ab Interno By Laser; With Use Of Ophthalmic Endoscope","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Rimantadine hcl_ brand","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G9036","description":"Rimantadine hcl_ brand","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"LDOD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MHIF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Endocrine surgery procedure","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"60699","description":"Endocrine surgery procedure","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Cast sup long arm ped plster","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"Q4007","description":"Cast sup long arm ped plster","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Body pos d/c status","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G8983","description":"Body pos d/c status","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"ICBA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JCEE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CFYA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JHPF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Diagnostic analysis of vestibular implant_ unilateral; with subsequent programming","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0729T","description":"Diagnostic analysis of vestibular implant_ unilateral; with subsequent programming","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Mccd_ risk adj_ level 4","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G9010","description":"Mccd_ risk adj_ level 4","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"HEWE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Mrs disc pain acquisj data","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0609T","description":"Mrs disc pain acquisj data","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MKTD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NELB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FHFF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JGMC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GHXB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GBNF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Brain flow imaging only","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"78610","description":"Brain flow imaging only","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"LIRC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"DEWC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FGEC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BFAF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OABE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"PIWE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"CDT-D1402","billing_code_type":"CDT","billing_code_type_version":"2026","billing_code":"D1402","description":"CDT-D1402","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"repair cast partial framework_ mandibular","billing_code_type":"CDT","billing_code_type_version":"2024","billing_code":"D5621","description":"repair cast partial framework_ mandibular","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"5%dextrose/0.45%saline1000ml","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"S5013","description":"5%dextrose/0.45%saline1000ml","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BHAA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Electrophysiology Cardiac Specialist Mips Specialty Set","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G4002","description":"Electrophysiology Cardiac Specialist Mips Specialty Set","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Inj paravert f jnt l/s 1 lev","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"64493","description":"Inj paravert f jnt l/s 1 lev","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Sigmoidoscopy w/tumr remove","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"45338","description":"Sigmoidoscopy w/tumr remove","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Transtemporal approach/skull","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"61595","description":"Transtemporal approach/skull","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FAJC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"LHOB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-CB217","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"CB217","description":"HIPPS-CB217","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-1AFKU","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"1AFKU","description":"HIPPS-1AFKU","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Hymenotomy","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"56442","description":"Hymenotomy","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GIHC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-CC115","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"CC115","description":"HIPPS-CC115","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NKDD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GBYE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Assistive algorithmic electrocardiogram risk-based assessment for cardiac dysfunction (eg_ low-ejection fraction_ pulmonary hypertension_ hypertrophic cardiomyopathy); related","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0765T","description":"Assistive algorithmic electrocardiogram risk-based assessment for cardiac dysfunction (eg_ low-ejection fraction_ pulmonary hypertension_ hypertrophic cardiomyopathy); related","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MBDE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CDGB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Monitor cable elec vad_ rep","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"Q0485","description":"Monitor cable elec vad_ rep","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"X-ray exam of skull","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"70260","description":"X-ray exam of skull","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Patients for whom a proxy completed the entire hu survey on their behalf for any reason (no patient involvement)","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"M1251","description":"Patients for whom a proxy completed the entire hu survey on their behalf for any reason (no patient involvement)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"DCQD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-1BGN6","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"1BGN6","description":"HIPPS-1BGN6","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Prep donor liver whole","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"47143","description":"Prep donor liver whole","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Fibrinogen activity","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"85384","description":"Fibrinogen activity","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"So cap design w/o jnts cf","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"L3671","description":"So cap design w/o jnts cf","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KGGA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OALD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NIEB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-ES260","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"ES260","description":"HIPPS-ES260","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CAHE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FEPB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Nonfamily homecare train/15m","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"S5115","description":"Nonfamily homecare train/15m","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BDKF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NGNE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Repair defect of artery","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"35005","description":"Repair defect of artery","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-HD28A","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"HD28A","description":"HIPPS-HD28A","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BGDD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NDHD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NGEA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Int mam art used for cabg","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"4110F","description":"Int mam art used for cabg","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Prenatal flow sheet","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0501F","description":"Prenatal flow sheet","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"PISF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CAAC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Clear outer ear canal","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"69200","description":"Clear outer ear canal","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Ped gastro ed given caregvr","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"4058F","description":"Ped gastro ed given caregvr","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Drain/inj joint/bursa w/o us","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"20600","description":"Drain/inj joint/bursa w/o us","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Iodine I-131 iobenguane_ therapeutic_ 1 mCi","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"C9408","description":"Iodine I-131 iobenguane_ therapeutic_ 1 mCi","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Mpsv4 vaccine subq","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"90733","description":"Mpsv4 vaccine subq","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CHBE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CDRF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Open/perq place stent 1st","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"37236","description":"Open/perq place stent 1st","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"PAOB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-3BGN6","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"3BGN6","description":"HIPPS-3BGN6","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CGAE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CBDD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FBHF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KHFC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JGNE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Gradient compression garment_ full leg and foot_ padded_ for nighttime use_ custom_ each","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"A6527","description":"Gradient compression garment_ full leg and foot_ padded_ for nighttime use_ custom_ each","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Repair/graft radius or ulna","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"25425","description":"Repair/graft radius or ulna","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GITC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"CPT-0505U","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"0505U","description":"CPT-0505U","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"LDQE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OGFC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"EDIF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Insj/rplc cardiac modulj sys","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0408T","description":"Insj/rplc cardiac modulj sys","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Tc99m fanolesomab","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"A9566","description":"Tc99m fanolesomab","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"AEAA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Treat knee dislocation","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"27557","description":"Treat knee dislocation","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Biopsy eye muscle","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"67346","description":"Biopsy eye muscle","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CFCE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"LHRD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GBCC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GASF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"LHSF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JGAF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Screen pap by tech w md supv","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"P3000","description":"Screen pap by tech w md supv","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OGFB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Emer rspns sys serv permonth","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"S5161","description":"Emer rspns sys serv permonth","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"AIDE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-LE23A","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"LE23A","description":"HIPPS-LE23A","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Adult size brief/diaper lg","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"T4523","description":"Adult size brief/diaper lg","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"IAUB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Dengue vaccine_ quadrivalent_ live_ 2 dose schedule_ for subcutaneous use","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"90584","description":"Dengue vaccine_ quadrivalent_ live_ 2 dose schedule_ for subcutaneous use","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KDNC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Curette/treat cornea","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"65436","description":"Curette/treat cornea","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Positional change of finger","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"26555","description":"Positional change of finger","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"PKOE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CGHF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Treatment of foot infection","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"28002","description":"Treatment of foot infection","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NCFC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"EDCC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Av fuse uppr arm basilic","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"36819","description":"Av fuse uppr arm basilic","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Catheter placement in coronary artery(s) for coronary angiography_ including intraprocedural injection(s) for coronary angiography_ imaging supervision and interpretation with","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"C7558","description":"Catheter placement in coronary artery(s) for coronary angiography_ including intraprocedural injection(s) for coronary angiography_ imaging supervision and interpretation with","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Tiss exam molecular study","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"88387","description":"Tiss exam molecular study","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-HB112","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"HB112","description":"HIPPS-HB112","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Cardiac MRI w/stress img","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"75559","description":"Cardiac MRI w/stress img","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NKFB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RLA8I","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RLA8I","description":"HIPPS-RLA8I","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Psytx pt&/fam w/e&m 30 min","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"90833","description":"Psytx pt&/fam w/e&m 30 min","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-AAA41","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"AAA41","description":"HIPPS-AAA41","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Removal of kidney stone","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"50080","description":"Removal of kidney stone","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GBQE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GFJE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Alarm symp assessed-absent","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"1070F","description":"Alarm symp assessed-absent","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KBXA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OGAD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-HD136","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"HD136","description":"HIPPS-HD136","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FBKF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Remove in/ex hem grp & fiss","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"46257","description":"Remove in/ex hem grp & fiss","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Radiation treatment delivery","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"77401","description":"Radiation treatment delivery","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Grafting Of Autologous Soft Tissue_ Other_ Harvested By Direct Excision (Eg_ Fat_ Dermis_ Fascia)","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"15769","description":"Grafting Of Autologous Soft Tissue_ Other_ Harvested By Direct Excision (Eg_ Fat_ Dermis_ Fascia)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OGDB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NGAD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"X-ray exam of foot","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"73620","description":"X-ray exam of foot","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NKDE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OADF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Drug screen_ qualitative; single drug class method (e.g._ immunoassay_ enzyme assay)_ each drug class","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G0431","description":"Drug screen_ qualitative; single drug class method (e.g._ immunoassay_ enzyme assay)_ each drug class","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KHMC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FALB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-3BFN2","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"3BFN2","description":"HIPPS-3BFN2","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-1AGM3","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"1AGM3","description":"HIPPS-1AGM3","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CHDD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Transdermal gfr measurements","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0602T","description":"Transdermal gfr measurements","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BDTE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"IILB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"IEAC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Incision of foot tendon","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"28234","description":"Incision of foot tendon","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"LDWA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Drain/inj joint/bursa w/o us","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"20610","description":"Drain/inj joint/bursa w/o us","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"EEIF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-PD14B","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"PD14B","description":"HIPPS-PD14B","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"EFAB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CFFF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CIHF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CAHD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"DDQA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"CPT-1032T","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"1032T","description":"CPT-1032T","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GATE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Injection_ necitumumab_ 1 mg","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"J9295","description":"Injection_ necitumumab_ 1 mg","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Removal of knee cyst","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"27345","description":"Removal of knee cyst","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Revision of jaw muscle/bone","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"21296","description":"Revision of jaw muscle/bone","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"IABA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OIEC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"IHMB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Mra w/cont_ pelvis","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"C8918","description":"Mra w/cont_ pelvis","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Ecmo/ecls repos perph cnula","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"33958","description":"Ecmo/ecls repos perph cnula","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RHX41","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RHX41","description":"HIPPS-RHX41","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-J9256","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"J9256","description":"HCPCS-J9256","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Spirom doc rev","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"3023F","description":"Spirom doc rev","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Plmt post facet implt cerv","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0219T","description":"Plmt post facet implt cerv","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"ODHE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"IACC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Endovasc extend prosth init","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"34825","description":"Endovasc extend prosth init","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"ECLE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OHTB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Beremagene geperpavec-svdt for topical administration_ containing nominal 5 x 10^9 pfu/ml vector genomes_ per 0.1 ml","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"J3401","description":"Beremagene geperpavec-svdt for topical administration_ containing nominal 5 x 10^9 pfu/ml vector genomes_ per 0.1 ml","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HH PDGM","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"2KA31","description":"HH PDGM","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Tte w or w/o fol w/con_stres","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"C8928","description":"Tte w or w/o fol w/con_stres","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HH PDGM","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"1KB21","description":"HH PDGM","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MFLB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JAPD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-HE11C","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"HE11C","description":"HIPPS-HE11C","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Anesth pharyngeal surgery","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"17651","description":"Anesth pharyngeal surgery","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"EFLA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FCPC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"FUT1 GNOTYP FUT1 EXON 4","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0185U","description":"FUT1 GNOTYP FUT1 EXON 4","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KALE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-3AGL4","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"3AGL4","description":"HIPPS-3AGL4","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MLEC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Not ref for oto eval","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G8858","description":"Not ref for oto eval","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"EAIC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RHC5B","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RHC5B","description":"HIPPS-RHC5B","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"DDRD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-4BGKU","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"4BGKU","description":"HIPPS-4BGKU","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RVL0B","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RVL0B","description":"HIPPS-RVL0B","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Endovas aaa repr w/sm tube","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"34800","description":"Endovas aaa repr w/sm tube","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KBFC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"DBRD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Ajcc stage docd b/4 thxpy","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"3300F","description":"Ajcc stage docd b/4 thxpy","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Anesthesia for procedures on salivary glands_ including biopsy","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0113U","description":"Anesthesia for procedures on salivary glands_ including biopsy","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CEVB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Pwc gp 4 std cap chair","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"K0869","description":"Pwc gp 4 std cap chair","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Fixed wing air transport","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"A0430","description":"Fixed wing air transport","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"CPT-0677U","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"0677U","description":"CPT-0677U","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OIOD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-1AGMX","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"1AGMX","description":"HIPPS-1AGMX","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HH PDGM","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"1GB11","description":"HH PDGM","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"AHLB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RVC8D","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RVC8D","description":"HIPPS-RVC8D","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"ECID1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GHWC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"EACA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CIDF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Patient /caregiver dyad has been referred to appropriate resources and connection to those resources is confirmed","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G2186","description":"Patient /caregiver dyad has been referred to appropriate resources and connection to those resources is confirmed","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Skilled services of a licensed practical nurse (LPN) for the observation and assessment of the patient_s condition_ each 15 minutes (the change in the patient_s condition requ","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G0494","description":"Skilled services of a licensed practical nurse (LPN) for the observation and assessment of the patient_s condition_ each 15 minutes (the change in the patient_s condition requ","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Propranolol injection","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"J1800","description":"Propranolol injection","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"CPT-37296","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"37296","description":"CPT-37296","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-PB14D","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"PB14D","description":"HIPPS-PB14D","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Wrist endoscopy/surgery","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"29848","description":"Wrist endoscopy/surgery","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NCGD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KATB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KFIC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Remove spine fixation device","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"22850","description":"Remove spine fixation device","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KCFE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KDHB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OIME0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Harvest femoropopliteal vein","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"35572","description":"Harvest femoropopliteal vein","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Delay flap eye/nos/ear/lip","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"15630","description":"Delay flap eye/nos/ear/lip","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Drug test def 8-14 classes","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G0481","description":"Drug test def 8-14 classes","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Inject r ventr/atrial angio","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"93566","description":"Inject r ventr/atrial angio","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-M1395","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"M1395","description":"HCPCS-M1395","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Implant maintenance","billing_code_type":"CDT","billing_code_type_version":"2024","billing_code":"D6080","description":"Implant maintenance","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FAVB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CHDE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Assay of glucagon","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"82943","description":"Assay of glucagon","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Revise additional leg tendon","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"27692","description":"Revise additional leg tendon","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JFKC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MJEE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"EHUF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Removal of inner eye fluid","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"67036","description":"Removal of inner eye fluid","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NCBD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Pituitary evaluation panel","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"80418","description":"Pituitary evaluation panel","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"EIBC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FIJE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MDHE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GDDD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Onc dx brst stg1-2b hr_nopro","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G9071","description":"Onc dx brst stg1-2b hr_nopro","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Reinforce shoulder bones","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"23491","description":"Reinforce shoulder bones","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OKIF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CDQC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"DCSC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Ecmo/ecls initiation venous","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"33946","description":"Ecmo/ecls initiation venous","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FAMB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-BA12A","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"BA12A","description":"HIPPS-BA12A","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CHSC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GFEB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CHBD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Extensive vulva surgery","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"56640","description":"Extensive vulva surgery","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-ES146","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"ES146","description":"HIPPS-ES146","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OIGC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HH PDGM","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"1BC31","description":"HH PDGM","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OAXA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FHKE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"IHTC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Laparoscope proc app","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"44979","description":"Laparoscope proc app","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Cardiovascular procedure","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"93799","description":"Cardiovascular procedure","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KGXC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Cont airway pressure device","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"E0601","description":"Cont airway pressure device","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"EGDE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"IHMC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OCND1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-4BGL2","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"4BGL2","description":"HIPPS-4BGL2","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"DFOF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Trg gene rearrangement anal","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"81342","description":"Trg gene rearrangement anal","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Repos prev impltbl subq dfb","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"33273","description":"Repos prev impltbl subq dfb","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Removal pacemaker electrode","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"33235","description":"Removal pacemaker electrode","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-BA221","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"BA221","description":"HIPPS-BA221","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-A1003","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"A1003","description":"HCPCS-A1003","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"ICEF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Excellagen_ 0.1 cc","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"Q4149","description":"Excellagen_ 0.1 cc","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Drain/inj joint/bursa w/o us","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"20605","description":"Drain/inj joint/bursa w/o us","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Vestibular Evoked Myogenic Potential (Vemp) Testing_ With Interpretation And Report; Cervical (Cvemp)","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"92517","description":"Vestibular Evoked Myogenic Potential (Vemp) Testing_ With Interpretation And Report; Cervical (Cvemp)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GHLE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Electrocardiogram complete","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"93000","description":"Electrocardiogram complete","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-C0703","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"C0703","description":"HCPCS-C0703","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JIHA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-2CHM6","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"2CHM6","description":"HIPPS-2CHM6","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Patient identified as tobacco user did not receive tobacco cessation intervention (counseling and/or pharmacotherapy)_ reason not given","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G9908","description":"Patient identified as tobacco user did not receive tobacco cessation intervention (counseling and/or pharmacotherapy)_ reason not given","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"ADAF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GGNA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RVX56","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RVX56","description":"HIPPS-RVX56","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-PE110","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"PE110","description":"HIPPS-PE110","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FGHD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Patients with no clinical indications for imaging of the head","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"M1031","description":"Patients with no clinical indications for imaging of the head","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Ambulatory surgical boot eac","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"L3260","description":"Ambulatory surgical boot eac","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KFDA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CFQC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"LEWE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GIHC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"CDT-D0102","billing_code_type":"CDT","billing_code_type_version":"2026","billing_code":"D0102","description":"CDT-D0102","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Ultrasound exam follow-up","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"76970","description":"Ultrasound exam follow-up","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OBRE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"IHDD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Antithrombin iii injection","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"J7197","description":"Antithrombin iii injection","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Transcutaneous methb","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"88741","description":"Transcutaneous methb","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OKOF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-HC231","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"HC231","description":"HIPPS-HC231","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NJIE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NGTE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Phys blood bank serv xmatch","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"86077","description":"Phys blood bank serv xmatch","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Collagen skin test","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"Q3031","description":"Collagen skin test","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"CPT-0646U","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"0646U","description":"CPT-0646U","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Methylprednisolone 80 mg inj","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"J1040","description":"Methylprednisolone 80 mg inj","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-LE131","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"LE131","description":"HIPPS-LE131","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NGMA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Knee-shin sys hydraul stance","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"L5848","description":"Knee-shin sys hydraul stance","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Removal of nose polyp(s)","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"30115","description":"Removal of nose polyp(s)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FGTE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OBPA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Insert intrauterine device","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"58300","description":"Insert intrauterine device","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GAWC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Brief (20 minutes) care management home visit for a new patient. for use only in a medicare-approved cmmi model. (services must be furnished within a beneficiary_s home_ domic","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G0076","description":"Brief (20 minutes) care management home visit for a new patient. for use only in a medicare-approved cmmi model. (services must be furnished within a beneficiary_s home_ domic","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Ongoing Care Not Indicated_ Patient Self-Discharged Early And Seen Only 1-2 Visits (E.G._ Financial Or Insurance Reasons_ Transportation Problems_ Or Reason Unknown)","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"M1120","description":"Ongoing Care Not Indicated_ Patient Self-Discharged Early And Seen Only 1-2 Visits (E.G._ Financial Or Insurance Reasons_ Transportation Problems_ Or Reason Unknown)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Ligate/strip long leg vein","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"37722","description":"Ligate/strip long leg vein","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Tissue homogenization cultr","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"87176","description":"Tissue homogenization cultr","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Papaverin hcl injection","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"J2440","description":"Papaverin hcl injection","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HH PDGM","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"2CC11","description":"HH PDGM","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Patient did not receive any pneumococcal conjugate or polysaccharide vaccine_ on or after their 60th birthday and before or during measurement period","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"M1179","description":"Patient did not receive any pneumococcal conjugate or polysaccharide vaccine_ on or after their 60th birthday and before or during measurement period","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Removal of gallbladder","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"47605","description":"Removal of gallbladder","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"ABAD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"CPT-0683U","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"0683U","description":"CPT-0683U","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"The Start Of An Episode Of Care Documented In The Medical Record","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"M1116","description":"The Start Of An Episode Of Care Documented In The Medical Record","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NAPC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Kelch-like protein 11 (KLHL11) antibody_ serum or cerebrospinal fluid (CSF)_ cell-binding assay_ qualitative","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0432U","description":"Kelch-like protein 11 (KLHL11) antibody_ serum or cerebrospinal fluid (CSF)_ cell-binding assay_ qualitative","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Implant ureter in bowel","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"50800","description":"Implant ureter in bowel","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BEBD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Injection_ emapalumab-lzsg_ 1 mg","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"J9210","description":"Injection_ emapalumab-lzsg_ 1 mg","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"CPT-0601U","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"0601U","description":"CPT-0601U","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Programming device evaluation (in person) of intracardiac ischemia monitoring system with iterative adjustment of programmed values_ with analysis_ review_ and report","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0528T","description":"Programming device evaluation (in person) of intracardiac ischemia monitoring system with iterative adjustment of programmed values_ with analysis_ review_ and report","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"LIRD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OEAD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Cystoscopy and treatment","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"52285","description":"Cystoscopy and treatment","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OBRB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BHDE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BCTB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Automatic bp monitor_ dial","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"A4670","description":"Automatic bp monitor_ dial","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KEBE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Repair blood vessel lesion","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"35189","description":"Repair blood vessel lesion","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"HHQA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"LCOB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Drug test(s)_ presumptive_ any number of drug classes_ any number of devices or procedures; by instrument chemistry analyzers (eg_ utilizing immunoassay [eg_ EIA_ ELISA_ EMIT_","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"80307","description":"Drug test(s)_ presumptive_ any number of drug classes_ any number of devices or procedures; by instrument chemistry analyzers (eg_ utilizing immunoassay [eg_ EIA_ ELISA_ EMIT_","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-LC28E","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"LC28E","description":"HIPPS-LC28E","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-3BGK2","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"3BGK2","description":"HIPPS-3BGK2","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GIHF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"T cell absolute count","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"86361","description":"T cell absolute count","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Francisella tularensis","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"86668","description":"Francisella tularensis","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OCSB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-1AFLW","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"1AFLW","description":"HIPPS-1AFLW","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MHIE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KFVF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Place catheter in artery","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"36216","description":"Place catheter in artery","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OLME1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KFAD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Lobar lung transplantation","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"S2060","description":"Lobar lung transplantation","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BDFC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-PC28E","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"PC28E","description":"HIPPS-PC28E","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CAQF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"CPT-01212","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"01212","description":"CPT-01212","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Pwc gp 3 vhd seat/back","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"K0852","description":"Pwc gp 3 vhd seat/back","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JAFC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KEIC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RHX17","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RHX17","description":"HIPPS-RHX17","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OIXD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"METE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FCJD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"AAHA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Custom mold shoe remov prost","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"L3250","description":"Custom mold shoe remov prost","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MKCB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Patients who use hospice services any time during the measurement period","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G9741","description":"Patients who use hospice services any time during the measurement period","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KDQE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Patients receiving high doses of immunosuppressive therapy","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"M1063","description":"Patients receiving high doses of immunosuppressive therapy","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CBGB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"HDYC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CANF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Nonfamily hc train/session","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"S5116","description":"Nonfamily hc train/session","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"HCRA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RHX0A","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RHX0A","description":"HIPPS-RHX0A","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OBTF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Lens variable asphericity bi","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"V2430","description":"Lens variable asphericity bi","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BCGF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-2CHK3","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"2CHK3","description":"HIPPS-2CHK3","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-HE134","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"HE134","description":"HIPPS-HE134","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"PGQA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JGHC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CIVD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FGEF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KFCC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CGMB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Unspecified periodontal proc","billing_code_type":"CDT","billing_code_type_version":"2024","billing_code":"D4999","description":"Unspecified periodontal proc","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"PEQB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Hla class i high defin qual","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"86832","description":"Hla class i high defin qual","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CHNE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Anal sp inf pmp w/reprg&fill","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"62369","description":"Anal sp inf pmp w/reprg&fill","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FIKC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"ACHF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BDEF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JANE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Gardner vag dna dir probe","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"87510","description":"Gardner vag dna dir probe","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Eculizumab injection","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"J1300","description":"Eculizumab injection","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NDJF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-B1404","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"B1404","description":"HCPCS-B1404","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RLA56","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RLA56","description":"HIPPS-RLA56","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JEME0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Oncoprotein dcp","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"83951","description":"Oncoprotein dcp","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NHJA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Fibrinolytic plasminogen","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"85415","description":"Fibrinolytic plasminogen","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-C0302","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"C0302","description":"HCPCS-C0302","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Biopsy/removal lymph nodes","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"38500","description":"Biopsy/removal lymph nodes","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CEPE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"IACB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KFJD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-LD234","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"LD234","description":"HIPPS-LD234","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Dental onlay resin 3 surface","billing_code_type":"CDT","billing_code_type_version":"2024","billing_code":"D2663","description":"Dental onlay resin 3 surface","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Flex foot system","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"L5980","description":"Flex foot system","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OBRF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-2CHKS","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"2CHKS","description":"HIPPS-2CHKS","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-CC120","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"CC120","description":"HIPPS-CC120","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Ftrst upper hanger bracket","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"K0044","description":"Ftrst upper hanger bracket","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"ATXN3 (ataxin 3) (eg_ spinocerebellar ataxia_ Machado-Joseph disease) gene analysis_ evaluation to detect abnormal (eg_ expanded) alleles","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"81180","description":"ATXN3 (ataxin 3) (eg_ spinocerebellar ataxia_ Machado-Joseph disease) gene analysis_ evaluation to detect abnormal (eg_ expanded) alleles","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-PE120","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"PE120","description":"HIPPS-PE120","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"ECTF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"5% dextrose in lactated ringer_s_ 1000 ml","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"S5011","description":"5% dextrose in lactated ringer_s_ 1000 ml","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"IGMD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"1pc ost pch drain hgh output","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"A4435","description":"1pc ost pch drain hgh output","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MIHC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Remove eltrd/thoracotomy","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"33243","description":"Remove eltrd/thoracotomy","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OESD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Assay of nickel","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"83885","description":"Assay of nickel","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CHQE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FGPE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KGRF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GBRB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Urea nitrogen semi-quant","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"84525","description":"Urea nitrogen semi-quant","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-PA28F","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"PA28F","description":"HIPPS-PA28F","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"ODNF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JHUB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OHEF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Hm postpar hyper per diem","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"S9212","description":"Hm postpar hyper per diem","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Patients with clinical indications for imaging of the head","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"M1030","description":"Patients with clinical indications for imaging of the head","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HH PDGM","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"1CA31","description":"HH PDGM","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JDCA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Crown 3/4 cast hi noble met","billing_code_type":"CDT","billing_code_type_version":"2024","billing_code":"D2780","description":"Crown 3/4 cast hi noble met","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"High dose rate_electronic bracytherapy_ per fraction","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0182T","description":"High dose rate_electronic bracytherapy_ per fraction","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Crown porcelain/ceramic","billing_code_type":"CDT","billing_code_type_version":"2024","billing_code":"D6740","description":"Crown porcelain/ceramic","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OCRD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-CB24A","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"CB24A","description":"HIPPS-CB24A","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-CC25A","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"CC25A","description":"HIPPS-CC25A","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Windowing of cast","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"29730","description":"Windowing of cast","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Insert spine fixation device","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"22844","description":"Insert spine fixation device","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"AIBD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FDPC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"LFQD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JAJD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JCCF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"DFYB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"PLQE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Acute venous thrombus image","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"78456","description":"Acute venous thrombus image","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MKTE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RMX12","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RMX12","description":"HIPPS-RMX12","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NINC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OCCE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OKIE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Behavior identification assessment_ by the physician or other qualified health care professional_ face-to-face with patient and caregiver(s)_ includes administration of standa","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0359T","description":"Behavior identification assessment_ by the physician or other qualified health care professional_ face-to-face with patient and caregiver(s)_ includes administration of standa","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OKAF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Neck spine disk surgery","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"63075","description":"Neck spine disk surgery","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-CE254","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"CE254","description":"HIPPS-CE254","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Inj testosterone cypionate","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"J1071","description":"Inj testosterone cypionate","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"ODXC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MJAC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Withdrawal of arterial blood","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"36600","description":"Withdrawal of arterial blood","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RMC0B","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RMC0B","description":"HIPPS-RMC0B","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Us exam abdo back wall comp","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"76770","description":"Us exam abdo back wall comp","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NKEE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Radiation treatment delivery","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G6012","description":"Radiation treatment delivery","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NDEF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Disability examination","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"99456","description":"Disability examination","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Revision of knee joint","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"27445","description":"Revision of knee joint","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Dental coronoidectomy","billing_code_type":"CDT","billing_code_type_version":"2024","billing_code":"D7991","description":"Dental coronoidectomy","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BGVE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"X-ray exam of sinuses","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"70210","description":"X-ray exam of sinuses","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Sio flex pelvisacral custom","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"L0622","description":"Sio flex pelvisacral custom","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Manual wc hand rim w project","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"E0967","description":"Manual wc hand rim w project","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Assay of androstenedione","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"82157","description":"Assay of androstenedione","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RHA8A","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RHA8A","description":"HIPPS-RHA8A","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Incision of collarbone joint","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"23106","description":"Incision of collarbone joint","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BCXE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Tlso corset front","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"L0970","description":"Tlso corset front","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OJAE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OAUD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KGMC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BDJD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GEPF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-E1022","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"E1022","description":"HCPCS-E1022","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-J2290","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"J2290","description":"HCPCS-J2290","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JGHE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KFGA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Each addtnl cast post","billing_code_type":"CDT","billing_code_type_version":"2024","billing_code":"D2953","description":"Each addtnl cast post","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Burr hole for puncture","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"61120","description":"Burr hole for puncture","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Spherocylinder 4.25d/4.25-6d","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"V2109","description":"Spherocylinder 4.25d/4.25-6d","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JEFD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Manipulate finger w/anesth","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"26340","description":"Manipulate finger w/anesth","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NFBE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JDPB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Shoulder arthroscopy/surgery","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"29820","description":"Shoulder arthroscopy/surgery","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Brachytx_ stranded_ i-125","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"C2638","description":"Brachytx_ stranded_ i-125","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"IHUD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"IHMB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Principal Care Management Services_ For A Single High-Risk Disease_ With The Following Required Elements: One Complex Chronic Condition Expected To Last At Least 3 Months_ And","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"99424","description":"Principal Care Management Services_ For A Single High-Risk Disease_ With The Following Required Elements: One Complex Chronic Condition Expected To Last At Least 3 Months_ And","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-BA15B","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"BA15B","description":"HIPPS-BA15B","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Stress tte complete","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"93351","description":"Stress tte complete","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-3AFNV","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"3AFNV","description":"HIPPS-3AFNV","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"X-ray exam entire spi 4/5 vw","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"72083","description":"X-ray exam entire spi 4/5 vw","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Moderna Covid-19 vaccine administration - third dose (SARSCOV2 COVID-19 VAC mRNA 100mcg/0.5mL IM DOSE 3)","billing_code_type":"CDT","billing_code_type_version":"2024","billing_code":"D1710","description":"Moderna Covid-19 vaccine administration - third dose (SARSCOV2 COVID-19 VAC mRNA 100mcg/0.5mL IM DOSE 3)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Afo molded ankle gauntlet","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"L1904","description":"Afo molded ankle gauntlet","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CGAC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CDCB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Skin and muscle repair face","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"15845","description":"Skin and muscle repair face","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BBEC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Beta-2 glycoprotein antibody","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"86146","description":"Beta-2 glycoprotein antibody","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"IAAA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Drainage of pelvic fluid","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"57020","description":"Drainage of pelvic fluid","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FGMA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Brief alcohol misuse counsel","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G0443","description":"Brief alcohol misuse counsel","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-PC22C","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"PC22C","description":"HIPPS-PC22C","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Skin sub graft t/a/l add-on","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"15272","description":"Skin sub graft t/a/l add-on","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FIVA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Deb musc/fascia add-on","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"11046","description":"Deb musc/fascia add-on","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Injection_ necitumumab_ 1mg (Portrazza)","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"C9475","description":"Injection_ necitumumab_ 1mg (Portrazza)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NHLF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Complement/function activity","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"86161","description":"Complement/function activity","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-3BFL1","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"3BFL1","description":"HIPPS-3BFL1","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RHB25","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RHB25","description":"HIPPS-RHB25","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Egd place gastrostomy tube","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"43246","description":"Egd place gastrostomy tube","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Care plan hgb docd esa pt","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0514F","description":"Care plan hgb docd esa pt","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Interrogation and programming (minimum one parameter) of implanted phrenic nerve stimulator system","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"93151","description":"Interrogation and programming (minimum one parameter) of implanted phrenic nerve stimulator system","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Alloskin ac_ 1 cm","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"Q4141","description":"Alloskin ac_ 1 cm","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GFMD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"ICAC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KFOE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HH PDGM","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"2AA31","description":"HH PDGM","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Remote dx retinal imaging","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"92227","description":"Remote dx retinal imaging","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Srs spinal lesion addl","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"63621","description":"Srs spinal lesion addl","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"ABUD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MBTE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"ODQC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CGXF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Thiethylperazine maleate inj","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"J3280","description":"Thiethylperazine maleate inj","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RLB0B","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RLB0B","description":"HIPPS-RLB0B","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OGED0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CFQD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MKCC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JBIA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KEFF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"AILE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RHA0C","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RHA0C","description":"HIPPS-RHA0C","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"IBHB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BBUF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MAED1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Sign lang/oral interpreter","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"T1013","description":"Sign lang/oral interpreter","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"CPT-87564","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"87564","description":"CPT-87564","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Treat thigh fracture","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"27245","description":"Treat thigh fracture","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JFAB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BBFD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JCAE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Low Frequency Ultrasonic Diathermy Treatment Device For Home Use_ Includes All Components And Accessories","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"K1004","description":"Low Frequency Ultrasonic Diathermy Treatment Device For Home Use_ Includes All Components And Accessories","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Echograp trans r pros study","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"76873","description":"Echograp trans r pros study","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Power wheelchair noc","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"K0898","description":"Power wheelchair noc","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CGDC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RUA54","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RUA54","description":"HIPPS-RUA54","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CECA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OBDC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GDOD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NLVB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FENE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NFGC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Lat retinacular release open","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"27425","description":"Lat retinacular release open","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OKOC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-G0548","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"G0548","description":"HCPCS-G0548","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"AIHD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"AFDD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FIHF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OHEA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Hit high risk/escort","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"S9381","description":"Hit high risk/escort","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Removal sweat gland lesion","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"11462","description":"Removal sweat gland lesion","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CGAA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Blood gases any combination","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"82803","description":"Blood gases any combination","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Cath_ translumin_ drug-coat","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"C2623","description":"Cath_ translumin_ drug-coat","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Art byp grft subclav-brchial","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"35512","description":"Art byp grft subclav-brchial","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-1CHM5","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"1CHM5","description":"HIPPS-1CHM5","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Amputation of forearm","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"25915","description":"Amputation of forearm","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BHTF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Place catheter in artery","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"36014","description":"Place catheter in artery","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Dental inlay metl 3/more sur","billing_code_type":"CDT","billing_code_type_version":"2024","billing_code":"D2530","description":"Dental inlay metl 3/more sur","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Strep b dna amp probe","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"87653","description":"Strep b dna amp probe","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MDDA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Treat sesamoid bone fracture","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"28530","description":"Treat sesamoid bone fracture","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"In morphine preservativ free","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"J2274","description":"In morphine preservativ free","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Removal tunneled cv cath","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"36589","description":"Removal tunneled cv cath","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KCUA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NJEA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OGCA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-1BHLW","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"1BHLW","description":"HIPPS-1BHLW","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KAMA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JDTC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Onc dx prostate t1no progres","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G9077","description":"Onc dx prostate t1no progres","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CABD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GCCB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NJXB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS CODE","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"AAAA0","description":"SNF PDPM HIPPS CODE","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"AILA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Co57/58","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"A9546","description":"Co57/58","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Strattice tm","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"Q4130","description":"Strattice tm","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GIJD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KERA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"AHBD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Revision of cranial nerve","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"64716","description":"Revision of cranial nerve","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OJEF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Mobile arm supports reclinin","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"E2628","description":"Mobile arm supports reclinin","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CGWE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"IEBB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Rigid ped w/c tilt-in-space","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"E1231","description":"Rigid ped w/c tilt-in-space","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KBOF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Hdtrans bench w/wo comm open","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"E0248","description":"Hdtrans bench w/wo comm open","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"CDT-D5944","billing_code_type":"CDT","billing_code_type_version":"2026","billing_code":"D5944","description":"CDT-D5944","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NCHE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JCGA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-PB220","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"PB220","description":"HIPPS-PB220","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-BA111","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"BA111","description":"HIPPS-BA111","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Pros sock single ply upper l","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"L8485","description":"Pros sock single ply upper l","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MJCD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FDCB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JFJF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"PEYE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"CPT-0923T","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"0923T","description":"CPT-0923T","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BBUF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Digitization of glass microscope slides for pathology consultation during surgery; cytologic examination (eg_ touch preparation_ squash preparation)_ initial site (List separa","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0843T","description":"Digitization of glass microscope slides for pathology consultation during surgery; cytologic examination (eg_ touch preparation_ squash preparation)_ initial site (List separa","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CBXC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Lens aniseikonic bifocal","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"V2218","description":"Lens aniseikonic bifocal","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"EIIE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JCEC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"DFYC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"PFWC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"AHHB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-1CFK4","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"1CFK4","description":"HIPPS-1CFK4","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Stent placemt retro carotid","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"37217","description":"Stent placemt retro carotid","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RUB5D","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RUB5D","description":"HIPPS-RUB5D","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Injection_ pertuzumab_ trastuzumab_ and hyaluronidase-zzxf_ per 10 mg","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"J9316","description":"Injection_ pertuzumab_ trastuzumab_ and hyaluronidase-zzxf_ per 10 mg","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Apomorphine hydrochloride","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"J0364","description":"Apomorphine hydrochloride","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NGIF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RVC13","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RVC13","description":"HIPPS-RVC13","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FIXD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Repair of windpipe","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"31755","description":"Repair of windpipe","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"AIAE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"AFHE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Lev 2 hosp type b ed visit","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G0381","description":"Lev 2 hosp type b ed visit","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"EDMD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Donor hysterectomy (including cold preservation); laparoscopic or robotic_ from living donor","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0666T","description":"Donor hysterectomy (including cold preservation); laparoscopic or robotic_ from living donor","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Fun stat score ls < 0","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G8660","description":"Fun stat score ls < 0","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Custom power whlchr base","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"K0013","description":"Custom power whlchr base","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"AFTD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Remove foreign body","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"10121","description":"Remove foreign body","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JBED1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NHAD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BADF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Revascularization penis","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"37788","description":"Revascularization penis","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Orth foot add charge split s","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"L3257","description":"Orth foot add charge split s","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Lead_ pmkr/aicd combination","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"C1899","description":"Lead_ pmkr/aicd combination","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RUX1B","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RUX1B","description":"HIPPS-RUX1B","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Body Surface-Activation Mapping Of Pacemaker Or Pacing Cardioverter-Defibrillator Lead(S) To Optimize Electrical Synchrony_ Cardiac Resynchronization Therapy Device_ Including","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0695T","description":"Body Surface-Activation Mapping Of Pacemaker Or Pacing Cardioverter-Defibrillator Lead(S) To Optimize Electrical Synchrony_ Cardiac Resynchronization Therapy Device_ Including","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MBMB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-LE28X","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"LE28X","description":"HIPPS-LE28X","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GETD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KENE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FCBA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-L6031","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"L6031","description":"HCPCS-L6031","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Brachytx_ non-str_ gold-198","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"C1716","description":"Brachytx_ non-str_ gold-198","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Sperm isolation complex","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"89261","description":"Sperm isolation complex","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Cranial cervical torticollis","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"L0113","description":"Cranial cervical torticollis","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GFKE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Treponema pallidum ag if","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"87285","description":"Treponema pallidum ag if","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Ongoing care not possible because the patient self-discharged early (e.g._ financial or insurance reasons_ transportation problems_ or reason unknown)","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"M1148","description":"Ongoing care not possible because the patient self-discharged early (e.g._ financial or insurance reasons_ transportation problems_ or reason unknown)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NLMF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OJYB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Digitization of glass microscope slides for immunohistochemistry or immunocytochemistry_ per specimen_ each multiplex antibody stain procedure (List separately in addition to","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0762T","description":"Digitization of glass microscope slides for immunohistochemistry or immunocytochemistry_ per specimen_ each multiplex antibody stain procedure (List separately in addition to","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BICA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NJNC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CEQA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RMA8B","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RMA8B","description":"HIPPS-RMA8B","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Revise eye with implant","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"65093","description":"Revise eye with implant","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Removal of ureter stone","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"50630","description":"Removal of ureter stone","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Nos quant sensory test","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0110T","description":"Nos quant sensory test","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Ic lbw inf 1500-2500 g subsq","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"99479","description":"Ic lbw inf 1500-2500 g subsq","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GITF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Endocervical curettage","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"57505","description":"Endocervical curettage","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"DBQE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JBUF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-CB28D","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"CB28D","description":"HIPPS-CB28D","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"PGOC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"CPT-01758","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"01758","description":"CPT-01758","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FGJF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"CPT-37283","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"37283","description":"CPT-37283","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GIUF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Hla class ii phenotype qual","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"86831","description":"Hla class ii phenotype qual","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Cystoscopy and treatment","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"52332","description":"Cystoscopy and treatment","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-LD10A","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"LD10A","description":"HIPPS-LD10A","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"ACAC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Clinical Decision Support Mechanism Radrite_ As Defined By The Medicare Appropriate Use Criteria Program","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G1024","description":"Clinical Decision Support Mechanism Radrite_ As Defined By The Medicare Appropriate Use Criteria Program","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GCWD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FCDA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Integra flowable wound matri","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"Q4114","description":"Integra flowable wound matri","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Injection_ immune globulin (xembify)_ 100 mg","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"J1558","description":"Injection_ immune globulin (xembify)_ 100 mg","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"PJYE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FCJB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Stenger test pure tone","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"92565","description":"Stenger test pure tone","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Programmer for transient_ orally ingested capsule","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"A9268","description":"Programmer for transient_ orally ingested capsule","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Treat trigeminal tract","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"61791","description":"Treat trigeminal tract","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NDMB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"PHRD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Open axillary/subclavian artery exposure with creation of conduit for delivery of endovascular prosthesis or for establishment of cardiopulmonary bypass_ by infraclavicular or","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"34716","description":"Open axillary/subclavian artery exposure with creation of conduit for delivery of endovascular prosthesis or for establishment of cardiopulmonary bypass_ by infraclavicular or","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CIXC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Non-imaging heart function","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"78414","description":"Non-imaging heart function","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Echo exam of fetal heart","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"76827","description":"Echo exam of fetal heart","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Ajcc cln cncr stage 4 docd","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"3390F","description":"Ajcc cln cncr stage 4 docd","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CEEC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Ifosfamide injection","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"J9208","description":"Ifosfamide injection","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Chorion biopsy","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"59015","description":"Chorion biopsy","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Orthotic(s)/prosthetic(s) management and/or training_ upper extremity(ies)_ lower extremity(ies)_ and/or trunk_ subsequent orthotic(s)/prosthetic(s) encounter_ each 15 minutes","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"97763","description":"Orthotic(s)/prosthetic(s) management and/or training_ upper extremity(ies)_ lower extremity(ies)_ and/or trunk_ subsequent orthotic(s)/prosthetic(s) encounter_ each 15 minutes","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Navigational bronchoscopy","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"31627","description":"Navigational bronchoscopy","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GCLA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FFAF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-2CHLW","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"2CHLW","description":"HIPPS-2CHLW","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NJXF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CAOE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NJUB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Neurology autism_ 32 amines by LC-MS/MS_ using plasma_ algorithm reported as metabolic signature associated with autism spectrum disorder","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0063U","description":"Neurology autism_ 32 amines by LC-MS/MS_ using plasma_ algorithm reported as metabolic signature associated with autism spectrum disorder","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"LISB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Rpr umbil hern block > 5 yr","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"49587","description":"Rpr umbil hern block > 5 yr","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-3CGN3","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"3CGN3","description":"HIPPS-3CGN3","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CIJA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BAJF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KAXB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Perq lamot/lam lumbar","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0275T","description":"Perq lamot/lam lumbar","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NEED1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NFJA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"ODOC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"PLOF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JICB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Fixation of tongue_ mechanical_ other than suture (eg_ K-wire)","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"41500","description":"Fixation of tongue_ mechanical_ other than suture (eg_ K-wire)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KCQB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Motion fluoroscopy/swallow","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"92611","description":"Motion fluoroscopy/swallow","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-2CFL1","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"2CFL1","description":"HIPPS-2CFL1","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OFHF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Spirometry up to 2 yrs old","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"94011","description":"Spirometry up to 2 yrs old","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Tissue in-situ hybridization","billing_code_type":"CDT","billing_code_type_version":"2024","billing_code":"D0479","description":"Tissue in-situ hybridization","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RVB03","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RVB03","description":"HIPPS-RVB03","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"IAIE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"CPT-1036T","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"1036T","description":"CPT-1036T","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OESB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RHB02","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RHB02","description":"HIPPS-RHB02","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MJUF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-G0660","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"G0660","description":"HCPCS-G0660","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MJMB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Knee-shin pro flex/ext cont","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"L5859","description":"Knee-shin pro flex/ext cont","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"LGQC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Cmprs burngarment foot-knee","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"A6507","description":"Cmprs burngarment foot-knee","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NJAD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Anesth chest lining biopsy","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"52251","description":"Anesth chest lining biopsy","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Tracheostomy shower protect","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"A7523","description":"Tracheostomy shower protect","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OJQE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JCKD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KGOF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Orthoped ladies shoes dpth i","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"L3216","description":"Orthoped ladies shoes dpth i","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FBAC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Closure of split wound","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"12021","description":"Closure of split wound","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Gradient compression garment_ neck/head_ custom_ each","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"A6567","description":"Gradient compression garment_ neck/head_ custom_ each","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"CPT-1055T","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"1055T","description":"CPT-1055T","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Excise/repair mouth lesion","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"40814","description":"Excise/repair mouth lesion","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Corticoster sparng thrpy rxd","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"4142F","description":"Corticoster sparng thrpy rxd","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CAYF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Clot factor viii ahg 1 stage","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"85240","description":"Clot factor viii ahg 1 stage","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"IITD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NILB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MBUA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MLDE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"CPT-01829","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"01829","description":"CPT-01829","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-2AFLS","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"2AFLS","description":"HIPPS-2AFLS","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Insert epicard eltrd endo","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"33203","description":"Insert epicard eltrd endo","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JIVE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Injection_ remimazolam_ 1 mg","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"J2249","description":"Injection_ remimazolam_ 1 mg","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Home Delivered Meals-Sandwich","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"W1761","description":"Home Delivered Meals-Sandwich","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Tissue exam by pathologist","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"88309","description":"Tissue exam by pathologist","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KACA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Injection_ ustekinumab-auub (Wezlana)_ biosimilar_ IV_ 1 mg","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"Q5138","description":"Injection_ ustekinumab-auub (Wezlana)_ biosimilar_ IV_ 1 mg","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Patient was not admitted to the ICU in the last 30 days of life","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G9854","description":"Patient was not admitted to the ICU in the last 30 days of life","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CCPA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BEGF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Ed svc ckd ind per session","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G0420","description":"Ed svc ckd ind per session","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GHRB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Patient refused to participate","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G9728","description":"Patient refused to participate","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KFAE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-LC144","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"LC144","description":"HIPPS-LC144","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-HE25B","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"HE25B","description":"HIPPS-HE25B","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"CPT-55709","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"55709","description":"CPT-55709","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"ECTC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-HB235","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"HB235","description":"HIPPS-HB235","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MJLE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OJIA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"CPT-1058T","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"1058T","description":"CPT-1058T","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Group adaptive behavior treatment by protocol_ administered by technician_ face-to-face with two or more patients; each additional 30 minutes of technician time (List separate","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0367T","description":"Group adaptive behavior treatment by protocol_ administered by technician_ face-to-face with two or more patients; each additional 30 minutes of technician time (List separate","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Partial removal of ulna","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"25240","description":"Partial removal of ulna","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RVA1B","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RVA1B","description":"HIPPS-RVA1B","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FAUB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OCQE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-AAA1C","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"AAA1C","description":"HIPPS-AAA1C","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Whole mitochondrial genome","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"81460","description":"Whole mitochondrial genome","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Lev 1 hosp type b ed visit","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G0380","description":"Lev 1 hosp type b ed visit","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"HIRF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Acoustic cardiography_ including automated analysis of combined acoustic and electrical intervals; single_ with interpretation and report","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0223T","description":"Acoustic cardiography_ including automated analysis of combined acoustic and electrical intervals; single_ with interpretation and report","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Abortion","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"59850","description":"Abortion","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"ADTF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Dextran 40 infusion","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"J7100","description":"Dextran 40 infusion","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BIBA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MJBC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Thawing cryopresrved sperm","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"89353","description":"Thawing cryopresrved sperm","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RLA40","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RLA40","description":"HIPPS-RLA40","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FEFB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Documented medical reasons for not performing intraoperative cystoscopy (e.g._ urethral pathology precluding cystoscopy_ any patient who has a congenital or acquired absence o","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G9607","description":"Documented medical reasons for not performing intraoperative cystoscopy (e.g._ urethral pathology precluding cystoscopy_ any patient who has a congenital or acquired absence o","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"PLRC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"HERD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JCHD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BEAB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JGDC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Lowr extremity prosthes nos","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"L5999","description":"Lowr extremity prosthes nos","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"IADE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RVL26","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RVL26","description":"HIPPS-RVL26","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Shdr fair lead cable direct","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"L6590","description":"Shdr fair lead cable direct","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-CA18E","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"CA18E","description":"HIPPS-CA18E","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"AALE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-LD10B","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"LD10B","description":"HIPPS-LD10B","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Treat clavicle dislocation","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"23532","description":"Treat clavicle dislocation","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-M1487","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"M1487","description":"HCPCS-M1487","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Anesth chest surgery","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"54051","description":"Anesth chest surgery","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"EAIB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FAXF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Cardiovascular disease (acute coronary syndrome [ACS])_ IL-16_ FAS_ FASLigand_ HGF_ CTACK_ EOTAXIN_ and MCP-3 by immunoassay combined with age_ sex_ family history_ and person","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0415U","description":"Cardiovascular disease (acute coronary syndrome [ACS])_ IL-16_ FAS_ FASLigand_ HGF_ CTACK_ EOTAXIN_ and MCP-3 by immunoassay combined with age_ sex_ family history_ and person","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Injection_ cefiderocol_ 10 mg","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"J0699","description":"Injection_ cefiderocol_ 10 mg","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BIIE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RMX07","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RMX07","description":"HIPPS-RMX07","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Remove ear canal lesion(s)","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"69145","description":"Remove ear canal lesion(s)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Humidifier for use w/ regula","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"E0555","description":"Humidifier for use w/ regula","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RVL43","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RVL43","description":"HIPPS-RVL43","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"IFAF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RHB60","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RHB60","description":"HIPPS-RHB60","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MCMB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Injection_ bevacizumab-maly_ biosimilar_ (alymsys)_ 10 mg","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"Q5126","description":"Injection_ bevacizumab-maly_ biosimilar_ (alymsys)_ 10 mg","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MFEF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Glaucoma plan of care docd","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0517F","description":"Glaucoma plan of care docd","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Repair of low back nerves","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"64862","description":"Repair of low back nerves","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"EBEA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Preorthodontic tx visit","billing_code_type":"CDT","billing_code_type_version":"2024","billing_code":"D8660","description":"Preorthodontic tx visit","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Drain blood from under nail","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"11740","description":"Drain blood from under nail","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Doc comp or mort w in 30d","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G9267","description":"Doc comp or mort w in 30d","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-LE156","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"LE156","description":"HIPPS-LE156","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Repair eyelid defect","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"67923","description":"Repair eyelid defect","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BHPE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"AAIF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Weight record","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"2001F","description":"Weight record","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Anesth kidney stone destruct","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"87251","description":"Anesth kidney stone destruct","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GEGD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CDSB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JEJB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Developmental testing_ (includes assessment of motor_ language_ social_ adaptive_ and/or cognitive functioning by standardized developmental instruments) with interpretation a","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"96111","description":"Developmental testing_ (includes assessment of motor_ language_ social_ adaptive_ and/or cognitive functioning by standardized developmental instruments) with interpretation a","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OLYC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Thera&Couns Svcs (Counseling Svcs)","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"W0093","description":"Thera&Couns Svcs (Counseling Svcs)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JATD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KAIA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Artery x-rays arm","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"75658","description":"Artery x-rays arm","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Medrsn no pt category","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G9292","description":"Medrsn no pt category","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MFLC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"O2 contents gas cubic ft","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"S8120","description":"O2 contents gas cubic ft","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Relese_ per sq cm","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"Q4257","description":"Relese_ per sq cm","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Transcutaneous Visible Light Hyperspectral Imaging Measurement Of Oxyhemoglobin_ Deoxyhemoglobin_ And Tissue Oxygenation_ With Interpretation And Report_ Per Extremity","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0631T","description":"Transcutaneous Visible Light Hyperspectral Imaging Measurement Of Oxyhemoglobin_ Deoxyhemoglobin_ And Tissue Oxygenation_ With Interpretation And Report_ Per Extremity","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GIJC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NFJF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"AIHE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Dental prophylaxis adult","billing_code_type":"CDT","billing_code_type_version":"2024","billing_code":"D1110","description":"Dental prophylaxis adult","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"PKYE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"CPT-0537U","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"0537U","description":"CPT-0537U","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BIAD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Clinical decision support mechanism LogicNets_ as defined by the Medicare appropriate use criteria program","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G1019","description":"Clinical decision support mechanism LogicNets_ as defined by the Medicare appropriate use criteria program","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BCJA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Interprt fees/laryngeal test","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"92617","description":"Interprt fees/laryngeal test","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OLAF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"EFME1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-M1470","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"M1470","description":"HCPCS-M1470","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"FlowerAmnioPatch_ per sq cm","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"Q4178","description":"FlowerAmnioPatch_ per sq cm","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Creatinine clearance test","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"82575","description":"Creatinine clearance test","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GGYE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-1BFLW","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"1BFLW","description":"HIPPS-1BFLW","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GGFE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CGEB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OHYF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Compounded drug not otherwise classified","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"Q9977","description":"Compounded drug not otherwise classified","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"guided tissue regeneration_ edentulous area - resorbable barrier_ per site","billing_code_type":"CDT","billing_code_type_version":"2024","billing_code":"D7956","description":"guided tissue regeneration_ edentulous area - resorbable barrier_ per site","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NBJD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OLLD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OBTD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"CPT-00540","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"00540","description":"CPT-00540","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"EDAD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Icar ischm mntrng sys eltrd","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0303T","description":"Icar ischm mntrng sys eltrd","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Contact lens_ hydrophilic_ dual focus_ per lens","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"V2525","description":"Contact lens_ hydrophilic_ dual focus_ per lens","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CIME0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OHAF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RUB4D","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RUB4D","description":"HIPPS-RUB4D","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"EBEB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Symptoms improved/consist","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"1450F","description":"Symptoms improved/consist","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"ACLD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MCDD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-5BHK2","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"5BHK2","description":"HIPPS-5BHK2","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NDNF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-AAA2B","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"AAA2B","description":"HIPPS-AAA2B","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-HB12A","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"HB12A","description":"HIPPS-HB12A","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"No pharm ther osteo rx","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G8635","description":"No pharm ther osteo rx","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Osa mg qual act perform","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G8759","description":"Osa mg qual act perform","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CBFF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FIXD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"PEYB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-1CFMS","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"1CFMS","description":"HIPPS-1CFMS","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OFNF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KANB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BCDF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KBIF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"EAHD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Immunization administration by intramuscular injection of severe acute respiratory syndrome coronavirus 2 (SARS CoV-2) (coronavirus disease [COVID-19]) vaccine_ mRNA LNP_ spik","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0164A","description":"Immunization administration by intramuscular injection of severe acute respiratory syndrome coronavirus 2 (SARS CoV-2) (coronavirus disease [COVID-19]) vaccine_ mRNA LNP_ spik","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Autopsy (necropsy) gross","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"88007","description":"Autopsy (necropsy) gross","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FGTA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MJEF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GAAA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"EDHF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GHSE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CCLD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Trapezius sling","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"L1070","description":"Trapezius sling","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"ODXF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-A5001","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"A5001","description":"HCPCS-A5001","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Ekg tracing for initial prev","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G0404","description":"Ekg tracing for initial prev","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Introduction of needle or intracatheter_ upper or lower extremity artery","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"36140","description":"Introduction of needle or intracatheter_ upper or lower extremity artery","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NAVC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Disease progn ra good docd","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"3476F","description":"Disease progn ra good docd","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Chromosome banding study","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"88283","description":"Chromosome banding study","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Radiation Therapy For Anal Cancer Under The Radiation Oncology Model_ 90 Day Episode_ Technical Component","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"M1073","description":"Radiation Therapy For Anal Cancer Under The Radiation Oncology Model_ 90 Day Episode_ Technical Component","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"LIOF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RUA06","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RUA06","description":"HIPPS-RUA06","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JBCE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"EETA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OGID1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MFIF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Esoph bx rprt w/dyspl info","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"3126F","description":"Esoph bx rprt w/dyspl info","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Injection_ fremanezumab-vfrm_ 1mg","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"C9040","description":"Injection_ fremanezumab-vfrm_ 1mg","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Removal of pulse generator for wireless cardiac stimulator for left ventricular pacing; both components (battery and transmitter)","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0861T","description":"Removal of pulse generator for wireless cardiac stimulator for left ventricular pacing; both components (battery and transmitter)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-Z7610","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"Z7610","description":"HCPCS-Z7610","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Antidepressants class 3-5","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"80333","description":"Antidepressants class 3-5","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JHJC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Biopsy of epididymis","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"54800","description":"Biopsy of epididymis","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Ped compr care pkg_ per diem","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"T1025","description":"Ped compr care pkg_ per diem","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Escharotomy addl incision","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"16036","description":"Escharotomy addl incision","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-G0532","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"G0532","description":"HCPCS-G0532","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OLOF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"General Inpatient Care - A flat per diem rates before area wage adjustment for inpatient acute care","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"W0605","description":"General Inpatient Care - A flat per diem rates before area wage adjustment for inpatient acute care","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"EIDB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Mucormycosis antibody","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"86732","description":"Mucormycosis antibody","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-1CHP4","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"1CHP4","description":"HIPPS-1CHP4","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Removal of ovarian cyst(s)","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"58925","description":"Removal of ovarian cyst(s)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Max sterile barriers flwd","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"6030F","description":"Max sterile barriers flwd","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MGAA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OIPD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JDKD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FADA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Wheelchair accessory_ foot box_ any type_ includes attachment and mounting hardware_ each foot.","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"E0954","description":"Wheelchair accessory_ foot box_ any type_ includes attachment and mounting hardware_ each foot.","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JFIE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"LAQE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Injection_ conivaptan hydrochloride_ 1 mg","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"C9488","description":"Injection_ conivaptan hydrochloride_ 1 mg","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Patient lift hydraulic","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"E0630","description":"Patient lift hydraulic","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"LGQA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Revise middle ear bone","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"69660","description":"Revise middle ear bone","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Repair bowel opening","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"44620","description":"Repair bowel opening","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-2BGM5","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"2BGM5","description":"HIPPS-2BGM5","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Surgical dress holder reuse","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"A4463","description":"Surgical dress holder reuse","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-3BHKX","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"3BHKX","description":"HIPPS-3BHKX","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KHSE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KEQA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Nasal/sinus endoscopy surg","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"31288","description":"Nasal/sinus endoscopy surg","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OHGF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Cytp urine 3-5 probes cmptr","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"88121","description":"Cytp urine 3-5 probes cmptr","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KBWC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"IDED0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"EEUE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"AEUA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Post-op hip abduct custom fa","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"L1685","description":"Post-op hip abduct custom fa","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JBAE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Prolonged hospital inpatient or observation care evaluation and management service(s) beyond the total time for the primary service (when the primary service has been selected","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G0316","description":"Prolonged hospital inpatient or observation care evaluation and management service(s) beyond the total time for the primary service (when the primary service has been selected","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CABC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Candida dna dir probe","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"87480","description":"Candida dna dir probe","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Treat lower jaw fracture","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"21461","description":"Treat lower jaw fracture","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OBIF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Replace aortic valve open","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"33363","description":"Replace aortic valve open","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-3AFL2","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"3AFL2","description":"HIPPS-3AFL2","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BGXD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CBYF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Treat big toe fracture","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"28490","description":"Treat big toe fracture","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NCMA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JEEC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NEXE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JFHE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OBMF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RMX8E","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RMX8E","description":"HIPPS-RMX8E","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Staph a dna amp probe","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"87640","description":"Staph a dna amp probe","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Shwr cov elec/combo vad_ rep","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"Q0501","description":"Shwr cov elec/combo vad_ rep","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KGED0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Barrera sl or barrera dl_ per square centimeter","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"Q4281","description":"Barrera sl or barrera dl_ per square centimeter","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MEHD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NJGF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-C1501","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"C1501","description":"HCPCS-C1501","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-1AFNS","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"1AFNS","description":"HIPPS-1AFNS","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KCEE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Patch_ lidocaine/tetracaine","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"C9285","description":"Patch_ lidocaine/tetracaine","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"CPT-0564U","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"0564U","description":"CPT-0564U","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-Q5145","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"Q5145","description":"HCPCS-Q5145","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-A2004","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"A2004","description":"HCPCS-A2004","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Gastroenterology procedure","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"91299","description":"Gastroenterology procedure","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GEBB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KIGD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"IDBD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CHTA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OIAB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Pre-hypertensive or hypertensive blood pressure reading documented_ indicated follow-up not documented_ Patient not eligible/ not appropriate","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G8951","description":"Pre-hypertensive or hypertensive blood pressure reading documented_ indicated follow-up not documented_ Patient not eligible/ not appropriate","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NBPB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JCVE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Ef adult fluids and electro","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"B4102","description":"Ef adult fluids and electro","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NEJB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Blood/lymph nuclear exam","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"78199","description":"Blood/lymph nuclear exam","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-A1604","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"A1604","description":"HCPCS-A1604","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Ophthalmology Mips Specialty Set","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G4020","description":"Ophthalmology Mips Specialty Set","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"HHOF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"DCWE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Neuropsychological testing (eg_ Halstead-Reitan Neuropsychological Battery_ Wechsler Memory Scales and Wisconsin Card Sorting Test)_ with qualified health care professional in","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"96119","description":"Neuropsychological testing (eg_ Halstead-Reitan Neuropsychological Battery_ Wechsler Memory Scales and Wisconsin Card Sorting Test)_ with qualified health care professional in","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JDDA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Mouth surgery procedure","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"40899","description":"Mouth surgery procedure","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MFDB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Epsd bk pain for 12 wks/<","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"1136F","description":"Epsd bk pain for 12 wks/<","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JEXE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-LC141","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"LC141","description":"HIPPS-LC141","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Injection_ levothyroxine sodium (hikma) not therapeutically equivalent to j0650_ 10 mcg","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"J0652","description":"Injection_ levothyroxine sodium (hikma) not therapeutically equivalent to j0650_ 10 mcg","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Repair of mitral valve","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"33426","description":"Repair of mitral valve","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JCXB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MHAD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MLDF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"EHCE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BBLC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OFQD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NEGC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Removal of lung lesion","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"32540","description":"Removal of lung lesion","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CHGE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FAEF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GDFA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FITB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Cytolethal distending toxin B (CdtB) and vinculin IgG antibodies by immunoassay (ie_ ELISA)","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0085U","description":"Cytolethal distending toxin B (CdtB) and vinculin IgG antibodies by immunoassay (ie_ ELISA)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NEMA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"HIRB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-CA121","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"CA121","description":"HIPPS-CA121","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OHOC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Dental occlusal guard","billing_code_type":"CDT","billing_code_type_version":"2024","billing_code":"D9940","description":"Dental occlusal guard","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Infectious agent detection by nucleic acid (DNA and RNA)_ surgical wound pathogens_ 34 microorganisms and identification of 21 associated antibiotic-resistance genes_ multiple","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0370U","description":"Infectious agent detection by nucleic acid (DNA and RNA)_ surgical wound pathogens_ 34 microorganisms and identification of 21 associated antibiotic-resistance genes_ multiple","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FBUE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GFUC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Open insertion or replacement of integrated neurostimulation system for bladder dysfunction including electrode(s) (eg_ array or leadless)_ and pulse generator or receiver_ in","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0817T","description":"Open insertion or replacement of integrated neurostimulation system for bladder dysfunction including electrode(s) (eg_ array or leadless)_ and pulse generator or receiver_ in","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"3d render w/intrp postproces","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"76377","description":"3d render w/intrp postproces","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-CD160","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"CD160","description":"HIPPS-CD160","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OCXA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Laminotomy (Hemilaminectomy)_ With Decompression Of Nerve Root(S)_ Including Partial Facetectomy_ Foraminotomy And Excision Of Herniated Intervertebral Disc_ And Repair Of Ann","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"C9757","description":"Laminotomy (Hemilaminectomy)_ With Decompression Of Nerve Root(S)_ Including Partial Facetectomy_ Foraminotomy And Excision Of Herniated Intervertebral Disc_ And Repair Of Ann","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BGCD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OIWB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GIQB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KIYB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"HBWA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GBME1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Alcohol and/or drug services","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"H0012","description":"Alcohol and/or drug services","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Injection_ ganciclovir sodium (exela) not therapeutically equivalent to j1570_ 500 mg","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"J1574","description":"Injection_ ganciclovir sodium (exela) not therapeutically equivalent to j1570_ 500 mg","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GHSB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-A2043","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"A2043","description":"HCPCS-A2043","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KBAB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"HBRA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-3AHMU","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"3AHMU","description":"HIPPS-3AHMU","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Cftr gene full sequence","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"81223","description":"Cftr gene full sequence","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Neurobehavioral status exam","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"96116","description":"Neurobehavioral status exam","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GIRD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-1AHM2","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"1AHM2","description":"HIPPS-1AHM2","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Genetic testing for severe inherited conditions (eg_ cystic fibrosis_ Ashkenazi Jewish-associated disorders [eg_ Bloom syndrome_ Canavan disease_ Fanconi anemia type C_ mucoli","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"81443","description":"Genetic testing for severe inherited conditions (eg_ cystic fibrosis_ Ashkenazi Jewish-associated disorders [eg_ Bloom syndrome_ Canavan disease_ Fanconi anemia type C_ mucoli","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BEVD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OKCF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BFCB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JBKA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"MRI chest w/o & w/dye","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"71552","description":"MRI chest w/o & w/dye","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-J2804","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"J2804","description":"HCPCS-J2804","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BGID1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KFCA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"HGWB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JDHC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NATF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"EDIA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KAJA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"PGWC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Ctlso infant immobilizer","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"L1001","description":"Ctlso infant immobilizer","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-PC124","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"PC124","description":"HIPPS-PC124","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"AECC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Pulmonary rehab rec","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"4033F","description":"Pulmonary rehab rec","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FFAA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Injection_ aztreonam_ 100 mg","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"J0457","description":"Injection_ aztreonam_ 100 mg","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Optical coherence tomography (OCT) of middle ear_ with interpretation and report; unilateral","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0485T","description":"Optical coherence tomography (OCT) of middle ear_ with interpretation and report; unilateral","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CBBC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NGEC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Proton trmt simple w/comp","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"77522","description":"Proton trmt simple w/comp","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OLCE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NIEB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Mh svc plan dev by non-md","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"H0032","description":"Mh svc plan dev by non-md","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Circum 28 days or older","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"54161","description":"Circum 28 days or older","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CDTF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"LBQF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-3BHNW","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"3BHNW","description":"HIPPS-3BHNW","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GGAC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Computer-Aided Mapping Of Cervix Uteri During Colposcopy_ Including Optical Dynamic Spectral Imaging And Algorithmic Quantification Of The Acetowhitening Effect (List Separate","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"57465","description":"Computer-Aided Mapping Of Cervix Uteri During Colposcopy_ Including Optical Dynamic Spectral Imaging And Algorithmic Quantification Of The Acetowhitening Effect (List Separate","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Brachy_non-str_ytterbium-169","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"C2637","description":"Brachy_non-str_ytterbium-169","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Add clasp to partial denture","billing_code_type":"CDT","billing_code_type_version":"2024","billing_code":"D5660","description":"Add clasp to partial denture","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Art byp grft axill/fem/fem","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"35533","description":"Art byp grft axill/fem/fem","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FBFE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CIUB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Thromboplastin time partial","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"85730","description":"Thromboplastin time partial","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NIDD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-PC113","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"PC113","description":"HIPPS-PC113","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Mra_ w/o&w/dye_ spinal canal","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"C8933","description":"Mra_ w/o&w/dye_ spinal canal","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GGCA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NFPF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Surgicl dress hold non-reuse","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"A4461","description":"Surgicl dress hold non-reuse","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Patient has mitral stenosis or prosthetic heart valves or patient has transient or reversible cause of AF (e.g._ pneumonia_ hyperthyroidism_ pregnancy_ cardiac surgery)","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G9746","description":"Patient has mitral stenosis or prosthetic heart valves or patient has transient or reversible cause of AF (e.g._ pneumonia_ hyperthyroidism_ pregnancy_ cardiac surgery)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KBNA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OKLB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GGTE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Injection_ oritavancin","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"J2407","description":"Injection_ oritavancin","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-C0701","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"C0701","description":"HCPCS-C0701","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Exc rectal tumor endoscopic","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0184T","description":"Exc rectal tumor endoscopic","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Lyme dis dna dir probe","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"87475","description":"Lyme dis dna dir probe","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Remove/treat lung lesions","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"32141","description":"Remove/treat lung lesions","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JDDD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OEUC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Revise kneecap","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"27437","description":"Revise kneecap","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Injection_ naloxone hydrochloride (zimhi)_ 1 mg","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"J2311","description":"Injection_ naloxone hydrochloride (zimhi)_ 1 mg","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-ES215","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"ES215","description":"HIPPS-ES215","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-G0684","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"G0684","description":"HCPCS-G0684","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-4CFLS","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"4CFLS","description":"HIPPS-4CFLS","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Opn tx nasomax fx w/fixj","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"21346","description":"Opn tx nasomax fx w/fixj","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Fabrication of a custom removable clear plastic temporary aesthetic appliance","billing_code_type":"CDT","billing_code_type_version":"2024","billing_code":"D9938","description":"Fabrication of a custom removable clear plastic temporary aesthetic appliance","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BAAC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Redo compl cardiac anomaly","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"33622","description":"Redo compl cardiac anomaly","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Provision of COVID-19 test_ nonprescription self-administered and self-collected use_ FDA approved_ authorized or cleared_ one test count","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"K1034","description":"Provision of COVID-19 test_ nonprescription self-administered and self-collected use_ FDA approved_ authorized or cleared_ one test count","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OIUC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Heart symp image plnr","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0331T","description":"Heart symp image plnr","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GAQA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MDTB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Onc nhlstg 1-2 no relap no","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G9134","description":"Onc nhlstg 1-2 no relap no","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KCJC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"ODLA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-ES336","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"ES336","description":"HIPPS-ES336","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Cystoscopy and treatment","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"52310","description":"Cystoscopy and treatment","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KEJD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Zidovudine","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"J3485","description":"Zidovudine","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Skilled services of a licensed practical nurse (LPN)_ in the training and/or education of a patient or family member_ in the home health or hospice setting_ each 15 minutes","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G0496","description":"Skilled services of a licensed practical nurse (LPN)_ in the training and/or education of a patient or family member_ in the home health or hospice setting_ each 15 minutes","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Remove/graft bone lesion","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"24116","description":"Remove/graft bone lesion","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-3BFL5","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"3BFL5","description":"HIPPS-3BFL5","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RVA22","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RVA22","description":"HIPPS-RVA22","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"EHHD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OLSC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KHOC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"DAWC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-1CGMU","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"1CGMU","description":"HIPPS-1CGMU","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MJIA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GBIA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Treat lower leg dislocation","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"27831","description":"Treat lower leg dislocation","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MIHA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Blood_ l/r_ froz/degly/wash","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"P9054","description":"Blood_ l/r_ froz/degly/wash","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NIXD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JDID1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"ACEB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Heat lamp with stand","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"E0205","description":"Heat lamp with stand","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Reconstruction of urethra","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"53415","description":"Reconstruction of urethra","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Hla typing dr/dq","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"86817","description":"Hla typing dr/dq","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Nasal/sinus endoscopy surg","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"31237","description":"Nasal/sinus endoscopy surg","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-PA210","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"PA210","description":"HIPPS-PA210","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"ACLF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FDNE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"No doc type nsm lung ca","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G9290","description":"No doc type nsm lung ca","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"IDAF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HH PDGM","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"4KC31","description":"HH PDGM","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NHXB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NIBA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"LDSA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"CPT-0596U","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"0596U","description":"CPT-0596U","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"LEQD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Remove pharynx foreign body","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"42809","description":"Remove pharynx foreign body","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-1BHM5","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"1BHM5","description":"HIPPS-1BHM5","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Radiation treatment aid(s)","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"77334","description":"Radiation treatment aid(s)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"ADAC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"PermeaDerm glove_ each","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"A2017","description":"PermeaDerm glove_ each","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-PD24B","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"PD24B","description":"HIPPS-PD24B","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Wc planar back cush wd <22in","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"E2620","description":"Wc planar back cush wd <22in","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CFBD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OBJB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Removal of rectum","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"45112","description":"Removal of rectum","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Flu imm no admin doc rea","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G8483","description":"Flu imm no admin doc rea","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Tx beta-lactam abx therapy","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G9558","description":"Tx beta-lactam abx therapy","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BAVC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-CC25D","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"CC25D","description":"HIPPS-CC25D","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GEIE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JGME1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Repair throat wound","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"42900","description":"Repair throat wound","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Injection_ talquetamab-tgvs_ 0.25 mg","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"C9163","description":"Injection_ talquetamab-tgvs_ 0.25 mg","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CDHA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RVB42","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RVB42","description":"HIPPS-RVB42","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KGHB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"IBAC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-3BGP2","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"3BGP2","description":"HIPPS-3BGP2","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Incision of eyelid","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"67710","description":"Incision of eyelid","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MADB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"IACB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MFTF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MGCA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Cd4+cell cnt 200-499 cells","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"3495F","description":"Cd4+cell cnt 200-499 cells","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Repair deformity of toe","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"28313","description":"Repair deformity of toe","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Amoxicillin_ with or without clavulanate_ not prescribed as first line antibiotic at the time of diagnosis for documented reason","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G9313","description":"Amoxicillin_ with or without clavulanate_ not prescribed as first line antibiotic at the time of diagnosis for documented reason","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Image cath fluid peri/retro","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"49406","description":"Image cath fluid peri/retro","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KHVF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GDSE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JHLD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KDSA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BDIF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GHWD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Nerve repair; with nerve allograft_ each nerve_ first strand (cable)","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"64912","description":"Nerve repair; with nerve allograft_ each nerve_ first strand (cable)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Referred for an av fistula","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"4051F","description":"Referred for an av fistula","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MCID1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Assay of hemoglobin heat","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"83065","description":"Assay of hemoglobin heat","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Deb bone add-on","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"11047","description":"Deb bone add-on","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RMX4A","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RMX4A","description":"HIPPS-RMX4A","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NLKC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Clot factor viii multimetric","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"85247","description":"Clot factor viii multimetric","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JBFB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Evaluation of wheezing","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"94070","description":"Evaluation of wheezing","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Drug metabolism (adverse drug reactions)_ DNA_ 22 drug metabolism and transporter genes_ real-time PCR_ blood or buccal swab_ genotype and metabolizer status for therapeutic d","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0015U","description":"Drug metabolism (adverse drug reactions)_ DNA_ 22 drug metabolism and transporter genes_ real-time PCR_ blood or buccal swab_ genotype and metabolizer status for therapeutic d","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-2BFLT","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"2BFLT","description":"HIPPS-2BFLT","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-CC15C","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"CC15C","description":"HIPPS-CC15C","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Gas system stationary compre","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"E0425","description":"Gas system stationary compre","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BDDE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Maxillary sinusotomy","billing_code_type":"CDT","billing_code_type_version":"2024","billing_code":"D7560","description":"Maxillary sinusotomy","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Cranial Electrotherapy Stimulation (Ces) System_ Includes All Supplies And Accessories_ Any Type","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"K1002","description":"Cranial Electrotherapy Stimulation (Ces) System_ Includes All Supplies And Accessories_ Any Type","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KBQB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KHIF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NJJB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Infusion ther other than che","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"Q0081","description":"Infusion ther other than che","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OCXB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OBIA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JHUC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Place catheter in artery","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"36218","description":"Place catheter in artery","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-LD131","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"LD131","description":"HIPPS-LD131","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Repair finger/hand tendon","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"26356","description":"Repair finger/hand tendon","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GDFF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-4AHK4","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"4AHK4","description":"HIPPS-4AHK4","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-3BFMU","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"3BFMU","description":"HIPPS-3BFMU","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"ADAB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OEUE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OLFB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Sinus endo w/balloon dil","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"31297","description":"Sinus endo w/balloon dil","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Phospholipid pltlt neutraliz","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"85597","description":"Phospholipid pltlt neutraliz","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Injection procedure during cardiac catheterization including imaging supervision_ interpretation_ and report; for selective pulmonary arterial angiography_ unilateral (List se","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"93569","description":"Injection procedure during cardiac catheterization including imaging supervision_ interpretation_ and report; for selective pulmonary arterial angiography_ unilateral (List se","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CFOE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GELB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Post removal","billing_code_type":"CDT","billing_code_type_version":"2024","billing_code":"D2955","description":"Post removal","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Treat metacarpal fracture","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"26605","description":"Treat metacarpal fracture","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"EEBE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Social work visit_ in the ho","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"S9127","description":"Social work visit_ in the ho","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OKEF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RVX8A","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RVX8A","description":"HIPPS-RVX8A","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JCNA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MICF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Autgrft implnt knee w/scope","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"29866","description":"Autgrft implnt knee w/scope","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"External bleaching home app","billing_code_type":"CDT","billing_code_type_version":"2024","billing_code":"D9975","description":"External bleaching home app","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Zinc paste band w >=3in<5in/yd","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"A6456","description":"Zinc paste band w >=3in<5in/yd","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CDAC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MLBE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-4BFK2","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"4BFK2","description":"HIPPS-4BFK2","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-1AFM2","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"1AFM2","description":"HIPPS-1AFM2","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"DEOD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Fibrin degradation quant","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"85379","description":"Fibrin degradation quant","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OERA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Anesth removal of testis","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"92851","description":"Anesth removal of testis","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-Q4409","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"Q4409","description":"HCPCS-Q4409","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CFHB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CBLD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Removal of permanently implantable aortic counterpulsation ventricular assist system; complete system (aortic counterpulsation device_ vascular hemostatic seal_ mechano-electr","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0455T","description":"Removal of permanently implantable aortic counterpulsation ventricular assist system; complete system (aortic counterpulsation device_ vascular hemostatic seal_ mechano-electr","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OJDF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Gingivectomy/plasty per quad","billing_code_type":"CDT","billing_code_type_version":"2024","billing_code":"D4210","description":"Gingivectomy/plasty per quad","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RML5C","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RML5C","description":"HIPPS-RML5C","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"HAOF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OBHC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Partial removal of pharynx","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"42890","description":"Partial removal of pharynx","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-ES28C","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"ES28C","description":"HIPPS-ES28C","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OEAD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NEJE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Remove thyroid duct lesion","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"60280","description":"Remove thyroid duct lesion","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-2AGK2","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"2AGK2","description":"HIPPS-2AGK2","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CEUD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Insrt pulse gen w/singl lead","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"33240","description":"Insrt pulse gen w/singl lead","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"CPT-76017","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"76017","description":"CPT-76017","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NHLB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Removal and replacement of externally accessible nephroureteral catheter (eg_ external/internal stent) requiring fluoroscopic guidance_ with ureteral stricture balloon dilatio","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"C7546","description":"Removal and replacement of externally accessible nephroureteral catheter (eg_ external/internal stent) requiring fluoroscopic guidance_ with ureteral stricture balloon dilatio","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JIXB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FIXA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Epidrm autogrft t/a/l add-on","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"15111","description":"Epidrm autogrft t/a/l add-on","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"CPT-01850","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"01850","description":"CPT-01850","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JBFC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OITC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Remove foreign body from eye","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"65210","description":"Remove foreign body from eye","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"EHBE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-CE12D","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"CE12D","description":"HIPPS-CE12D","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RUX11","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RUX11","description":"HIPPS-RUX11","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Pulmonology Mips Specialty Set","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G4030","description":"Pulmonology Mips Specialty Set","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KDOC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KCMF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"AAMA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KHOB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"EGDE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KGBC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-LE11B","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"LE11B","description":"HIPPS-LE11B","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Pt support & positioning sys","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"E0636","description":"Pt support & positioning sys","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KARD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"DFQA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Patient not screened for tobacco use","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"M1312","description":"Patient not screened for tobacco use","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OHKA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GEPD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RHC41","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RHC41","description":"HIPPS-RHC41","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HH PDGM","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"1CC11","description":"HH PDGM","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GIID0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-BA206","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"BA206","description":"HIPPS-BA206","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"W/c wdth 20-23 in seat frame","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"E2340","description":"W/c wdth 20-23 in seat frame","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NIAB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KIJE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Debride genitalia & perineum","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"11004","description":"Debride genitalia & perineum","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Cardiology (heart transplant)_ mRNA gene expression profiling by microarray of 1283 genes_  transplant biopsy tissue_ allograft rejection and injury algorithm reported as a pr","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0087U","description":"Cardiology (heart transplant)_ mRNA gene expression profiling by microarray of 1283 genes_  transplant biopsy tissue_ allograft rejection and injury algorithm reported as a pr","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CIYF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"PHYC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-HB140","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"HB140","description":"HIPPS-HB140","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Abortion","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"59851","description":"Abortion","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FGUE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-CA28H","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"CA28H","description":"HIPPS-CA28H","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Explore wound chest","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"20101","description":"Explore wound chest","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GFUF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RVB07","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RVB07","description":"HIPPS-RVB07","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RVA02","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RVA02","description":"HIPPS-RVA02","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Transplant ureter to skin","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"50860","description":"Transplant ureter to skin","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Percussor elect/pneum home m","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"E0480","description":"Percussor elect/pneum home m","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Cefotaxime sodium injection","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"J0698","description":"Cefotaxime sodium injection","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Betadine/phisohex solution","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"A4246","description":"Betadine/phisohex solution","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-1BGPT","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"1BGPT","description":"HIPPS-1BGPT","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GCTC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KGXF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Strep a dna dir probe","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"87650","description":"Strep a dna dir probe","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JCLD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RUA5B","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RUA5B","description":"HIPPS-RUA5B","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MJHD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OHHA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-ES25C","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"ES25C","description":"HIPPS-ES25C","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MGHE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"A Model Participant (Ambulance Supplier/Provider)_ The Beneficiary Refuses Services Covered Under The Model (Transport To An Alternate Destination/Treatment In Place)","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G2022","description":"A Model Participant (Ambulance Supplier/Provider)_ The Beneficiary Refuses Services Covered Under The Model (Transport To An Alternate Destination/Treatment In Place)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GERB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Fusion of thumb","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"26841","description":"Fusion of thumb","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Plating chrome/nickel pr bar","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"L2750","description":"Plating chrome/nickel pr bar","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CATC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JFND0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-LE141","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"LE141","description":"HIPPS-LE141","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Cabg artery-vein three","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"33519","description":"Cabg artery-vein three","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Destruction of skin lesions","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"17274","description":"Destruction of skin lesions","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Eye exam with photos","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"92230","description":"Eye exam with photos","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KBPA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JDBF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KFGF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-1CGN1","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"1CGN1","description":"HIPPS-1CGN1","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"AGDD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-G0570","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"G0570","description":"HCPCS-G0570","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Maxillary part denture flex","billing_code_type":"CDT","billing_code_type_version":"2024","billing_code":"D5225","description":"Maxillary part denture flex","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Reconstruction knee","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"27428","description":"Reconstruction knee","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Narcosynthesis","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"90865","description":"Narcosynthesis","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RUA0D","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RUA0D","description":"HIPPS-RUA0D","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OGAD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FACC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Nonmed family planning ed","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"H1010","description":"Nonmed family planning ed","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"LFYC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"ICHC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CAQB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-CD22A","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"CD22A","description":"HIPPS-CD22A","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"CPT-00474","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"00474","description":"CPT-00474","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OGNB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Radiation therapy planning","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"77263","description":"Radiation therapy planning","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NLMC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CCCE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Transplant/graft hand tendon","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"26483","description":"Transplant/graft hand tendon","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Wheelchair spec size w/ leg","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"E1224","description":"Wheelchair spec size w/ leg","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Tract frame attach footboard","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"E0870","description":"Tract frame attach footboard","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"AGAB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Oncology (melanoma)_ artificial intelligence (AI)-enabled quantitative mass spectrometry analysis of 142 unique pairs of glycopeptide and product fragments_ plasma_ prognostic","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0357U","description":"Oncology (melanoma)_ artificial intelligence (AI)-enabled quantitative mass spectrometry analysis of 142 unique pairs of glycopeptide and product fragments_ plasma_ prognostic","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Central dexa ordered","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"3096F","description":"Central dexa ordered","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CEED0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Wheelchair spec size w foot","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"E1221","description":"Wheelchair spec size w foot","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GCUA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"CPT-00120","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"00120","description":"CPT-00120","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RMA12","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RMA12","description":"HIPPS-RMA12","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"H pylori drug admin","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"83014","description":"H pylori drug admin","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-G0675","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"G0675","description":"HCPCS-G0675","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"CPT-87594","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"87594","description":"CPT-87594","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-Q0235","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"Q0235","description":"HCPCS-Q0235","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Lang comp d/c status","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G9161","description":"Lang comp d/c status","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GGXE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KBPE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-ES14B","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"ES14B","description":"HIPPS-ES14B","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CEGE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"ODAD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Axolotl DualGraft_ per sq cm","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"Q4332","description":"Axolotl DualGraft_ per sq cm","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OAIB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JFCC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"EEBA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RHL14","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RHL14","description":"HIPPS-RHL14","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Terbutaline sulf comp con","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"J7680","description":"Terbutaline sulf comp con","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Physician standby services","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"99360","description":"Physician standby services","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BIVE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CHOE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-HC131","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"HC131","description":"HIPPS-HC131","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Unsched dialysis esrd pt hos","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G0257","description":"Unsched dialysis esrd pt hos","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GEHA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GGRE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GAHE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"IILA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-2CGL2","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"2CGL2","description":"HIPPS-2CGL2","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Coombs test direct","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"86880","description":"Coombs test direct","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RVB02","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RVB02","description":"HIPPS-RVB02","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KGUA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JDJB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"No sent lymph node biopsy","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G8882","description":"No sent lymph node biopsy","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"EAEC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-LB18D","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"LB18D","description":"HIPPS-LB18D","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Repair/graft hand tendon","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"26392","description":"Repair/graft hand tendon","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"CPT-1033T","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"1033T","description":"CPT-1033T","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Remove vagina wall partial","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"57106","description":"Remove vagina wall partial","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Removal of colon/ileostomy","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"44155","description":"Removal of colon/ileostomy","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GIXD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CGJA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Injection_ fosaprepitant (teva)_ not therapeutically equivalent to j1453_ 1 mg","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"J1456","description":"Injection_ fosaprepitant (teva)_ not therapeutically equivalent to j1453_ 1 mg","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Surgical boot each junior","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"L3211","description":"Surgical boot each junior","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Complement fixation each","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"86171","description":"Complement fixation each","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CAPE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-HD13A","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"HD13A","description":"HIPPS-HD13A","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"IIMF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"ECDA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FAEC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Cabg artery-vein two","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"33518","description":"Cabg artery-vein two","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GEXF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-PC20D","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"PC20D","description":"HIPPS-PC20D","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Repair of skull & brain","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"62145","description":"Repair of skull & brain","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OLLB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BDDB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Creation of arteriovenous fistula_ percutaneous using magnetic-guided arterial and venous catheters and radiofrequency energy_","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"C9755","description":"Creation of arteriovenous fistula_ percutaneous using magnetic-guided arterial and venous catheters and radiofrequency energy_","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RHL4C","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RHL4C","description":"HIPPS-RHL4C","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"PASC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JCEC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Cep72 (Centrosomal Protein_ 72-Kda)_ Nudt15 (Nudix Hydrolase 15) And Tpmt (Thiopurine S-Methyltransferase) (Eg_ Drug Metabolism) Gene Analysis_ Common Variants","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0286U","description":"Cep72 (Centrosomal Protein_ 72-Kda)_ Nudt15 (Nudix Hydrolase 15) And Tpmt (Thiopurine S-Methyltransferase) (Eg_ Drug Metabolism) Gene Analysis_ Common Variants","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Residential Habilitation 1-3","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"W0100","description":"Residential Habilitation 1-3","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Vein x-ray liver w/hemodynam","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"75885","description":"Vein x-ray liver w/hemodynam","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Levonorgestrel iu 13.5 mg","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"J7301","description":"Levonorgestrel iu 13.5 mg","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OEYF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"HIRE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FBDE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Replace aortic valve perq","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"33361","description":"Replace aortic valve perq","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"HCYC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BGEC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Cellesta_ per sq cm","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"Q4184","description":"Cellesta_ per sq cm","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OHMF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Foam drg > 48 sq in w/o brdr","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"A6211","description":"Foam drg > 48 sq in w/o brdr","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Release of lower leg tendons","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"27681","description":"Release of lower leg tendons","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OJBD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Ct head/brain w/o & w/dye","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"70470","description":"Ct head/brain w/o & w/dye","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MLDD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BEPB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CDHA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BGVC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OKGA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BIGD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"CPT-0948T","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"0948T","description":"CPT-0948T","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"In ear binaural hearing aid","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"V5130","description":"In ear binaural hearing aid","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Patients who were appropriately evaluated during the initial exam and were re-evaluated no later than 8 weeks from initial exam","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"M1331","description":"Patients who were appropriately evaluated during the initial exam and were re-evaluated no later than 8 weeks from initial exam","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"IEIF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BGLD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Part removal of metatarsal","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"28110","description":"Part removal of metatarsal","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"CPT-0632U","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"0632U","description":"CPT-0632U","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"AACD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"CPT-0961T","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"0961T","description":"CPT-0961T","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-5BFK2","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"5BFK2","description":"HIPPS-5BFK2","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Crisis intervention mental h","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"S9485","description":"Crisis intervention mental h","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Remove spine lamina 1/2 crvl","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"63001","description":"Remove spine lamina 1/2 crvl","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Cur funct asses; no care pln","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G8543","description":"Cur funct asses; no care pln","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Personal care ser per diem","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"T1020","description":"Personal care ser per diem","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CFPE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"ODEE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Mastectomy form","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"L8020","description":"Mastectomy form","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CCOD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Most recent tobacco status is not tobacco free","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G9792","description":"Most recent tobacco status is not tobacco free","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"EHBB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Removal duct glbldr calculi","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"47544","description":"Removal duct glbldr calculi","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CHIC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JDHE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CHUD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FHFA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GIWF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Doc sinus ct 28d","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G9349","description":"Doc sinus ct 28d","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-CA204","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"CA204","description":"HIPPS-CA204","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OFRF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MJDD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CHPC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KCPF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BIIF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GIYD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Qualified Nonphysician Health Care Professional Online Digital Evaluation And Management Service_ For An Established Patient_ For Up To 7 Days_ Cumulative Time During The 7 Da","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"98971","description":"Qualified Nonphysician Health Care Professional Online Digital Evaluation And Management Service_ For An Established Patient_ For Up To 7 Days_ Cumulative Time During The 7 Da","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RVC56","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RVC56","description":"HIPPS-RVC56","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"CDT-D7259","billing_code_type":"CDT","billing_code_type_version":"2026","billing_code":"D7259","description":"CDT-D7259","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-3AFN5","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"3AFN5","description":"HIPPS-3AFN5","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CHIF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"ODHC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"IHIA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"In111 capromab","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"A9507","description":"In111 capromab","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Assay of ferritin","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"82728","description":"Assay of ferritin","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RUB3B","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RUB3B","description":"HIPPS-RUB3B","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BIJD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BCJB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Transluminal balloon angioplasty (except dialysis circuit)_ open or percutaneous_ including all imaging and radiological supervision and interpretation necessary to perform th","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"37249","description":"Transluminal balloon angioplasty (except dialysis circuit)_ open or percutaneous_ including all imaging and radiological supervision and interpretation necessary to perform th","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"AHCF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"PKOE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MCHF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Repair ruptd popliteal art","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"35152","description":"Repair ruptd popliteal art","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"DISF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-CC136","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"CC136","description":"HIPPS-CC136","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KEKF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Revise two eye muscles","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"67316","description":"Revise two eye muscles","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FABC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"DHYF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MFAA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Phenytoin sodium injection","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"J1165","description":"Phenytoin sodium injection","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FHMF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Pt in the home per diem","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"S9131","description":"Pt in the home per diem","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KCCC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NBHF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MEEA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"EAHD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GIBC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OLFD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Patient age 65 or older in institutional special needs plans (SNP) or residing in long-term care with POS code 32_ 33_ 34_ 54_ or 56 any time during the measurement period","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G9898","description":"Patient age 65 or older in institutional special needs plans (SNP) or residing in long-term care with POS code 32_ 33_ 34_ 54_ or 56 any time during the measurement period","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Islet cell antibody","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"86341","description":"Islet cell antibody","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"PHOD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HH PDGM","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"3LA11","description":"HH PDGM","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Repair of thigh muscle","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"27385","description":"Repair of thigh muscle","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Partial removal of colon","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"44140","description":"Partial removal of colon","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Pt not consid poss risk fx","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"3573F","description":"Pt not consid poss risk fx","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OGEE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Repair of foot tendon","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"28208","description":"Repair of foot tendon","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"AGTB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Injection Factor IX_ (antihemophilic factor_ recombinant)_ glycopegylated_ (Rebinyn)_ 1 IU","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"J7203","description":"Injection Factor IX_ (antihemophilic factor_ recombinant)_ glycopegylated_ (Rebinyn)_ 1 IU","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BEHE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Excision of gum lesion","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"41825","description":"Excision of gum lesion","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CDSC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Injection_ pemetrexed (accord) not therapeutically equivalent to j9305_ 10 mg","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"J9296","description":"Injection_ pemetrexed (accord) not therapeutically equivalent to j9305_ 10 mg","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Chemodenerv 1 extrem 5/> mus","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"64644","description":"Chemodenerv 1 extrem 5/> mus","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OLWA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MLAB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FHDC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NDED0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Pelvic examination","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"57410","description":"Pelvic examination","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KAIB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GILC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Venography for congenital heart defect(s)_ including catheter placement_ and radiological supervision and interpretation; coronary sinus (List separately in addition to code f","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"93586","description":"Venography for congenital heart defect(s)_ including catheter placement_ and radiological supervision and interpretation; coronary sinus (List separately in addition to code f","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-PD215","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"PD215","description":"HIPPS-PD215","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Magnetic resonance imaging_ breast_ without contrast material; unilateral","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"77046","description":"Magnetic resonance imaging_ breast_ without contrast material; unilateral","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Injection_ teprotumumab-trbw_ 10 mg","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"J3241","description":"Injection_ teprotumumab-trbw_ 10 mg","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OCHE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OGTA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-PE254","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"PE254","description":"HIPPS-PE254","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GFQA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NGEA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"IFMA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Exome (ie_ somatic mutations)_ paired formalin-fixed paraffin-embedded tumor tissue and normal specimen_ sequence analysis","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0036U","description":"Exome (ie_ somatic mutations)_ paired formalin-fixed paraffin-embedded tumor tissue and normal specimen_ sequence analysis","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Reconstruct wrist joint","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"25443","description":"Reconstruct wrist joint","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FAUC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NFGC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Dialysis circuit_ introduction of needle(s) and/or catheter(s)_ with diagnostic angiography of the dialysis circuit_ including all direct puncture(s) and catheter placement(s)","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"C7514","description":"Dialysis circuit_ introduction of needle(s) and/or catheter(s)_ with diagnostic angiography of the dialysis circuit_ including all direct puncture(s) and catheter placement(s)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GDLA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MCUD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Intend rpt dia retin msr grp","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G9671","description":"Intend rpt dia retin msr grp","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Art pancreas ext transmitter","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"S1036","description":"Art pancreas ext transmitter","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Women who had a bilateral mastectomy or who have a history of a bilateral mastectomy or for whom there is evidence of a right and a left unilateral mastectomy","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G9708","description":"Women who had a bilateral mastectomy or who have a history of a bilateral mastectomy or for whom there is evidence of a right and a left unilateral mastectomy","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Thoracoscopy remov fb/fibrin","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"32653","description":"Thoracoscopy remov fb/fibrin","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KGPE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-3CFMT","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"3CFMT","description":"HIPPS-3CFMT","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Drainage of salivary cyst","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"42409","description":"Drainage of salivary cyst","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"CPT-1100T","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"1100T","description":"CPT-1100T","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Complement antigen","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"86160","description":"Complement antigen","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Epstein-barr antibody","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"86663","description":"Epstein-barr antibody","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Poliovirus ipv sc/im","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"90713","description":"Poliovirus ipv sc/im","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OJAB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Poliovirus vaccine_ (any type(s)) (opv)_ live_ for oral use","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"90712","description":"Poliovirus vaccine_ (any type(s)) (opv)_ live_ for oral use","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GDTF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CDKE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Fondaparinux sodium","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"J1652","description":"Fondaparinux sodium","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OFAB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GEYE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-3CGNT","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"3CGNT","description":"HIPPS-3CGNT","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Anesth facial bone surgery","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"19251","description":"Anesth facial bone surgery","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OKMB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-CA25B","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"CA25B","description":"HIPPS-CA25B","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CAKA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HH PDGM","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"1BA21","description":"HH PDGM","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KELC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-LD25A","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"LD25A","description":"HIPPS-LD25A","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"IGHE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Us exam of head and neck","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"76536","description":"Us exam of head and neck","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-C0804","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"C0804","description":"HCPCS-C0804","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GFGC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Contrst x-ray urinary tract","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"74410","description":"Contrst x-ray urinary tract","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Anesth fat layer removal","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"80251","description":"Anesth fat layer removal","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GCWE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FEFA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JEMB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Injection_ rituximab-pvvr_ biosimilar_ (ruxience)_ 10 mg","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"Q5119","description":"Injection_ rituximab-pvvr_ biosimilar_ (ruxience)_ 10 mg","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-M0234","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"M0234","description":"HCPCS-M0234","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OASA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BCIA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NCAB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Radiation Therapy For Cns Tumors Under The Radiation Oncology Model_ 90 Day Episode_ Technical Component","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"M1085","description":"Radiation Therapy For Cns Tumors Under The Radiation Oncology Model_ 90 Day Episode_ Technical Component","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Fun stat score ue pt no elg","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G8669","description":"Fun stat score ue pt no elg","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NBPA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Eeg 41-60 minutes","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"95812","description":"Eeg 41-60 minutes","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"PEQC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BCDF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"CPT-0934T","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"0934T","description":"CPT-0934T","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Hyaluronan or derivative_ GELSYN-3_ for intra-articular injection_ 0.1 mg","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"J7328","description":"Hyaluronan or derivative_ GELSYN-3_ for intra-articular injection_ 0.1 mg","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GETB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JBGF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GDKD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"DFWA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-BA13B","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"BA13B","description":"HIPPS-BA13B","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CGDD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FFMD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RHX5D","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RHX5D","description":"HIPPS-RHX5D","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"ADHE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MJBF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NCDB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Assay of homocystine","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"83090","description":"Assay of homocystine","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NLAF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Heart infarct image (ef)","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"78468","description":"Heart infarct image (ef)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Chorionic gonadotropin/1000u","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"J0725","description":"Chorionic gonadotropin/1000u","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Drug screen quant gabapentin","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"80171","description":"Drug screen quant gabapentin","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"AEBA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RVL4D","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RVL4D","description":"HIPPS-RVL4D","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"PISD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KGAA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Proctosigmoidoscopy dx","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"45300","description":"Proctosigmoidoscopy dx","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Biopsy of thyroid","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"60100","description":"Biopsy of thyroid","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Nebulizer ultrasonic","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"E0575","description":"Nebulizer ultrasonic","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NFUF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Repair blood vessel lesion","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"35276","description":"Repair blood vessel lesion","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FBTE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OKWC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-1BFKV","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"1BFKV","description":"HIPPS-1BFKV","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"EFED0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"HBQC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KIPF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Pt not rcvng epo thxpy","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"4095F","description":"Pt not rcvng epo thxpy","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Lap revision perm ip cath","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"49325","description":"Lap revision perm ip cath","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"HDSB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"AHBB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KAQB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KIDA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"IAUF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-3AGMW","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"3AGMW","description":"HIPPS-3AGMW","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FEIF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-5BGK5","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"5BGK5","description":"HIPPS-5BGK5","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"CPT-0943T","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"0943T","description":"CPT-0943T","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"CPT-01966","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"01966","description":"CPT-01966","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KEVE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FDTD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Dental sealant per tooth","billing_code_type":"CDT","billing_code_type_version":"2024","billing_code":"D1351","description":"Dental sealant per tooth","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NGXA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FHMD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Injection_ pemetrexed (pemrydi rtu)_ 10 mg","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"J9324","description":"Injection_ pemetrexed (pemrydi rtu)_ 10 mg","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GAEE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"ABCD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Plmt ureteral stent prq","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"50695","description":"Plmt ureteral stent prq","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CBXB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"G6PD (glucose-6-phosphate dehydrogenase) (eg_ hemolytic anemia_ jaundice)_ gene analysis; known familial variant(s)","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"81248","description":"G6PD (glucose-6-phosphate dehydrogenase) (eg_ hemolytic anemia_ jaundice)_ gene analysis; known familial variant(s)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KEWC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RMC3A","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RMC3A","description":"HIPPS-RMC3A","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Absorpt drg <=16 sq in w/o b","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"A6251","description":"Absorpt drg <=16 sq in w/o b","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Hematology (genetic platelet function disorder)_ genomic sequence analysis of 31 genes_ blood_ buccal swab_ or amniotic fluid (Versiti™ Platelet Function Disorder Panel)","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0277U","description":"Hematology (genetic platelet function disorder)_ genomic sequence analysis of 31 genes_ blood_ buccal swab_ or amniotic fluid (Versiti™ Platelet Function Disorder Panel)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CAIF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"School-based iep ser bundled","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"T1018","description":"School-based iep ser bundled","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JETE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Inlay composite/resin one su","billing_code_type":"CDT","billing_code_type_version":"2024","billing_code":"D2650","description":"Inlay composite/resin one su","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FHLE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KIDC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-3AHK6","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"3AHK6","description":"HIPPS-3AHK6","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HH PDGM","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"2AB31","description":"HH PDGM","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MAEF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"CPT-83884","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"83884","description":"CPT-83884","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Removal of wrist lesion","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"25130","description":"Removal of wrist lesion","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"DFSB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"EDBB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Cholinesterase challenge","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"95857","description":"Cholinesterase challenge","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NGGA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JGIA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Unspecified preventive proc","billing_code_type":"CDT","billing_code_type_version":"2024","billing_code":"D1999","description":"Unspecified preventive proc","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Breast milk proc/store/dist","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"T2101","description":"Breast milk proc/store/dist","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Folding ped wc adjustable","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"E1236","description":"Folding ped wc adjustable","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Asp not presc doc reas","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G9436","description":"Asp not presc doc reas","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HH PDGM","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"2JB31","description":"HH PDGM","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OCYB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RVC05","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RVC05","description":"HIPPS-RVC05","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"ODOB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KFYB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-A0202","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"A0202","description":"HCPCS-A0202","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Patient not ambulatory_ bed ridden_ immobile_ confined to chair_ wheelchair bound_ dependent on helper pushing wheelchair_ independent in wheelchair or minimal help in wheelch","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G9721","description":"Patient not ambulatory_ bed ridden_ immobile_ confined to chair_ wheelchair bound_ dependent on helper pushing wheelchair_ independent in wheelchair or minimal help in wheelch","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OKSE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Cysto laser tx ureteral calc","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"S2070","description":"Cysto laser tx ureteral calc","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CCVA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MBMB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GGFF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NLFA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NJKE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KDFC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Cataract surg w/iol 1 stage","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"66983","description":"Cataract surg w/iol 1 stage","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MGIC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Encephaltis east eqne anbdy","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"86652","description":"Encephaltis east eqne anbdy","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FBNF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Re-Cement Or Re-Bond Bilateral Space Maintainer - Maxillary","billing_code_type":"CDT","billing_code_type_version":"2024","billing_code":"D1551","description":"Re-Cement Or Re-Bond Bilateral Space Maintainer - Maxillary","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Netupitant palonosetron oral","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"J8655","description":"Netupitant palonosetron oral","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-CA231","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"CA231","description":"HIPPS-CA231","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Body jacket mold to patient","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"L1300","description":"Body jacket mold to patient","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OFLE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Mammogram screening","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"77057","description":"Mammogram screening","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-1AGPV","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"1AGPV","description":"HIPPS-1AGPV","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MGBC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NKAB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OIQC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Removal of kidney & ureter","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"50236","description":"Removal of kidney & ureter","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"LFWC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RUA1B","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RUA1B","description":"HIPPS-RUA1B","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-PC104","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"PC104","description":"HIPPS-PC104","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Latex leg strap","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"A5113","description":"Latex leg strap","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Hdr rdncl ntrstl/icav brchtx","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"77771","description":"Hdr rdncl ntrstl/icav brchtx","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Orphenadrine injection","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"J2360","description":"Orphenadrine injection","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-HC206","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"HC206","description":"HIPPS-HC206","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Manual Preparation And Insertion Of Drug-Delivery Device(S)_ Intramedullary (List Separately In Addition To Code For Primary Procedure)","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"20702","description":"Manual Preparation And Insertion Of Drug-Delivery Device(S)_ Intramedullary (List Separately In Addition To Code For Primary Procedure)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FHEB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MLHF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Radiation treatment delivery","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G6005","description":"Radiation treatment delivery","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CAYD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Tibial tubercle hgt w/ toe f","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"L5020","description":"Tibial tubercle hgt w/ toe f","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NKHD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"EBDB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GDCA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Removal of breast tissue","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"19300","description":"Removal of breast tissue","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Hemodialysis repeated eval","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"90937","description":"Hemodialysis repeated eval","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Photodynamic therapy by external application of light to destroy premalignant lesions of the skin and adjacent mucosa with application and illumination/activation of photosens","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"96573","description":"Photodynamic therapy by external application of light to destroy premalignant lesions of the skin and adjacent mucosa with application and illumination/activation of photosens","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-PD113","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"PD113","description":"HIPPS-PD113","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Dexamethasone sodium phos","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"J1100","description":"Dexamethasone sodium phos","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"LEWE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CHCA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OBAF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"IFIE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Vol reduction of blood/prod","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"86960","description":"Vol reduction of blood/prod","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Levonorgestrel iu 52mg 5 yr","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"J7298","description":"Levonorgestrel iu 52mg 5 yr","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KGSF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KBIA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KCHE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Amputee adapter","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"E0959","description":"Amputee adapter","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"EFDE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OCLC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-ES255","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"ES255","description":"HIPPS-ES255","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FGUB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Solid caster tire_ integrate","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"E2392","description":"Solid caster tire_ integrate","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Phenylephrine hcl injection","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"J2370","description":"Phenylephrine hcl injection","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Gradient compression garment_ arm_ padded_ for nighttime use_ custom_ each","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"A6523","description":"Gradient compression garment_ arm_ padded_ for nighttime use_ custom_ each","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Pjp proph ordered cd4 low","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G9223","description":"Pjp proph ordered cd4 low","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"ODXE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"DIYB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CAQD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Documentation of immune checkpoint inhibitor therapy held and corticosteroids or immunosuppressants prescribed or administered","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"M1183","description":"Documentation of immune checkpoint inhibitor therapy held and corticosteroids or immunosuppressants prescribed or administered","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BDGD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"CPT-53866","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"53866","description":"CPT-53866","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GBJB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-A6548","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"A6548","description":"HCPCS-A6548","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Shave skin lesion 0.6-1.0 cm","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"11311","description":"Shave skin lesion 0.6-1.0 cm","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Bone cutting segmented","billing_code_type":"CDT","billing_code_type_version":"2024","billing_code":"D7944","description":"Bone cutting segmented","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"AHCB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NFLD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Bx breast 1st lesion mr imag","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"19085","description":"Bx breast 1st lesion mr imag","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Initial hospital care","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"99221","description":"Initial hospital care","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Semen anal strict criteria","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"89322","description":"Semen anal strict criteria","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Joint survey single view","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"77077","description":"Joint survey single view","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Repair bladder neck","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"51845","description":"Repair bladder neck","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Methylergonovin maleate inj","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"J2210","description":"Methylergonovin maleate inj","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Reptilase test","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"85635","description":"Reptilase test","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Repair of shoulder","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"23420","description":"Repair of shoulder","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Urine flow measurement","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"51736","description":"Urine flow measurement","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Home visit stoma care","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"99505","description":"Home visit stoma care","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OJIB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NIKF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CFLB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OKSC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Muscle test 3 limbs","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"95863","description":"Muscle test 3 limbs","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KCPD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Repair nerve add-on","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"64837","description":"Repair nerve add-on","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Fluoroestradiol f18_ diagnostic_ 1 mci","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"C9060","description":"Fluoroestradiol f18_ diagnostic_ 1 mci","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Revision of chest wall","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"19271","description":"Revision of chest wall","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CFNA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"LCWE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-LE101","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"LE101","description":"HIPPS-LE101","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KIRB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JELC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"EDHF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-J2428","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"J2428","description":"HCPCS-J2428","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KFWE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"ICDF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Bk waist belt padded and lin","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"L5690","description":"Bk waist belt padded and lin","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"CPT-00147","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"00147","description":"CPT-00147","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"CYP2D6 (cytochrome P450_ family 2_ subfamily D_ polypeptide 6) (eg_ drug metabolism) gene analysis_ full gene sequence (List separately in addition to code for primary procedu","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0071U","description":"CYP2D6 (cytochrome P450_ family 2_ subfamily D_ polypeptide 6) (eg_ drug metabolism) gene analysis_ full gene sequence (List separately in addition to code for primary procedu","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"PFOB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Application of head brace","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"20661","description":"Application of head brace","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OILA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Vbac delivery only","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"59612","description":"Vbac delivery only","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Carry d/c status","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G8986","description":"Carry d/c status","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JFLF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NBJB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MLIC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Gum graft","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"41870","description":"Gum graft","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"PCRA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OHKD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MLEC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Ongoing Care Not Indicated_ Patient Seen Only 1-2 Visits (E.G._ Home Program Only_ Referred To Another Provider Or Facility_ Consultation Only)","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"M1128","description":"Ongoing Care Not Indicated_ Patient Seen Only 1-2 Visits (E.G._ Home Program Only_ Referred To Another Provider Or Facility_ Consultation Only)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Sbrt management","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"77435","description":"Sbrt management","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RHA55","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RHA55","description":"HIPPS-RHA55","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OHJA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Sigmoidoscopy_ flexible; with ablation of tumor(s)_ polyp(s)_ or other lesions(s) not amenable to removal by hot biopsy forceps_ bipolar cautery or snare technique","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G6022","description":"Sigmoidoscopy_ flexible; with ablation of tumor(s)_ polyp(s)_ or other lesions(s) not amenable to removal by hot biopsy forceps_ bipolar cautery or snare technique","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"IFMF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FHPA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Repair blood vessel lesion","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"35231","description":"Repair blood vessel lesion","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"EDHA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Treat fracture of radius","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"25500","description":"Treat fracture of radius","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Repair of anterior abdominal hernia(s) (ie_ epigastric_ incisional_ ventral_ umbilical_ spigelian)_ any approach (ie_ open_ laparoscopic_ robotic)_ recurrent_ including implan","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"49615","description":"Repair of anterior abdominal hernia(s) (ie_ epigastric_ incisional_ ventral_ umbilical_ spigelian)_ any approach (ie_ open_ laparoscopic_ robotic)_ recurrent_ including implan","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Bile acids total","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"82239","description":"Bile acids total","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"No hcv infect srn","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G9454","description":"No hcv infect srn","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GHVF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CIDF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MAHA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FEVE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FGCC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"ADDF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HH PDGM","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"1LB31","description":"HH PDGM","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BAMD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NKHF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GESE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JCVB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Pms2 gene dup/delet variants","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"81319","description":"Pms2 gene dup/delet variants","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GFWA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Ultrasound breast limited","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"76642","description":"Ultrasound breast limited","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Anesth repair of cervix","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"94851","description":"Anesth repair of cervix","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Cid transmit coil and cable","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"L8629","description":"Cid transmit coil and cable","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"AGBA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Pulm fx w/in 12 mon b/4 surg","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"3038F","description":"Pulm fx w/in 12 mon b/4 surg","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GCRD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CGAC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CGWB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Nasal/sinus endoscopy surg","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"31239","description":"Nasal/sinus endoscopy surg","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OHUA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BBNF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Iop down >15% of pre-svc lvl","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"3284F","description":"Iop down >15% of pre-svc lvl","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CCNB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"EBTB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OGIA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"EHLB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KGEE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Gradient compression stocking_ below knee_ 30-40 mmhg_ custom_ each","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"A6553","description":"Gradient compression stocking_ below knee_ 30-40 mmhg_ custom_ each","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OLIE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Establish access to artery","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"36120","description":"Establish access to artery","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JCBA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Extensive ear/neck surgery","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"69155","description":"Extensive ear/neck surgery","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KAEC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CIWF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Abutment supported retainer","billing_code_type":"CDT","billing_code_type_version":"2024","billing_code":"D6072","description":"Abutment supported retainer","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-4CFK4","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"4CFK4","description":"HIPPS-4CFK4","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NGJB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JEND0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"CPT-37279","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"37279","description":"CPT-37279","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JGPA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"HCSD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Frame typ sock above elb/dis","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"L6688","description":"Frame typ sock above elb/dis","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"HHSA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Vascular study","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"93979","description":"Vascular study","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FFMF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"DHYC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CDAB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HH PDGM","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"2LA31","description":"HH PDGM","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FHNF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CBFC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CBLB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-A9294","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"A9294","description":"HCPCS-A9294","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Ammonia test strips","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"A4774","description":"Ammonia test strips","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OIMC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"X-ray exam of tear duct","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"70170","description":"X-ray exam of tear duct","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FCNF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-2AHM1","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"2AHM1","description":"HIPPS-2AHM1","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BDBF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JBIC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Treat thigh fracture","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"27246","description":"Treat thigh fracture","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"HIOC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KDEE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Tempr","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0278T","description":"Tempr","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"EFUB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Mnpj of tmj w/anesth","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"21073","description":"Mnpj of tmj w/anesth","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"DCSD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"CPT-0656U","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"0656U","description":"CPT-0656U","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Oasis wound matrix","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"Q4102","description":"Oasis wound matrix","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-E1823","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"E1823","description":"HCPCS-E1823","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GAPB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CDIB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"LFSD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Giardia lamblia antibody","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"86674","description":"Giardia lamblia antibody","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"LGOA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Denture reln part mand lab","billing_code_type":"CDT","billing_code_type_version":"2024","billing_code":"D5761","description":"Denture reln part mand lab","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FAAF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Bendamustine injection","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"J9033","description":"Bendamustine injection","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Supp maint employ_ 15 min","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"H2025","description":"Supp maint employ_ 15 min","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"IHLD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GCPB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MGHC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Intraabdominal pressure test","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"51797","description":"Intraabdominal pressure test","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Clin node stgng docdb/4 surg","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"3323F","description":"Clin node stgng docdb/4 surg","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"PISE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Injection_ triptorelin_ extended-release_ 3.75 mg","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"J3316","description":"Injection_ triptorelin_ extended-release_ 3.75 mg","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Destruction anal lesion(s)","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"46924","description":"Destruction anal lesion(s)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MKUF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Oxygen supplies regulator","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"E1353","description":"Oxygen supplies regulator","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KIIC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CFFD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-CA140","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"CA140","description":"HIPPS-CA140","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-3AFP1","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"3AFP1","description":"HIPPS-3AFP1","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"EDCE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KDXF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FDKC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Transcutaneous electrical nerve stimulator for electrical stimulation of the trigeminal nerve","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"E0733","description":"Transcutaneous electrical nerve stimulator for electrical stimulation of the trigeminal nerve","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NLVF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MDDD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"DFQA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FHCB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OETC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JAJE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GEGB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RLX30","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RLX30","description":"HIPPS-RLX30","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MEIB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MHUE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NEPE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Vertebral body tethering_ anterior; 8 or more vertebral segments","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0657T","description":"Vertebral body tethering_ anterior; 8 or more vertebral segments","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Removal of penis","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"54125","description":"Removal of penis","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FDLC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"PHSC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Functional status was measured by the Oswestry Disability Index (ODI version 2.1a) patient reported outcome tool within three m","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"M1044","description":"Functional status was measured by the Oswestry Disability Index (ODI version 2.1a) patient reported outcome tool within three m","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"PDWA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"LHWA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KFDE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Pwc gp 3 std seat/back","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"K0848","description":"Pwc gp 3 std seat/back","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KFQB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OIXF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CAUF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Anesth blood vessel repair","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"77051","description":"Anesth blood vessel repair","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RMB06","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RMB06","description":"HIPPS-RMB06","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Removal of metatarsal heads","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"28114","description":"Removal of metatarsal heads","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Radiation treatment delivery","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G6011","description":"Radiation treatment delivery","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"ADM SARSCOV2 30MCG/0.3 ML BST","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0004A","description":"ADM SARSCOV2 30MCG/0.3 ML BST","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-CA21B","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"CA21B","description":"HIPPS-CA21B","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Virtual reality (VR) procedural dissociation services provided by a physician or other qualified health care professional other than the physician or other qualified health ca","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0774T","description":"Virtual reality (VR) procedural dissociation services provided by a physician or other qualified health care professional other than the physician or other qualified health ca","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Digitization of glass microscope slides for blood smear_ peripheral_ interpretation by physician with written report (List separately in addition to code for primary procedure","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0854T","description":"Digitization of glass microscope slides for blood smear_ peripheral_ interpretation by physician with written report (List separately in addition to code for primary procedure","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GBPE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MFTA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-1AFKT","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"1AFKT","description":"HIPPS-1AFKT","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OGPB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OBQC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JFJA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OLJB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FHUE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"ODOA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"CPT-16371","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"16371","description":"CPT-16371","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Remove eye implant material","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"67120","description":"Remove eye implant material","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Remove eye/revise socket","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"65112","description":"Remove eye/revise socket","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BDAB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OCHD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KIUA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"HERE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Stnd wt frame power whlchr","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"K0010","description":"Stnd wt frame power whlchr","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BGXA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OISF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JFPE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BBFB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Removal of testis","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"54520","description":"Removal of testis","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Patient had cancer_ fracture or infection related to the lumbar spine or patient had idiopathic or congenital scoliosis","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G9945","description":"Patient had cancer_ fracture or infection related to the lumbar spine or patient had idiopathic or congenital scoliosis","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-A1806","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"A1806","description":"HCPCS-A1806","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"ACDB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Hyperbaric o2 chamber disps","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"A4575","description":"Hyperbaric o2 chamber disps","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Urokinase 250_000 iu inj","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"J3365","description":"Urokinase 250_000 iu inj","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"IBCE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Gemtuzumab ozogamicin inj","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"J9300","description":"Gemtuzumab ozogamicin inj","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Habil prevoc waiver_ per d","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"T2014","description":"Habil prevoc waiver_ per d","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-ES30C","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"ES30C","description":"HIPPS-ES30C","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"PBQA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JDJE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"EBUE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CESD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"IAIA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Ambulance 02 life sustaining","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"A0422","description":"Ambulance 02 life sustaining","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OCOA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"ODFC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Injection_ aprepitant_ 1 mg","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"C9463","description":"Injection_ aprepitant_ 1 mg","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Assay of lead","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"83655","description":"Assay of lead","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"HFSB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JALB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Cardioversion electric int","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"92961","description":"Cardioversion electric int","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-3CGN2","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"3CGN2","description":"HIPPS-3CGN2","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Perq transcath septal reduxn","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"93583","description":"Perq transcath septal reduxn","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Er- or pr- breast cancer","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"3316F","description":"Er- or pr- breast cancer","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Art byp grft fem-popliteal","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"35556","description":"Art byp grft fem-popliteal","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"CPT-1063T","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"1063T","description":"CPT-1063T","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Glaucoma provocative tests","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"92140","description":"Glaucoma provocative tests","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JBTE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RMA41","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RMA41","description":"HIPPS-RMA41","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Enteral ng tubing w/o stylet","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"B4082","description":"Enteral ng tubing w/o stylet","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"LGRD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Tissue localization-excision","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"C1819","description":"Tissue localization-excision","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-4CHK3","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"4CHK3","description":"HIPPS-4CHK3","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Alteplase recombinant","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"J2997","description":"Alteplase recombinant","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Bl smear w/o diff wbc count","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"85008","description":"Bl smear w/o diff wbc count","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-M1431","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"M1431","description":"HCPCS-M1431","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Anesth neck organ 1yr/>","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"32051","description":"Anesth neck organ 1yr/>","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Chylmd trach dna quant","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"87492","description":"Chylmd trach dna quant","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-3CGMT","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"3CGMT","description":"HIPPS-3CGMT","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Glycosylated hb home device","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"83037","description":"Glycosylated hb home device","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GHXC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CAGC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"MRI pelvis w/o dye","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"72195","description":"MRI pelvis w/o dye","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CFIF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-CD21C","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"CD21C","description":"HIPPS-CD21C","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-PC25C","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"PC25C","description":"HIPPS-PC25C","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NBNA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"ODAC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"ADCA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Replacement Of Lost Or Broken Retainer - Mandibular","billing_code_type":"CDT","billing_code_type_version":"2024","billing_code":"D8704","description":"Replacement Of Lost Or Broken Retainer - Mandibular","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Solid organ neoplasm_ genomic sequence analysis panel_ cell-free nucleic acid (eg_ plasma)_ interrogation for sequence variants; DNA analysis_ copy number variants_ and micros","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"81463","description":"Solid organ neoplasm_ genomic sequence analysis panel_ cell-free nucleic acid (eg_ plasma)_ interrogation for sequence variants; DNA analysis_ copy number variants_ and micros","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Laser Interstitial Thermal Therapy (Litt) Of Lesion_ Intracranial_ Including Burr Hole(S)_ With Magnetic Resonance Imaging Guidance_ When Performed; Multiple Trajectories For","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"61737","description":"Laser Interstitial Thermal Therapy (Litt) Of Lesion_ Intracranial_ Including Burr Hole(S)_ With Magnetic Resonance Imaging Guidance_ When Performed; Multiple Trajectories For","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KFOF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NIKA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NLNA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BBNB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"C-1 esterase_ cinryze","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"J0598","description":"C-1 esterase_ cinryze","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Assay of metanephrines","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"83835","description":"Assay of metanephrines","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Assay of gdh enzyme","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"82965","description":"Assay of gdh enzyme","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Removal of left heart vent","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"33989","description":"Removal of left heart vent","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HH PDGM","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"4IA31","description":"HH PDGM","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Clin sig dep sym by dep tool","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"3354F","description":"Clin sig dep sym by dep tool","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"AHUB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"No tdap or td or 1tet/dipth","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G9417","description":"No tdap or td or 1tet/dipth","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Biopsy of eyelid lining","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"68100","description":"Biopsy of eyelid lining","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Venography for congenital heart defect(s)_ including catheter placement_ and radiological supervision and interpretation; venovenous collaterals originating below the heart (e","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"93588","description":"Venography for congenital heart defect(s)_ including catheter placement_ and radiological supervision and interpretation; venovenous collaterals originating below the heart (e","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Flowcytometry/read 16 & >","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"88189","description":"Flowcytometry/read 16 & >","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"ODUD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-PD114","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"PD114","description":"HIPPS-PD114","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Documentation of system reason(s) for not documenting and reviewing spirometry results (e.g._ spirometry equipment not available at the time of the encounter)","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"M1217","description":"Documentation of system reason(s) for not documenting and reviewing spirometry results (e.g._ spirometry equipment not available at the time of the encounter)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"RAS (KRAS and NRAS) gene mutation testing not performed before initiation of anti-EGFR MoAb","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G9841","description":"RAS (KRAS and NRAS) gene mutation testing not performed before initiation of anti-EGFR MoAb","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Pt queried symp resp insuff","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"1503F","description":"Pt queried symp resp insuff","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Punch biopsy of skin (including simple closure_ when performed); each separate/additional lesion (List separately in addition to code for primary procedure)","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"11105","description":"Punch biopsy of skin (including simple closure_ when performed); each separate/additional lesion (List separately in addition to code for primary procedure)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-J3404","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"J3404","description":"HCPCS-J3404","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-CB20C","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"CB20C","description":"HIPPS-CB20C","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CHUB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KDLD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GBUC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"DAWE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Manipulat palm cord post inj","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"26341","description":"Manipulat palm cord post inj","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Oncology_ RNA_ gene expression by whole transcriptome sequencing_ formalin-fixed paraffin embedded tissue or fresh frozen tissue_ predictive algorithm reported as potential ta","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0019U","description":"Oncology_ RNA_ gene expression by whole transcriptome sequencing_ formalin-fixed paraffin embedded tissue or fresh frozen tissue_ predictive algorithm reported as potential ta","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-1BGL6","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"1BGL6","description":"HIPPS-1BGL6","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MBHC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Esophagogastroduodenoscopy_ flexible_ transoral_ with volume adjustment of intragastric bariatric balloon","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0813T","description":"Esophagogastroduodenoscopy_ flexible_ transoral_ with volume adjustment of intragastric bariatric balloon","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GCVD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FBNC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Doc med reas no pt cat","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G9429","description":"Doc med reas no pt cat","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CITD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-PA121","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"PA121","description":"HIPPS-PA121","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RUA8B","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RUA8B","description":"HIPPS-RUA8B","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Insertion of wireless cardiac stimulator for left ventricular pacing_ including device interrogation and programming_ and imaging supervision and interpretation_ when performe","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0515T","description":"Insertion of wireless cardiac stimulator for left ventricular pacing_ including device interrogation and programming_ and imaging supervision and interpretation_ when performe","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GHGA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"CPT-00104","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"00104","description":"CPT-00104","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Intraocular fomivirsen na","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"J1452","description":"Intraocular fomivirsen na","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RHA46","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RHA46","description":"HIPPS-RHA46","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NJCD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"CPT-0664U","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"0664U","description":"CPT-0664U","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"PKQA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Repair/graft of tibia","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"27722","description":"Repair/graft of tibia","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FEHB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-PC160","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"PC160","description":"HIPPS-PC160","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Brief (20 minutes) in-home visit for an existing patient post-discharge. For use only in a Medicare-approved CMMI model. (Services must be furnished within a beneficiary’s hom","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G2006","description":"Brief (20 minutes) in-home visit for an existing patient post-discharge. For use only in a Medicare-approved CMMI model. (Services must be furnished within a beneficiary’s hom","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"LAWB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Ambulance response/treatment","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"A0998","description":"Ambulance response/treatment","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BGFC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CEVE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RHC01","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RHC01","description":"HIPPS-RHC01","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Oncology (non-small cell lung cancer)_ next-generation sequencing with identification of single nucleotide variants_ copy number variants_ insertions and deletions_ and struct","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0388U","description":"Oncology (non-small cell lung cancer)_ next-generation sequencing with identification of single nucleotide variants_ copy number variants_ insertions and deletions_ and struct","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-LD124","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"LD124","description":"HIPPS-LD124","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OGMD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BEXC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Shingrix vaccine not documented as administered_ reason not given","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"M1066","description":"Shingrix vaccine not documented as administered_ reason not given","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"IAIE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OAIF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Repair hand joint with graft","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"26541","description":"Repair hand joint with graft","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NCXD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Monthly supplies for use of device coded at K1016","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"K1017","description":"Monthly supplies for use of device coded at K1016","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"X-ray guide for gi tube","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"74340","description":"X-ray guide for gi tube","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-CB115","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"CB115","description":"HIPPS-CB115","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NCCD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"LCRE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MLAF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"PFSE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Dil macular/fundus not perfo","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G8398","description":"Dil macular/fundus not perfo","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OHTE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GEVD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NAKE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OIXB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"EFBF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"HBRE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FFEF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KIBA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KIHF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KESA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JCVD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Remote Afterloading High Dose Rate Radionuclide Brachytherapy; 2-12 Channels","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"77786","description":"Remote Afterloading High Dose Rate Radionuclide Brachytherapy; 2-12 Channels","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KCTF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NILB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RUA8X","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RUA8X","description":"HIPPS-RUA8X","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"AAED1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CCRD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NHVB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FIKA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Ercp remove duct calculi","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"43264","description":"Ercp remove duct calculi","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Allowrap ds or dry 1 sq cm","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"Q4150","description":"Allowrap ds or dry 1 sq cm","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GIQC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-3BFM5","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"3BFM5","description":"HIPPS-3BFM5","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KERD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NJGA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-3BFN5","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"3BFN5","description":"HIPPS-3BFN5","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Most recent BP is greater than 140/90 mm Hg_ or blood pressure not documented","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G9790","description":"Most recent BP is greater than 140/90 mm Hg_ or blood pressure not documented","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CAEA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Echo transesophageal","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"93312","description":"Echo transesophageal","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Decoronation or submergence of an erupted tooth","billing_code_type":"CDT","billing_code_type_version":"2024","billing_code":"D3921","description":"Decoronation or submergence of an erupted tooth","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Oxytetracycline injection","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"J2460","description":"Oxytetracycline injection","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"ODFF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Tissue exam by pathologist","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"88302","description":"Tissue exam by pathologist","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Rpr umbil hern reduc < 5 yr","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"49580","description":"Rpr umbil hern reduc < 5 yr","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Remove elbow lesion","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"24120","description":"Remove elbow lesion","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"COMT (catechol-O-methyltransferase)(drug metabolism) gene analysis_ c.472G>A (rs4680) variant","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0032U","description":"COMT (catechol-O-methyltransferase)(drug metabolism) gene analysis_ c.472G>A (rs4680) variant","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GEWB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-LE28D","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"LE28D","description":"HIPPS-LE28D","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KEAA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RHC05","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RHC05","description":"HIPPS-RHC05","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Disposable corrugated tubing","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"A7010","description":"Disposable corrugated tubing","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CGKB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KAVD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OFWF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RHA52","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RHA52","description":"HIPPS-RHA52","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NDGD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Hosp bed total electr w/ mat","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"E0265","description":"Hosp bed total electr w/ mat","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"1 pc ost pouch w filter","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"A5056","description":"1 pc ost pouch w filter","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KCBE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-Q5154","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"Q5154","description":"HCPCS-Q5154","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Mod sedat phys/qhp <5 yrs","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"99143","description":"Mod sedat phys/qhp <5 yrs","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-CC10D","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"CC10D","description":"HIPPS-CC10D","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GHHA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BDVB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Lenticular lens_ bifocal","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"V2221","description":"Lenticular lens_ bifocal","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JILE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GCTD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"EIIE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Revision of heart chamber","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"92992","description":"Revision of heart chamber","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GDAD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Impact tooth rem bony w/comp","billing_code_type":"CDT","billing_code_type_version":"2024","billing_code":"D7241","description":"Impact tooth rem bony w/comp","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Clot factor wght kininogen","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"85293","description":"Clot factor wght kininogen","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"ADUB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CAMD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-CD28I","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"CD28I","description":"HIPPS-CD28I","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MEIC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"CPT-00126","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"00126","description":"CPT-00126","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-HC256","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"HC256","description":"HIPPS-HC256","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Thumb tendon transfer","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"26510","description":"Thumb tendon transfer","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GEFC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JAID0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FBPE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MLMF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MBUC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KFRF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-C0301","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"C0301","description":"HCPCS-C0301","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KAIC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Lyme disease antibody","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"86617","description":"Lyme disease antibody","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Surv score no improv w/tx","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G9605","description":"Surv score no improv w/tx","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Repair of eye wound","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"65270","description":"Repair of eye wound","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GDOE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Full mouth x-ray of teeth","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"70320","description":"Full mouth x-ray of teeth","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RHL2C","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RHL2C","description":"HIPPS-RHL2C","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NGAA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NFAC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CDLF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Lsh w/t/o ut 250 g or less","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"58542","description":"Lsh w/t/o ut 250 g or less","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Ext wear ost skn barr >4sqin","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"A4408","description":"Ext wear ost skn barr >4sqin","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MKHD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FANA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"IEDB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GHYF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GENF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Bl draw < 3 yrs fem/jugular","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"36400","description":"Bl draw < 3 yrs fem/jugular","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OIGA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-J7524","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"J7524","description":"HCPCS-J7524","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OEPE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-1BFK4","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"1BFK4","description":"HIPPS-1BFK4","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FDKB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RUC06","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RUC06","description":"HIPPS-RUC06","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Transfer of embryo","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"58974","description":"Transfer of embryo","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Vessel injection procedure","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"36299","description":"Vessel injection procedure","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CIVE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OAKE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"IIUA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JBTF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GCIE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Repair rectum-vagina fistula","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"57300","description":"Repair rectum-vagina fistula","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Exc face-mm b9+marg 0.5 cm/<","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"11440","description":"Exc face-mm b9+marg 0.5 cm/<","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JEVD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CFPB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GHVC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"CT studies not reported to a radiation dose index registry due to medical reasons (eg_ ct studies performed for radiation treatment planning or image-guided radiation trtmnt","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G9325","description":"CT studies not reported to a radiation dose index registry due to medical reasons (eg_ ct studies performed for radiation treatment planning or image-guided radiation trtmnt","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Antithromb no presc doc reas","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G8697","description":"Antithromb no presc doc reas","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BHNE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"IHID0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Treat radius fracture","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"24666","description":"Treat radius fracture","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BAKD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GERF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Event recorder_ cardiac","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"C1764","description":"Event recorder_ cardiac","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FIKF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NKEA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Inj_ vincristine sul lip 1mg","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"J9371","description":"Inj_ vincristine sul lip 1mg","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"PDQE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CECC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-PC154","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"PC154","description":"HIPPS-PC154","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KCCD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BCPE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Temple bone implant revision","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"69717","description":"Temple bone implant revision","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"CPT-0950T","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"0950T","description":"CPT-0950T","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OBBD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Exploration of abdomen","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"49000","description":"Exploration of abdomen","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"AHIB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Debride infected skin","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"11000","description":"Debride infected skin","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-B0602","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"B0602","description":"HCPCS-B0602","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MFIB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OJWF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Prev visit est age 12-17","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"99394","description":"Prev visit est age 12-17","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Trans shoe solid stirrup new","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"L3630","description":"Trans shoe solid stirrup new","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Hysteroscopy ablation","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"58563","description":"Hysteroscopy ablation","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"LHWA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BHCD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"ACCA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Interrog device eval heart","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"93289","description":"Interrog device eval heart","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Bronchoscopy_ rigid or flexible_ with single or multiple bronchial or endobronchial biopsy(ies)_ single or multiple sites_ with computer-assisted image-guided navigation_ incl","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"C7511","description":"Bronchoscopy_ rigid or flexible_ with single or multiple bronchial or endobronchial biopsy(ies)_ single or multiple sites_ with computer-assisted image-guided navigation_ incl","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Antithrombin recombinant","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"J7196","description":"Antithrombin recombinant","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RUB1B","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RUB1B","description":"HIPPS-RUB1B","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-ES15D","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"ES15D","description":"HIPPS-ES15D","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Hot/cold h2obot/cap/col/wrap","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"A9273","description":"Hot/cold h2obot/cap/col/wrap","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"LEWD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-LC104","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"LC104","description":"HIPPS-LC104","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KFXD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Portable oxygen concentrator","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"E1392","description":"Portable oxygen concentrator","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NHED0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KGGF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OGTA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KCYC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Removal of tail bone","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"27080","description":"Removal of tail bone","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GEUB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NKPA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BEUE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-ES226","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"ES226","description":"HIPPS-ES226","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KFLB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CFSB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"KEL GNOTYP KEL EXON 8","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0194U","description":"KEL GNOTYP KEL EXON 8","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Injection_ calcium gluconate (fresenius kabi)_ per 10 mg","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"J0612","description":"Injection_ calcium gluconate (fresenius kabi)_ per 10 mg","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Radiation Therapy For Head And Neck Cancer Under The Radiation Oncology Model_ 90 Day Episode_ Technical Component","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"M1089","description":"Radiation Therapy For Head And Neck Cancer Under The Radiation Oncology Model_ 90 Day Episode_ Technical Component","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Exc thigh/knee tum deep <5cm","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"27328","description":"Exc thigh/knee tum deep <5cm","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NEJC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CIVA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CIGA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Heavy metal screen","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"83015","description":"Heavy metal screen","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MJTE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-C9815","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"C9815","description":"HCPCS-C9815","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OBKB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Sgd prerec msg>20min <=40min","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"E2504","description":"Sgd prerec msg>20min <=40min","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"IELC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Nerve palsy muscle graft","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"15841","description":"Nerve palsy muscle graft","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JDBA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BFBC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MJHB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-AAA53","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"AAA53","description":"HIPPS-AAA53","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"LAYC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KHBC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FCFB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Spherocylindr 7.25d/.25-2.25","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"V2111","description":"Spherocylindr 7.25d/.25-2.25","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"ICEA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"EITF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KDWA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CBIF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Dialysat sol fld vol > 249cc","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"A4720","description":"Dialysat sol fld vol > 249cc","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OIGA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NAPA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Revise lumbar artif disc","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"22862","description":"Revise lumbar artif disc","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Myomectomy vag method","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"58145","description":"Myomectomy vag method","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BDEE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"PERE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Afo plastic","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"L1930","description":"Afo plastic","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-A6516","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"A6516","description":"HCPCS-A6516","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Ustekinumab_ for intravenous injection_ 1 mg","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"C9487","description":"Ustekinumab_ for intravenous injection_ 1 mg","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"EHAF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NKTC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OFYD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Removal tunneled cv cath","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"36590","description":"Removal tunneled cv cath","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Home health services furnished using synchronous telemedicine rendered via a real-time two-way audio and video telecommunications system","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G0320","description":"Home health services furnished using synchronous telemedicine rendered via a real-time two-way audio and video telecommunications system","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Static or dynami afo pre ots","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"L4397","description":"Static or dynami afo pre ots","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KHOF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Art byp ilio-mesenteric","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"35633","description":"Art byp ilio-mesenteric","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"AFAD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Ultrasound_ targeted dynamic microbubble sonographic contrast characterization (non-cardiac); each additional lesion with separate injection (List separately in addition to co","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"76979","description":"Ultrasound_ targeted dynamic microbubble sonographic contrast characterization (non-cardiac); each additional lesion with separate injection (List separately in addition to co","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Reconstruction of nose","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"30400","description":"Reconstruction of nose","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KFTA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Repair cleft lip/nasal","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"40701","description":"Repair cleft lip/nasal","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OLVB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NEDC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OCJD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-HC150","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"HC150","description":"HIPPS-HC150","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OLPC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"IHTC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"CPT-0519U","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"0519U","description":"CPT-0519U","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NGIC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RVB4C","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RVB4C","description":"HIPPS-RVB4C","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Hmes filter holder or cap","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"A7503","description":"Hmes filter holder or cap","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"HIQD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Back pain was not measured by the visual analog scale (VAS) within three months preoperatively and at one year (9 to 15 months) postoperatively","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G9946","description":"Back pain was not measured by the visual analog scale (VAS) within three months preoperatively and at one year (9 to 15 months) postoperatively","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Ins mark thor for rt perq","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"32553","description":"Ins mark thor for rt perq","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Injection_ bimatoprost_ intracameral implant_ 1 microgram","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"J7351","description":"Injection_ bimatoprost_ intracameral implant_ 1 microgram","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Patient admitted to hospice","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G9857","description":"Patient admitted to hospice","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Wedge resect of lung add-on","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"32506","description":"Wedge resect of lung add-on","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"HISA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"ODVB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Spu Or Asc Patient Transferred To The Hospital Or Discharged From The Sp","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"X0594","description":"Spu Or Asc Patient Transferred To The Hospital Or Discharged From The Sp","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Radiology port images(s)","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"77417","description":"Radiology port images(s)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GGJD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Reconstruct entire forehead","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"21179","description":"Reconstruct entire forehead","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Patient does not receive hcv antibody test or patient does receive hcv antibody test but results not documented_ reason not given","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"M1233","description":"Patient does not receive hcv antibody test or patient does receive hcv antibody test but results not documented_ reason not given","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-CD156","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"CD156","description":"HIPPS-CD156","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HH PDGM","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"3HC31","description":"HH PDGM","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Epilepsy Genomic Sequence Analysis Panel_ Must Include Analyses For Aldh7A1_ Cacna1A_ Cdkl5_ Chd2_ Gabrg2_ Grin2A_ Kcnq2_ Mecp2_ Pcdh19_ Polg_ Prrt2_ Scn1A_ Scn1B_ Scn2A_ Scn8","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"81419","description":"Epilepsy Genomic Sequence Analysis Panel_ Must Include Analyses For Aldh7A1_ Cacna1A_ Cdkl5_ Chd2_ Gabrg2_ Grin2A_ Kcnq2_ Mecp2_ Pcdh19_ Polg_ Prrt2_ Scn1A_ Scn1B_ Scn2A_ Scn8","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RML10","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RML10","description":"HIPPS-RML10","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RHC20","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RHC20","description":"HIPPS-RHC20","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-C9174","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"C9174","description":"HCPCS-C9174","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GHLD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"LDSB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OJVF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FAJA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BGFE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CBBF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-A1504","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"A1504","description":"HCPCS-A1504","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"L ventric pacing lead add-on","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"33225","description":"L ventric pacing lead add-on","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-3AGL5","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"3AGL5","description":"HIPPS-3AGL5","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-3AHM3","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"3AHM3","description":"HIPPS-3AHM3","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"DCWB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BCDC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"LHRB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Reinforce radius","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"25490","description":"Reinforce radius","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Insert cath pleura w/o image","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"32556","description":"Insert cath pleura w/o image","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KBRF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CEIC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Oral fludarabine phosphate","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"J8562","description":"Oral fludarabine phosphate","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JAMF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Lenticular lens_ single","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"V2121","description":"Lenticular lens_ single","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CBDC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"DO GNOTYP ART4 EXON 2","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0184U","description":"DO GNOTYP ART4 EXON 2","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NIVB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BABD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Vestibular rehab per diem","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"S9476","description":"Vestibular rehab per diem","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-ES155","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"ES155","description":"HIPPS-ES155","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Eye service or procedure","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"92499","description":"Eye service or procedure","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Lap paraesophag hern repair","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"43281","description":"Lap paraesophag hern repair","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-3CGKU","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"3CGKU","description":"HIPPS-3CGKU","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FCNA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RVX1B","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RVX1B","description":"HIPPS-RVX1B","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OJSD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-LB12D","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"LB12D","description":"HIPPS-LB12D","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-LB245","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"LB245","description":"HIPPS-LB245","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KITF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OKKA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CICF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Lifts elevation metal extens","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"L3330","description":"Lifts elevation metal extens","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Neck spine fusion","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"22554","description":"Neck spine fusion","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Assay of tyrosine","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"84510","description":"Assay of tyrosine","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"DHWB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KBAF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CFHE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NDBD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Removal of only pulse generator component(s) (battery and/or transmitter) of wireless cardiac stimulator for left ventricular pacing","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0518T","description":"Removal of only pulse generator component(s) (battery and/or transmitter) of wireless cardiac stimulator for left ventricular pacing","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-A2003","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"A2003","description":"HCPCS-A2003","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-1BHLV","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"1BHLV","description":"HIPPS-1BHLV","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FHED1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"PCWE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RHL35","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RHL35","description":"HIPPS-RHL35","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KHIC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Med reas not incl histo type","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G9419","description":"Med reas not incl histo type","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-HD20C","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"HD20C","description":"HIPPS-HD20C","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Vertebral body tethering_ anterior; up to 7 vertebral segments","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0656T","description":"Vertebral body tethering_ anterior; up to 7 vertebral segments","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"CPT-0486U","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"0486U","description":"CPT-0486U","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RHB5B","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RHB5B","description":"HIPPS-RHB5B","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Radiation Therapy For Bone Metastases Under The Radiation Oncology Model_ 90 Day Episode_ Professional Component","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"M1076","description":"Radiation Therapy For Bone Metastases Under The Radiation Oncology Model_ 90 Day Episode_ Professional Component","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OIWE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GAVB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FIEA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CIXC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"X-ray measurement of pelvis","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"74710","description":"X-ray measurement of pelvis","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Cmplx rpr trunk 1.1-2.5 cm","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"13100","description":"Cmplx rpr trunk 1.1-2.5 cm","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Intercep dental tx transitn","billing_code_type":"CDT","billing_code_type_version":"2024","billing_code":"D8060","description":"Intercep dental tx transitn","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BCFF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MGLC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CBGE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RUB24","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RUB24","description":"HIPPS-RUB24","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JBUE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Periodic Assessment; Assessing Periodically By Qualified Personnel To Determine The Most Appropriate Combination Of Services And Treatment (Provision Of The Services By A Medi","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G2077","description":"Periodic Assessment; Assessing Periodically By Qualified Personnel To Determine The Most Appropriate Combination Of Services And Treatment (Provision Of The Services By A Medi","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Lens sphc trifo 7.25-12/.25-","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"V2311","description":"Lens sphc trifo 7.25-12/.25-","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Implant Supported Retainer For Metal Fpd - Perdominantly Base Alloys","billing_code_type":"CDT","billing_code_type_version":"2024","billing_code":"D6121","description":"Implant Supported Retainer For Metal Fpd - Perdominantly Base Alloys","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CHVB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Resp virus 3-5 targets","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"87631","description":"Resp virus 3-5 targets","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Hematology (congenital coagulation disorders)_ genomic sequence analysis of 20 genes_ blood_ buccal swab_ or amniotic fluid (Versiti™ Coagulation Disorder Panel)","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0270U","description":"Hematology (congenital coagulation disorders)_ genomic sequence analysis of 20 genes_ blood_ buccal swab_ or amniotic fluid (Versiti™ Coagulation Disorder Panel)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BEJE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Urofollitropin_ 75 iu","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"J3355","description":"Urofollitropin_ 75 iu","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"X-ray exam of fistula","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"76080","description":"X-ray exam of fistula","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"TYMS (thymidylate synthetase) (eg_ 5-fluorouracil/5-FU drug metabolism)_ gene analysis_ common variant(s) (eg_ tandem repeat variant)","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"81346","description":"TYMS (thymidylate synthetase) (eg_ 5-fluorouracil/5-FU drug metabolism)_ gene analysis_ common variant(s) (eg_ tandem repeat variant)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HH PDGM","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"4BA31","description":"HH PDGM","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NDHE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-ES121","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"ES121","description":"HIPPS-ES121","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Removal/revision of cast","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"29705","description":"Removal/revision of cast","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-LC146","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"LC146","description":"HIPPS-LC146","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NALD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-3AGMV","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"3AGMV","description":"HIPPS-3AGMV","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KIIE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GEVF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KEQF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Ldct for lung ca screen","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G0297","description":"Ldct for lung ca screen","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"DASD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Surgical procedures that included the use of silicone oil","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G9756","description":"Surgical procedures that included the use of silicone oil","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"IGHC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OLRE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CFBF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RUA07","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RUA07","description":"HIPPS-RUA07","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FGPE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Direct refer hospital observ","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G0379","description":"Direct refer hospital observ","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Mapcp demo physician","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G9153","description":"Mapcp demo physician","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OFUA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Fndngs mammo 2pt w/in 3 days","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"5060F","description":"Fndngs mammo 2pt w/in 3 days","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MDEC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Targeted genomic seq analys","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"81445","description":"Targeted genomic seq analys","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"IETA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-ES18H","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"ES18H","description":"HIPPS-ES18H","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"DAYE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Anesth chest procedure","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"52051","description":"Anesth chest procedure","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-2AHKV","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"2AHKV","description":"HIPPS-2AHKV","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NHJD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"ACEF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NEED0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Knee-shin pneum/hydra pneum","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"L5780","description":"Knee-shin pneum/hydra pneum","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FGLA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-3AFM1","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"3AFM1","description":"HIPPS-3AFM1","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Reconstruct urethra/penis","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"54352","description":"Reconstruct urethra/penis","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NILA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"General health panel","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"80050","description":"General health panel","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"AABC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-4AFKV","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"4AFKV","description":"HIPPS-4AFKV","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Rh ig full-dose im","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"90384","description":"Rh ig full-dose im","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Revision of penis","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"54435","description":"Revision of penis","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MICF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Gradient compression stocking_ full length/chap style_ 18-30 mmhg_ custom_ each","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"A6559","description":"Gradient compression stocking_ full length/chap style_ 18-30 mmhg_ custom_ each","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-M1377","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"M1377","description":"HCPCS-M1377","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Gait training therapy","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"97116","description":"Gait training therapy","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GISB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Treat knee fracture","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"27530","description":"Treat knee fracture","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"HHQC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"LIOB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BBGB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"AIDB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-E2403","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"E2403","description":"HCPCS-E2403","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GGNB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CCTB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Tacrol astagraf ex rel oral","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"J7508","description":"Tacrol astagraf ex rel oral","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JFHC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NDID1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OEMC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CDCC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"IAHA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Laryngoscopy with biopsy","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"31510","description":"Laryngoscopy with biopsy","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Stimulants synthetic","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"80371","description":"Stimulants synthetic","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Destruction of skin lesions","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"17271","description":"Destruction of skin lesions","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HH PDGM","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"1KC11","description":"HH PDGM","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-3BFP2","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"3BFP2","description":"HIPPS-3BFP2","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KFCB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-LB240","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"LB240","description":"HIPPS-LB240","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OLTA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OLTC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GBPE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-BB18D","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"BB18D","description":"HIPPS-BB18D","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"HHSD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OCPF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-PB10C","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"PB10C","description":"HIPPS-PB10C","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Ultraviolet light therapy","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"96900","description":"Ultraviolet light therapy","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NGMD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NHXA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OIGB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-CB250","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"CB250","description":"HIPPS-CB250","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Oncology (breast)_ mRNA_ gene expression profiling by next-generation sequencing of 101 genes_ utilizing formalin-fixed paraffin-embedded tissue_ algorithm reported as a tripl","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0153U","description":"Oncology (breast)_ mRNA_ gene expression profiling by next-generation sequencing of 101 genes_ utilizing formalin-fixed paraffin-embedded tissue_ algorithm reported as a tripl","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Oncology (lung)_ multi-omics (microbial DNA by shotgun next-generation sequencing and carcinoembryonic antigen and osteopontin by immunoassay)_ plasma_ algorithm reported as m","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0395U","description":"Oncology (lung)_ multi-omics (microbial DNA by shotgun next-generation sequencing and carcinoembryonic antigen and osteopontin by immunoassay)_ plasma_ algorithm reported as m","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Repair heart septum defect","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"33681","description":"Repair heart septum defect","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NKEA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Removable unilateral partial denture - one piece cast metal_ maxillary","billing_code_type":"CDT","billing_code_type_version":"2024","billing_code":"D5282","description":"Removable unilateral partial denture - one piece cast metal_ maxillary","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OBIF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Orth dev repair/repl minor p","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"L4210","description":"Orth dev repair/repl minor p","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OHDF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NAVA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"IELF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RVC1B","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RVC1B","description":"HIPPS-RVC1B","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"EDAD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-4AFL2","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"4AFL2","description":"HIPPS-4AFL2","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OKFD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RHX2B","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RHX2B","description":"HIPPS-RHX2B","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KFMF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Counseling_ individual_ by department of veterans affairs chaplain services","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"Q9002","description":"Counseling_ individual_ by department of veterans affairs chaplain services","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BBGF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GIJA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-C9808","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"C9808","description":"HCPCS-C9808","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RVC5A","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RVC5A","description":"HIPPS-RVC5A","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"IEEA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KDTA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CDKC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RUA5C","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RUA5C","description":"HIPPS-RUA5C","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Repair of hand or foot nerve","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"64835","description":"Repair of hand or foot nerve","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Excise pharynx lesion","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"42808","description":"Excise pharynx lesion","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Prim art m-thrmbc 1st vsl","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"37184","description":"Prim art m-thrmbc 1st vsl","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OBFB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"CPT-1060T","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"1060T","description":"CPT-1060T","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MLLD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"CPT-0649U","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"0649U","description":"CPT-0649U","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Destruction of skin lesions","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"17261","description":"Destruction of skin lesions","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RVL21","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RVL21","description":"HIPPS-RVL21","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Lap insert tunnel ip cath","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"49324","description":"Lap insert tunnel ip cath","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GCKA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Brst cncr stage > t1n0m0","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G8881","description":"Brst cncr stage > t1n0m0","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NCGE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OCTC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FFVB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-1CGN6","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"1CGN6","description":"HIPPS-1CGN6","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CIQD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BHUD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Nasal surgery procedure","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"30999","description":"Nasal surgery procedure","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NJGC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KFEB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Onc dx sclc/nsclc ext unknwn","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G9070","description":"Onc dx sclc/nsclc ext unknwn","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Aortic aneurysm<5cm diam ct","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"9001F","description":"Aortic aneurysm<5cm diam ct","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"IHHF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Onlay cst base mtl 2 surface","billing_code_type":"CDT","billing_code_type_version":"2024","billing_code":"D6612","description":"Onlay cst base mtl 2 surface","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"AAHD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Upper gi endo shows barrtts","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"3140F","description":"Upper gi endo shows barrtts","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Rsect hip tum incl femur","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"27078","description":"Rsect hip tum incl femur","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"CPT-0909T","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"0909T","description":"CPT-0909T","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Dx bronchoscope/brush","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"31623","description":"Dx bronchoscope/brush","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"IADF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FIGC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Removal biliary drg cath","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"47537","description":"Removal biliary drg cath","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Arthroscopy biceps tenodesis","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"29828","description":"Arthroscopy biceps tenodesis","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Trluml perip athrc renal art","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0234T","description":"Trluml perip athrc renal art","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Amphotericin b lipid complex","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"J0287","description":"Amphotericin b lipid complex","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Esophagoscopy lesion ablate","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"43229","description":"Esophagoscopy lesion ablate","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"ODAE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Radiation therapy planning","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"77262","description":"Radiation therapy planning","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"IDAF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KIHF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-1BFL4","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"1BFL4","description":"HIPPS-1BFL4","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Radiation Therapy For Upper Gi Cancer Under The Radiation Oncology Model_ 90 Day Episode_ Professional Component","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"M1102","description":"Radiation Therapy For Upper Gi Cancer Under The Radiation Oncology Model_ 90 Day Episode_ Professional Component","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-1CHP6","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"1CHP6","description":"HIPPS-1CHP6","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"EATE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JGMA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"CDT-D0702","billing_code_type":"CDT","billing_code_type_version":"2026","billing_code":"D0702","description":"CDT-D0702","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FIPF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GISF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Injection_ pemetrexed ditromethamine_ 10 mg","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"J9323","description":"Injection_ pemetrexed ditromethamine_ 10 mg","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Transfer of iliopsoas muscle","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"27111","description":"Transfer of iliopsoas muscle","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Hpv combo assay ca screen","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G0476","description":"Hpv combo assay ca screen","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GEXF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"AALF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Crown-titanium","billing_code_type":"CDT","billing_code_type_version":"2024","billing_code":"D2794","description":"Crown-titanium","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Intravasc us heart add-on","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"92978","description":"Intravasc us heart add-on","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CEMB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"IBIA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CBLE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BHPE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Asparaginase_ nos","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"J9020","description":"Asparaginase_ nos","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Motor-cognitive_ semi-immersive virtual reality-facilitated gait training_ each 15 minutes (List separately in addition to code for primary procedure)","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0791T","description":"Motor-cognitive_ semi-immersive virtual reality-facilitated gait training_ each 15 minutes (List separately in addition to code for primary procedure)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Nasal/sinus endoscopy surg","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"31291","description":"Nasal/sinus endoscopy surg","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"LARC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-4CGLV","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"4CGLV","description":"HIPPS-4CGLV","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MHLF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GEOC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OHDD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Partial removal of sternum","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"21620","description":"Partial removal of sternum","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BDMC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-1BFP1","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"1BFP1","description":"HIPPS-1BFP1","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Suspension of testis","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"54620","description":"Suspension of testis","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Injection_ siltuximab","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"J2860","description":"Injection_ siltuximab","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MLUB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GCWD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Repair great vessels defect","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"33781","description":"Repair great vessels defect","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Treat wrist fracture","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"25680","description":"Treat wrist fracture","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FFNF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BEEC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Dstry eye lesn_fdr vssl tech","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G0186","description":"Dstry eye lesn_fdr vssl tech","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CHBC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KIFD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KGBC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"ADCC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OKBB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-BB221","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"BB221","description":"HIPPS-BB221","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OLBF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Drainage of mouth lesion","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"41000","description":"Drainage of mouth lesion","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MLBA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NFTA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KEPC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-HB214","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"HB214","description":"HIPPS-HB214","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JGFE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-M1471","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"M1471","description":"HCPCS-M1471","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-J3389","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"J3389","description":"HCPCS-J3389","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Injection_ lefamulin_ 1 mg","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"J0691","description":"Injection_ lefamulin_ 1 mg","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FCGA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GCND0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JHFD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Flutter device","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"S8185","description":"Flutter device","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FHGB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"DDOE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-CA18G","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"CA18G","description":"HIPPS-CA18G","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"PCRA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GGOB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SMN1 (survival of motor neuron 1_ telomeric) (eg_ spinal muscular atrophy) gene analysis; known familial sequence variant(s)","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"81337","description":"SMN1 (survival of motor neuron 1_ telomeric) (eg_ spinal muscular atrophy) gene analysis; known familial sequence variant(s)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CBXC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"CPT-00731","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"00731","description":"CPT-00731","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Anesth amniocentesis","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"84251","description":"Anesth amniocentesis","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Rubeola ag if","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"87283","description":"Rubeola ag if","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-PB206","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"PB206","description":"HIPPS-PB206","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FEUF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CCSF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OLNE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-BB21A","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"BB21A","description":"HIPPS-BB21A","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KCNB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GIIE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Fit spectacles monofocal","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"92340","description":"Fit spectacles monofocal","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BCGC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Pne not given norsn","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G9280","description":"Pne not given norsn","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"LFYD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Phone e/m phys/qhp 21-30 min","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"99443","description":"Phone e/m phys/qhp 21-30 min","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"CPT-1106T","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"1106T","description":"CPT-1106T","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Ct rpt to reg","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G9327","description":"Ct rpt to reg","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Biopsy of upper nose/throat","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"42804","description":"Biopsy of upper nose/throat","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FEVB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Art byp axillary-femoral","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"35621","description":"Art byp axillary-femoral","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Patients With Moderate Or Severe Mitral Stenosis","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G0044","description":"Patients With Moderate Or Severe Mitral Stenosis","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GDQF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CDYA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KHVB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Shoe lifts tapered to one-ha","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"L3332","description":"Shoe lifts tapered to one-ha","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Lengthening of hand tendon","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"26478","description":"Lengthening of hand tendon","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KCYB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Histotripsy (Ie_ Non-Thermal Ablation Via Acoustic Energy Delivery) Of Malignant Hepatocellular Tissue_ Including Image Guidance","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0686T","description":"Histotripsy (Ie_ Non-Thermal Ablation Via Acoustic Energy Delivery) Of Malignant Hepatocellular Tissue_ Including Image Guidance","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KCPA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-1CFK3","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"1CFK3","description":"HIPPS-1CFK3","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Rad exp time w/o fluor doc","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G9501","description":"Rad exp time w/o fluor doc","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OJMA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Lens bifocal speciality","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"V2299","description":"Lens bifocal speciality","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FEPA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FEEE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Repair penis and bladder","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"54390","description":"Repair penis and bladder","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KEEF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NBKB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-LC18X","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"LC18X","description":"HIPPS-LC18X","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"AADA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-M1474","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"M1474","description":"HCPCS-M1474","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"HCRC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Bcg live intravesical vac","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"J9031","description":"Bcg live intravesical vac","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Pwc gp 2 vhd seat/back","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"K0826","description":"Pwc gp 2 vhd seat/back","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NBHA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GBKD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-1CGMT","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"1CGMT","description":"HIPPS-1CGMT","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Glaucoma surgery","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"66170","description":"Glaucoma surgery","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Injection_ meropenem (b. braun) not therapeutically equivalent to j2185_ 100 mg","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"J2184","description":"Injection_ meropenem (b. braun) not therapeutically equivalent to j2185_ 100 mg","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Assay of c-peptide","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"84681","description":"Assay of c-peptide","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GCCF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"ODWB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"ECCF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"PBQB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-CE14C","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"CE14C","description":"HIPPS-CE14C","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FIDA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-Q0521","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"Q0521","description":"HCPCS-Q0521","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-1AFP4","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"1AFP4","description":"HIPPS-1AFP4","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Mra w/o fol w/cont_ chest","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"C8911","description":"Mra w/o fol w/cont_ chest","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Excision of gum lesion","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"41826","description":"Excision of gum lesion","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-A2034","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"A2034","description":"HCPCS-A2034","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KIUE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Ready gradient gauntlet","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"S8428","description":"Ready gradient gauntlet","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Injection procedure for pyelography (as nephrostogram_ pyelostogram_ antegrade pyeloureterograms) through nephrostomy or pyelostomy tube_ or indwelling ureteral c","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"50394","description":"Injection procedure for pyelography (as nephrostogram_ pyelostogram_ antegrade pyeloureterograms) through nephrostomy or pyelostomy tube_ or indwelling ureteral c","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Acute vitreous hemorrhage","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"M1333","description":"Acute vitreous hemorrhage","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Documentation of patient discharged alive following endovascular AAA repair","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G9263","description":"Documentation of patient discharged alive following endovascular AAA repair","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JHUD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Diagnostic anoscopy & biopsy","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"46607","description":"Diagnostic anoscopy & biopsy","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Fibrin degrade semiquant","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"85378","description":"Fibrin degrade semiquant","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BAFF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-2AGKU","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"2AGKU","description":"HIPPS-2AGKU","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FIID0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GEVB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Autogenous Av Fistula Received","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G8530","description":"Autogenous Av Fistula Received","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CEKF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Extremity study","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"93965","description":"Extremity study","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FADD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-PE136","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"PE136","description":"HIPPS-PE136","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Conformal radn thxpy rcvd","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"4181F","description":"Conformal radn thxpy rcvd","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CFTC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Reconstruct midface no graft","billing_code_type":"CDT","billing_code_type_version":"2024","billing_code":"D7948","description":"Reconstruct midface no graft","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JAVB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BAHF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OEOA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KEIF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RMC34","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RMC34","description":"HIPPS-RMC34","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NIXB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CBRF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NKUA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BDXE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-HD14B","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"HD14B","description":"HIPPS-HD14B","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CASC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Shoulder abduction joint pai","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"L6640","description":"Shoulder abduction joint pai","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"CDT-D5938","billing_code_type":"CDT","billing_code_type_version":"2026","billing_code":"D5938","description":"CDT-D5938","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"LFRD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KCGF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Cabergoline_ oral 0.25mg","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"J8515","description":"Cabergoline_ oral 0.25mg","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Denture tiss condtin mandbl","billing_code_type":"CDT","billing_code_type_version":"2024","billing_code":"D5851","description":"Denture tiss condtin mandbl","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Lefort iii w/fhdw/o lefort i","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"21159","description":"Lefort iii w/fhdw/o lefort i","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"PJRE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RLA8C","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RLA8C","description":"HIPPS-RLA8C","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-3BGM2","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"3BGM2","description":"HIPPS-3BGM2","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-PD145","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"PD145","description":"HIPPS-PD145","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KHNC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Panoramic x-ray of jaws","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"70355","description":"Panoramic x-ray of jaws","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KBUE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-1BFMU","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"1BFMU","description":"HIPPS-1BFMU","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NJDA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"ECIA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FBTC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Remove ankle joint lining","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"27626","description":"Remove ankle joint lining","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JIGE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KGYB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Psychophysiological therapy","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"90876","description":"Psychophysiological therapy","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CEEF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"ODOE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CFID1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"EHAC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-CB12C","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"CB12C","description":"HIPPS-CB12C","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GBXD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-PC10D","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"PC10D","description":"HIPPS-PC10D","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Splint","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"A4570","description":"Splint","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Human Platelet Antigen 15 genotyping (HPA-15)_ CD109 (CD109 molecule) (eg_ neonatal alloimmune thrombocytopenia [NAIT]_ post-transfusion purpura)_ gene analysis_ common varian","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"81112","description":"Human Platelet Antigen 15 genotyping (HPA-15)_ CD109 (CD109 molecule) (eg_ neonatal alloimmune thrombocytopenia [NAIT]_ post-transfusion purpura)_ gene analysis_ common varian","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"IGBE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Pul art balloon repr percut","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"92997","description":"Pul art balloon repr percut","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Removal of sloughed off bone","billing_code_type":"CDT","billing_code_type_version":"2024","billing_code":"D7550","description":"Removal of sloughed off bone","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Enzyme cell activity","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"82657","description":"Enzyme cell activity","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Insulin injection","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"J1815","description":"Insulin injection","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FEFB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FEDB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"AGLA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CFJA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"CPT-16378","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"16378","description":"CPT-16378","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Rechanneling of artery","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"35321","description":"Rechanneling of artery","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GFMC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RUC10","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RUC10","description":"HIPPS-RUC10","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Non-adjunctive_ non-implanted continuous glucose monitor or receiver","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"E2103","description":"Non-adjunctive_ non-implanted continuous glucose monitor or receiver","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MATA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GAHB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FDEB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OHBF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Wheelchair accessory_ lateral thigh or knee support_ any type including fixed mounting hardware_ each","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"E0953","description":"Wheelchair accessory_ lateral thigh or knee support_ any type including fixed mounting hardware_ each","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Ipilimumab injection","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"J9228","description":"Ipilimumab injection","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CIAC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-CE15B","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"CE15B","description":"HIPPS-CE15B","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KIHD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Correction of bunion","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"28293","description":"Correction of bunion","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-3BGP1","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"3BGP1","description":"HIPPS-3BGP1","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-LB22D","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"LB22D","description":"HIPPS-LB22D","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RMB42","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RMB42","description":"HIPPS-RMB42","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"ACMB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-ES28H","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"ES28H","description":"HIPPS-ES28H","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Bone/skin graft microvasc","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"20969","description":"Bone/skin graft microvasc","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CGED0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Diabetic management program_","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"S9140","description":"Diabetic management program_","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-HE120","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"HE120","description":"HIPPS-HE120","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Venous mech thrombectomy","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"37187","description":"Venous mech thrombectomy","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CAMB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OFXD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NBHB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Ex for nonspeech device rx","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"92605","description":"Ex for nonspeech device rx","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"IALB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CHGE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"ABHE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"LDQB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Craniectomy_ suboccipital; for mesencephalic tractotomy or pedunculotomy","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"61480","description":"Craniectomy_ suboccipital; for mesencephalic tractotomy or pedunculotomy","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KGGE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Clot factor xiii fibrin scrn","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"85291","description":"Clot factor xiii fibrin scrn","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"EELC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Ect provided","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"4066F","description":"Ect provided","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Fetal aneuploidy DNA sequencing comparative analysis_ fetal DNA from products of conception_ reported as normal (euploidy)_ monosomy_ trisomy_ or partial deletion/duplication_","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0341U","description":"Fetal aneuploidy DNA sequencing comparative analysis_ fetal DNA from products of conception_ reported as normal (euploidy)_ monosomy_ trisomy_ or partial deletion/duplication_","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BBFE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NAGD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"EBEA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Inject congenital card cath","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"93563","description":"Inject congenital card cath","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-ES24C","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"ES24C","description":"HIPPS-ES24C","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NEKD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JECC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"PLYD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BAME0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BITF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MACF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"EDDF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NHAD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FCEC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Treat ulnar fracture","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"24685","description":"Treat ulnar fracture","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-LB210","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"LB210","description":"HIPPS-LB210","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RUC8G","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RUC8G","description":"HIPPS-RUC8G","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-2CGLX","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"2CGLX","description":"HIPPS-2CGLX","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GBME0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Replace quadlat socket brim","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"L4020","description":"Replace quadlat socket brim","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-HD14D","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"HD14D","description":"HIPPS-HD14D","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-4BHL5","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"4BHL5","description":"HIPPS-4BHL5","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Biopsy forearm soft tissues","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"25065","description":"Biopsy forearm soft tissues","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-BA144","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"BA144","description":"HIPPS-BA144","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Inpt/ed teleconsult70","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G0427","description":"Inpt/ed teleconsult70","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CGSB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NGUF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-S4024","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"S4024","description":"HCPCS-S4024","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"AGLE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BBHB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NEPB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Test for urine cystines","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"82615","description":"Test for urine cystines","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Repair sciatic nerve","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"64858","description":"Repair sciatic nerve","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"HGWB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"LGWD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-J7176","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"J7176","description":"HCPCS-J7176","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GBDD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KEXC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"EHTE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MJUA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GGNC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"DCYE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Ic lbw inf < 1500 gm subsq","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"99478","description":"Ic lbw inf < 1500 gm subsq","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KBLA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-4AHM4","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"4AHM4","description":"HIPPS-4AHM4","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-3AHM6","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"3AHM6","description":"HIPPS-3AHM6","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FFIF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NDNF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NLBF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RLX8C","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RLX8C","description":"HIPPS-RLX8C","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RUB4C","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RUB4C","description":"HIPPS-RUB4C","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Onc dx brst unknown nos","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G9131","description":"Onc dx brst unknown nos","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Nipple exploration","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"19110","description":"Nipple exploration","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Cesarean delivery only","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"59514","description":"Cesarean delivery only","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Nasal/sinus endoscopy_ surgical; with dilation of frontal and sphenoid sinus ostia (eg_ balloon dilation)","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"31298","description":"Nasal/sinus endoscopy_ surgical; with dilation of frontal and sphenoid sinus ostia (eg_ balloon dilation)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OKIC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"AFAB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Intragastric hypothermia","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"M0100","description":"Intragastric hypothermia","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"ACHC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Segmental pneumatic trunk","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"E0656","description":"Segmental pneumatic trunk","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Repair liver wound","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"47350","description":"Repair liver wound","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Patients who use hospice services any time during the measurement period","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G9805","description":"Patients who use hospice services any time during the measurement period","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-3BGKT","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"3BGKT","description":"HIPPS-3BGKT","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OBFF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KDQD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CBWA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JEPE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"AIUF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Injection_ pegfilgrastime-bmez_ biosimilar_ (ziextenzo) 0.5mg","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"C9058","description":"Injection_ pegfilgrastime-bmez_ biosimilar_ (ziextenzo) 0.5mg","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NFPB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Esano a_ per square centimeter","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"Q4272","description":"Esano a_ per square centimeter","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CFEC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JDVC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MDLE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GDRF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KACE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Removal of colon","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"44160","description":"Removal of colon","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-LB28A","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"LB28A","description":"HIPPS-LB28A","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Derm-Maxx_ per sq cm","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"Q4238","description":"Derm-Maxx_ per sq cm","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Calculated 10-year ascvd risk score of  = 20 percent during the performance period","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"M1364","description":"Calculated 10-year ascvd risk score of  = 20 percent during the performance period","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Fusion of hand joint","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"26843","description":"Fusion of hand joint","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"DEOE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RHL34","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RHL34","description":"HIPPS-RHL34","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GDKA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Removal of eye","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"65101","description":"Removal of eye","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"IDDA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OBJC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MLUF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Ct angio hrt w/3d image","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"75574","description":"Ct angio hrt w/3d image","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Digitization of glass microscope slides for level IV_ surgical pathology_ gross and microscopic examination (List separately in addition to code for primary procedure)","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0753T","description":"Digitization of glass microscope slides for level IV_ surgical pathology_ gross and microscopic examination (List separately in addition to code for primary procedure)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Panitumumab injection","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"J9303","description":"Panitumumab injection","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Screening performed and negative","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G9920","description":"Screening performed and negative","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Remote multi-day complex uroflowmetry (eg_ calibrated electronic equipment); device supply with automated report generation_ up to 10 days","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0812T","description":"Remote multi-day complex uroflowmetry (eg_ calibrated electronic equipment); device supply with automated report generation_ up to 10 days","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Pt info into recall system","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"7010F","description":"Pt info into recall system","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-BA255","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"BA255","description":"HIPPS-BA255","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Decalcify tissue","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"88311","description":"Decalcify tissue","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Sinus endo w/balloon dil","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"31295","description":"Sinus endo w/balloon dil","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Second level cer diskectomy","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"22858","description":"Second level cer diskectomy","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"CACNA1A (calcium voltage-gated channel subunit alpha1 A) (eg_ spinocerebellar ataxia) gene analysis; evaluation to detect abnormal (eg_ expanded) alleles","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"81184","description":"CACNA1A (calcium voltage-gated channel subunit alpha1 A) (eg_ spinocerebellar ataxia) gene analysis; evaluation to detect abnormal (eg_ expanded) alleles","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Percutaneous transluminal coronary lithotripsy (List separately in addition to code for primary procedure)","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0715T","description":"Percutaneous transluminal coronary lithotripsy (List separately in addition to code for primary procedure)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"HAQB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KHIB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NKNB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OHNC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JIAF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OBNF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GBJF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Iiv3 vacc no prsv 6-35 mo im","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"90655","description":"Iiv3 vacc no prsv 6-35 mo im","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-LD22D","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"LD22D","description":"HIPPS-LD22D","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Laparoscopic nephrectomy","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"50546","description":"Laparoscopic nephrectomy","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MDMC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-HE213","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"HE213","description":"HIPPS-HE213","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"No off assis eol","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G9382","description":"No off assis eol","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KCSA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-AAA36","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"AAA36","description":"HIPPS-AAA36","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"DGSC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MBLB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OEFA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Child sitting services","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"T1009","description":"Child sitting services","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Ext ecg scan w/report","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0297T","description":"Ext ecg scan w/report","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"HAOC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Postpartum care visit","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0503F","description":"Postpartum care visit","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"AAID0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Elbow arthroscopy/surgery","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"29836","description":"Elbow arthroscopy/surgery","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-3BHP6","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"3BHP6","description":"HIPPS-3BHP6","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Ther fostercare child /month","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"S5146","description":"Ther fostercare child /month","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"IHDF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Diagnostic laryngoscopy","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"31505","description":"Diagnostic laryngoscopy","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Oxygen system gas portable","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"E0430","description":"Oxygen system gas portable","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Decompression of leg","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"27892","description":"Decompression of leg","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"DHOD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OKCC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-BB23C","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"BB23C","description":"HIPPS-BB23C","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NGHD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-LD255","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"LD255","description":"HIPPS-LD255","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CDFE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OFWA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-3BHL6","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"3BHL6","description":"HIPPS-3BHL6","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Repair of custom sleep apnea appliance","billing_code_type":"CDT","billing_code_type_version":"2024","billing_code":"D9949","description":"Repair of custom sleep apnea appliance","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Moderate sedation services provided by a physician or other qualified health care professional other than the physician or other qualified health care professional performing","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"99156","description":"Moderate sedation services provided by a physician or other qualified health care professional other than the physician or other qualified health care professional performing","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-PC22A","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"PC22A","description":"HIPPS-PC22A","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"IEED1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-2BHK3","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"2BHK3","description":"HIPPS-2BHK3","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OEQE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Change nephroureteral cath","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"50387","description":"Change nephroureteral cath","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Ster wd ifx 30 d postop","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G8571","description":"Ster wd ifx 30 d postop","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"CPT-0676U","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"0676U","description":"CPT-0676U","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NCAB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Injection_ deoxycholic acid_ 1mg","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"J0591","description":"Injection_ deoxycholic acid_ 1mg","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RHB54","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RHB54","description":"HIPPS-RHB54","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HH PDGM","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"2CC21","description":"HH PDGM","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FCKE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CAOB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JCBF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"EABB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KFVC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Transcatheter mitral valve implantation/replacement (TMVI) with prosthetic valve; transthoracic exposure (eg_ thoracotomy_ transapical)","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0484T","description":"Transcatheter mitral valve implantation/replacement (TMVI) with prosthetic valve; transthoracic exposure (eg_ thoracotomy_ transapical)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GIOF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FHFB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"ICBF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Clsd ostomy pouch w/flange","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"A5054","description":"Clsd ostomy pouch w/flange","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OFHC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OGEA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Cast sup lng leg cylinder fb","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"Q4034","description":"Cast sup lng leg cylinder fb","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Anesth esophageal surgery","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"50051","description":"Anesth esophageal surgery","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NGIF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Injection_ immune globulin (Cuvitru)_ 100 mg","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"J1555","description":"Injection_ immune globulin (Cuvitru)_ 100 mg","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"CPT-0658U","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"0658U","description":"CPT-0658U","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-CA15B","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"CA15B","description":"HIPPS-CA15B","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RVL4A","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RVL4A","description":"HIPPS-RVL4A","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JDXC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FAXE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NCXE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Removal of colon","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"44150","description":"Removal of colon","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JDAD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Exc f/e/e/n/l mal+mrg 2.1-3","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"11643","description":"Exc f/e/e/n/l mal+mrg 2.1-3","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Remove forearm foreign body","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"25248","description":"Remove forearm foreign body","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"ADAA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Hla i & ii typing lr","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"81370","description":"Hla i & ii typing lr","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JEIA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-AAA5C","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"AAA5C","description":"HIPPS-AAA5C","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BCAC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CBQE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-ES28F","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"ES28F","description":"HIPPS-ES28F","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JBCD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MHEF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FEHA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Ost pch urine w lock flng/ft","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"A4434","description":"Ost pch urine w lock flng/ft","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OHGB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OHWF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NCVD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"W/c wdth 24-27 in seat frame","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"E2341","description":"W/c wdth 24-27 in seat frame","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"CPT-1067T","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"1067T","description":"CPT-1067T","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Injection_ tbo-filgrastim_ 5 micrograms","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"J1446","description":"Injection_ tbo-filgrastim_ 5 micrograms","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Supported employment","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"W6106","description":"Supported employment","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Csi per asx pt w/pci 2 yrs","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G8963","description":"Csi per asx pt w/pci 2 yrs","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BIDB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Visual ep acuity screen auto","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0333T","description":"Visual ep acuity screen auto","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NCDE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FIBE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-3AGLT","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"3AGLT","description":"HIPPS-3AGLT","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Tmj arthroscopy debridement","billing_code_type":"CDT","billing_code_type_version":"2024","billing_code":"D7877","description":"Tmj arthroscopy debridement","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"EDEF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Remove vertebral body add-on","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"63088","description":"Remove vertebral body add-on","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Patient received bone marrow transplant any time during the measurement period","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"M1157","description":"Patient received bone marrow transplant any time during the measurement period","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Reconstruct urethra stage 1","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"53420","description":"Reconstruct urethra stage 1","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Laparoscopy islet cell trans","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G0342","description":"Laparoscopy islet cell trans","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BCMB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-HD150","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"HD150","description":"HIPPS-HD150","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Hearing aid_ prog_ bin_ itc","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"V5251","description":"Hearing aid_ prog_ bin_ itc","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-1AGL6","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"1AGL6","description":"HIPPS-1AGL6","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CDXB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Other pt/ot current status","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G8990","description":"Other pt/ot current status","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FHFE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CBPC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-3CHL2","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"3CHL2","description":"HIPPS-3CHL2","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"PBYE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Intracranial vessel surgery","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"61686","description":"Intracranial vessel surgery","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KDCF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"CPT-84393","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"84393","description":"CPT-84393","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Hair trnspl >15 punch grafts","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"15776","description":"Hair trnspl >15 punch grafts","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FBFD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JDIB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FBDF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Anes spine transthor w/vent","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"62659","description":"Anes spine transthor w/vent","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GIXD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"IITE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RLB01","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RLB01","description":"HIPPS-RLB01","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OBUC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Albuterol comp con","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"J7610","description":"Albuterol comp con","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Vivaglobin_ inj","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"J1562","description":"Vivaglobin_ inj","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-4BHM3","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"4BHM3","description":"HIPPS-4BHM3","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"EIIB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NBTC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FHHA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Reconstruct windpipe","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"31781","description":"Reconstruct windpipe","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"DHWA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KAAC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JHJB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GIGB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"LERA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Resect arm/elbow tum < 5 cm","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"24077","description":"Resect arm/elbow tum < 5 cm","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Measure blood oxygen level","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"94760","description":"Measure blood oxygen level","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Laryngoscopy_ flexible; with ablation or destruction of lesion(s) with laser_ unilateral","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"31572","description":"Laryngoscopy_ flexible; with ablation or destruction of lesion(s) with laser_ unilateral","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Intmd rpr n-hf/genit7.6-12.5","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"12044","description":"Intmd rpr n-hf/genit7.6-12.5","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CBAB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Amnio tri-core amniotic_ per square centimeter","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"Q4295","description":"Amnio tri-core amniotic_ per square centimeter","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Reverse osmosis h2o puri sys","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"E1610","description":"Reverse osmosis h2o puri sys","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Belt/vest elec/combo vad rep","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"Q0499","description":"Belt/vest elec/combo vad rep","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"IBCC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FIAE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-PA18H","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"PA18H","description":"HIPPS-PA18H","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Reimplant ureter in bladder","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"50783","description":"Reimplant ureter in bladder","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OCOC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"IAID1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Hc pro phone call 21-30 min","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"98968","description":"Hc pro phone call 21-30 min","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GBMC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NLKB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Wrist disarticul switch ctrl","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"L6920","description":"Wrist disarticul switch ctrl","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"ECHC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GBEA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-CC254","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"CC254","description":"HIPPS-CC254","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Patient was in hospice or receiving palliative care at any time during the performance period","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"M1059","description":"Patient was in hospice or receiving palliative care at any time during the performance period","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Implnt_bon void filler-strip","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"C9362","description":"Implnt_bon void filler-strip","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OBLA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Proctosigmoidoscopy volvul","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"45321","description":"Proctosigmoidoscopy volvul","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OIRE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Ongoing Care Not Indicated_ Patient Self-Discharged Early And Seen Only 1-2 Visits (E.G._ Financial Or Insurance Reasons_ Transportation Problems_ Or Reason Unknown)","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"M1110","description":"Ongoing Care Not Indicated_ Patient Self-Discharged Early And Seen Only 1-2 Visits (E.G._ Financial Or Insurance Reasons_ Transportation Problems_ Or Reason Unknown)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GBYA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CFTD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CDEE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KGXE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Echo transesophageal","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"93317","description":"Echo transesophageal","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"LW GNOTYP ICAM4 EXON 1","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0197U","description":"LW GNOTYP ICAM4 EXON 1","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-4BGM6","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"4BGM6","description":"HIPPS-4BGM6","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GDJF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JATF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"IGEE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FEGC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"CPT-01936","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"01936","description":"CPT-01936","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FDTB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"LFYB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Replace foot drop spint","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"L4394","description":"Replace foot drop spint","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NAXA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OGBF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RUL3D","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RUL3D","description":"HIPPS-RUL3D","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-PB21B","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"PB21B","description":"HIPPS-PB21B","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KDAF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Smoking cessation class","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"S9453","description":"Smoking cessation class","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"LAOE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Neck/chest surgery procedure","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"21899","description":"Neck/chest surgery procedure","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GIKD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"AITB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"CPT-01860","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"01860","description":"CPT-01860","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MGLD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-1CHP1","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"1CHP1","description":"HIPPS-1CHP1","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Anesth biopsy of thyroid","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"32251","description":"Anesth biopsy of thyroid","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Sewhfo airplane w/jnt(s) cf","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"L3978","description":"Sewhfo airplane w/jnt(s) cf","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Insert lens prosthesis","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"66985","description":"Insert lens prosthesis","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"HFSF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FAGC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KIKF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JDMC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Drug screening tramadol","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"80373","description":"Drug screening tramadol","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BGNA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Mechanical allergen particle barrier/inhalation filter_ cream_ nasal_ topical","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"K1026","description":"Mechanical allergen particle barrier/inhalation filter_ cream_ nasal_ topical","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Breast reconstruction","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"19369","description":"Breast reconstruction","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BIHF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CCQD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CEWA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-2AGMW","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"2AGMW","description":"HIPPS-2AGMW","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Fev<60% pred & no copd sym","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G8925","description":"Fev<60% pred & no copd sym","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"PCWD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NFFC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"MSH6 (mutS homolog 6) (eg_ hereditary colon cancer_ Lynch syndrome) mRNA sequence analysis (List separately in addition to code for primary procedure)","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0160U","description":"MSH6 (mutS homolog 6) (eg_ hereditary colon cancer_ Lynch syndrome) mRNA sequence analysis (List separately in addition to code for primary procedure)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Influenza dna amp prob 1+","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"87501","description":"Influenza dna amp prob 1+","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"PKOB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MALC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Cast sup shoulder cast plstr","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"Q4003","description":"Cast sup shoulder cast plstr","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"IFEF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FHUA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Arm pad each","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"K0019","description":"Arm pad each","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NJBE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CDQA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KCDE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"CDT-D0401","billing_code_type":"CDT","billing_code_type_version":"2026","billing_code":"D0401","description":"CDT-D0401","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MEMC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OJNE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NBME0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"PFRC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KFIB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Imm admin by intramuscular injection of (SARS-CoV-2) ([COVID-19]) vaccine_ mRNA-LNP_ spike protein_ preservative free_ 30 mcg/0.3 mL dosage_ tris-sucrose formula_ second dose","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0052A","description":"Imm admin by intramuscular injection of (SARS-CoV-2) ([COVID-19]) vaccine_ mRNA-LNP_ spike protein_ preservative free_ 30 mcg/0.3 mL dosage_ tris-sucrose formula_ second dose","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BDCA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MKMF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"AHBA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-PE14B","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"PE14B","description":"HIPPS-PE14B","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OBJA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"ACBD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KBTF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OIAF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Insert pulse gen mult leads","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"33221","description":"Insert pulse gen mult leads","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Mccd_maintenance rate","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G9002","description":"Mccd_maintenance rate","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"IAAD IA HEPATITIS B SURFACE ANTIGEN","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"87340","description":"IAAD IA HEPATITIS B SURFACE ANTIGEN","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OJCF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CAOF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"EEUD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Wheelchair wide w/ leg rests","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"E1092","description":"Wheelchair wide w/ leg rests","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GEPA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-2BHL4","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"2BHL4","description":"HIPPS-2BHL4","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Knee joint cam lock each joi","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"L2415","description":"Knee joint cam lock each joi","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Theraskin","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"Q4121","description":"Theraskin","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Suction lipectomy head&neck","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"15876","description":"Suction lipectomy head&neck","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-LC24C","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"LC24C","description":"HIPPS-LC24C","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GGBC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CCEB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KBTA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"EILA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Pwc gp 1 std cap chair","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"K0816","description":"Pwc gp 1 std cap chair","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Fusion of spermatic ducts","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"54901","description":"Fusion of spermatic ducts","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"PGWD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"EHTF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"ICLC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-BB251","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"BB251","description":"HIPPS-BB251","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GBRF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"No srch for ct in 12mo norsn","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G9342","description":"No srch for ct in 12mo norsn","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-HD18H","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"HD18H","description":"HIPPS-HD18H","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-2AHLS","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"2AHLS","description":"HIPPS-2AHLS","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-CE10D","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"CE10D","description":"HIPPS-CE10D","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Padding for comprssn bdg","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"S8430","description":"Padding for comprssn bdg","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NDFD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NKNE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Transparent film <= 16 sq in","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"A6257","description":"Transparent film <= 16 sq in","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Body muscle testing manual","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"95834","description":"Body muscle testing manual","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"BCG live intravesical instillation_ 1 mg","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"J9030","description":"BCG live intravesical instillation_ 1 mg","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Wedge resect of lung diag","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"32507","description":"Wedge resect of lung diag","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BCBD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"CPT-0902T","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"0902T","description":"CPT-0902T","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"HESF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"PESC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"ODKE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Nephropathy doc tx","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"3066F","description":"Nephropathy doc tx","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-J9028","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"J9028","description":"HCPCS-J9028","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-J9053","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"J9053","description":"HCPCS-J9053","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"HGYF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FBAB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CIRA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"DHQF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RHX4A","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RHX4A","description":"HIPPS-RHX4A","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MJIE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-BB28D","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"BB28D","description":"HIPPS-BB28D","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Adenoma(s) or colorectal cancer not detected during screening colonoscopy","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G9935","description":"Adenoma(s) or colorectal cancer not detected during screening colonoscopy","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RVB8H","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RVB8H","description":"HIPPS-RVB8H","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-ES104","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"ES104","description":"HIPPS-ES104","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"CPT-1035T","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"1035T","description":"CPT-1035T","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"PEOA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Treatment of thigh fracture","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"27510","description":"Treatment of thigh fracture","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Remove extra spine segment","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"22103","description":"Remove extra spine segment","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CFRD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"PGYB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FBEE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Esophagoscopy flex dx brush","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"43197","description":"Esophagoscopy flex dx brush","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"PHOF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BCFD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-PD236","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"PD236","description":"HIPPS-PD236","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Pierce skull implant device","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"61210","description":"Pierce skull implant device","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KFBD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"ADAB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"DIWA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Phys blood bank serv authrj","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"86079","description":"Phys blood bank serv authrj","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Onsite Ac C Tx Nsg Fac Res W/Chf Billd Sid-Benef","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G9680","description":"Onsite Ac C Tx Nsg Fac Res W/Chf Billd Sid-Benef","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FAXF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JFHE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CGAF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MLCE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CGGE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NICE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Internal Medicine Mips Specialty Set","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G4011","description":"Internal Medicine Mips Specialty Set","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HH PDGM","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"3JC31","description":"HH PDGM","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"CPT-00832","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"00832","description":"CPT-00832","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MKID0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GGYE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KDPF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Antiemetic drug oral nos","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"J8597","description":"Antiemetic drug oral nos","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Moderate sedation services provided by the same physician or other qualified health care professional performing the diagnostic or therapeutic service that the sedation suppor","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"99153","description":"Moderate sedation services provided by the same physician or other qualified health care professional performing the diagnostic or therapeutic service that the sedation suppor","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-PA213","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"PA213","description":"HIPPS-PA213","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Contact lens_ hydrophilic_ spherical_ photochromic additive_ per lens","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"V2524","description":"Contact lens_ hydrophilic_ spherical_ photochromic additive_ per lens","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CEJB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OLKF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KIYE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Hexa gene","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"81255","description":"Hexa gene","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BDFF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CIQA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"EAMA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FETF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-BA12B","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"BA12B","description":"HIPPS-BA12B","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HH PDGM","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"4KA31","description":"HH PDGM","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Patients 66 Years Of Age And Older With At Least One Claim/Encounter For Frailty During The Measurement Period And Either One Acute Inpatient Encounter With A Diagnosis Of Adv","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G2101","description":"Patients 66 Years Of Age And Older With At Least One Claim/Encounter For Frailty During The Measurement Period And Either One Acute Inpatient Encounter With A Diagnosis Of Adv","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"DFYA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OFRA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Emr hd pmp elec/combo_ rep","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"Q0494","description":"Emr hd pmp elec/combo_ rep","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Oncology (bladder)_ analysis of 10 protein biomarkers (A1AT_ ANG_ APOE_ CA9_ IL8_ MMP9_ MMP10_ PAI1_ SDC1 and VEGFA) by immunoassays_ urine_ diagnostic algorithm reported as a","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0367U","description":"Oncology (bladder)_ analysis of 10 protein biomarkers (A1AT_ ANG_ APOE_ CA9_ IL8_ MMP9_ MMP10_ PAI1_ SDC1 and VEGFA) by immunoassays_ urine_ diagnostic algorithm reported as a","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"PASB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Electroencephalogram With Video (Veeg)_ Review Of Data_ Technical Description By Eeg Technologist_ 2-12 Hours; Unmonitored","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"95711","description":"Electroencephalogram With Video (Veeg)_ Review Of Data_ Technical Description By Eeg Technologist_ 2-12 Hours; Unmonitored","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KGRC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"LHOC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JATA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"IFUB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Repair detached retina","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"67101","description":"Repair detached retina","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Hemoperfusion","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"90997","description":"Hemoperfusion","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Patient unable to complete the FOTO hip intake PROM at admission and discharge due to blindness_ illiteracy_ severe mental incapacity or language incompatibility and an adequa","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G9729","description":"Patient unable to complete the FOTO hip intake PROM at admission and discharge due to blindness_ illiteracy_ severe mental incapacity or language incompatibility and an adequa","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Revision of cervix","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"57700","description":"Revision of cervix","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"ECUE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"IEEC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OGOB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Remove part of neck vertebra","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"22100","description":"Remove part of neck vertebra","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Revision of ileostomy","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"44314","description":"Revision of ileostomy","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"AABF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FCLF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Assay malate dehydrogenase","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"83775","description":"Assay malate dehydrogenase","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"ADID0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JDDA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KCVE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Interferon alfa-2a inj","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"J9213","description":"Interferon alfa-2a inj","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GGPD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KBVC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"HCOF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KIQF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-4CFM1","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"4CFM1","description":"HIPPS-4CFM1","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JGLD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"X-ray exam thoracolmb 2/> vw","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"72080","description":"X-ray exam thoracolmb 2/> vw","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Transluminal balloon angioplasty_ central dialysis segment_ performed through dialysis circuit_ including all imaging and radiological supervision and interpretation required","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"36907","description":"Transluminal balloon angioplasty_ central dialysis segment_ performed through dialysis circuit_ including all imaging and radiological supervision and interpretation required","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"CPT-00640","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"00640","description":"CPT-00640","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JAHC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CAJD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-HC23C","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"HC23C","description":"HIPPS-HC23C","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Anoscopy and dilation","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"46604","description":"Anoscopy and dilation","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BFCE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KBSE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Lifestyle mod 1st stage","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"S0340","description":"Lifestyle mod 1st stage","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OCMB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"HAOB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JAGF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FBHE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"CPT-0954T","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"0954T","description":"CPT-0954T","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RMA15","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RMA15","description":"HIPPS-RMA15","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JGAE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Documentation stating the patient has an active diagnosis of depression or has diagnosed bipolar disorder_ therefore screening or follow-up not required","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G9717","description":"Documentation stating the patient has an active diagnosis of depression or has diagnosed bipolar disorder_ therefore screening or follow-up not required","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GIME1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OFPA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GAYD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BIKE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Repr of anal fistula w/glue","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"46706","description":"Repr of anal fistula w/glue","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BDVE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Gc stocking thighlngth 30-40","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"A6534","description":"Gc stocking thighlngth 30-40","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JFVE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Anesth spine manipulation","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"64051","description":"Anesth spine manipulation","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OLDC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OJNA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Needle localization by xray","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"77002","description":"Needle localization by xray","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GBEF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Home Delivered Meals-Emergency Pack","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"W1762","description":"Home Delivered Meals-Emergency Pack","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"EACC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Autologous blood process","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"86890","description":"Autologous blood process","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Hit corticosteroid/diem","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"S9490","description":"Hit corticosteroid/diem","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OECD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Reconstruct elbow med ligmnt","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"24346","description":"Reconstruct elbow med ligmnt","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Removal of testis","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"54530","description":"Removal of testis","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Replace pump_ alt press pad","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"E0182","description":"Replace pump_ alt press pad","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Injection_ levoleucovorin_ 1mg","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"C9043","description":"Injection_ levoleucovorin_ 1mg","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OJUD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OAWC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FINB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Med service out of office","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"99056","description":"Med service out of office","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KASE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OGEC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Us exam infant hips static","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"76886","description":"Us exam infant hips static","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KEAB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NKDC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"EFCA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-1AFNV","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"1AFNV","description":"HIPPS-1AFNV","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CGLC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JALC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-G0540","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"G0540","description":"HCPCS-G0540","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Closed tx vert fx w/o manj","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"22310","description":"Closed tx vert fx w/o manj","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KIOC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NKBA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KIJC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Revise lumb artif disc addl","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0165T","description":"Revise lumb artif disc addl","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Grafting Of Autologous Fat Harvested By Liposuction Technique To Trunk_ Breasts_ Scalp_ Arms_ And/Or Legs; Each Additional 50 Cc Injectate_ Or Part Thereof (List Separately In","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"15772","description":"Grafting Of Autologous Fat Harvested By Liposuction Technique To Trunk_ Breasts_ Scalp_ Arms_ And/Or Legs; Each Additional 50 Cc Injectate_ Or Part Thereof (List Separately In","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NCMB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MAAC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KEQB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-1BHK5","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"1BHK5","description":"HIPPS-1BHK5","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Bronchoscopy stent add-on","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"31637","description":"Bronchoscopy stent add-on","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Hospital Special Treatment Room Support Component (Hstrsc) Incomplete Abortion","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"X2060","description":"Hospital Special Treatment Room Support Component (Hstrsc) Incomplete Abortion","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Whole blood for transfusion","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"P9010","description":"Whole blood for transfusion","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Removal of torus palatinus","billing_code_type":"CDT","billing_code_type_version":"2024","billing_code":"D7472","description":"Removal of torus palatinus","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MIDB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-J3375","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"J3375","description":"HCPCS-J3375","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Treatment of retinal lesion","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"67208","description":"Treatment of retinal lesion","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"EBIB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CCED1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Pulpal regeneration complete","billing_code_type":"CDT","billing_code_type_version":"2024","billing_code":"D3357","description":"Pulpal regeneration complete","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GFTA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CDYD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OFTF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NGLF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-CB15B","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"CB15B","description":"HIPPS-CB15B","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Comprehensive care for joint replacement model_ home visit for patient assemssment performed by clinical staff for an individual not considered homebound","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G9490","description":"Comprehensive care for joint replacement model_ home visit for patient assemssment performed by clinical staff for an individual not considered homebound","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KEVF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Foot arch supp premold metat","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"L3050","description":"Foot arch supp premold metat","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-CC24D","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"CC24D","description":"HIPPS-CC24D","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MGDB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Colonoscopy w/injection","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"44404","description":"Colonoscopy w/injection","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Venous thrombosis imaging","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"78457","description":"Venous thrombosis imaging","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GEGF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"IILF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"LCWC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KHME1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Mcp joint arthroscopy surg","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"29901","description":"Mcp joint arthroscopy surg","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"IGCB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NCEE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-5BHK6","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"5BHK6","description":"HIPPS-5BHK6","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Documentation caregiver is trained and certified in dementia care","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G2185","description":"Documentation caregiver is trained and certified in dementia care","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"DEYE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-A0103","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"A0103","description":"HCPCS-A0103","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NDVF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Partial proctectomy","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"45113","description":"Partial proctectomy","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"AJCC breast cancer stage I: T1 mic or T1a documented","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G9704","description":"AJCC breast cancer stage I: T1 mic or T1a documented","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Revision subvalvular tissue","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"33415","description":"Revision subvalvular tissue","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Repair tongue laceration","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"41252","description":"Repair tongue laceration","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BBME0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Guide nerv destr elec stim","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"95873","description":"Guide nerv destr elec stim","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Digitization of glass microscope slides for in situ hybridization (eg_ FISH)_ per specimen; each multiplex probe stain procedure (List separately in addition to code for prima","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0850T","description":"Digitization of glass microscope slides for in situ hybridization (eg_ FISH)_ per specimen; each multiplex probe stain procedure (List separately in addition to code for prima","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"IBBF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Disposable compressor filter","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"A7013","description":"Disposable compressor filter","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JDUB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BEMC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BGFF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-PD22A","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"PD22A","description":"HIPPS-PD22A","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"EACB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KICC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JFGD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-4BGKV","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"4BGKV","description":"HIPPS-4BGKV","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Pt not rcvng glucoco thxpy","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"4192F","description":"Pt not rcvng glucoco thxpy","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-3CHL5","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"3CHL5","description":"HIPPS-3CHL5","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Psychological testing (includes psychodiagnostic assessment of emotionality_ intellectual abilities_ personality and psychopathology_ eg_ MMPI)_ administered by a computer_ wi","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"96103","description":"Psychological testing (includes psychodiagnostic assessment of emotionality_ intellectual abilities_ personality and psychopathology_ eg_ MMPI)_ administered by a computer_ wi","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Bitolterol mesylate comp con","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"J7628","description":"Bitolterol mesylate comp con","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OEJD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KEMD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NJXE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OARC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Fluciclovine f-18_ diagnostic_ 1 millicurie","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"A9588","description":"Fluciclovine f-18_ diagnostic_ 1 millicurie","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"AEBB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OBQF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-4BGK3","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"4BGK3","description":"HIPPS-4BGK3","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KFNB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CCBC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Transcath stent cca w/eps","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"37215","description":"Transcath stent cca w/eps","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Amantadine hcl oral brand","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G9033","description":"Amantadine hcl oral brand","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Cast sup long arm ped fbrgls","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"Q4008","description":"Cast sup long arm ped fbrgls","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Clean out mastoid cavity","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"69220","description":"Clean out mastoid cavity","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OJIC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Hh aide or cn aide per visit","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"T1021","description":"Hh aide or cn aide per visit","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RMB30","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RMB30","description":"HIPPS-RMB30","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Peri-px device eval & prgr","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"93287","description":"Peri-px device eval & prgr","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FGPC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"PBQA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NKXC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JGTE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JIEB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-HB18F","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"HB18F","description":"HIPPS-HB18F","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GGSA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-J7174","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"J7174","description":"HCPCS-J7174","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GAMF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Lens sphere bifocal 7.12-20.","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"V2202","description":"Lens sphere bifocal 7.12-20.","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FHND1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JFAF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OLEA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Female patients unable to bear children","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"M1016","description":"Female patients unable to bear children","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Neurology (eg_ Parkinson disease_ dementia with Lewy bodies)_ cerebrospinal fluid (CSF)_ detection of misfolded a-synuclein protein by seed amplification assay_ qualitative","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0393U","description":"Neurology (eg_ Parkinson disease_ dementia with Lewy bodies)_ cerebrospinal fluid (CSF)_ detection of misfolded a-synuclein protein by seed amplification assay_ qualitative","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"PCQD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KDUF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"IHLE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OAPC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NIIA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"IALE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"HAOE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CBVD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"MRI abdomen w/o & w/dye","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"74183","description":"MRI abdomen w/o & w/dye","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"HCWD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"AFAC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Tte w or w/o fol w/cont_ com","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"C8921","description":"Tte w or w/o fol w/cont_ com","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NKTF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JADA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-2AHL2","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"2AHL2","description":"HIPPS-2AHL2","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RMA32","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RMA32","description":"HIPPS-RMA32","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-AAA24","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"AAA24","description":"HIPPS-AAA24","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-PA141","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"PA141","description":"HIPPS-PA141","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Volume control ventilator_ without pressure support mode_ may include pressure control mode_ used with noninvasive interface (e.g._ mask)","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"E0461","description":"Volume control ventilator_ without pressure support mode_ may include pressure control mode_ used with noninvasive interface (e.g._ mask)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JDTD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Psytx crisis ea addl 30 min","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"90840","description":"Psytx crisis ea addl 30 min","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Erythro lactobionate /500 mg","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"J1364","description":"Erythro lactobionate /500 mg","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-1AFPT","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"1AFPT","description":"HIPPS-1AFPT","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Pt_ pn_ hist grade not doc","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G8724","description":"Pt_ pn_ hist grade not doc","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"LBRE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Endo assay seven anal","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"81506","description":"Endo assay seven anal","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"DCWC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Application of shoulder cast","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"29058","description":"Application of shoulder cast","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"DEQD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"ABO GNOTYP NEXT GNRJ SEQ ABO","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0221U","description":"ABO GNOTYP NEXT GNRJ SEQ ABO","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RVL02","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RVL02","description":"HIPPS-RVL02","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KESF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BBFB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RVC36","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RVC36","description":"HIPPS-RVC36","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"DGRB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BCIA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BFEA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MLEF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KEYF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Synvisc or synvisc-one","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"J7325","description":"Synvisc or synvisc-one","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FCUE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GGSC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Novafix dl_ per square centimeter","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"Q4254","description":"Novafix dl_ per square centimeter","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OLYC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FGAB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"EIIA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JDAC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Lumbar bolster pad","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"L1030","description":"Lumbar bolster pad","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-C1742","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"C1742","description":"HCPCS-C1742","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GARD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Assay of ethylene glycol","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"82693","description":"Assay of ethylene glycol","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Sinus aug w bone/bone sup","billing_code_type":"CDT","billing_code_type_version":"2024","billing_code":"D7951","description":"Sinus aug w bone/bone sup","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Epifix_ per sq cm","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"Q4186","description":"Epifix_ per sq cm","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JAMC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MIDE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Ablate atria lmtd add-on","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"33257","description":"Ablate atria lmtd add-on","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"CPT-0969T","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"0969T","description":"CPT-0969T","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GHME0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Excise lip or cheek fold","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"40819","description":"Excise lip or cheek fold","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KABE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Elec osteogen stim not spine","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"E0747","description":"Elec osteogen stim not spine","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Assay of renin","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"84244","description":"Assay of renin","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Cytopath c/v select","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"88154","description":"Cytopath c/v select","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-ES321","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"ES321","description":"HIPPS-ES321","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NIGB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Antidepressants class 6/more","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"80334","description":"Antidepressants class 6/more","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-CD24B","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"CD24B","description":"HIPPS-CD24B","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Exploratory heart surgery","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"33310","description":"Exploratory heart surgery","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Cmprsburngarment glove-wrist","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"A6504","description":"Cmprsburngarment glove-wrist","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FIUF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Blood gases o2 sat only","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"82810","description":"Blood gases o2 sat only","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"IBMA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Plmt nephroureteral catheter","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"50433","description":"Plmt nephroureteral catheter","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Blood typing rbc antigens","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"86905","description":"Blood typing rbc antigens","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CEAE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Mycoplasma antibody","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"86738","description":"Mycoplasma antibody","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Ethinyl estradiol and etonogestrel 0.015 mg_ 0.12 mg per 24hours; monthly vaginal ring_ ea","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"J7295","description":"Ethinyl estradiol and etonogestrel 0.015 mg_ 0.12 mg per 24hours; monthly vaginal ring_ ea","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OHUD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Irrigation of bladder","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"51700","description":"Irrigation of bladder","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KCKB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-BA211","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"BA211","description":"HIPPS-BA211","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-PB18F","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"PB18F","description":"HIPPS-PB18F","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Repair of leg epiphyses","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"27742","description":"Repair of leg epiphyses","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CAKE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JIKD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GEAC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Drainage of eyelid abscess","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"67700","description":"Drainage of eyelid abscess","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CBDA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Apheresis plasma","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"36514","description":"Apheresis plasma","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Hizentra injection","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"J1559","description":"Hizentra injection","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RLB34","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RLB34","description":"HIPPS-RLB34","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"IIBD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Endoscopy swallow tst (fees)","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"92613","description":"Endoscopy swallow tst (fees)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Contrast x-ray of hip","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"73525","description":"Contrast x-ray of hip","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Heart first pass multiple","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"78483","description":"Heart first pass multiple","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-ATP08","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"ATP08","description":"HIPPS-ATP08","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Anes spine tranthor w/o vent","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"62559","description":"Anes spine tranthor w/o vent","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Hla class i/ii antibody qual","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"86829","description":"Hla class i/ii antibody qual","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Cd4+cell cnt/% docd as done","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"3500F","description":"Cd4+cell cnt/% docd as done","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NKEB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MFIF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Wig any type","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"A9282","description":"Wig any type","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GGJC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-PA245","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"PA245","description":"HIPPS-PA245","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Leg strap each","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"K0038","description":"Leg strap each","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Full length surg stocking","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"A4510","description":"Full length surg stocking","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OKTD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-PE151","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"PE151","description":"HIPPS-PE151","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Cast sup sht arm adult fbrgl","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"Q4010","description":"Cast sup sht arm adult fbrgl","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"DDQE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NBVE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Cath_ translumin non-laser","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"C1725","description":"Cath_ translumin non-laser","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Free/remove chest lining","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"32320","description":"Free/remove chest lining","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Removal of adenoids","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"42835","description":"Removal of adenoids","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RHL45","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RHL45","description":"HIPPS-RHL45","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-B0702","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"B0702","description":"HCPCS-B0702","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Ent procedure/service","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"92700","description":"Ent procedure/service","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Drug test(s)_ presumptive_ any number of drug classes_ any number of devices or procedures; capable of being read by direct optical observation only (eg_ utilizing immunoassay","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"80305","description":"Drug test(s)_ presumptive_ any number of drug classes_ any number of devices or procedures; capable of being read by direct optical observation only (eg_ utilizing immunoassay","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-BA201","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"BA201","description":"HIPPS-BA201","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Medicaid certified community behavioral health clinic services_ per diem","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"T1040","description":"Medicaid certified community behavioral health clinic services_ per diem","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"EHBC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JEIC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"2 cc sterile syringe&needle","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"A4207","description":"2 cc sterile syringe&needle","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"IALA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GGKC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"CPT-0949T","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"0949T","description":"CPT-0949T","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Excision Of Chest Wall Tumor Involving Rib(S)_ With Plastic Reconstruction; Without Mediastinal Lymphadenectomy","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"21602","description":"Excision Of Chest Wall Tumor Involving Rib(S)_ With Plastic Reconstruction; Without Mediastinal Lymphadenectomy","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-CB10D","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"CB10D","description":"HIPPS-CB10D","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-CC20A","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"CC20A","description":"HIPPS-CC20A","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KIEE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BIUC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Mold socket ank hgt w/ toe f","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"L5010","description":"Mold socket ank hgt w/ toe f","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"EFIB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Hiv-1/hiv-2 1 result antbdy","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"86703","description":"Hiv-1/hiv-2 1 result antbdy","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Below elbow prosth tiss shap","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"L6400","description":"Below elbow prosth tiss shap","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RMB26","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RMB26","description":"HIPPS-RMB26","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HH PDGM","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"4HC31","description":"HH PDGM","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MACA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Pt ed re ft care inspct rcvd","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"4305F","description":"Pt ed re ft care inspct rcvd","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"EABC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OAID0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JABC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Assay alkaline phosphatase","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"84075","description":"Assay alkaline phosphatase","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CEHA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GBPA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Guardant360 CDX_ Guardant Health Inc","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0242U","description":"Guardant360 CDX_ Guardant Health Inc","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Remove eyelid lining lesion","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"68115","description":"Remove eyelid lining lesion","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Laparoscopy gastrostomy","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"43653","description":"Laparoscopy gastrostomy","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-1BGKV","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"1BGKV","description":"HIPPS-1BGKV","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Audit/dast over 30 min","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"99409","description":"Audit/dast over 30 min","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MKIE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Treat wrist dislocation","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"25690","description":"Treat wrist dislocation","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Debride skin at fx site","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"11010","description":"Debride skin at fx site","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Doc comp or mort w in 90d","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G9268","description":"Doc comp or mort w in 90d","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FBXC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"CYP2D6 (cytochrome P450_ family 2_ subfamily D_ polypeptide 6) (eg_ drug metabolism) gene analysis_ targeted sequence analysis (ie_ 5_ gene duplication/multiplication) (List s","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0075U","description":"CYP2D6 (cytochrome P450_ family 2_ subfamily D_ polypeptide 6) (eg_ drug metabolism) gene analysis_ targeted sequence analysis (ie_ 5_ gene duplication/multiplication) (List s","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Injection_ bendamustine hydrochloride_ (Belrapzo)_ 1 mg","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"J9036","description":"Injection_ bendamustine hydrochloride_ (Belrapzo)_ 1 mg","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Repair of skull with graft","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"62147","description":"Repair of skull with graft","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"EHLA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KFAB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Doc plan hybrid/stage proc","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G9640","description":"Doc plan hybrid/stage proc","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-1AGLU","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"1AGLU","description":"HIPPS-1AGLU","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KAUD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"AFLB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Rig ped wc tltnspc w/o seat","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"E1233","description":"Rig ped wc tltnspc w/o seat","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GGMF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"AFAE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CEJE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Onc dx esophageal t4 no prog","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G9097","description":"Onc dx esophageal t4 no prog","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Ablate inf turbinate superf","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"30801","description":"Ablate inf turbinate superf","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Catheter placement in coronary artery(s) for coronary angiography_ including intraprocedural injection(s) for coronary angiography_ imaging supervision and interpretation; wit","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"C7553","description":"Catheter placement in coronary artery(s) for coronary angiography_ including intraprocedural injection(s) for coronary angiography_ imaging supervision and interpretation; wit","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Gradient  compression glove_ custom_ heavy weight_ each","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"A6580","description":"Gradient  compression glove_ custom_ heavy weight_ each","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Alcohol or peroxide per pint","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"A4244","description":"Alcohol or peroxide per pint","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BGLB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GCYA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Injection_ betibeglogene autotemcel_ per treatment","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"J3393","description":"Injection_ betibeglogene autotemcel_ per treatment","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NJDE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Propulsion whl excludes tire","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"E2224","description":"Propulsion whl excludes tire","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JIBB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"AEED1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"LCOD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JHUA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RVB3A","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RVB3A","description":"HIPPS-RVB3A","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MCAF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FACF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Custom gradient sleev/glov","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"S8420","description":"Custom gradient sleev/glov","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FGGD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FCBE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HH PDGM","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"1FB31","description":"HH PDGM","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BFMB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NATD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"AFBF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JEFB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CFRF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Rasburicase","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"J2783","description":"Rasburicase","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OIQE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Injection_ clindamycin phosphate (baxter)_ not therapeutically equivalent to j0736_ 300 mg","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"J0737","description":"Injection_ clindamycin phosphate (baxter)_ not therapeutically equivalent to j0736_ 300 mg","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FFFD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Alcohol (ethanol); any specimen except breath","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G6040","description":"Alcohol (ethanol); any specimen except breath","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-CC18I","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"CC18I","description":"HIPPS-CC18I","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-3CHPW","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"3CHPW","description":"HIPPS-3CHPW","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Shoe outflare wedge","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"L3390","description":"Shoe outflare wedge","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Most favored nation (mfn) model drug add-on amount_ per dose_ (do not bill with line items that have the jw modifier)","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"M1145","description":"Most favored nation (mfn) model drug add-on amount_ per dose_ (do not bill with line items that have the jw modifier)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RUA60","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RUA60","description":"HIPPS-RUA60","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RLB06","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RLB06","description":"HIPPS-RLB06","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Release inner ear canal","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"69960","description":"Release inner ear canal","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Physician Or Other Qualified Health Care Professional Services For Outpatient Pulmonary Rehabilitation; With Continuous Oximetry Monitoring (Per Session)","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"94626","description":"Physician Or Other Qualified Health Care Professional Services For Outpatient Pulmonary Rehabilitation; With Continuous Oximetry Monitoring (Per Session)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NBAF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-LC250","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"LC250","description":"HIPPS-LC250","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-PD10D","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"PD10D","description":"HIPPS-PD10D","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Surgery for liver lesion","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"47300","description":"Surgery for liver lesion","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"CPT-00928","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"00928","description":"CPT-00928","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Oncology (liver)_ surveillance for hepatocellular carcinoma (HCC) in high-risk patients_ analysis of methylation patterns on circulating cell-free DNA (cfDNA) plus measurement","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0333U","description":"Oncology (liver)_ surveillance for hepatocellular carcinoma (HCC) in high-risk patients_ analysis of methylation patterns on circulating cell-free DNA (cfDNA) plus measurement","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"HCWC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RUX8E","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RUX8E","description":"HIPPS-RUX8E","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KBYD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"NUDT15 (nudix hydrolase 15) and TPMT (thiopurine SCmethyltransferase) (eg drug metabolism) gene analysis common variants","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0169U","description":"NUDT15 (nudix hydrolase 15) and TPMT (thiopurine SCmethyltransferase) (eg drug metabolism) gene analysis common variants","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"ODNF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Pressure pneum appl full arm","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"E0672","description":"Pressure pneum appl full arm","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OEGD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Fixed patient lift system","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"E0640","description":"Fixed patient lift system","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JGXB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-5BHK1","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"5BHK1","description":"HIPPS-5BHK1","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Harness chest/shlder saddle","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"L6672","description":"Harness chest/shlder saddle","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Cannabinoid synthetic 7/more","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"80352","description":"Cannabinoid synthetic 7/more","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Anesth cran surg hemotoma","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"21152","description":"Anesth cran surg hemotoma","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NJLF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"DIOE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OCBC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Mild osa","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G8848","description":"Mild osa","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Excision malig lesion<=1.25c","billing_code_type":"CDT","billing_code_type_version":"2024","billing_code":"D7413","description":"Excision malig lesion<=1.25c","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Surgical exposure of root surface without apicoectomy or repair of root resorption - premolar","billing_code_type":"CDT","billing_code_type_version":"2024","billing_code":"D3502","description":"Surgical exposure of root surface without apicoectomy or repair of root resorption - premolar","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GIXA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GFKE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GCCB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Wheelchair amputee w/ leg re","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"E1190","description":"Wheelchair amputee w/ leg re","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-1AGLT","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"1AGLT","description":"HIPPS-1AGLT","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"LIQF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Endocrine nuclear procedure","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"78099","description":"Endocrine nuclear procedure","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Post vert arthrplst 1 lumbar","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0202T","description":"Post vert arthrplst 1 lumbar","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KGCF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Exploration of foot joint","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"28020","description":"Exploration of foot joint","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NLGE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Treat metacarpal fracture","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"26600","description":"Treat metacarpal fracture","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"EIUE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GBQC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Repair & revise nerve add-on","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"64874","description":"Repair & revise nerve add-on","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GDRB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Rn services up to 15 minutes","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"T1002","description":"Rn services up to 15 minutes","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"ICEE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Signature APatch_ per sq cm","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"Q4260","description":"Signature APatch_ per sq cm","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OCEC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Stress tte only","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"93350","description":"Stress tte only","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Community Transition Svcs (Health Safety)","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"W7336","description":"Community Transition Svcs (Health Safety)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"IBHF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"AFBF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-3AFKX","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"3AFKX","description":"HIPPS-3AFKX","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OJGB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-PB12D","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"PB12D","description":"HIPPS-PB12D","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-B1202","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"B1202","description":"HCPCS-B1202","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RVA46","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RVA46","description":"HIPPS-RVA46","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BHIF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-E0469","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"E0469","description":"HCPCS-E0469","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Igg 1 2 3 or 4 each","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"82787","description":"Igg 1 2 3 or 4 each","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"HIRD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-CA105","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"CA105","description":"HIPPS-CA105","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Injection procedure for percutaneous transhepatic cholangiography","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"47500","description":"Injection procedure for percutaneous transhepatic cholangiography","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NFUF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NGDE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OEGA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Rheumatoid factor test qual","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"86430","description":"Rheumatoid factor test qual","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Trimethylamine/trimethylamine N-oxide (TMA/TMAO) profile_ tandem mass spectrometry (MS/MS)_ urine_ with algorithmic analysis and interpretive report","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0256U","description":"Trimethylamine/trimethylamine N-oxide (TMA/TMAO) profile_ tandem mass spectrometry (MS/MS)_ urine_ with algorithmic analysis and interpretive report","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"LEWF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-LB110","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"LB110","description":"HIPPS-LB110","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Oximeter device for measuring bloodk osygen levels noninvasively","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"E0445","description":"Oximeter device for measuring bloodk osygen levels noninvasively","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Repair fibula nonunion","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"27726","description":"Repair fibula nonunion","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Pre-op asst not doc_ rng","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G9617","description":"Pre-op asst not doc_ rng","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GCVF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JBPA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Intraop cyto path consult 2","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"88334","description":"Intraop cyto path consult 2","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BFLF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Temp fml iu valve-pmp rplcmt","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0597T","description":"Temp fml iu valve-pmp rplcmt","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CGRC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"PIYB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JDVF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BHID0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BBVA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Caregiver training in strategies and techniques to facilitate the patient_s functional performance in the home or community (eg_ activities of daily living [ADLs]_ instrumenta","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"97551","description":"Caregiver training in strategies and techniques to facilitate the patient_s functional performance in the home or community (eg_ activities of daily living [ADLs]_ instrumenta","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Injection_ ustekinumab-auub (Wezlana)_ biosimilar_ SC_ 1 mg","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"Q5137","description":"Injection_ ustekinumab-auub (Wezlana)_ biosimilar_ SC_ 1 mg","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CIJC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GDQD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KERE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JGHC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BCCF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Anesth tubal ligation","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"85151","description":"Anesth tubal ligation","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-CA11B","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"CA11B","description":"HIPPS-CA11B","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JGXB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-PC18X","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"PC18X","description":"HIPPS-PC18X","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OBVC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"No electrodiag polyneuro 6mn","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"3752F","description":"No electrodiag polyneuro 6mn","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Corplex_ per sq cm","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"Q4232","description":"Corplex_ per sq cm","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CBIA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Calr gene com variants","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"81219","description":"Calr gene com variants","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-J0871","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"J0871","description":"HCPCS-J0871","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Fetal chrmoml aneuploidy","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"81420","description":"Fetal chrmoml aneuploidy","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FHLA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FBAF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OBBF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Add ue prost s/d acrylic","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"L7405","description":"Add ue prost s/d acrylic","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-HD106","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"HD106","description":"HIPPS-HD106","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Financial Management Services","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"W7341","description":"Financial Management Services","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Penile vascular study","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"93981","description":"Penile vascular study","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MLTD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"ADLC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"CPT-16071","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"16071","description":"CPT-16071","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Rpr s/n/a/gen/trk20.1-30.0cm","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"12006","description":"Rpr s/n/a/gen/trk20.1-30.0cm","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"ICTA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"12-lead ecg performed","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"3120F","description":"12-lead ecg performed","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"ACDF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-BA28H","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"BA28H","description":"HIPPS-BA28H","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HH PDGM","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"2DB21","description":"HH PDGM","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Repeat drainage of heart sac","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"33011","description":"Repeat drainage of heart sac","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Hit cont pain per diem","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"S9326","description":"Hit cont pain per diem","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Manipulate elbow w/anesth","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"24300","description":"Manipulate elbow w/anesth","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KGPF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"ADHB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"AFBB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Oral antral fistula closure","billing_code_type":"CDT","billing_code_type_version":"2024","billing_code":"D7260","description":"Oral antral fistula closure","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"LBWB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"AIEC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NEIE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Ins cath abd/l-ext art 2nd","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"36246","description":"Ins cath abd/l-ext art 2nd","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-HE28C","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"HE28C","description":"HIPPS-HE28C","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MBEF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CETF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"CDT-D1404","billing_code_type":"CDT","billing_code_type_version":"2026","billing_code":"D1404","description":"CDT-D1404","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KEOB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Cardiac drug stress test","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"93024","description":"Cardiac drug stress test","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Patient Received An Influenza Vaccine On Or Between July 1 Of The Year Prior To The Measurement Period And June 30 Of The Measurement Period","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G2163","description":"Patient Received An Influenza Vaccine On Or Between July 1 Of The Year Prior To The Measurement Period And June 30 Of The Measurement Period","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-CD245","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"CD245","description":"HIPPS-CD245","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Insert ant segment drain int","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0191T","description":"Insert ant segment drain int","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BCMD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Pwc gp2 std sing pow opt s/b","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"K0835","description":"Pwc gp2 std sing pow opt s/b","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CDNB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Revision of eyelid","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"67950","description":"Revision of eyelid","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OGOB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Hiv-1 dna dir probe","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"87534","description":"Hiv-1 dna dir probe","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BBHA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MDAB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Amputation toe & metatarsal","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"28810","description":"Amputation toe & metatarsal","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Ivig demo_ services/supplies","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"Q2052","description":"Ivig demo_ services/supplies","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Tobacco use txmnt counseling","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"4000F","description":"Tobacco use txmnt counseling","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-LE18E","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"LE18E","description":"HIPPS-LE18E","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GCND1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FEED1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Revision of testis","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"54660","description":"Revision of testis","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OEWA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-PD28I","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"PD28I","description":"HIPPS-PD28I","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Catheter placement in coronary artery(ies) for coronary angiography_ including intraprocedural injection(s) for coronary angiography_ imaging supervision and interpretation_ w","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"C7524","description":"Catheter placement in coronary artery(ies) for coronary angiography_ including intraprocedural injection(s) for coronary angiography_ imaging supervision and interpretation_ w","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GGHF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-4AHM2","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"4AHM2","description":"HIPPS-4AHM2","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"ICDC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Ob us < 14 wks addl fetus","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"76802","description":"Ob us < 14 wks addl fetus","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JGXF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-5BGKT","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"5BGKT","description":"HIPPS-5BGKT","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Explore/treat knee joint","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"27331","description":"Explore/treat knee joint","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Patient did not have the retina attached after 6 months following only one surgery","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G9377","description":"Patient did not have the retina attached after 6 months following only one surgery","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"EIHD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CFCB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Ileoscopy_through stoma; with transendoscopic stent placement (includes predilation)","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G6018","description":"Ileoscopy_through stoma; with transendoscopic stent placement (includes predilation)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FDCE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Onc dx gastric unresectable","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G9102","description":"Onc dx gastric unresectable","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OAHB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NEGE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Repair prosthesis per 15 min","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"L7520","description":"Repair prosthesis per 15 min","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"EHIE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NDHC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Collagenase_ clost hist inj","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"J0775","description":"Collagenase_ clost hist inj","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KAOB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BGLE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"AFUC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Explore/biopsy eye socket","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"67400","description":"Explore/biopsy eye socket","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Ther/proph/diag inj sc/im","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"96372","description":"Ther/proph/diag inj sc/im","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HH PDGM","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"3CC21","description":"HH PDGM","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Heat & moisture exchange sys","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"A7509","description":"Heat & moisture exchange sys","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Place cath carotd art","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"36224","description":"Place cath carotd art","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Kafo sng/dbl mechanical act","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"L2005","description":"Kafo sng/dbl mechanical act","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"LIYE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-4CFL5","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"4CFL5","description":"HIPPS-4CFL5","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"EBIA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Extensive (75 minutes) care management home visit for an existing patient. for use only in a medicare-approved cmmi model. (services must be furnished within a beneficiary_s h","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G0085","description":"Extensive (75 minutes) care management home visit for an existing patient. for use only in a medicare-approved cmmi model. (services must be furnished within a beneficiary_s h","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Acetylcysteine non-comp unit","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"J7608","description":"Acetylcysteine non-comp unit","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OHXF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FEEA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-HD22B","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"HD22B","description":"HIPPS-HD22B","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Parainfluenza ag if","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"87279","description":"Parainfluenza ag if","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Cabg arterial single","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"33533","description":"Cabg arterial single","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"In-hospital on call service","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"99026","description":"In-hospital on call service","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-HD146","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"HD146","description":"HIPPS-HD146","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"VitoGraft_ per sq cm","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"Q4317","description":"VitoGraft_ per sq cm","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Trans care mgmt 14 day disch","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"99495","description":"Trans care mgmt 14 day disch","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"ECCE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Repair muscles of hand","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"26591","description":"Repair muscles of hand","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"ADEC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Assay of urine vma","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"84585","description":"Assay of urine vma","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BATC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Programming device evaluation (in person) with iterative adjustment of the implantable mechano-electrical skin interface and/or external driver to test the function of the dev","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0462T","description":"Programming device evaluation (in person) with iterative adjustment of the implantable mechano-electrical skin interface and/or external driver to test the function of the dev","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RUL8B","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RUL8B","description":"HIPPS-RUL8B","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"EBEF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Lap ins device for rt","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"49327","description":"Lap ins device for rt","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OKRB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NDBB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GAWB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Treat thumb dislocation","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"26641","description":"Treat thumb dislocation","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Symphony_ Per Square Centimeter","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"A2009","description":"Symphony_ Per Square Centimeter","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Shoe molded to pt silicone s","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"L3251","description":"Shoe molded to pt silicone s","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"AGCF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Office/outpatient visit est","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"99213","description":"Office/outpatient visit est","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Patients 81 Years Of Age And Older With Evidence Of Frailty During The Measurement Period","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G2125","description":"Patients 81 Years Of Age And Older With Evidence Of Frailty During The Measurement Period","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Vascular study","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"93976","description":"Vascular study","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JDUA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Replacement of aortic valve","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"33406","description":"Replacement of aortic valve","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Repair bladder & vagina","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"57289","description":"Repair bladder & vagina","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GGFE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-1AHMV","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"1AHMV","description":"HIPPS-1AHMV","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Transperi needle place pros","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"55875","description":"Transperi needle place pros","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Anti-inflm/anlgsc agent rx","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"4016F","description":"Anti-inflm/anlgsc agent rx","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"GYPA GNOTYP NTRNS 1 5 EXON 2","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0189U","description":"GYPA GNOTYP NTRNS 1 5 EXON 2","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-PB22D","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"PB22D","description":"HIPPS-PB22D","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RUB2B","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RUB2B","description":"HIPPS-RUB2B","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BFFD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Foam drg > 48 sq in w/border","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"A6214","description":"Foam drg > 48 sq in w/border","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Spherocylinder 4.00d/>6.00d","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"V2106","description":"Spherocylinder 4.00d/>6.00d","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Drug admin & hemodynmic meas","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"93463","description":"Drug admin & hemodynmic meas","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CFTA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NEDE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JAXE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KHQC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Cystoscopy and treatment","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"52235","description":"Cystoscopy and treatment","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RVC4B","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RVC4B","description":"HIPPS-RVC4B","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FGIA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"DBYB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"AIHB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"R-T Spctrl Alys Prst8 Tiss Fluorescenc Spctrscpy","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0443T","description":"R-T Spctrl Alys Prst8 Tiss Fluorescenc Spctrscpy","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RVA8H","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RVA8H","description":"HIPPS-RVA8H","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OLPA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BHDA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Als defibrillation supplies","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"A0392","description":"Als defibrillation supplies","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-Q4343","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"Q4343","description":"HCPCS-Q4343","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Pneum compres w/cal pressure","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"E0652","description":"Pneum compres w/cal pressure","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GGED1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-CA224","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"CA224","description":"HIPPS-CA224","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NJEF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"EIBC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Exc thigh/knee les sc < 3 cm","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"27327","description":"Exc thigh/knee les sc < 3 cm","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FBUB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OJCA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Adj skin pro w/c cus wd<22in","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"E2622","description":"Adj skin pro w/c cus wd<22in","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-3AGKS","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"3AGKS","description":"HIPPS-3AGKS","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"EHID1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-1AGMS","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"1AGMS","description":"HIPPS-1AGMS","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KAUC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JFPA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Home visit mech ventilator","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"99504","description":"Home visit mech ventilator","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GGRB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FGCF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"ICHE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Oncology (solid organ neoplasia)_ mRNA_ gene expression profiling by massively parallel sequencing for analysis of 51 genes_ utilizing formalin-fixed paraffin-embedded tissue_","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0057U","description":"Oncology (solid organ neoplasia)_ mRNA_ gene expression profiling by massively parallel sequencing for analysis of 51 genes_ utilizing formalin-fixed paraffin-embedded tissue_","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FFJA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Cros hearing aid dispens fee","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"V5200","description":"Cros hearing aid dispens fee","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"HFOE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Skilled services of a registered nurse (RN) for the observation and assessment of the patient_s condition_ each 15 minutes (the change in the patient_s condition requires skil","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G0493","description":"Skilled services of a registered nurse (RN) for the observation and assessment of the patient_s condition_ each 15 minutes (the change in the patient_s condition requires skil","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JADD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"LIRA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OLFE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"EBDC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Remove intrvas foreign body","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"37197","description":"Remove intrvas foreign body","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KAKA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NINA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OBWD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Prior dx/active clin ascvd","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G9662","description":"Prior dx/active clin ascvd","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OFIA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NCBB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Revision of pulmonary valve","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"33470","description":"Revision of pulmonary valve","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Cmplx rpr s/a/l addl 5 cm/>","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"13122","description":"Cmplx rpr s/a/l addl 5 cm/>","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Nasal endoscopy_ surgical_ ethmoid sinus_ placement of drug eluting implant; with biopsy_ polypectomy or debridement","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0407T","description":"Nasal endoscopy_ surgical_ ethmoid sinus_ placement of drug eluting implant; with biopsy_ polypectomy or debridement","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"CPT-64467","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"64467","description":"CPT-64467","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OELE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"AIAC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-LC28I","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"LC28I","description":"HIPPS-LC28I","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BHVA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GDPF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"LDWC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Abscess drainage under x-ray","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"75989","description":"Abscess drainage under x-ray","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CELA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Performance Met: Multimodal Pain Management Was Used","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G2148","description":"Performance Met: Multimodal Pain Management Was Used","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GBFC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FEBD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"IGDA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JCUD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NKGC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NFND0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Av fusion direct any site","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"36821","description":"Av fusion direct any site","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CDCF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-3CGPX","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"3CGPX","description":"HIPPS-3CGPX","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"AICC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-HC120","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"HC120","description":"HIPPS-HC120","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CAIF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-CD101","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"CD101","description":"HIPPS-CD101","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"AIIB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-CA134","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"CA134","description":"HIPPS-CA134","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-BA235","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"BA235","description":"HIPPS-BA235","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MIBE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Osteoarthritis composite","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0005F","description":"Osteoarthritis composite","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FGXF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Revision of mitral valve","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"33422","description":"Revision of mitral valve","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Esoph scope w/sclerosis inj","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"43204","description":"Esoph scope w/sclerosis inj","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Prescription of contact lens","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"92314","description":"Prescription of contact lens","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Reconstruct wrist joint","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"25441","description":"Reconstruct wrist joint","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Cog&behav imprmnt scrng done","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"3755F","description":"Cog&behav imprmnt scrng done","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Radiation applicator","billing_code_type":"CDT","billing_code_type_version":"2024","billing_code":"D5983","description":"Radiation applicator","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"LEWB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"DIQE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-3CFKU","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"3CFKU","description":"HIPPS-3CFKU","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-CD12B","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"CD12B","description":"HIPPS-CD12B","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Blood Component Or Product Not Otherwise Classified","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"P9099","description":"Blood Component Or Product Not Otherwise Classified","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NDMA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"IGBA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Orthotic(s) management and training (including assessment and fitting when not otherwise reported)_ upper extremity(ies)_ lower extremity(ies) and/or trunk_ initial orthotic(s","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"97760","description":"Orthotic(s) management and training (including assessment and fitting when not otherwise reported)_ upper extremity(ies)_ lower extremity(ies) and/or trunk_ initial orthotic(s","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RVA0B","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RVA0B","description":"HIPPS-RVA0B","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RLX42","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RLX42","description":"HIPPS-RLX42","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OIHA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Florbetapir f18","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"A9586","description":"Florbetapir f18","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RHC35","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RHC35","description":"HIPPS-RHC35","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"CPT-0651U","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"0651U","description":"CPT-0651U","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-4BFK1","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"4BFK1","description":"HIPPS-4BFK1","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-ATP10","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"ATP10","description":"HIPPS-ATP10","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BGFF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"DIYE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JFBE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-PE221","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"PE221","description":"HIPPS-PE221","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Indexing for osteotomy using dynamic robotic assisted or dynamic navigation","billing_code_type":"CDT","billing_code_type_version":"2024","billing_code":"D7939","description":"Indexing for osteotomy using dynamic robotic assisted or dynamic navigation","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"LBSA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Pm device progr eval dual","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"93280","description":"Pm device progr eval dual","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MFAD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Ped term dev_ hand_ vol open","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"L6713","description":"Ped term dev_ hand_ vol open","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BFGF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Init eval for condition","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"1119F","description":"Init eval for condition","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"EITE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"CPT-98002","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"98002","description":"CPT-98002","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BHBC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"High energy neutron radiation treatment delivery_ 1 or more isocenter(s) with coplanar or non-coplanar geometry with blocking and/or wedge_ and/or compensator(s)","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"77423","description":"High energy neutron radiation treatment delivery_ 1 or more isocenter(s) with coplanar or non-coplanar geometry with blocking and/or wedge_ and/or compensator(s)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-CD213","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"CD213","description":"HIPPS-CD213","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"PFWE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MECE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-1CHK4","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"1CHK4","description":"HIPPS-1CHK4","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NCDD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Transurethral destruction of prostate tissue; by radiofrequency generated water vapor thermotherapy","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"53854","description":"Transurethral destruction of prostate tissue; by radiofrequency generated water vapor thermotherapy","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"LHOC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Non-pneumatic compression controller without calibrated gradient pressure","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"E0681","description":"Non-pneumatic compression controller without calibrated gradient pressure","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GFNF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Service Coordination**","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"W1011","description":"Service Coordination**","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FDTF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"IGTB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Tracheo-esophagoplasty cong","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"43314","description":"Tracheo-esophagoplasty cong","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"DGQE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Injection_ tagraxofusp-erzs_ 10 micrograms","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"J9269","description":"Injection_ tagraxofusp-erzs_ 10 micrograms","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"LAWA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OLQC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GDEC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NEIF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CBPB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"DDWC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KATB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Pancreatectomy","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"48152","description":"Pancreatectomy","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MEHE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KIBF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BHHA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Anesth cleft palate repair","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"17251","description":"Anesth cleft palate repair","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Acetone assay","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"82010","description":"Acetone assay","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Onc dx rectal t1-3_n1-2noprg","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G9092","description":"Onc dx rectal t1-3_n1-2noprg","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KFKB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Icar ischm mntrng prgrm eval","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0305T","description":"Icar ischm mntrng prgrm eval","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Thoracic control thoracic ba","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"L2660","description":"Thoracic control thoracic ba","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FIBB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Services performed by a occupational therapist assistant in the home health setting in the delivery of a safe and effective physical therapy maintenance program_ each 15 min","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G2169","description":"Services performed by a occupational therapist assistant in the home health setting in the delivery of a safe and effective physical therapy maintenance program_ each 15 min","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Patient received any pneumococcal conjugate or polysaccharide vaccine on or after their 19th birthday and before the end of the measurement period","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"M1305","description":"Patient received any pneumococcal conjugate or polysaccharide vaccine on or after their 19th birthday and before the end of the measurement period","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-1CFMV","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"1CFMV","description":"HIPPS-1CFMV","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Remove vertebral body add-on","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"63103","description":"Remove vertebral body add-on","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Patient Is Using Palliative Care Services Any Time During The Measurement Period","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G9994","description":"Patient Is Using Palliative Care Services Any Time During The Measurement Period","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JDDE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Ureteral embolization/occl","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"50705","description":"Ureteral embolization/occl","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Onc prac mgmt pt opt alterna","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G9059","description":"Onc prac mgmt pt opt alterna","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Janssen Covid-19 vaccine administration - booster dose (SARSCOV2 COVID-19 VAC Ad26 5x1010 VP/.5mL IM DOSE BOOSTER)","billing_code_type":"CDT","billing_code_type_version":"2024","billing_code":"D1712","description":"Janssen Covid-19 vaccine administration - booster dose (SARSCOV2 COVID-19 VAC Ad26 5x1010 VP/.5mL IM DOSE BOOSTER)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"PHWA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OJFD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JCTC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GEQF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OAVC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GIRB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KBUA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Digitization of glass microscope slides for cytopathology_ cervical or vaginal (any reporting system)_ requiring interpretation by physician (List separately in addition to co","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0831T","description":"Digitization of glass microscope slides for cytopathology_ cervical or vaginal (any reporting system)_ requiring interpretation by physician (List separately in addition to co","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Trichogram","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"96902","description":"Trichogram","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GINF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JCCE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Feces culture aerobic bact","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"87045","description":"Feces culture aerobic bact","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Emergency tracheotomy","billing_code_type":"CDT","billing_code_type_version":"2024","billing_code":"D7990","description":"Emergency tracheotomy","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OKLC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JGKE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Nursing fac care supervision","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"99379","description":"Nursing fac care supervision","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NLCB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HH PDGM","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"2IC31","description":"HH PDGM","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FDBE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NJFD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OBWB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KDNE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Ped critical care initial","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"99471","description":"Ped critical care initial","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-CC18G","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"CC18G","description":"HIPPS-CC18G","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GCJC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Remote in-home visit for the evaluation and management of a new patient for use only in a Medicare-approved Bundled Payments for Care Improvement Advanced (BPCI Advanced) mode","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G9978","description":"Remote in-home visit for the evaluation and management of a new patient for use only in a Medicare-approved Bundled Payments for Care Improvement Advanced (BPCI Advanced) mode","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Removal of nose polyp(s)","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"30110","description":"Removal of nose polyp(s)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FEAF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FEND0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NKJF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Clearance of tear duct","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"68530","description":"Clearance of tear duct","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FDKA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OGFA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Alcohol and/or drug services","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"H0013","description":"Alcohol and/or drug services","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KBTE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OGHF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JHBB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Part removal hip bone deep","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"27071","description":"Part removal hip bone deep","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Echo transthoracic","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"93303","description":"Echo transthoracic","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MELF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OJID1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OLKA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-HD23B","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"HD23B","description":"HIPPS-HD23B","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"IEAC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Infectious disease (genitourinary pathogens)_ antibiotic-resistance gene detection_ multiplex amplified probe technique_ urine_ reported as an antimicrobial stewardship risk s","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0372U","description":"Infectious disease (genitourinary pathogens)_ antibiotic-resistance gene detection_ multiplex amplified probe technique_ urine_ reported as an antimicrobial stewardship risk s","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BBGF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Deliver placenta","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"59414","description":"Deliver placenta","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FDND1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Oncology (colorectal) screening_ quantitative real-time target and signal amplification_ methylated DNA markers_ including LASS4_ LRRC4 and PPP2R5C_ a reference marker ZDHHC1_","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0464U","description":"Oncology (colorectal) screening_ quantitative real-time target and signal amplification_ methylated DNA markers_ including LASS4_ LRRC4 and PPP2R5C_ a reference marker ZDHHC1_","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OCGA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Kafo pla sin up w/wo k/a cus","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"L2034","description":"Kafo pla sin up w/wo k/a cus","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JHAC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CIIA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CHGA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CHMF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Ippb all types","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"E0500","description":"Ippb all types","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MHTD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OCXD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JHKC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Pm/icd remote tech serv","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"93296","description":"Pm/icd remote tech serv","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Xm archive tissue molec anal","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"88363","description":"Xm archive tissue molec anal","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-HE255","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"HE255","description":"HIPPS-HE255","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Repl measr scales jaw motion","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"E1702","description":"Repl measr scales jaw motion","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"CDT-D0904","billing_code_type":"CDT","billing_code_type_version":"2026","billing_code":"D0904","description":"CDT-D0904","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"IBLB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"X-ray exam of nasal bones","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"70160","description":"X-ray exam of nasal bones","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-2CFKW","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"2CFKW","description":"HIPPS-2CFKW","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JIIE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"PERC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"LCYC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BCAC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-HC111","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"HC111","description":"HIPPS-HC111","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BIXD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Extensive (75 minutes) in-home visit for an existing patient post-discharge. For use only in a Medicare-approved CMMI model. (Services must be furnished within a beneficiary’s","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G2013","description":"Extensive (75 minutes) in-home visit for an existing patient post-discharge. For use only in a Medicare-approved CMMI model. (Services must be furnished within a beneficiary’s","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BCEE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OBJE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Gardner vag dna quant","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"87512","description":"Gardner vag dna quant","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Cmv antibody igm","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"86645","description":"Cmv antibody igm","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-2AFM5","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"2AFM5","description":"HIPPS-2AFM5","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Hiv rna vrl ld <lmts quantif","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"3502F","description":"Hiv rna vrl ld <lmts quantif","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CGNA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-PE18F","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"PE18F","description":"HIPPS-PE18F","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-PA101","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"PA101","description":"HIPPS-PA101","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"CYP2D6 (cytochrome P450_ family 2_ subfamily D_ polypeptide 6) (eg_ drug metabolism) gene analysis_ copy number variants_ common variants with reflex to targeted sequence anal","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0028U","description":"CYP2D6 (cytochrome P450_ family 2_ subfamily D_ polypeptide 6) (eg_ drug metabolism) gene analysis_ copy number variants_ common variants with reflex to targeted sequence anal","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KBKB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Clot factor vii proconvertin","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"85230","description":"Clot factor vii proconvertin","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KBTF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Place breast cath for rad","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"19297","description":"Place breast cath for rad","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"HAQC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CASE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NCXF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"HIWF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NLXC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HH PDGM","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"3CB21","description":"HH PDGM","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"MRI orbit/face/neck w/dye","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"70542","description":"MRI orbit/face/neck w/dye","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Hinge ext/flex wrist finger","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"L3901","description":"Hinge ext/flex wrist finger","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Obstetrical care","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"59409","description":"Obstetrical care","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Inject for spine disk x-ray","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"62291","description":"Inject for spine disk x-ray","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Microbe susceptible enzyme","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"87185","description":"Microbe susceptible enzyme","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Biopsy of skin_ subcutaneous tissue and/or mucous membrane (including simple closure)_ unless otherwise listed; each separate/additional lesion (List separately in addition to","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"11101","description":"Biopsy of skin_ subcutaneous tissue and/or mucous membrane (including simple closure)_ unless otherwise listed; each separate/additional lesion (List separately in addition to","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Abutment supported mtl crown","billing_code_type":"CDT","billing_code_type_version":"2024","billing_code":"D6063","description":"Abutment supported mtl crown","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Injection_ immune globulin (panzyga)_ intravenous_ non-lyophilized (e.g._ liquid)_ 500 mg","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"J1576","description":"Injection_ immune globulin (panzyga)_ intravenous_ non-lyophilized (e.g._ liquid)_ 500 mg","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GBSF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FAKB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Place cath subclavian art","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"36225","description":"Place cath subclavian art","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FGXE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-ES110","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"ES110","description":"HIPPS-ES110","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Extensive vulva surgery","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"56633","description":"Extensive vulva surgery","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Remove middle ear nerve","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"69676","description":"Remove middle ear nerve","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Home sleep test/type 4 porta","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G0400","description":"Home sleep test/type 4 porta","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Screening_ diagnostic_ film digital or digital breast tomosynthesis (3d) mammography results documented and reviewed","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"M1302","description":"Screening_ diagnostic_ film digital or digital breast tomosynthesis (3d) mammography results documented and reviewed","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-PC15A","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"PC15A","description":"HIPPS-PC15A","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-1AHP6","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"1AHP6","description":"HIPPS-1AHP6","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"DCWA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Ipratropium bromide comp","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"J7645","description":"Ipratropium bromide comp","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"DIOF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Anesth kidney transplant","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"86851","description":"Anesth kidney transplant","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OLAA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Drill skull for implantation","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"61107","description":"Drill skull for implantation","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"DERE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RLB07","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RLB07","description":"HIPPS-RLB07","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KEWB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CCJB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Patient had any additional spine procedures performed on the same date as the lumbar discectomy/laminotomy","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"M1071","description":"Patient had any additional spine procedures performed on the same date as the lumbar discectomy/laminotomy","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"AHDF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Homaker service nos per 15m","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"S5130","description":"Homaker service nos per 15m","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Removal of hip joint lining","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"27054","description":"Removal of hip joint lining","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Screening mammography_ bilateral (2-view study of each breast)_ including computer-aided detection (CAD) when performed","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"77067","description":"Screening mammography_ bilateral (2-view study of each breast)_ including computer-aided detection (CAD) when performed","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Contraceptive vaginal ring","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"J7303","description":"Contraceptive vaginal ring","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Laser surg penis lesion(s)","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"54057","description":"Laser surg penis lesion(s)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OAHC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"ADMB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BDHC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GDQD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Tot contact ak/knee disart s","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"L5650","description":"Tot contact ak/knee disart s","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OKOA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JILD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-1CFM4","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"1CFM4","description":"HIPPS-1CFM4","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-J1414","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"J1414","description":"HCPCS-J1414","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Repair of eye wound","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"65272","description":"Repair of eye wound","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NBPD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Sterile gauze>16 <= 48 sq in","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"A6403","description":"Sterile gauze>16 <= 48 sq in","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"HIOA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Colectomy w/ileoanal anast","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"44157","description":"Colectomy w/ileoanal anast","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-BB236","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"BB236","description":"HIPPS-BB236","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Pos airway press chinstrap","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"A7036","description":"Pos airway press chinstrap","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-BA104","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"BA104","description":"HIPPS-BA104","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NDMB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KAND1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KDNA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Thoracoscopy bilobectomy","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"32670","description":"Thoracoscopy bilobectomy","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FGID1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Adj motion knee jnt lerman t","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"L2186","description":"Adj motion knee jnt lerman t","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BHAD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Revise/replace knee joint","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"27486","description":"Revise/replace knee joint","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Cabg vein three","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"33512","description":"Cabg vein three","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FCLD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FFPE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"CPT-01432","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"01432","description":"CPT-01432","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RVC3D","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RVC3D","description":"HIPPS-RVC3D","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Electroencephalogram (Eeg)_ Continuous Recording_ Physician Or Other Qualified Health Care Professional Review Of Recorded Events_ Analysis Of Spike And Seizure Detection_ Int","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"95717","description":"Electroencephalogram (Eeg)_ Continuous Recording_ Physician Or Other Qualified Health Care Professional Review Of Recorded Events_ Analysis Of Spike And Seizure Detection_ Int","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CBEF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Ct procedure","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"76497","description":"Ct procedure","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-LD126","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"LD126","description":"HIPPS-LD126","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-HE105","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"HE105","description":"HIPPS-HE105","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Percutaneous exchange of biliary drainage catheter (eg_ external_ internal-external_ or conversion of internal-external to external only)_ with removal of calculi/debris from","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"C7545","description":"Percutaneous exchange of biliary drainage catheter (eg_ external_ internal-external_ or conversion of internal-external to external only)_ with removal of calculi/debris from","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OFOF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KHQC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Removal of urethra","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"53215","description":"Removal of urethra","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Tibial arthroscopy/surgery","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"29855","description":"Tibial arthroscopy/surgery","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GEFE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NETB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Remove/graft forearm lesion","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"25125","description":"Remove/graft forearm lesion","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Psa screening","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G0103","description":"Psa screening","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BIKF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BAMC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Onc dx cml acceler phase","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G9124","description":"Onc dx cml acceler phase","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-2AGM5","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"2AGM5","description":"HIPPS-2AGM5","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Hdr elctr ntrst/ntrcv brchtx","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0395T","description":"Hdr elctr ntrst/ntrcv brchtx","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GFRE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Bed accessory brd/tbl/supprt","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"E0315","description":"Bed accessory brd/tbl/supprt","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Thrombolytic venous therapy","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"37212","description":"Thrombolytic venous therapy","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-M1450","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"M1450","description":"HCPCS-M1450","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"LEYE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Rev artific disc addl","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0098T","description":"Rev artific disc addl","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OAYA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Splicing of ureters","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"50770","description":"Splicing of ureters","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-PA113","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"PA113","description":"HIPPS-PA113","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OFPF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JITA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-LE12C","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"LE12C","description":"HIPPS-LE12C","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NADD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MLDF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"DEWE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BDDA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OBUC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"PIQC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OEME0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Hospice services provided to patient any time during the measurement period","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"M1154","description":"Hospice services provided to patient any time during the measurement period","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-BB104","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"BB104","description":"HIPPS-BB104","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GAEB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-PB22A","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"PB22A","description":"HIPPS-PB22A","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FABD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"PFOF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Carbidopa levodopa enteral","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"J7340","description":"Carbidopa levodopa enteral","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FDAC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KCRE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CDVB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MCMC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Tis trnfr f/c/c/m/n/a/g/h/f","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"14041","description":"Tis trnfr f/c/c/m/n/a/g/h/f","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OLED1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Dilate esophagus 1/mult pass","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"43450","description":"Dilate esophagus 1/mult pass","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NGIA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JELA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Pwc gp4 hd sing pow opt s/b","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"K0879","description":"Pwc gp4 hd sing pow opt s/b","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JFGC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BFED1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OJYC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Brca2 gene known fam variant","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"81217","description":"Brca2 gene known fam variant","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OITB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NDFF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Culture type immunofluoresc","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"87140","description":"Culture type immunofluoresc","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FBUF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GHBC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-B0403","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"B0403","description":"HCPCS-B0403","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"DGYF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CCDF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BHBE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Injection_ efgartigimod alfa_ 2 mg and hyaluronidase-qvfc","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"J9334","description":"Injection_ efgartigimod alfa_ 2 mg and hyaluronidase-qvfc","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"External Electrocardiographic Recording For More Than 7 Days Up To 15 Days By Continuous Rhythm Recording And Storage; Scanning Analysis With Report","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"93247","description":"External Electrocardiographic Recording For More Than 7 Days Up To 15 Days By Continuous Rhythm Recording And Storage; Scanning Analysis With Report","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-HD22A","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"HD22A","description":"HIPPS-HD22A","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Doc antibio given b/4 surg","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"4047F","description":"Doc antibio given b/4 surg","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RHB2A","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RHB2A","description":"HIPPS-RHB2A","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Perc d-e cor stent ather s","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"C9602","description":"Perc d-e cor stent ather s","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-M1457","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"M1457","description":"HCPCS-M1457","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Initial observation care_ per day_ for the evaluation and management of a patient_ which requires these 3 key components: A comprehensive history; A comprehensive examination;","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"99220","description":"Initial observation care_ per day_ for the evaluation and management of a patient_ which requires these 3 key components: A comprehensive history; A comprehensive examination;","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Gene test alpha-thalassemia","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"S3845","description":"Gene test alpha-thalassemia","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GCED0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FHTE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-A0102","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"A0102","description":"HCPCS-A0102","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-CD23A","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"CD23A","description":"HIPPS-CD23A","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OKSC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"IAAD IA POLYV MLT ORGANISMS EA POLYV ANTISERUM","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"87451","description":"IAAD IA POLYV MLT ORGANISMS EA POLYV ANTISERUM","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"N block inj facial","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"64402","description":"N block inj facial","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"LGQE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GAIA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OIDF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"IBDC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RLA8A","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RLA8A","description":"HIPPS-RLA8A","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Pneumococcal conjugate vaccine_ polyvalent_ for children under 5 years_ for intramuscular use","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"90669","description":"Pneumococcal conjugate vaccine_ polyvalent_ for children under 5 years_ for intramuscular use","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GCID0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Manual diff wbc count b-coat","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"85009","description":"Manual diff wbc count b-coat","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Ex arm/elbow tum deep 5 cm/>","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"24073","description":"Ex arm/elbow tum deep 5 cm/>","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"EELE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Mycophenolic acid","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"J7518","description":"Mycophenolic acid","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MIIA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-1AHLU","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"1AHLU","description":"HIPPS-1AHLU","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Repair forearm tendon/muscle","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"25263","description":"Repair forearm tendon/muscle","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Dent appl desensitizing med","billing_code_type":"CDT","billing_code_type_version":"2024","billing_code":"D9910","description":"Dent appl desensitizing med","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Rbc depletion of harvest","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"38212","description":"Rbc depletion of harvest","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JAIE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"General Surgery Mips Specialty Set","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G4007","description":"General Surgery Mips Specialty Set","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CACF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"AJCC stage at breast cancer diagnosis = I (Ia or Ib) and T-stage at breast cancer diagnosis does not equal = T1_ T1a_ T1b","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G9832","description":"AJCC stage at breast cancer diagnosis = I (Ia or Ib) and T-stage at breast cancer diagnosis does not equal = T1_ T1a_ T1b","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Forearm crutch platform atta","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"E0153","description":"Forearm crutch platform atta","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MDAE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"DIRD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JFXE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"ACEB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Bone/skin graft great toe","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"20973","description":"Bone/skin graft great toe","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CGFC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OEMA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Immunotherapy injections","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"95117","description":"Immunotherapy injections","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Culture anaerobe ident each","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"87076","description":"Culture anaerobe ident each","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Perq cervicothoracic inject","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"22510","description":"Perq cervicothoracic inject","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BDHD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Tobacco nonsmoker nor 2ndhnd","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"1033F","description":"Tobacco nonsmoker nor 2ndhnd","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GHYD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-3BHMS","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"3BHMS","description":"HIPPS-3BHMS","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NFJC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JGIE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-4CGKT","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"4CGKT","description":"HIPPS-4CGKT","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MAEA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OCNC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-LE220","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"LE220","description":"HIPPS-LE220","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Gradient compression wrap with adjustable straps_ not otherwise specified","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"A6584","description":"Gradient compression wrap with adjustable straps_ not otherwise specified","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FBUC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Io rad tx deliver by elctrns","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"77425","description":"Io rad tx deliver by elctrns","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Rmvl& replc pulse gen 1 lead","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"33262","description":"Rmvl& replc pulse gen 1 lead","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Thor rib belt custom fabrica","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"L0220","description":"Thor rib belt custom fabrica","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Toilet seat raised","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"E0244","description":"Toilet seat raised","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Patient refused to participate","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G9738","description":"Patient refused to participate","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Release forearm/hand tendon","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"26449","description":"Release forearm/hand tendon","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BEDA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"IIIA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OADD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OBOC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JELA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OBIC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Congo red blood test","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"P2029","description":"Congo red blood test","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Trapeze bar attached to bed","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"E0910","description":"Trapeze bar attached to bed","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OIID0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FFXE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"IBHE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RML24","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RML24","description":"HIPPS-RML24","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Removal of heart lesion","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"33542","description":"Removal of heart lesion","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FHMC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GFLC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Hit enteral grav diem","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"S9341","description":"Hit enteral grav diem","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BDJC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"PFOA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"EIUB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"PGOA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-CB10A","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"CB10A","description":"HIPPS-CB10A","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"HDYD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BIUF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Doc viral load >=200","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G9242","description":"Doc viral load >=200","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NCKC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Immunosuppressive drug noc","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"J7599","description":"Immunosuppressive drug noc","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"ECMB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Remove vc lesion w/scope","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"31545","description":"Remove vc lesion w/scope","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"CPT-01260","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"01260","description":"CPT-01260","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Angina present","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"1011F","description":"Angina present","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Nasal/sinus endoscopy surg","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"31240","description":"Nasal/sinus endoscopy surg","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BBIA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FIGE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KACC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Dwelling lead investigation","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"T1029","description":"Dwelling lead investigation","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NKJB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-HE20D","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"HE20D","description":"HIPPS-HE20D","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JAMA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OECC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JBEB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BAEF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-LD21C","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"LD21C","description":"HIPPS-LD21C","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GHAB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RUX25","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RUX25","description":"HIPPS-RUX25","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Placental alpha-micro globulin-1 (PAMG-1)_ immunoassay with direct optical observation_ cervico-vaginal fluid_ each specimen","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0066U","description":"Placental alpha-micro globulin-1 (PAMG-1)_ immunoassay with direct optical observation_ cervico-vaginal fluid_ each specimen","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"EILB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-3AHN5","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"3AHN5","description":"HIPPS-3AHN5","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JIXA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RUA20","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RUA20","description":"HIPPS-RUA20","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Doc med rsn no stat tx/presc","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G9667","description":"Doc med rsn no stat tx/presc","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Lung bx plug w/del sys","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"C2613","description":"Lung bx plug w/del sys","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Whchr h-duty det arm leg res","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"E1280","description":"Whchr h-duty det arm leg res","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MATF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"LESA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Mcoln1 gene","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"81290","description":"Mcoln1 gene","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Retinal tamp_ silicone oil","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"C1814","description":"Retinal tamp_ silicone oil","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-LE113","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"LE113","description":"HIPPS-LE113","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OCAD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MJAB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MFUF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Injection procedure during cardiac catheterization including imaging supervision_ interpretation_ and report; for selective pulmonary venous angiography of each distinct pulmo","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"93574","description":"Injection procedure during cardiac catheterization including imaging supervision_ interpretation_ and report; for selective pulmonary venous angiography of each distinct pulmo","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Implantation of patient-activated cardiac event recorder","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"33282","description":"Implantation of patient-activated cardiac event recorder","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GFDC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CGIB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RML35","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RML35","description":"HIPPS-RML35","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"LEYC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"ONC PAN-TUM DNA&RNA GNRJ SEQ","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0211U","description":"ONC PAN-TUM DNA&RNA GNRJ SEQ","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-3BGKW","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"3BGKW","description":"HIPPS-3BGKW","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Removal of toe lesions","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"28108","description":"Removal of toe lesions","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RHL8A","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RHL8A","description":"HIPPS-RHL8A","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"CPT-37258","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"37258","description":"CPT-37258","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Abutment supported retainer","billing_code_type":"CDT","billing_code_type_version":"2024","billing_code":"D6068","description":"Abutment supported retainer","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"EBIE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"DCOA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JDVC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CHID0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"EEHE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OGNA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GDHA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Injection_ avalglucosidase alfa-ngpt_ 4 mg","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"J0219","description":"Injection_ avalglucosidase alfa-ngpt_ 4 mg","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Tracheostomy cleaning brush","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"A4626","description":"Tracheostomy cleaning brush","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BCKF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"ACAB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-ES35A","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"ES35A","description":"HIPPS-ES35A","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OGBA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Biopsy thigh soft tissues","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"27323","description":"Biopsy thigh soft tissues","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CGYD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"CPT-1051T","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"1051T","description":"CPT-1051T","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-5CFK1","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"5CFK1","description":"HIPPS-5CFK1","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"PCSE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GFNE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BHEF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Extensive hysterectomy","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"58285","description":"Extensive hysterectomy","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"ANNUAL ALCOHOL MISUSE SCREENING_ 15 MINUTES","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G0442","description":"ANNUAL ALCOHOL MISUSE SCREENING_ 15 MINUTES","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OFXC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CCIF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NGAC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NIIE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BBJC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NGED1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GIGA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"ABTA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KEHC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-3BFK5","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"3BFK5","description":"HIPPS-3BFK5","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Myocardial Imaging_ Positron Emission Tomography (Pet)_ Perfusion Study (Including Ventricular Wall Motion[S] And/Or Ejection Fraction[S]_ When Performed); Multiple Studies At","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"78431","description":"Myocardial Imaging_ Positron Emission Tomography (Pet)_ Perfusion Study (Including Ventricular Wall Motion[S] And/Or Ejection Fraction[S]_ When Performed); Multiple Studies At","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"HGQC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NGED0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OAPB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Mccd_ risk adj lo_ initial","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G9004","description":"Mccd_ risk adj lo_ initial","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NHEA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Antiemetic rectal/supp nos","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"J8498","description":"Antiemetic rectal/supp nos","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Estradiol valerate 10 mg inj","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"J1380","description":"Estradiol valerate 10 mg inj","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Injection_ olaratumab_ 10 mg","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"J9285","description":"Injection_ olaratumab_ 10 mg","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Injection_ ofloxacin_ 400 mg","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"S0034","description":"Injection_ ofloxacin_ 400 mg","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-CB150","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"CB150","description":"HIPPS-CB150","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Ho abduction hip adjustable","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"L1650","description":"Ho abduction hip adjustable","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-CC13D","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"CC13D","description":"HIPPS-CC13D","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"No ahi or rdi initial dx","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G8844","description":"No ahi or rdi initial dx","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Inpt implant pros dev_no cov","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"C9899","description":"Inpt implant pros dev_no cov","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JAFF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OAND0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Qualified Nonphysician Health Care Professional Online Digital Evaluation And Management Service_ For An Established Patient_ For Up To 7 Days_ Cumulative Time During The 7 Da","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"98970","description":"Qualified Nonphysician Health Care Professional Online Digital Evaluation And Management Service_ For An Established Patient_ For Up To 7 Days_ Cumulative Time During The 7 Da","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FFBD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FHID0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Walker leg extenders set of4","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"E0158","description":"Walker leg extenders set of4","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"ADMA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Mr angiograph head w/o&w/dye","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"70546","description":"Mr angiograph head w/o&w/dye","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Removal of thymus gland","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"60520","description":"Removal of thymus gland","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"ABDD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-1CFNT","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"1CFNT","description":"HIPPS-1CFNT","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CGXA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NKPB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Comp multiplane ext fixation","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"20696","description":"Comp multiplane ext fixation","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Test socket below knee","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"L5620","description":"Test socket below knee","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Low (or very low) risk of recurrence_ prostate cancer","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G9706","description":"Low (or very low) risk of recurrence_ prostate cancer","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MCDC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OEXE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Within The Past 2 Years_ Calcium And/Or Vitamin D Optimization Has Not Been Ordered Or Performed","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G2120","description":"Within The Past 2 Years_ Calcium And/Or Vitamin D Optimization Has Not Been Ordered Or Performed","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MLCB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RLX24","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RLX24","description":"HIPPS-RLX24","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"EDDF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Probe_ perc lumb disc","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"C2614","description":"Probe_ perc lumb disc","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Onc Uveal MLNMA MRNA gen xprs prfl 15 gene alg","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0081U","description":"Onc Uveal MLNMA MRNA gen xprs prfl 15 gene alg","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-LC14B","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"LC14B","description":"HIPPS-LC14B","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NIDC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RMC2A","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RMC2A","description":"HIPPS-RMC2A","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KHEB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RHA0A","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RHA0A","description":"HIPPS-RHA0A","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Onc dx head/neck t1-t2no prg","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G9109","description":"Onc dx head/neck t1-t2no prg","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MBDA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CENF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MGTB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NHAB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Antineutrophil Cytoplasmic Antibody (Anca); Titer_ Each Antibody","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"86037","description":"Antineutrophil Cytoplasmic Antibody (Anca); Titer_ Each Antibody","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Collect blood from picc","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"36592","description":"Collect blood from picc","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Wheelchair narrowing device","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"E0969","description":"Wheelchair narrowing device","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Exc h-f-nk-sp b9+marg 0.5/<","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"11420","description":"Exc h-f-nk-sp b9+marg 0.5/<","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CIUD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"LFWB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-B0703","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"B0703","description":"HCPCS-B0703","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-LE28F","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"LE28F","description":"HIPPS-LE28F","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Methyldopate hcl injection","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"J0210","description":"Methyldopate hcl injection","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Bat clps elec/comb vad_ rep","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"Q0497","description":"Bat clps elec/comb vad_ rep","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BFPD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"PIWA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"HDOE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FHHD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"CDT-D1801","billing_code_type":"CDT","billing_code_type_version":"2026","billing_code":"D1801","description":"CDT-D1801","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Heterophile antibody titer","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"86309","description":"Heterophile antibody titer","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NKVC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Pouch drainable w barrier at","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"A5061","description":"Pouch drainable w barrier at","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OBEA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"PFQD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RLX56","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RLX56","description":"HIPPS-RLX56","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Anes spine tranthor w/o vent","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"62551","description":"Anes spine tranthor w/o vent","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OEBF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NFAE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Transect pulmonary artery","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"33922","description":"Transect pulmonary artery","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"IBLD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Ranitidine hydrochloride inj","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"J2780","description":"Ranitidine hydrochloride inj","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Safety concerns screen provided and negative","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G9923","description":"Safety concerns screen provided and negative","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OGFE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Pt rcv hedia outpt dyls fac","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G8956","description":"Pt rcv hedia outpt dyls fac","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KBNB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-1CHMS","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"1CHMS","description":"HIPPS-1CHMS","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Trluml perip athrc brchiocph","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0237T","description":"Trluml perip athrc brchiocph","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GHXE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Hit antibiotic q3h diem","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"S9497","description":"Hit antibiotic q3h diem","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NBAE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Tp53 (Tumor Protein 53) (Eg_ Li-Fraumeni Syndrome) Gene Analysis; Known Familial Variant","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"81353","description":"Tp53 (Tumor Protein 53) (Eg_ Li-Fraumeni Syndrome) Gene Analysis; Known Familial Variant","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Estradiol response panel","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"80415","description":"Estradiol response panel","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Cath w/drainage 2-way silcne","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"A4315","description":"Cath w/drainage 2-way silcne","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RHA2C","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RHA2C","description":"HIPPS-RHA2C","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BCIF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Incision of toe tendons","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"28011","description":"Incision of toe tendons","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OIYD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Ct abd & pelv 1/> regns","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"74178","description":"Ct abd & pelv 1/> regns","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-CC112","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"CC112","description":"HIPPS-CC112","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OIDD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RUX4D","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RUX4D","description":"HIPPS-RUX4D","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"EGUD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-PB18G","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"PB18G","description":"HIPPS-PB18G","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BDJA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-PB18D","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"PB18D","description":"HIPPS-PB18D","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Anoscopy and biopsy","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"46606","description":"Anoscopy and biopsy","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OIYF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FHJA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Advanced brain imaging (CTA_ CT_ MRA or MRI) was not ordered","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G9534","description":"Advanced brain imaging (CTA_ CT_ MRA or MRI) was not ordered","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OASB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OATA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KFDF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-PC24B","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"PC24B","description":"HIPPS-PC24B","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"HAYA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"IGMB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Excision of neck cyst","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"42810","description":"Excision of neck cyst","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Repair/graft of thigh","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"27472","description":"Repair/graft of thigh","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NBVA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Addition_ endoskeletal knee-shin system_ polycentric_ pneumatic swing_ and stance phase control","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"L5841","description":"Addition_ endoskeletal knee-shin system_ polycentric_ pneumatic swing_ and stance phase control","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NIHE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CIRB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Factor xiii anti-hem factor","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"J7180","description":"Factor xiii anti-hem factor","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"AITB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-PD244","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"PD244","description":"HIPPS-PD244","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NHCB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"PLQD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OJNC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KDDD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OGYD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"LCWF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Number of patients screened for food insecurity_ housing instability_ transportation needs_ utility difficulties_ and interpersonal safety","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"M1207","description":"Number of patients screened for food insecurity_ housing instability_ transportation needs_ utility difficulties_ and interpersonal safety","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FEMD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Hocm 200-249mg/ml iodine_1ml","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"Q9960","description":"Hocm 200-249mg/ml iodine_1ml","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Ofatumumab injection","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"J9302","description":"Ofatumumab injection","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FCCA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"CDT-D0106","billing_code_type":"CDT","billing_code_type_version":"2026","billing_code":"D0106","description":"CDT-D0106","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JHHA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MKUC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JEHE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JDEC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"IHIF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NHBF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FAVA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-3CGPT","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"3CGPT","description":"HIPPS-3CGPT","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"CPT-00864","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"00864","description":"CPT-00864","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KFTE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-CB231","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"CB231","description":"HIPPS-CB231","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Pt has docd immun to hep c","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"3515F","description":"Pt has docd immun to hep c","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NFGF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BHAE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GEDC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CDHC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Ped hospital bed_ manual","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"E0328","description":"Ped hospital bed_ manual","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CAQF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GGKF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"HDRA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"RHD&RHCE GNTYP RHD1-10&RHCE5","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0198U","description":"RHD&RHCE GNTYP RHD1-10&RHCE5","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BEUF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Assessment for hearing aid","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"V5010","description":"Assessment for hearing aid","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GEWD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BANA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BCKE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Laryngoscopy with biopsy","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"31576","description":"Laryngoscopy with biopsy","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JFDB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"AIEB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GBTE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JDEC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Catheter_ guiding","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"C1887","description":"Catheter_ guiding","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Revision of knee joint","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"27440","description":"Revision of knee joint","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Cystoscopy and treatment","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"52240","description":"Cystoscopy and treatment","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"IDIF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-B1001","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"B1001","description":"HCPCS-B1001","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GBAC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"DARE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Immunization administration by intramuscular injection of severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) (coronavirus disease [COVID-19]) vaccine_ mRNA-LNP_ spik","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0142A","description":"Immunization administration by intramuscular injection of severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) (coronavirus disease [COVID-19]) vaccine_ mRNA-LNP_ spik","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"HCYF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Cultr bacteria except blood","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"87075","description":"Cultr bacteria except blood","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BGAF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OBTC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CFBE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Bcr/abl1 gene other bp","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"81208","description":"Bcr/abl1 gene other bp","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-Q4373","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"Q4373","description":"HCPCS-Q4373","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Ace inhibitor or arb therapy not prescribed during the measurement period_ reason not given","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"M1203","description":"Ace inhibitor or arb therapy not prescribed during the measurement period_ reason not given","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KHDC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Treat penis lesion graft","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"54112","description":"Treat penis lesion graft","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CFIB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-3AGPV","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"3AGPV","description":"HIPPS-3AGPV","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RHC45","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RHC45","description":"HIPPS-RHC45","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RLA2A","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RLA2A","description":"HIPPS-RLA2A","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"HAWE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Implnt/abut fixed dent max","billing_code_type":"CDT","billing_code_type_version":"2024","billing_code":"D6114","description":"Implnt/abut fixed dent max","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"ODID1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Cancelled appointment","billing_code_type":"CDT","billing_code_type_version":"2024","billing_code":"D9987","description":"Cancelled appointment","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GFRF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Endoscopic injection/implant","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"51715","description":"Endoscopic injection/implant","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Prep bk ptb plaster molded","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"L5510","description":"Prep bk ptb plaster molded","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Thoracoscopy w/pericard exc","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"32661","description":"Thoracoscopy w/pericard exc","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JIJE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Homecare train pt 15 min","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"S5108","description":"Homecare train pt 15 min","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Hearing aid_ prog_ mon_ cic","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"V5244","description":"Hearing aid_ prog_ mon_ cic","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GAED0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-HB28D","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"HB28D","description":"HIPPS-HB28D","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BIEE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Hgb lvl >/= 13 g/dl","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"3279F","description":"Hgb lvl >/= 13 g/dl","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Laser surgery of prostate","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"52647","description":"Laser surgery of prostate","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Brachytx isodose complex","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"77318","description":"Brachytx isodose complex","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Injection_ guselkumab_ 1 mg","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"C9029","description":"Injection_ guselkumab_ 1 mg","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Partial hip replacement","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"27125","description":"Partial hip replacement","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"LAQD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"EFID0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BAGD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"ABO GNOTYP ABO 7 EXONS","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0180U","description":"ABO GNOTYP ABO 7 EXONS","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Fibrinogen test","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"85366","description":"Fibrinogen test","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Assay of haptoglobin quant","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"83010","description":"Assay of haptoglobin quant","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BCJE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GFDF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"CPT-00400","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"00400","description":"CPT-00400","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Mopath procedure level 9","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"81408","description":"Mopath procedure level 9","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RUA2A","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RUA2A","description":"HIPPS-RUA2A","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-1BHP5","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"1BHP5","description":"HIPPS-1BHP5","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"CPT-0993T","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"0993T","description":"CPT-0993T","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BCPA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"ICHE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Nine total Medicare Diabetes Prevention Program (MDPP) core sessions were attended by an MDPP beneficiary under the MDPP Expanded Model (EM). A core session is an MDPP servi","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G9875","description":"Nine total Medicare Diabetes Prevention Program (MDPP) core sessions were attended by an MDPP beneficiary under the MDPP Expanded Model (EM). A core session is an MDPP servi","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Tx contour defects 1 cc/<","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"11950","description":"Tx contour defects 1 cc/<","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KHAB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MBEE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GGPD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"IBMD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NBMF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RHL03","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RHL03","description":"HIPPS-RHL03","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"HHWF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GASF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-CC14D","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"CC14D","description":"HIPPS-CC14D","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CCGF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BDLC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Revise middle ear bone","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"69661","description":"Revise middle ear bone","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JAVC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-3BHP5","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"3BHP5","description":"HIPPS-3BHP5","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"X-ray exam ribs uni 2 views","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"71100","description":"X-ray exam ribs uni 2 views","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Analyze neurostim complex","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"95972","description":"Analyze neurostim complex","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Protector heel or elbow","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"E0191","description":"Protector heel or elbow","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GAVD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KATF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NCXD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-HE113","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"HE113","description":"HIPPS-HE113","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Ovulation mgmt per cycle","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"S4042","description":"Ovulation mgmt per cycle","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"AADC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Removal of stomach partial","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"43634","description":"Removal of stomach partial","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Shingrix vaccine was not administered for reasons documented by clinician (e.g._ patient administered vaccine other than Shingr","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"M1065","description":"Shingrix vaccine was not administered for reasons documented by clinician (e.g._ patient administered vaccine other than Shingr","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OHME1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JFFE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Esoph lengthening","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"43338","description":"Esoph lengthening","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OKDB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Insulin reuse pen 3 ml","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"S5561","description":"Insulin reuse pen 3 ml","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KFJA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-CD201","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"CD201","description":"HIPPS-CD201","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Cath_ ep_ diag/abl_ 3d/vect","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"C1732","description":"Cath_ ep_ diag/abl_ 3d/vect","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Crutch underarm pair no wood","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"E0114","description":"Crutch underarm pair no wood","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KIHE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MEIF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"CPT-00522","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"00522","description":"CPT-00522","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Remove stent via transureth","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"50386","description":"Remove stent via transureth","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OFLD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Explr/decompress eye socket","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"67445","description":"Explr/decompress eye socket","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Fusion of shoulder joint","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"23800","description":"Fusion of shoulder joint","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OBAC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-3AGN6","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"3AGN6","description":"HIPPS-3AGN6","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GCYD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OBLC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"LHRF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OGUC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JIDF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-HE18D","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"HE18D","description":"HIPPS-HE18D","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Repl batt silver oxide 1.5 v","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"K0601","description":"Repl batt silver oxide 1.5 v","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NGVA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KBND1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Iliac revasc add-on","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"37222","description":"Iliac revasc add-on","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GDYA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Transapical mitral valve repair_ including transthoracic echocardiography_ when performed_ with placement of artificial chordae tendineae","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0543T","description":"Transapical mitral valve repair_ including transthoracic echocardiography_ when performed_ with placement of artificial chordae tendineae","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Open nasoethmoid fx w/o fixj","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"21338","description":"Open nasoethmoid fx w/o fixj","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Hematology (von Willebrand disease [VWD])_ von Willebrand factor (VWF) and collagen III binding by enzyme-linked immunosorbent assays (ELISA)_ plasma_ report of collagen III b","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0279U","description":"Hematology (von Willebrand disease [VWD])_ von Willebrand factor (VWF) and collagen III binding by enzyme-linked immunosorbent assays (ELISA)_ plasma_ report of collagen III b","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CAFB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"IFUD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CBWA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FAXE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"CDC Novel Coronavirus Real Time RT-PCR Diagnostic Test Panel","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"U0001","description":"CDC Novel Coronavirus Real Time RT-PCR Diagnostic Test Panel","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"ECMC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-LD226","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"LD226","description":"HIPPS-LD226","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"EEBD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"XWRAP_ per sq cm","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"Q4204","description":"XWRAP_ per sq cm","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FCAA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"ADID1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-CB140","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"CB140","description":"HIPPS-CB140","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OKSD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JGDF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CIFC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Remove part lumbar vertebra","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"22102","description":"Remove part lumbar vertebra","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RHX8I","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RHX8I","description":"HIPPS-RHX8I","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Repair of penis","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"54440","description":"Repair of penis","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Reusable rectal thermometer","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"A4932","description":"Reusable rectal thermometer","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OKBD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Imp/abut fixed dent part max","billing_code_type":"CDT","billing_code_type_version":"2024","billing_code":"D6116","description":"Imp/abut fixed dent part max","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Remov/replc penis pros comp","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"54411","description":"Remov/replc penis pros comp","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Corneal tissue processing","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"V2785","description":"Corneal tissue processing","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Moderate sedation services provided by the same physician or other qualified health care professional performing the diagnostic or therapeutic service that the sedation suppor","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"99152","description":"Moderate sedation services provided by the same physician or other qualified health care professional performing the diagnostic or therapeutic service that the sedation suppor","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OAWE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OFTD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Breast tomosynthesis uni","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"77061","description":"Breast tomosynthesis uni","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OCLD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Repair of anal sphincter","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"46750","description":"Repair of anal sphincter","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Minoxidil_ 10 mg","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"S0139","description":"Minoxidil_ 10 mg","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"AHUB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Extensive sternum surgery","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"21630","description":"Extensive sternum surgery","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FAXD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KIXE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FCVE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"DDRA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NIVE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KGPB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Insertion of intervertebral biomechanical device(s) (eg_ synthetic cage_ mesh_ methylmethacrylate) to intervertebral disc space or vertebral body defect without interbody arth","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"22859","description":"Insertion of intervertebral biomechanical device(s) (eg_ synthetic cage_ mesh_ methylmethacrylate) to intervertebral disc space or vertebral body defect without interbody arth","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"ODJA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FGGE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Rpt pt cat and pt1","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G9428","description":"Rpt pt cat and pt1","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-AAA04","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"AAA04","description":"HIPPS-AAA04","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-3CGMS","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"3CGMS","description":"HIPPS-3CGMS","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JETB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RMB1B","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RMB1B","description":"HIPPS-RMB1B","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-1CHP5","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"1CHP5","description":"HIPPS-1CHP5","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KAQA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KHDE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Laryngoscopy w/biopsy","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"31535","description":"Laryngoscopy w/biopsy","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"IELF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Laparo removal donor kidney","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"50547","description":"Laparo removal donor kidney","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RVL8H","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RVL8H","description":"HIPPS-RVL8H","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-J9054","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"J9054","description":"HCPCS-J9054","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CBTC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FINF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Dental gold foil two surface","billing_code_type":"CDT","billing_code_type_version":"2024","billing_code":"D2420","description":"Dental gold foil two surface","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OBCD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Irrigation sphenoid sinus","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"31002","description":"Irrigation sphenoid sinus","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"No spirometry results with confirmed airflow obstruction (fev1/fvc < 70%) documented and/or no spirometry performed with results documented during the encounter","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"M1216","description":"No spirometry results with confirmed airflow obstruction (fev1/fvc < 70%) documented and/or no spirometry performed with results documented during the encounter","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Treat midfoot fracture each","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"28465","description":"Treat midfoot fracture each","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GFIB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-3AHN2","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"3AHN2","description":"HIPPS-3AHN2","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FIHB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Moisture exchanger","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"A4483","description":"Moisture exchanger","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MLCE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Assay of blood fatty acids","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"82725","description":"Assay of blood fatty acids","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Repr elbow lat ligmnt w/tiss","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"24343","description":"Repr elbow lat ligmnt w/tiss","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Hospice services utilized by patient any time during the measurement period","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G9694","description":"Hospice services utilized by patient any time during the measurement period","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HH PDGM","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"2EC11","description":"HH PDGM","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-1AFNW","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"1AFNW","description":"HIPPS-1AFNW","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JIHC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Halo cerv into milwaukee typ","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"L0830","description":"Halo cerv into milwaukee typ","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Enteral feed supp pump per d","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"B4035","description":"Enteral feed supp pump per d","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Brief (20 minutes) care management home visit for an existing patient. for use only in a medicare-approved cmmi model. (services must be furnished within a beneficiary_s home_","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G0081","description":"Brief (20 minutes) care management home visit for an existing patient. for use only in a medicare-approved cmmi model. (services must be furnished within a beneficiary_s home_","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OBJC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BGFC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Removal of finger tendon","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"26180","description":"Removal of finger tendon","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GGCD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"ODXB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Satisfy with care","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G0916","description":"Satisfy with care","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OJCF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"ECHE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"ADEF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"CPT-64654","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"64654","description":"CPT-64654","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"AIDC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Mastectomy sleeve","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"L8010","description":"Mastectomy sleeve","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GBNC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Transcatheter removal of permanent leadless pacemaker_ ventricular","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0388T","description":"Transcatheter removal of permanent leadless pacemaker_ ventricular","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MIIE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Pierce earlobes","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"69090","description":"Pierce earlobes","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FHED0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GFNB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FIDD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KFBA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JEMA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-E0721","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"E0721","description":"HCPCS-E0721","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KCMB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-CE111","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"CE111","description":"HIPPS-CE111","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NATC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"ADUC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Anesth heart surg w/o pump","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"56051","description":"Anesth heart surg w/o pump","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Spiro no perf or doc","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G8926","description":"Spiro no perf or doc","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KIEC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GDAC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CAPF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"PHOE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Endo knee-shin pneum swg frc","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"L5822","description":"Endo knee-shin pneum swg frc","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Prochlorperazine maleate 5mg","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"Q0164","description":"Prochlorperazine maleate 5mg","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CDXA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KGUE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Two Medicare Diabetes Prevention Program (MDPP) ongoing maintenance sess ions (MS) were attended by an MDPP beneficiary in months (mo) 22-24 under the MDPP Expanded Model","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G9885","description":"Two Medicare Diabetes Prevention Program (MDPP) ongoing maintenance sess ions (MS) were attended by an MDPP beneficiary in months (mo) 22-24 under the MDPP Expanded Model","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KBXA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"PKQB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Injection_ daptomycin (Baxter)_ not therapeutically equivalent to J0878_ 1 mg","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"J0874","description":"Injection_ daptomycin (Baxter)_ not therapeutically equivalent to J0878_ 1 mg","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"ACHC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"CDT-D9245","billing_code_type":"CDT","billing_code_type_version":"2026","billing_code":"D9245","description":"CDT-D9245","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Fo nontorsion joint cf","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"L3935","description":"Fo nontorsion joint cf","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FFXB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-ES34C","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"ES34C","description":"HIPPS-ES34C","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"PHYA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FHFB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CDMA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Triptorelin pamoate","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"J3315","description":"Triptorelin pamoate","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-G0671","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"G0671","description":"HCPCS-G0671","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BAXC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Dx laryngoscopy excl nb","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"31525","description":"Dx laryngoscopy excl nb","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Extension per extension per","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"L2760","description":"Extension per extension per","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-AAA23","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"AAA23","description":"HIPPS-AAA23","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-CA117","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"CA117","description":"HIPPS-CA117","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FIVC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-3BHKV","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"3BHKV","description":"HIPPS-3BHKV","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KEUB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-3AGLU","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"3AGLU","description":"HIPPS-3AGLU","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"LDWA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Galectin-3","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"82777","description":"Galectin-3","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Colonoscopy through stoma; with transendoscopic stent placement (includes predilation)","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G6020","description":"Colonoscopy through stoma; with transendoscopic stent placement (includes predilation)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-1AGL3","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"1AGL3","description":"HIPPS-1AGL3","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Cytogen m array copy no&snp","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"81229","description":"Cytogen m array copy no&snp","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-L5657","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"L5657","description":"HCPCS-L5657","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NHXD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"LFSF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Ambulatory bp analysis","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"93788","description":"Ambulatory bp analysis","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-G0565","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"G0565","description":"HCPCS-G0565","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"LGYF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FGCA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"IDDC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MIBE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Repair heart septum defects","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"33647","description":"Repair heart septum defects","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"EHTB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-1BGP1","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"1BGP1","description":"HIPPS-1BGP1","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"LBWA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NIHF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KCRC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GCXF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Betamethasone comp unit","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"J7624","description":"Betamethasone comp unit","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OCHB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"DHYD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CIXE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Construction of absent anus","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"46730","description":"Construction of absent anus","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-4CHKU","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"4CHKU","description":"HIPPS-4CHKU","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KFTE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-LD14A","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"LD14A","description":"HIPPS-LD14A","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Fomepizole_ 15 mg","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"J1451","description":"Fomepizole_ 15 mg","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-PE21B","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"PE21B","description":"HIPPS-PE21B","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"PDWF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Incision of foot tendon(s)","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"28230","description":"Incision of foot tendon(s)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JCIC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Removal of bone for graft","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"20902","description":"Removal of bone for graft","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-1AHLS","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"1AHLS","description":"HIPPS-1AHLS","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KIPA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Mycobacteric identification","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"87118","description":"Mycobacteric identification","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MJUC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CBDB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Ct orbit/ear/fossa w/o&w/dye","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"70482","description":"Ct orbit/ear/fossa w/o&w/dye","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Treat finger fracture each","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"26740","description":"Treat finger fracture each","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"CPT-01710","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"01710","description":"CPT-01710","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GAHF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Cntct lens hydrophil extend","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"V2523","description":"Cntct lens hydrophil extend","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OGJF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NKNA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NGIA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Anl sp inf pmp w/mdreprg&fil","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"62370","description":"Anl sp inf pmp w/mdreprg&fil","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Cabg vein four","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"33513","description":"Cabg vein four","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GIQE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"DGSC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MBAF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OCKB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Documentation of medical reason(s) for not on a daily aspirin or other antiplatelet (e.g._ history of gastrointestinal bleed_ intra-cranial bleed_ idiopathic thrombocytopenic","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G9794","description":"Documentation of medical reason(s) for not on a daily aspirin or other antiplatelet (e.g._ history of gastrointestinal bleed_ intra-cranial bleed_ idiopathic thrombocytopenic","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Endovasc visc aorta 1 graft","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"34841","description":"Endovasc visc aorta 1 graft","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Bone srgry cmptr fluor image","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0054T","description":"Bone srgry cmptr fluor image","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GHWB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FFPD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JGEE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Documentation Stating Patient Has A Diagnosis Of A Degenerative Neurological Condition Such As Als_ Ms_ Or Parkinson_S Diagnosed At Any Time Before Or During The Episode Of Ca","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"M1127","description":"Documentation Stating Patient Has A Diagnosis Of A Degenerative Neurological Condition Such As Als_ Ms_ Or Parkinson_S Diagnosed At Any Time Before Or During The Episode Of Ca","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NDLD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CHLB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Repair of facial nerve","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"64865","description":"Repair of facial nerve","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Transcatheter removal of permanent single-chamber leadless pacemaker_ right atrial_ including imaging guidance (eg_ fluoroscopy_ venous ultrasound_ right atrial angiography an","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0824T","description":"Transcatheter removal of permanent single-chamber leadless pacemaker_ right atrial_ including imaging guidance (eg_ fluoroscopy_ venous ultrasound_ right atrial angiography an","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JBVC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MABD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CEAC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KDKE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Peripheral vascular rehab","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"93668","description":"Peripheral vascular rehab","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JHLB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"LEQE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OBGB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"No postop ren fail","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G8576","description":"No postop ren fail","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GHVE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OFGF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JDBF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Endovasc prosth taa add-on","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"33884","description":"Endovasc prosth taa add-on","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Scintimammography","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"S8080","description":"Scintimammography","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Crown 3/4 porcelain/ceramic","billing_code_type":"CDT","billing_code_type_version":"2024","billing_code":"D6783","description":"Crown 3/4 porcelain/ceramic","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Tissue culture skin/biopsy","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"88233","description":"Tissue culture skin/biopsy","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Insertion of peripherally inserted central venous catheter (PICC)_ without subcutaneous port or pump_ including all imaging guidance_ image documentation_ and all associated r","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"36573","description":"Insertion of peripherally inserted central venous catheter (PICC)_ without subcutaneous port or pump_ including all imaging guidance_ image documentation_ and all associated r","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-C1002","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"C1002","description":"HCPCS-C1002","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OHUE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JICC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"PHWC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GBGD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CDOB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Aicd_ other than sing/dual","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"C1882","description":"Aicd_ other than sing/dual","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"PLOB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Wheelchair safety vest","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"E0980","description":"Wheelchair safety vest","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Cerv collar supp adj cerv ba","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"L0190","description":"Cerv collar supp adj cerv ba","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FHBA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KCUD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"AATD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KCQB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Spacer without mask","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"S8100","description":"Spacer without mask","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MABB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MKDF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Influenza dna amp probe","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"87502","description":"Influenza dna amp probe","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"ICUE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-HC23D","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"HC23D","description":"HIPPS-HC23D","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JIKE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Injection_ lenacapavir_ 1 mg","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"J1961","description":"Injection_ lenacapavir_ 1 mg","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"PDQC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-C0601","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"C0601","description":"HCPCS-C0601","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FAGA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"No life asst 2x same/decr","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G9636","description":"No life asst 2x same/decr","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Combination bilateral ho","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"L1690","description":"Combination bilateral ho","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Repair major blood vessel(s)","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"33320","description":"Repair major blood vessel(s)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GFYD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Cyclophosphamide oral 25 mg","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"J8530","description":"Cyclophosphamide oral 25 mg","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Removal of inner eye lesion","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"66770","description":"Removal of inner eye lesion","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GGRD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OGBE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NFNA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"FLT3 (fms-related tyrosine kinase 3) (eg_ acute myeloid leukemia) internal tandem duplication (ITD) variants_ quantitative","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0046U","description":"FLT3 (fms-related tyrosine kinase 3) (eg_ acute myeloid leukemia) internal tandem duplication (ITD) variants_ quantitative","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FCCE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KGHC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OCKE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RLA06","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RLA06","description":"HIPPS-RLA06","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-PE211","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"PE211","description":"HIPPS-PE211","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"IIAF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OKYC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MJLE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Portable home suction pump","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"K0743","description":"Portable home suction pump","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GITB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-3CGLS","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"3CGLS","description":"HIPPS-3CGLS","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Functional Status Measured By The Oswestry Disability Index (Odi Version 2.1A) At One Year (9 To 15 Months) Postoperatively Was Greater Than 22 And Functional Status Measured","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G2143","description":"Functional Status Measured By The Oswestry Disability Index (Odi Version 2.1A) At One Year (9 To 15 Months) Postoperatively Was Greater Than 22 And Functional Status Measured","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NJPB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"AFCE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HH PDGM","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"3HB21","description":"HH PDGM","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"ICCD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KGBA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JIFF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MKAD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Trichinella antibody","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"86784","description":"Trichinella antibody","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Esrd home pt serv p mo <2yrs","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"90963","description":"Esrd home pt serv p mo <2yrs","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"HEYF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Oncology tx decision-mgmt","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G9051","description":"Oncology tx decision-mgmt","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Removal of iris","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"66625","description":"Removal of iris","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FDKC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MJLB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-3CHP1","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"3CHP1","description":"HIPPS-3CHP1","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Resect recur gyn mal w/lym","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"58958","description":"Resect recur gyn mal w/lym","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FINA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Injection(S)_ Anesthetic Agent(S) And/Or Steroid; Genicular Nerve Branches_ Including Imaging Guidance_ When Performed","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"64454","description":"Injection(S)_ Anesthetic Agent(S) And/Or Steroid; Genicular Nerve Branches_ Including Imaging Guidance_ When Performed","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BHJE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"LHSE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-G0539","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"G0539","description":"HCPCS-G0539","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BHVB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NAVB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Treat humerus fracture","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"24575","description":"Treat humerus fracture","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Tooth root removal","billing_code_type":"CDT","billing_code_type_version":"2024","billing_code":"D7250","description":"Tooth root removal","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Echo exam of eye","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"76516","description":"Echo exam of eye","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GHAC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Injection_ natalizumab-sztn (tyruko)_ biosimilar_ 1 mg","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"Q5134","description":"Injection_ natalizumab-sztn (tyruko)_ biosimilar_ 1 mg","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BATE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Apply long arm splint","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"29105","description":"Apply long arm splint","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"IILF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OLKD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"DHWD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HH PDGM","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"4LA31","description":"HH PDGM","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"LEOA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GCQB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Repair of esophagus","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"43310","description":"Repair of esophagus","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Glucagon hydrochloride/1 mg","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"J1610","description":"Glucagon hydrochloride/1 mg","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KICE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Whelchr fxd full length arms","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"E1050","description":"Whelchr fxd full length arms","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"HEWD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"ECUA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KDTD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"HCSD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Robot lin-radsurg com_ first","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G0339","description":"Robot lin-radsurg com_ first","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-HC18X","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"HC18X","description":"HIPPS-HC18X","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Echo exam of fetal heart","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"76825","description":"Echo exam of fetal heart","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"EHTA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CBJA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OHKA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OLMA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Site not small cell lung ca","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G9285","description":"Site not small cell lung ca","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MLLE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NLPA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BCCF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Anterior thoracic extension","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"L1220","description":"Anterior thoracic extension","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Home mgmt pprom","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"S9209","description":"Home mgmt pprom","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Tis trnfr s/a/l 10 sq cm/<","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"14020","description":"Tis trnfr s/a/l 10 sq cm/<","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Gradient compression gauntlet_ each","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"A6582","description":"Gradient compression gauntlet_ each","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NDVC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FIFF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CAQC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BEIC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Immunoassay dipstick","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"83518","description":"Immunoassay dipstick","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"EBEE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-3AFMU","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"3AFMU","description":"HIPPS-3AFMU","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GEAE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"DHYA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OCJB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Replace molded calf lacer","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"L4050","description":"Replace molded calf lacer","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Ureter endoscopy & treatment","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"50976","description":"Ureter endoscopy & treatment","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NLBE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Add le poly knee custom kafo","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"L2387","description":"Add le poly knee custom kafo","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"IITC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KFUC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"ODRB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KBFE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NKHF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OKBA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-CA15A","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"CA15A","description":"HIPPS-CA15A","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FEBE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Laparoscopic Insertion Of New Or Replacement Of Diaphragmatic Lead(S)_ Permanent Implantable Synchronized Diaphragmatic Stimulation System For Augmentation Of Cardiac Function","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0676T","description":"Laparoscopic Insertion Of New Or Replacement Of Diaphragmatic Lead(S)_ Permanent Implantable Synchronized Diaphragmatic Stimulation System For Augmentation Of Cardiac Function","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NGDF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FGBB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"ADM SARSCV2 10MCG TRS-SUCR 1","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0071A","description":"ADM SARSCV2 10MCG TRS-SUCR 1","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Ntiol category 5","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"Q1005","description":"Ntiol category 5","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Knee disarticulat leather so","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"L5640","description":"Knee disarticulat leather so","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Assay of sweat sodium","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"84302","description":"Assay of sweat sodium","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KEKA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OFKA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OBXD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BGID0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Endo knee-shin hydral swg ph","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"L5814","description":"Endo knee-shin hydral swg ph","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Intravascular ultrasound (non-coronary vessel) during diagnostic evaluation and/or therapeutic intervention; each additional vessel (list separately in addition t","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"37251","description":"Intravascular ultrasound (non-coronary vessel) during diagnostic evaluation and/or therapeutic intervention; each additional vessel (list separately in addition t","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Molded socket shin sach foot","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"L5100","description":"Molded socket shin sach foot","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OISC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GHAD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-LB124","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"LB124","description":"HIPPS-LB124","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NCAA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GDRB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BECD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NHBC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Electroencephalogram (Eeg)_ Continuous Recording_ Physician Or Other Qualified Health Care Professional Review Of Recorded Events_ Analysis Of Spike And Seizure Detection_ Int","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"95718","description":"Electroencephalogram (Eeg)_ Continuous Recording_ Physician Or Other Qualified Health Care Professional Review Of Recorded Events_ Analysis Of Spike And Seizure Detection_ Int","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Abutment supported retainer","billing_code_type":"CDT","billing_code_type_version":"2024","billing_code":"D6070","description":"Abutment supported retainer","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Injection_ avelumab_ 10 mg","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"J9023","description":"Injection_ avelumab_ 10 mg","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"ACUB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MGHB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KANC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FAIE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OADD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Iodine I-131 iobenguane_ diagnostic_ 1 mCi","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"C9407","description":"Iodine I-131 iobenguane_ diagnostic_ 1 mCi","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Gradient compression gauntlet_ custom_ each","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"A6565","description":"Gradient compression gauntlet_ custom_ each","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-3BFP4","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"3BFP4","description":"HIPPS-3BFP4","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Exchange lens prosthesis","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"66986","description":"Exchange lens prosthesis","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Cytopath tbs c/v select","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"88167","description":"Cytopath tbs c/v select","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FGAA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-CC105","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"CC105","description":"HIPPS-CC105","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Prosthesis_ penile_ inflatab","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"C1813","description":"Prosthesis_ penile_ inflatab","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CCBE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-BA18X","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"BA18X","description":"HIPPS-BA18X","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RHB01","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RHB01","description":"HIPPS-RHB01","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Dil macula/fundus exam/w doc","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G8397","description":"Dil macula/fundus exam/w doc","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Penicillin g procaine inj","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"J2510","description":"Penicillin g procaine inj","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RMA2B","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RMA2B","description":"HIPPS-RMA2B","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OLLE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GCEA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Remove aorta constriction","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"33851","description":"Remove aorta constriction","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Abduct rotation bar w/o shoe","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"L3150","description":"Abduct rotation bar w/o shoe","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"AIMF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Vis item/svc in other code","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"V2797","description":"Vis item/svc in other code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JBJF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NGIE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Principal illness navigation - peer support by certified or trained auxiliary personnel under the direction of a physician or other practitioner_ including a certified peer sp","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G0140","description":"Principal illness navigation - peer support by certified or trained auxiliary personnel under the direction of a physician or other practitioner_ including a certified peer sp","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Procalcitonin (pct)","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"84145","description":"Procalcitonin (pct)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Add ue prost be/wd_ ultlite","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"L7400","description":"Add ue prost be/wd_ ultlite","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OBOA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CEJD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Insert self-contd prosthesis","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"54401","description":"Insert self-contd prosthesis","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Injection Bezlotoxumab 10 Mg","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"C9490","description":"Injection Bezlotoxumab 10 Mg","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HH PDGM","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"3LA31","description":"HH PDGM","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CEFF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Assay three catecholamines","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"82384","description":"Assay three catecholamines","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CIPD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CCYD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FCMA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HH PDGM","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"4AB11","description":"HH PDGM","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OEYC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MHUC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RUA8C","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RUA8C","description":"HIPPS-RUA8C","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"ODXB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BAIB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Onc dx nsclc stg2 no progres","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G9064","description":"Onc dx nsclc stg2 no progres","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"LARE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RHA2A","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RHA2A","description":"HIPPS-RHA2A","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"LBYB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"HHYC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JBID1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GHWF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"E-Graft_ per sq cm","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"Q4318","description":"E-Graft_ per sq cm","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"HBRD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NANC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FAHF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Injection treatment of eye","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"66020","description":"Injection treatment of eye","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"AFCC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Dist revas ligation hemo","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"36838","description":"Dist revas ligation hemo","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RVX8I","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RVX8I","description":"HIPPS-RVX8I","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Pneum drive wheel tire","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"E2381","description":"Pneum drive wheel tire","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Rmvl & rplcmt dfb gen mlt ld","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"33264","description":"Rmvl & rplcmt dfb gen mlt ld","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NHUF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OIVB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BGFB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Gradient compression stocking_ below knee_ 30-40 mmhg_ each","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"A6552","description":"Gradient compression stocking_ below knee_ 30-40 mmhg_ each","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JIBA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JEUF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Encephaltis st louis antbody","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"86653","description":"Encephaltis st louis antbody","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"EGAF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FIBB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NJHD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FIEB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Cebpa gene full sequence","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"81218","description":"Cebpa gene full sequence","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CCAD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CFYF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Partial removal of larynx","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"31367","description":"Partial removal of larynx","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NLNF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FDUD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OBID1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Custom glove for term device","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"L6895","description":"Custom glove for term device","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FIMD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GBSB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-4BHL2","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"4BHL2","description":"HIPPS-4BHL2","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Inj >24 hr in ed gcs <15","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G9532","description":"Inj >24 hr in ed gcs <15","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KAOC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JCDC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Small bowel endoscopy","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"44366","description":"Small bowel endoscopy","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Revise arm/leg nerve","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"64708","description":"Revise arm/leg nerve","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OLKE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Kne sing axis fric shin sach","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"L5200","description":"Kne sing axis fric shin sach","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CDSA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FILF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NAXB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-CE214","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"CE214","description":"HIPPS-CE214","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CETF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RVX25","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RVX25","description":"HIPPS-RVX25","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Reset dislocated jaw","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"21480","description":"Reset dislocated jaw","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Multi-position stnd fram sys","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"E0641","description":"Multi-position stnd fram sys","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Reteplase injection","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"J2993","description":"Reteplase injection","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Lens sphcy bifocal 4.00d/ove","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"V2206","description":"Lens sphcy bifocal 4.00d/ove","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NDDC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Esophagogastroduodenoscopy_ flexible_ transnasal; with biopsy_ single or multiple","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0653T","description":"Esophagogastroduodenoscopy_ flexible_ transnasal; with biopsy_ single or multiple","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GFCA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"HFWA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"CPT-76019","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"76019","description":"CPT-76019","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OGSF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-2CGKV","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"2CGKV","description":"HIPPS-2CGKV","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RHX8G","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RHX8G","description":"HIPPS-RHX8G","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JHXE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GGBD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MECF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"DIWE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Incision of wrist capsule","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"25085","description":"Incision of wrist capsule","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Cntct toric prism ballast","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"V2511","description":"Cntct toric prism ballast","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Red Cell Antigen (Mns Blood Group) Genotyping (Gypa)_ Gene Analysis_ Gypa (Glycophorin A [Mns Blood Group]) Introns 1_ 5_ Exon 2","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"1089U","description":"Red Cell Antigen (Mns Blood Group) Genotyping (Gypa)_ Gene Analysis_ Gypa (Glycophorin A [Mns Blood Group]) Introns 1_ 5_ Exon 2","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-LC28G","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"LC28G","description":"HIPPS-LC28G","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Hip disart canadian sach ft","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"L5331","description":"Hip disart canadian sach ft","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OKAE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OKKA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Surveillance colonoscopy - personal history of colonic polyps_ colon cancer_ or other malignant neoplasm of rectum_ rectosigmoid junction_ and anus","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G9936","description":"Surveillance colonoscopy - personal history of colonic polyps_ colon cancer_ or other malignant neoplasm of rectum_ rectosigmoid junction_ and anus","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NJIE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Behav chng smoking > 10 min","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"99407","description":"Behav chng smoking > 10 min","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Thermal Destruction Of Intraosseous Basivertebral Nerve_ Including All Imaging Guidance; Each Additional Vertebral Body_ Lumbar Or Sacral (List Separately In Addition To Code","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"64629","description":"Thermal Destruction Of Intraosseous Basivertebral Nerve_ Including All Imaging Guidance; Each Additional Vertebral Body_ Lumbar Or Sacral (List Separately In Addition To Code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-CD210","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"CD210","description":"HIPPS-CD210","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KGPB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"IAEE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JGCA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-ATP16","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"ATP16","description":"HIPPS-ATP16","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Norsn pt cath >=90d","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G9266","description":"Norsn pt cath >=90d","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HH PDGM","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"3LC21","description":"HH PDGM","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"AHAB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"ODJE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BEFB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NFAF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BGNC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NLVF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GCVC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-CE213","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"CE213","description":"HIPPS-CE213","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NFLB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NGCD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Chemo anti-neopl sq/im","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"96401","description":"Chemo anti-neopl sq/im","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Injection_ methotrexate (accord) not therapeutically equivalent to j9250 and j9260_ 50 mg","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"J9255","description":"Injection_ methotrexate (accord) not therapeutically equivalent to j9250 and j9260_ 50 mg","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CAYE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MCDC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Molded inner boot","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"L2280","description":"Molded inner boot","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FEED0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GEGF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KIEB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Bowel surgery procedure","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"44899","description":"Bowel surgery procedure","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GCDA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Partial removal of ovary(s)","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"58920","description":"Partial removal of ovary(s)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-HD250","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"HD250","description":"HIPPS-HD250","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Proton treatment complex","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"77525","description":"Proton treatment complex","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JEEE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Electronic elbo simultaneous","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"L7181","description":"Electronic elbo simultaneous","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Dressing change not for burn","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"15852","description":"Dressing change not for burn","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"IIHE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RMC14","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RMC14","description":"HIPPS-RMC14","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Major vessel shunt","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"33767","description":"Major vessel shunt","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OHVD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"EACB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Tobacco-use counsel>10min","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G0437","description":"Tobacco-use counsel>10min","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MKLB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OLBA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-C1401","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"C1401","description":"HCPCS-C1401","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"ODPF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Cath w/drainage 2-way latex","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"A4314","description":"Cath w/drainage 2-way latex","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-HB23C","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"HB23C","description":"HIPPS-HB23C","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"ACHE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Repair septal defect","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"33813","description":"Repair septal defect","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"LAQF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Injection treatment of nerve","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"64630","description":"Injection treatment of nerve","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"ODGB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Path consult intraop addl","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"88332","description":"Path consult intraop addl","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Treatment of fibula fracture","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"27780","description":"Treatment of fibula fracture","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NBFB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JCPA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KGTF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GABF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"LFSC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OJGB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Drainage of nose lesion","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"30000","description":"Drainage of nose lesion","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Technetium tc-99m teboroxime","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"A9501","description":"Technetium tc-99m teboroxime","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NEDE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Pulp cap direct","billing_code_type":"CDT","billing_code_type_version":"2024","billing_code":"D3110","description":"Pulp cap direct","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Drug screen prsmptv 1 class","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"80302","description":"Drug screen prsmptv 1 class","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CGEC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BFJE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Chemodenerv trunk musc 1-5","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"64646","description":"Chemodenerv trunk musc 1-5","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"PJRA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-PB141","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"PB141","description":"HIPPS-PB141","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HH PDGM","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"4FB31","description":"HH PDGM","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Exchange biliary drg cath","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"47536","description":"Exchange biliary drg cath","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Egd remove lesion snare","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"43251","description":"Egd remove lesion snare","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Hocm 300-349mg/ml iodine_1ml","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"Q9962","description":"Hocm 300-349mg/ml iodine_1ml","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-4CHLT","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"4CHLT","description":"HIPPS-4CHLT","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"EITD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BGUE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KBWE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Revision of knee joint","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"27442","description":"Revision of knee joint","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Prescription drug monitoring_ evaluation of drugs present by LC-MS/MS_ using oral fluid_ reported as a comparison to an estimated steady-state range_ per date of service inclu","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0011U","description":"Prescription drug monitoring_ evaluation of drugs present by LC-MS/MS_ using oral fluid_ reported as a comparison to an estimated steady-state range_ per date of service inclu","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"ACED1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Tib/per revasc w/ather","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"37229","description":"Tib/per revasc w/ather","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Meningococcal recombinant protein and outer membrane vesicle vaccine_ serogroup B (MenB-4C)_ 2 dose schedule_ for intramuscular use","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"90620","description":"Meningococcal recombinant protein and outer membrane vesicle vaccine_ serogroup B (MenB-4C)_ 2 dose schedule_ for intramuscular use","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GGBB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-HE251","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"HE251","description":"HIPPS-HE251","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-3CGM3","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"3CGM3","description":"HIPPS-3CGM3","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JDME1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Urine pregnancy test","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"81025","description":"Urine pregnancy test","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KDKA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Smear fluorescent/acid stai","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"87206","description":"Smear fluorescent/acid stai","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KGSD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Skin full graft een & lips","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"15260","description":"Skin full graft een & lips","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Destruct lesion 15 or more","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"17111","description":"Destruct lesion 15 or more","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Leukocyte assessment fecal","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"89055","description":"Leukocyte assessment fecal","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Insertion of chest tube","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"32551","description":"Insertion of chest tube","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CAEC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RVC46","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RVC46","description":"HIPPS-RVC46","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GFRA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GFFA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Hast w/oxygen titrate","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"94453","description":"Hast w/oxygen titrate","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Brachytx planar_ p-103","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"C2645","description":"Brachytx planar_ p-103","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Tis trnfr s/a/l 10.1-30 sqcm","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"14021","description":"Tis trnfr s/a/l 10.1-30 sqcm","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Treatment of thigh fracture","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"27513","description":"Treatment of thigh fracture","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Partial removal of thyroid","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"60225","description":"Partial removal of thyroid","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Arthrodesis sacroiliac joint","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"27279","description":"Arthrodesis sacroiliac joint","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JIAF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"ODWD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NHMF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MADE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NKIF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"HEWA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Ear protector evaluation","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"92596","description":"Ear protector evaluation","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JCTE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BGTB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CAXF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CHWA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Infectious agent antigen detection by immunoassay with direct optical (ie_ visual) observation; Streptococcus_ group A","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"87880","description":"Infectious agent antigen detection by immunoassay with direct optical (ie_ visual) observation; Streptococcus_ group A","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-AAA43","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"AAA43","description":"HIPPS-AAA43","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KENF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Laiv4 vaccine intranasal","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"90672","description":"Laiv4 vaccine intranasal","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CICD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Digitization of glass microscope slides for immunofluorescence_ per specimen; initial single antibody stain procedure (List separately in addition to code for primary procedur","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0845T","description":"Digitization of glass microscope slides for immunofluorescence_ per specimen; initial single antibody stain procedure (List separately in addition to code for primary procedur","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"DBRA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Fine needle aspiration; with imaging guidance","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"10022","description":"Fine needle aspiration; with imaging guidance","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Repair finger/hand tendon","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"26357","description":"Repair finger/hand tendon","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-BA141","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"BA141","description":"HIPPS-BA141","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"AHDA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FGNE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NCNF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-ES34D","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"ES34D","description":"HIPPS-ES34D","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Blood gases w/o2 saturation","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"82805","description":"Blood gases w/o2 saturation","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"CPT-00752","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"00752","description":"CPT-00752","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RMA1B","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RMA1B","description":"HIPPS-RMA1B","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Preparation palate mold","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"42280","description":"Preparation palate mold","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Cane adjust/fixed with tip","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"E0100","description":"Cane adjust/fixed with tip","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Dementia severity classified_ moderate (DEM)","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"2033F","description":"Dementia severity classified_ moderate (DEM)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Temporary external pacing","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"92953","description":"Temporary external pacing","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NFDE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FHEF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Injection_ sirolimus protein-bound particles_ 1 mg","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"J9331","description":"Injection_ sirolimus protein-bound particles_ 1 mg","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"EGMF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"AITA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"LHSB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FIGD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"LIWE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Anesth biopsy of nose","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"16451","description":"Anesth biopsy of nose","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Epsd bk pain for >6 wks","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"1135F","description":"Epsd bk pain for >6 wks","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Rep perf anoper/vestib fistu","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"46716","description":"Rep perf anoper/vestib fistu","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-G0662","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"G0662","description":"HCPCS-G0662","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RLB2A","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RLB2A","description":"HIPPS-RLB2A","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-Q5167","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"Q5167","description":"HCPCS-Q5167","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"No prol intub req","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G8570","description":"No prol intub req","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-HB20D","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"HB20D","description":"HIPPS-HB20D","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CHJF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NHPC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Crown 3/4 cast base metal","billing_code_type":"CDT","billing_code_type_version":"2024","billing_code":"D2781","description":"Crown 3/4 cast base metal","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OKEC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Fetal shunt placement w/us","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"59076","description":"Fetal shunt placement w/us","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Apply short leg cast","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"29435","description":"Apply short leg cast","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JICE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"IFTD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GGQB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-PB140","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"PB140","description":"HIPPS-PB140","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FHXF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-2AGK5","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"2AGK5","description":"HIPPS-2AGK5","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-G0534","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"G0534","description":"HCPCS-G0534","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Dental case management - patient education to improve oral health literacy","billing_code_type":"CDT","billing_code_type_version":"2024","billing_code":"D9994","description":"Dental case management - patient education to improve oral health literacy","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-LB101","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"LB101","description":"HIPPS-LB101","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RVA30","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RVA30","description":"HIPPS-RVA30","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FIPE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OIAD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FHAA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OLRA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NDKF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OCUC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BDPE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Hbot_ full body chamber_ 30m","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G0277","description":"Hbot_ full body chamber_ 30m","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Oscillating tracking test","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"92545","description":"Oscillating tracking test","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-PA224","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"PA224","description":"HIPPS-PA224","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NKVF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BADA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RHX4B","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RHX4B","description":"HIPPS-RHX4B","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Hearing aid_ binaural_ itc","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"V5249","description":"Hearing aid_ binaural_ itc","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Injection_ von Willebrand factor (recombinant)_ (Vonvendi)_ 1 IU VWF:RCo","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"J7179","description":"Injection_ von Willebrand factor (recombinant)_ (Vonvendi)_ 1 IU VWF:RCo","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Rebuild eardrum structures","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"69636","description":"Rebuild eardrum structures","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"IHEF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GGEF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-PD22D","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"PD22D","description":"HIPPS-PD22D","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GCWC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CCVB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MLCD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Health Behavior Intervention_ Individual_ Face-To-Face; Initial 30 Minutes","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"96158","description":"Health Behavior Intervention_ Individual_ Face-To-Face; Initial 30 Minutes","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Fqhc visit_ mh new pt","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G0469","description":"Fqhc visit_ mh new pt","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RHC5A","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RHC5A","description":"HIPPS-RHC5A","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-CE121","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"CE121","description":"HIPPS-CE121","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"ABHD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OBFC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-3BFKU","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"3BFKU","description":"HIPPS-3BFKU","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CHAF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MIIE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JHEE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"IAAD IA CYTOMEGALOVIRUS","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"87332","description":"IAAD IA CYTOMEGALOVIRUS","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"ECMA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CAUB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BHFC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"ADBF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"CPT-37297","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"37297","description":"CPT-37297","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Sf3B1 (Splicing Factor [3B] Subunit B1) (Eg_ Myelodysplastic Syndrome/Acute Myeloid Leukemia) Gene Analysis_ Common Variants (Eg_ A672T_ E622D_ L833F_ R625C_ R625L)","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"81347","description":"Sf3B1 (Splicing Factor [3B] Subunit B1) (Eg_ Myelodysplastic Syndrome/Acute Myeloid Leukemia) Gene Analysis_ Common Variants (Eg_ A672T_ E622D_ L833F_ R625C_ R625L)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RMA02","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RMA02","description":"HIPPS-RMA02","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Gluco mngmnt plan docd","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0540F","description":"Gluco mngmnt plan docd","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"IFAA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"IEHC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OHJB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FFTA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"O shoe add standard toe tap","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"L3550","description":"O shoe add standard toe tap","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-1CHLW","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"1CHLW","description":"HIPPS-1CHLW","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"AGHD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Intervene hlth/behave group","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"96153","description":"Intervene hlth/behave group","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Ct guide for tissue ablation","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"77013","description":"Ct guide for tissue ablation","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"AHHD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"AHCD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GFOF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Hallux rigidus correction with cheilectomy_ debridement and capsular release of the first metatarsophalangeal joint; with implant","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"28291","description":"Hallux rigidus correction with cheilectomy_ debridement and capsular release of the first metatarsophalangeal joint; with implant","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BEHD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Repl cushions for jaw motion","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"E1701","description":"Repl cushions for jaw motion","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"EDTE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Wheelchair spec seat depth/w","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"E1298","description":"Wheelchair spec seat depth/w","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Colorec ca scr_ sto bas dna","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G0464","description":"Colorec ca scr_ sto bas dna","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Closure ureter/skin fistula","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"50920","description":"Closure ureter/skin fistula","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Med nutrition indiv subseq","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"97803","description":"Med nutrition indiv subseq","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KEDD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"IGMA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CDJA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NDCD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Intmd rpr s/a/t/ext 2.6-7.5","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"12032","description":"Intmd rpr s/a/t/ext 2.6-7.5","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CEYC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Ligation of shunt","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"49428","description":"Ligation of shunt","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Anesth neck vessel surgery","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"35251","description":"Anesth neck vessel surgery","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Cessj therapy cath removal","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"37214","description":"Cessj therapy cath removal","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CDQC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BFAD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Bridge resin base metal","billing_code_type":"CDT","billing_code_type_version":"2024","billing_code":"D6251","description":"Bridge resin base metal","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"EFHB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RMX53","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RMX53","description":"HIPPS-RMX53","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Cad measures grp","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G8489","description":"Cad measures grp","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CBXD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-CB13B","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"CB13B","description":"HIPPS-CB13B","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Esophagoscop mucosal resect","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"43211","description":"Esophagoscop mucosal resect","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GGJA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BFUA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Replace implantable hrt syst","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0053T","description":"Replace implantable hrt syst","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NHFA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Cabg measures grp","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G8544","description":"Cabg measures grp","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CDEA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HH PDGM","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"3FB21","description":"HH PDGM","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Patient Did Not Receive An Influenza Vaccine On Or Between July 1 Of The Year Prior To The Measurement Period And June 30 Of The Measurement Period; Or Did Not Have A Prior In","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G2165","description":"Patient Did Not Receive An Influenza Vaccine On Or Between July 1 Of The Year Prior To The Measurement Period And June 30 Of The Measurement Period; Or Did Not Have A Prior In","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Fluocinolone acetonide implt","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"J7311","description":"Fluocinolone acetonide implt","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Ct angiography head","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"70496","description":"Ct angiography head","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JIEB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Csit lowrisk surg pts preop","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G8961","description":"Csit lowrisk surg pts preop","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NJFC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"HFWF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CGNF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OHNF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Pwc gp2 xhd sing pow opt s/b","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"K0840","description":"Pwc gp2 xhd sing pow opt s/b","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-2AHMT","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"2AHMT","description":"HIPPS-2AHMT","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Chemotherapy intracavitary","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"96440","description":"Chemotherapy intracavitary","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Revision of knee joint","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"27441","description":"Revision of knee joint","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RVL35","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RVL35","description":"HIPPS-RVL35","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GDQE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"EEDC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Remove bilat space maintain","billing_code_type":"CDT","billing_code_type_version":"2024","billing_code":"D1525","description":"Remove bilat space maintain","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-3CHPX","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"3CHPX","description":"HIPPS-3CHPX","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RMX13","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RMX13","description":"HIPPS-RMX13","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Resp virus 6-11 targets","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"87632","description":"Resp virus 6-11 targets","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"AGBB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BFIA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MCLB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CFPD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"IDIC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Home injectable therapy_ immunotherapy_ including administrative services_ professional pharmacy services_ care coordination_ and all necessary supplies and equipment (drugs a","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"S9563","description":"Home injectable therapy_ immunotherapy_ including administrative services_ professional pharmacy services_ care coordination_ and all necessary supplies and equipment (drugs a","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"External Electrocardiographic Recording For More Than 48 Hours Up To 7 Days By Continuous Rhythm Recording And Storage; Includes Recording_ Scanning Analysis With Report_ Revi","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"93241","description":"External Electrocardiographic Recording For More Than 48 Hours Up To 7 Days By Continuous Rhythm Recording And Storage; Includes Recording_ Scanning Analysis With Report_ Revi","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BGJA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Percutaneous placement of drainage catheter for combined internal and external biliary drainage or of a drainage stent for internal biliary drainage in patients w","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"75982","description":"Percutaneous placement of drainage catheter for combined internal and external biliary drainage or of a drainage stent for internal biliary drainage in patients w","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Programming Device Evaluation (In Person) Of Implantable Cardioverter-Defibrillator System With Substernal Electrode_ With Iterative Adjustment Of The Implantable Device To Te","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0575T","description":"Programming Device Evaluation (In Person) Of Implantable Cardioverter-Defibrillator System With Substernal Electrode_ With Iterative Adjustment Of The Implantable Device To Te","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OFYF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RHX44","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RHX44","description":"HIPPS-RHX44","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NGMF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RHA0B","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RHA0B","description":"HIPPS-RHA0B","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BIPC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GDWF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"AAAD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MJBA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FACA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"CDT-D0426","billing_code_type":"CDT","billing_code_type_version":"2026","billing_code":"D0426","description":"CDT-D0426","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Hit longterm infusion diem","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"S9347","description":"Hit longterm infusion diem","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Ixabepilone injection","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"J9207","description":"Ixabepilone injection","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-HB251","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"HB251","description":"HIPPS-HB251","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GDOA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Fev <40% predicted value","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"3040F","description":"Fev <40% predicted value","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CDWA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"EIIF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GEMB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JBVF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Onsite Ac C Tx Nsg Fac Res Copd/As Bill Sid-Bnef","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G9681","description":"Onsite Ac C Tx Nsg Fac Res Copd/As Bill Sid-Bnef","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-4CFMU","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"4CFMU","description":"HIPPS-4CFMU","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Elevat legrst low extension","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"K0046","description":"Elevat legrst low extension","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RVL14","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RVL14","description":"HIPPS-RVL14","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JFBD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CBSE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MEIE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Hep c rna 4to12 wk after med","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G9209","description":"Hep c rna 4to12 wk after med","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OLAF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"CPT-51721","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"51721","description":"CPT-51721","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BDFC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"CPT-90695","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"90695","description":"CPT-90695","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Removal of ethmoid sinus","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"31201","description":"Removal of ethmoid sinus","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"DBWC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"DEYD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CEKA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BGGF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-Q5171","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"Q5171","description":"HCPCS-Q5171","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Flortaucipir F 18 injection_ diagnostic_ 1 mCi","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"A9601","description":"Flortaucipir F 18 injection_ diagnostic_ 1 mCi","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CBWC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CGOC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Column chromatography/mass spectrometry (eg_ gc/ms_ or hplc/ms)_ analyte not elsewhere specified; qualitative_ single stationary and mobile phase","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"82541","description":"Column chromatography/mass spectrometry (eg_ gc/ms_ or hplc/ms)_ analyte not elsewhere specified; qualitative_ single stationary and mobile phase","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-ES356","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"ES356","description":"HIPPS-ES356","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Suicide risk based on their clinician_s evaluation or a clinician-rated tool","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"M1355","description":"Suicide risk based on their clinician_s evaluation or a clinician-rated tool","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Interrogate subq defib","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"93261","description":"Interrogate subq defib","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RUA36","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RUA36","description":"HIPPS-RUA36","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FDMB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-3CGPU","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"3CGPU","description":"HIPPS-3CGPU","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Iv oct for proc addl vessel","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0292T","description":"Iv oct for proc addl vessel","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-CE20B","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"CE20B","description":"HIPPS-CE20B","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Fusion of hip joint","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"27286","description":"Fusion of hip joint","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Removal of intracardiac ischemia monitoring system_ including all imaging supervision and interpretation; implantable monitor only","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0532T","description":"Removal of intracardiac ischemia monitoring system_ including all imaging supervision and interpretation; implantable monitor only","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"ABMA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-G0665","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"G0665","description":"HCPCS-G0665","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JEGD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MHCB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-4AGKU","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"4AGKU","description":"HIPPS-4AGKU","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"IFMC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"EFCE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JAUF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Pneumococcal conjugate vaccine_ 21 valent (PCV21)_ for intramuscular use","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"90684","description":"Pneumococcal conjugate vaccine_ 21 valent (PCV21)_ for intramuscular use","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-CA20A","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"CA20A","description":"HIPPS-CA20A","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-E1034","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"E1034","description":"HCPCS-E1034","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Revision of arm nerve(s)","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"64713","description":"Revision of arm nerve(s)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"(Rapivab) Injection_ Peramivir_ 1mg","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"C9451","description":"(Rapivab) Injection_ Peramivir_ 1mg","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Injection(s)_ of diagnostic or therapeutic substance(s) (eg_ anesthetic_ antispasmodic_ opioid_ steroid_ other solution)_ not including neurolytic substances_ including needle","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"62322","description":"Injection(s)_ of diagnostic or therapeutic substance(s) (eg_ anesthetic_ antispasmodic_ opioid_ steroid_ other solution)_ not including neurolytic substances_ including needle","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Fusion of hand bones","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"25820","description":"Fusion of hand bones","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"PJRB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Treatment of rib fracture","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"21813","description":"Treatment of rib fracture","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GANE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MJAC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Immunization adm by intramuscular injection of severe acute respiratory syndrome coronavirus 2 (SARS\u0002CoV-2) (coronavirus disease [COVID-19]) vac_ mRNA\u0002LNP_ spike_ third dose","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0083A","description":"Immunization adm by intramuscular injection of severe acute respiratory syndrome coronavirus 2 (SARS\u0002CoV-2) (coronavirus disease [COVID-19]) vac_ mRNA\u0002LNP_ spike_ third dose","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BFTB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Personal Emergency Response System (Monthly Maintenance)","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"W1895","description":"Personal Emergency Response System (Monthly Maintenance)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GBYA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RVX52","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RVX52","description":"HIPPS-RVX52","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"EIDA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Thrombolytic art therapy","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"37211","description":"Thrombolytic art therapy","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Removal of lung lesion(s)","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"32140","description":"Removal of lung lesion(s)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Factor viia (antihemophilic factor_ recombinant)-jncw (sevenfact)_ 1 microgram","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"J7212","description":"Factor viia (antihemophilic factor_ recombinant)-jncw (sevenfact)_ 1 microgram","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"HAQB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Transcutaneous magnetic stimulation by focused low-frequency electromagnetic pulse_ peripheral nerve_ initial treatment_ with identification and marking of the treatment locat","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0767T","description":"Transcutaneous magnetic stimulation by focused low-frequency electromagnetic pulse_ peripheral nerve_ initial treatment_ with identification and marking of the treatment locat","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NKBA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BECF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OLJC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Antigen therapy services","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"95148","description":"Antigen therapy services","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Methylnaltrexone injection","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"J2212","description":"Methylnaltrexone injection","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-1CFPS","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"1CFPS","description":"HIPPS-1CFPS","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OAKF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KFWD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"No pap prescribed","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G8850","description":"No pap prescribed","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MLUD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Remote in-home visit for the evaluation and management of a new patient for use only in a Medicare-approved Bundled Payments for Care Improvement Advanced (BPCI Advanced) mode","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G9979","description":"Remote in-home visit for the evaluation and management of a new patient for use only in a Medicare-approved Bundled Payments for Care Improvement Advanced (BPCI Advanced) mode","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KDAD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Synthetic sentence test","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"92576","description":"Synthetic sentence test","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Destroy nerve face muscle","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"64612","description":"Destroy nerve face muscle","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JCGC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NAUA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NGNF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RVB0A","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RVB0A","description":"HIPPS-RVB0A","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Pwc gp3 hd mult pow opt s/b","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"K0862","description":"Pwc gp3 hd mult pow opt s/b","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JGHF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-PE226","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"PE226","description":"HIPPS-PE226","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CHNA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"IBTD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OKWB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-PA236","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"PA236","description":"HIPPS-PA236","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-3BGLX","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"3BGLX","description":"HIPPS-3BGLX","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Exoskeletal axial rotation u","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"L5982","description":"Exoskeletal axial rotation u","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GARF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-BA214","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"BA214","description":"HIPPS-BA214","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MDCB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BAVC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FDAD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Plerixafor injection","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"J2562","description":"Plerixafor injection","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Pros sock multi ply upper lm","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"L8435","description":"Pros sock multi ply upper lm","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OHID1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-CB151","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"CB151","description":"HIPPS-CB151","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"CPT-00472","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"00472","description":"CPT-00472","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NBVC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"HDWE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JGNC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"ADTB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BFBA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"EIAE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"MRI lwr extremity w/o&w/dye","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"73720","description":"MRI lwr extremity w/o&w/dye","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Continuous recording of movement disorder symptoms_ including bradykinesia_ dyskinesia_ and tremor for 6 days up to 10 days; data upload_ analysis and initial report configura","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0535T","description":"Continuous recording of movement disorder symptoms_ including bradykinesia_ dyskinesia_ and tremor for 6 days up to 10 days; data upload_ analysis and initial report configura","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Functional status measurement with score was not obtained utilizing the Oswestry Disability Index (ODI version 2.1a) patient re","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"M1043","description":"Functional status measurement with score was not obtained utilizing the Oswestry Disability Index (ODI version 2.1a) patient re","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CDCB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Microbe susceptible diffuse","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"87181","description":"Microbe susceptible diffuse","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Es sph augmnt device removal","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0393T","description":"Es sph augmnt device removal","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-LC217","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"LC217","description":"HIPPS-LC217","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Psych disorders assessed","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"3700F","description":"Psych disorders assessed","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NHDC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Repair rectum & vagina","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"57250","description":"Repair rectum & vagina","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Excision_ benign lesion including margins_ except skin tag (unless listed elsewhere)_ trunk_ arms or legs; excised diameter 2.1 to 3.0 cm","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"11403","description":"Excision_ benign lesion including margins_ except skin tag (unless listed elsewhere)_ trunk_ arms or legs; excised diameter 2.1 to 3.0 cm","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NIUA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-PB115","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"PB115","description":"HIPPS-PB115","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"CPT-0553U","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"0553U","description":"CPT-0553U","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OHOE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Home Adaptations (>$6_000)","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"W0141","description":"Home Adaptations (>$6_000)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OHGB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Assay thyroid stim hormone","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"84443","description":"Assay thyroid stim hormone","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NDAB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"IGTF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CCMF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GBTC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Yersinia antibody","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"86793","description":"Yersinia antibody","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Patients 66 Years Of Age And Older With At Least One Claim/Encounter For Frailty During The Measurement Period And A Dispensed Medication For Dementia During The Measurement P","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G2115","description":"Patients 66 Years Of Age And Older With At Least One Claim/Encounter For Frailty During The Measurement Period And A Dispensed Medication For Dementia During The Measurement P","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Pathologist(s)/dermatopathologist(s) is the same clinician who performed the biopsy","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G9939","description":"Pathologist(s)/dermatopathologist(s) is the same clinician who performed the biopsy","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NFDB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OBGF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FHVD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"CPT-0624U","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"0624U","description":"CPT-0624U","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"PEOC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FFAD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CEHA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GESD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"ODLE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Chest procedure","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"39499","description":"Chest procedure","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JFNF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Sc ther infusion up to 1 hr","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"96369","description":"Sc ther infusion up to 1 hr","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JHMB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"IHUA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Flu vacc iiv3 no preserv id","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"90654","description":"Flu vacc iiv3 no preserv id","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BIAA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CIIE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"IDUA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Tlso 2 piece rigid shell","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"L0491","description":"Tlso 2 piece rigid shell","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"DIWA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CEIE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-PB230","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"PB230","description":"HIPPS-PB230","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Doxorubicin inj 10mg","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"Q2050","description":"Doxorubicin inj 10mg","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Amniowrap2_ per square centimeter","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"Q4221","description":"Amniowrap2_ per square centimeter","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NIJF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GHUB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FGTA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"AHTC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Apheresis rbc","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"36512","description":"Apheresis rbc","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JBDE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-LD21B","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"LD21B","description":"HIPPS-LD21B","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Documentation that neoplasm detected is only diagnosed as traditional serrated adenoma_ sessile serrated polyp_ or sessile serrated adenoma","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G9934","description":"Documentation that neoplasm detected is only diagnosed as traditional serrated adenoma_ sessile serrated polyp_ or sessile serrated adenoma","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-LC28D","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"LC28D","description":"HIPPS-LC28D","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"ABUB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Dx bipol_ death_ nhres_ hosp","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G9394","description":"Dx bipol_ death_ nhres_ hosp","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Family psytx w/patient","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"90847","description":"Family psytx w/patient","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MFUF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Transplant forearm tendon","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"25312","description":"Transplant forearm tendon","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JBEA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NKHE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KGED1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NCLB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"HFRE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"DBYE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Assay of magnesium","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"83735","description":"Assay of magnesium","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Blood product/irradiation","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"86945","description":"Blood product/irradiation","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"AADD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GHHE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Anesth bleeding control","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"91651","description":"Anesth bleeding control","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BCEC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JDKC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OKMF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MLED0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KFXC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Subretinal injection of a pharmacologic agent_ including vitrectomy and 1 or more retinotomies","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0810T","description":"Subretinal injection of a pharmacologic agent_ including vitrectomy and 1 or more retinotomies","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CHKA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Hospice refer visit nonmd","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"S0255","description":"Hospice refer visit nonmd","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-1CFL3","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"1CFL3","description":"HIPPS-1CFL3","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Prep donor liver/arterial","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"47147","description":"Prep donor liver/arterial","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MICD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RVL0D","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RVL0D","description":"HIPPS-RVL0D","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Corplex P_ per cc","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"Q4231","description":"Corplex P_ per cc","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RHB3B","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RHB3B","description":"HIPPS-RHB3B","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FHGE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KFGC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Remove mandible cyst complex","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"21046","description":"Remove mandible cyst complex","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FGFF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Insert tray w/o bag/cath","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"A4310","description":"Insert tray w/o bag/cath","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Alerting device_ any type","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"V5269","description":"Alerting device_ any type","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NEVB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KIUF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Supplies and accessories (e.g._ transducer) for low frequency ultrasonic diathermy treatment device_ per month","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"K1036","description":"Supplies and accessories (e.g._ transducer) for low frequency ultrasonic diathermy treatment device_ per month","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BCEC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Space maintainer fxd unilat","billing_code_type":"CDT","billing_code_type_version":"2024","billing_code":"D1510","description":"Space maintainer fxd unilat","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Assay of urine hemoglobin","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"83069","description":"Assay of urine hemoglobin","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Clean out mastoid cavity","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"69222","description":"Clean out mastoid cavity","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GIFF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KBPD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OKAA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-M1483","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"M1483","description":"HCPCS-M1483","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OFQE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-2CHL6","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"2CHL6","description":"HIPPS-2CHL6","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Revise ventricle muscle","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"33416","description":"Revise ventricle muscle","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CDBE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Cystoscopy and treatment","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"52315","description":"Cystoscopy and treatment","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Patient Not Referred_ Reason Not Otherwise Specified","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G0039","description":"Patient Not Referred_ Reason Not Otherwise Specified","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Irrigation Supply; Sleeve_ Disposable_ Per Month","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"A4437","description":"Irrigation Supply; Sleeve_ Disposable_ Per Month","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CADC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Patient was not prescribed a 180-day course of treatment with beta-blockers post discharge for AMI","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G9804","description":"Patient was not prescribed a 180-day course of treatment with beta-blockers post discharge for AMI","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Patient does not have a caregiver","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G2184","description":"Patient does not have a caregiver","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OCVE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OBXA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Dental surgery procedure","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"41899","description":"Dental surgery procedure","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Transdermal gfr monitoring","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0603T","description":"Transdermal gfr monitoring","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Repair mouth/nose fistula","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"30600","description":"Repair mouth/nose fistula","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"IIDA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Open aortofemor prosth repr","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"34832","description":"Open aortofemor prosth repr","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"DGRE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NEEB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Correction of bunion","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"28298","description":"Correction of bunion","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"ADAA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"CPT-00938","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"00938","description":"CPT-00938","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"CPT-00124","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"00124","description":"CPT-00124","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FHLF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JBHD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Seat ht <17 or >=21 ltwt wc","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"K0056","description":"Seat ht <17 or >=21 ltwt wc","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-PC12B","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"PC12B","description":"HIPPS-PC12B","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KAVF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NGPB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RHX60","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RHX60","description":"HIPPS-RHX60","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Fungi identification yeast","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"87106","description":"Fungi identification yeast","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Fibula bone graft microvasc","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"20955","description":"Fibula bone graft microvasc","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GFJA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"No cont ppi or h2ra rcvd","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"4186F","description":"No cont ppi or h2ra rcvd","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OGFB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-PD23C","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"PD23C","description":"HIPPS-PD23C","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FCGC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Bx/exc idrl imed lesn cervl","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"63285","description":"Bx/exc idrl imed lesn cervl","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Egd dilate stricture","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"43245","description":"Egd dilate stricture","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Moderate sedation services provided by the same physician or other qualified health care professional performing the diagnostic or therapeutic service that the sedation suppor","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"99151","description":"Moderate sedation services provided by the same physician or other qualified health care professional performing the diagnostic or therapeutic service that the sedation suppor","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NBCA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CBKE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Insert tunneled cv cath","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"36557","description":"Insert tunneled cv cath","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"ODQB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-HB135","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"HB135","description":"HIPPS-HB135","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BHDF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"PBOB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RLA4C","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RLA4C","description":"HIPPS-RLA4C","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OCDB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Busulfan injection","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"J0594","description":"Busulfan injection","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"IDEF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CILD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Echocardiography image post processing for computer aided detection of heart failure with preserved ejection fraction_ including interpretation and report","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"C9786","description":"Echocardiography image post processing for computer aided detection of heart failure with preserved ejection fraction_ including interpretation and report","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"PCQE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Clean rem part denture max","billing_code_type":"CDT","billing_code_type_version":"2024","billing_code":"D9934","description":"Clean rem part denture max","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RML60","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RML60","description":"HIPPS-RML60","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"X-ray exam of arm infant","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"73092","description":"X-ray exam of arm infant","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BANE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Analgesics non-opioid 6/more","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"80331","description":"Analgesics non-opioid 6/more","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JCLB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KEPE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NLNE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-1CHL2","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"1CHL2","description":"HIPPS-1CHL2","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KIKB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Fixed prosthodontic proc","billing_code_type":"CDT","billing_code_type_version":"2024","billing_code":"D6999","description":"Fixed prosthodontic proc","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-2AHLX","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"2AHLX","description":"HIPPS-2AHLX","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JAXE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Oropharyngeal suction catheter_ each","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"A4628","description":"Oropharyngeal suction catheter_ each","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Rubeola antibody","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"86765","description":"Rubeola antibody","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KHYA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Injection procedure for contrast knee arthrography or contrast enhanced CT/MRI knee arthrography","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"27369","description":"Injection procedure for contrast knee arthrography or contrast enhanced CT/MRI knee arthrography","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Skn splt a-grft f/n/hf/g add","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"15121","description":"Skn splt a-grft f/n/hf/g add","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-PE23D","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"PE23D","description":"HIPPS-PE23D","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Family Medicine Mips Specialty Set","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G4005","description":"Family Medicine Mips Specialty Set","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Any patients who had no asthma controller medications dispensed during the measurement year","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G9808","description":"Any patients who had no asthma controller medications dispensed during the measurement year","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NDGA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"IAAD IA HPYLORI","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"87339","description":"IAAD IA HPYLORI","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OEBD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-LD15C","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"LD15C","description":"HIPPS-LD15C","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GDTD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Ins endovas vena cava filtr","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"37191","description":"Ins endovas vena cava filtr","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-5BFKU","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"5BFKU","description":"HIPPS-5BFKU","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GDQB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Inj_ pasireotide long acting","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"J2502","description":"Inj_ pasireotide long acting","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BIXE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"CPT-52443","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"52443","description":"CPT-52443","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Realignment of knee","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"27457","description":"Realignment of knee","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"IATB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MHDB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OKMA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MGIB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FDPB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"IDHB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GGPF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Embedded ip cath exit-site","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"49436","description":"Embedded ip cath exit-site","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"IIIB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NDTF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"HGQE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CIIA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RLB4D","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RLB4D","description":"HIPPS-RLB4D","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MLTA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Pet image w/ct full body","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"78816","description":"Pet image w/ct full body","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Dental bitewings two films","billing_code_type":"CDT","billing_code_type_version":"2024","billing_code":"D0272","description":"Dental bitewings two films","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Non-emer transport wait time","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"T2007","description":"Non-emer transport wait time","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JGMD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-2AGL2","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"2AGL2","description":"HIPPS-2AGL2","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KIWE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BDUF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Anesthesia for intracranial procedures; craniotomy or craniectomy for evacu","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0130U","description":"Anesthesia for intracranial procedures; craniotomy or craniectomy for evacu","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-BA18D","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"BA18D","description":"HIPPS-BA18D","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Pros sock single ply ak","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"L8480","description":"Pros sock single ply ak","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BDVD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RLB16","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RLB16","description":"HIPPS-RLB16","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BIID0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OJAD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NFVA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Patients Who Receive Palliative Care Services Any Time During The Intake Period Through The End Of The Measurement Year","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G0048","description":"Patients Who Receive Palliative Care Services Any Time During The Intake Period Through The End Of The Measurement Year","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"LHSF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-4BFM6","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"4BFM6","description":"HIPPS-4BFM6","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"IEIC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Percutaneous transluminal coronary angioplasty_ single major coronary artery or branch with transcatheter placement of radiation delivery device for subsequent coronary intrav","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"C7533","description":"Percutaneous transluminal coronary angioplasty_ single major coronary artery or branch with transcatheter placement of radiation delivery device for subsequent coronary intrav","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-LE28E","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"LE28E","description":"HIPPS-LE28E","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"EGLD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NEHC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"EIAE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RHA4B","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RHA4B","description":"HIPPS-RHA4B","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Remove uro sphincter","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"53446","description":"Remove uro sphincter","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Injection_ bendamustine HCL (Belrapzo)_ 1mg","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"C9042","description":"Injection_ bendamustine HCL (Belrapzo)_ 1mg","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Repair hand joint","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"26540","description":"Repair hand joint","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GBBD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Intravenous infusion_ casirivimab and imdevimab includes infusion and post administration monitoring","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"M0243","description":"Intravenous infusion_ casirivimab and imdevimab includes infusion and post administration monitoring","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JCBD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NIIE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OLSB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Assay of estrone","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"82679","description":"Assay of estrone","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CFUF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Rotary wing air mileage","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"A0436","description":"Rotary wing air mileage","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RVX05","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RVX05","description":"HIPPS-RVX05","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"ECBB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OFRB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Home sleep test/type 3 porta","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G0399","description":"Home sleep test/type 3 porta","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Cast sup hip spica plaster","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"Q4025","description":"Cast sup hip spica plaster","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Carry current status","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G8984","description":"Carry current status","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Drug test def 15-21 classes","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G0482","description":"Drug test def 15-21 classes","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Laparo ablate liver cryosurg","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"47371","description":"Laparo ablate liver cryosurg","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Unlisted reprod med lab proc","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"89398","description":"Unlisted reprod med lab proc","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KAWA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OEXD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GFWA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"At least two orders for high-risk medications from the same drug class_ (table 4)_ not ordered","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"M1209","description":"At least two orders for high-risk medications from the same drug class_ (table 4)_ not ordered","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-1BGLX","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"1BGLX","description":"HIPPS-1BGLX","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OKBF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-4BFKW","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"4BFKW","description":"HIPPS-4BFKW","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"CPT-0650U","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"0650U","description":"CPT-0650U","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"LIOE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Injection Hpc 10 Mg","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"Q9986","description":"Injection Hpc 10 Mg","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Felbamate","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"80167","description":"Felbamate","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-HD11B","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"HD11B","description":"HIPPS-HD11B","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"ICDE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RLB60","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RLB60","description":"HIPPS-RLB60","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BDMB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Cast sup body cast fiberglas","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"Q4002","description":"Cast sup body cast fiberglas","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Incision of fibula","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"27707","description":"Incision of fibula","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"DAYE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Reuse diaper/brief any size","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"T4539","description":"Reuse diaper/brief any size","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NJLB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FADF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"CYP1A2 (cytochrome P450 family 1_ subfamily A_ member 2)(eg_ drug metabolism) gene analysis_ common variants (ie_ *1F_ *1K_ *6_ *7)","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0031U","description":"CYP1A2 (cytochrome P450 family 1_ subfamily A_ member 2)(eg_ drug metabolism) gene analysis_ common variants (ie_ *1F_ *1K_ *6_ *7)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KGUB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Application of body cast","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"29040","description":"Application of body cast","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JEKB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Bx/exc xdrl/idrl lsn any lvl","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"63290","description":"Bx/exc xdrl/idrl lsn any lvl","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-LD18C","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"LD18C","description":"HIPPS-LD18C","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"CPT-0667U","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"0667U","description":"CPT-0667U","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GDTE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"AIBE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"METD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"EDEB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GCRB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Smear wet mount saline/ink","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"87210","description":"Smear wet mount saline/ink","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JCVE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Repair of urethra injury","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"53502","description":"Repair of urethra injury","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OEAA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CIDC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BGNF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Injection_ vasopressin (american regent) not therapeutically equivalent to j2598_ 1 unit","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"J2599","description":"Injection_ vasopressin (american regent) not therapeutically equivalent to j2598_ 1 unit","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MACF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"IBTF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Revision or removal of integrated neurostimulation system for bladder dysfunction_ including analysis_ programming_ and imaging_ when performed_ posterior tibial nerve; subfas","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0819T","description":"Revision or removal of integrated neurostimulation system for bladder dysfunction_ including analysis_ programming_ and imaging_ when performed_ posterior tibial nerve; subfas","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-Q4356","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"Q4356","description":"HCPCS-Q4356","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Reconstruction of eyelid","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"67974","description":"Reconstruction of eyelid","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GBBA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"LDYB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Reimplant ureter in bladder","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"50782","description":"Reimplant ureter in bladder","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"EDAE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-BA20D","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"BA20D","description":"HIPPS-BA20D","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NFJB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-C0505","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"C0505","description":"HCPCS-C0505","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FAJA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Remove carotid body lesion","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"60600","description":"Remove carotid body lesion","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-LD28B","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"LD28B","description":"HIPPS-LD28B","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"ONC SLD TUM ALYS BRCA1 BRCA2","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0172U","description":"ONC SLD TUM ALYS BRCA1 BRCA2","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Truss double w/ standard pad","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"L8310","description":"Truss double w/ standard pad","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Tooth splitting","billing_code_type":"CDT","billing_code_type_version":"2024","billing_code":"D3920","description":"Tooth splitting","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-4BGLU","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"4BGLU","description":"HIPPS-4BGLU","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GBQD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NCUE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FIJC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-ES344","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"ES344","description":"HIPPS-ES344","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HH PDGM","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"4AA21","description":"HH PDGM","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-HE205","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"HE205","description":"HIPPS-HE205","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Biopsy of vagina","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"57105","description":"Biopsy of vagina","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KHND0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OIHB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HH PDGM","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"3FC11","description":"HH PDGM","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"ABCA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Real-time pressure-sensing epidural guidance system (List separately in addition to code for primary procedure)","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0777T","description":"Real-time pressure-sensing epidural guidance system (List separately in addition to code for primary procedure)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Diagnosticmammographydigital","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G0204","description":"Diagnosticmammographydigital","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"CPT-0940T","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"0940T","description":"CPT-0940T","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"IAEE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Pt inelig; scrn clin dep","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G8433","description":"Pt inelig; scrn clin dep","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"IV Injection_ bebtelovimab_ includes injection and post administration monitoring","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"M0222","description":"IV Injection_ bebtelovimab_ includes injection and post administration monitoring","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GEYE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CBEA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Anesth nose/sinus surgery","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"16076","description":"Anesth nose/sinus surgery","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Excision of tongue lesion","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"41114","description":"Excision of tongue lesion","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"EHIB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CFPD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GHIC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OALC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FHHF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-2CHMW","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"2CHMW","description":"HIPPS-2CHMW","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Ongoing Care Not Indicated_ Patient Discharged After Only 1-2 Visits Due To Specific Medical Events_ Documented In The Medical Record That Make The Treatment Episode Impossibl","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"M1114","description":"Ongoing Care Not Indicated_ Patient Discharged After Only 1-2 Visits Due To Specific Medical Events_ Documented In The Medical Record That Make The Treatment Episode Impossibl","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Insertion of intervertebral biomechanical device(s) (eg_ synthetic cage_ mesh) with integral anterior instrumentation for device anchoring (eg_ screws_ flanges)_ when performe","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"22854","description":"Insertion of intervertebral biomechanical device(s) (eg_ synthetic cage_ mesh) with integral anterior instrumentation for device anchoring (eg_ screws_ flanges)_ when performe","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Gadofosveset trisodium inj","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"A9583","description":"Gadofosveset trisodium inj","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Methotrexate oral 2.5 mg","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"J8610","description":"Methotrexate oral 2.5 mg","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MJIA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Repair of skull defect","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"62140","description":"Repair of skull defect","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"CPT-01772","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"01772","description":"CPT-01772","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Diast bp <80 mm hg","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"3078F","description":"Diast bp <80 mm hg","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FFUC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OJUF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KACD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-PC145","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"PC145","description":"HIPPS-PC145","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Brachytx isodose intermed","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"77317","description":"Brachytx isodose intermed","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OJWB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Bed cradle","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"E0280","description":"Bed cradle","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NADB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"LDOF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Control of nosebleed","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"30905","description":"Control of nosebleed","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BBHB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"EGDD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"CPT-01670","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"01670","description":"CPT-01670","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-CC11B","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"CC11B","description":"HIPPS-CC11B","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Hiv rna plan care docd","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0575F","description":"Hiv rna plan care docd","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Compl zift case rate","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"S4014","description":"Compl zift case rate","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Hit periton dialysis diem","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"S9339","description":"Hit periton dialysis diem","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OEIB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Insert non-tunnel cv cath","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"36555","description":"Insert non-tunnel cv cath","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GFBD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Prefab stnlss steel crown pe","billing_code_type":"CDT","billing_code_type_version":"2024","billing_code":"D2931","description":"Prefab stnlss steel crown pe","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Removal of rectum and colon","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"45121","description":"Removal of rectum and colon","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"IGLE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OKTC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OERA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"HHOF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RVB8A","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RVB8A","description":"HIPPS-RVB8A","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Parenteral nutrition additiv","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"B4216","description":"Parenteral nutrition additiv","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Pt rcvng anti r-viral thxpy","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"4270F","description":"Pt rcvng anti r-viral thxpy","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KEUA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"EFLF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Dihydromorphinone","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G6046","description":"Dihydromorphinone","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Artery transpose/endovas taa","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"33889","description":"Artery transpose/endovas taa","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NKVF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JIBF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Ovrsght xtrcorp liv asst pat","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0405T","description":"Ovrsght xtrcorp liv asst pat","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OBDD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NIXA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GIEB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CBIC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"CT/MRI brain done w/in 24hrs","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"3111F","description":"CT/MRI brain done w/in 24hrs","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BEHB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NJKF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-PC244","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"PC244","description":"HIPPS-PC244","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GDOF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OCPE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NJJD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"ADDC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"HFRA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Biopsy of wrist joint","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"25100","description":"Biopsy of wrist joint","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CILA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HH PDGM","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"4EA21","description":"HH PDGM","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CDXB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Granulocytes_ pheresis unit","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"P9050","description":"Granulocytes_ pheresis unit","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BFJF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"PKOA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Perq vertebral augmentation","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"22514","description":"Perq vertebral augmentation","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"EHEA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Mech remov tunneled cv cath","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"36596","description":"Mech remov tunneled cv cath","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MBCC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CFGD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-1CFL1","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"1CFL1","description":"HIPPS-1CFL1","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Whole body photography","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"96904","description":"Whole body photography","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-A1901","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"A1901","description":"HCPCS-A1901","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-3AHN4","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"3AHN4","description":"HIPPS-3AHN4","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Influenza immunization administered or previously received","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"M1299","description":"Influenza immunization administered or previously received","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"PCOD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MLDC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Perc d-e cor revasc t cabg b","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"C9605","description":"Perc d-e cor revasc t cabg b","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Positron emission tomography radiopharmaceutical_ diagnostic_ for tumor identification_ not otherwise classified","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"A9597","description":"Positron emission tomography radiopharmaceutical_ diagnostic_ for tumor identification_ not otherwise classified","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NLJD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-4AHLV","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"4AHLV","description":"HIPPS-4AHLV","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Motor speech d/c status","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G9158","description":"Motor speech d/c status","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NJFF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"EDIF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Anesth hernia repair preemie","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"83651","description":"Anesth hernia repair preemie","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OFNC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-BB28A","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"BB28A","description":"HIPPS-BB28A","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-LB15D","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"LB15D","description":"HIPPS-LB15D","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"EHUC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CCJE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"IAMC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KEFC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JCKE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GHSC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OHOD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Vein access cutdown < 1 yr","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"36420","description":"Vein access cutdown < 1 yr","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Creation of subcutaneous pocket with insertion of implantable interstitial glucose sensor_ including system activation and patient training","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0446T","description":"Creation of subcutaneous pocket with insertion of implantable interstitial glucose sensor_ including system activation and patient training","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Esophageal recording","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"93615","description":"Esophageal recording","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"PAQC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Injection_ trastuzumab-dttb_ biosimilar_ (Ontruzant)_ 10 mg","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"Q5112","description":"Injection_ trastuzumab-dttb_ biosimilar_ (Ontruzant)_ 10 mg","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Sumatriptan succinate / 6 mg","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"J3030","description":"Sumatriptan succinate / 6 mg","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-Q4352","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"Q4352","description":"HCPCS-Q4352","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Dispensing fee_ monaural","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"V5241","description":"Dispensing fee_ monaural","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-CE135","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"CE135","description":"HIPPS-CE135","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"IIHB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KIIF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"DASF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CITD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NIJC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Pentamidine non-comp unit","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"J2545","description":"Pentamidine non-comp unit","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Death occurring during the index acute care hospitalization","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G9814","description":"Death occurring during the index acute care hospitalization","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CAJF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BFJF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-1BFN5","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"1BFN5","description":"HIPPS-1BFN5","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OLIA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OIBA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BEVF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FGAF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Thrombin time plasma","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"85670","description":"Thrombin time plasma","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Documentation of medical reason(s) for not on a statin (e.g._ pregnancy_ in vitro fertilization_ clomiphene Rx_ ESRD_ cirrhosis_ muscular pain and disease during the measureme","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G9940","description":"Documentation of medical reason(s) for not on a statin (e.g._ pregnancy_ in vitro fertilization_ clomiphene Rx_ ESRD_ cirrhosis_ muscular pain and disease during the measureme","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Rbc pretreatment serum","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"86978","description":"Rbc pretreatment serum","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JBJA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"CPT-0509U","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"0509U","description":"CPT-0509U","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NCKB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Injection_ secukinumab_ intravenous_ 1 mg","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"C9166","description":"Injection_ secukinumab_ intravenous_ 1 mg","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Injection_  casirivimab and imdevimab_ 2400 mg","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"Q0243","description":"Injection_  casirivimab and imdevimab_ 2400 mg","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Intervene hlth/behave indiv","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"96152","description":"Intervene hlth/behave indiv","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KCXD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Enterectomy cong add-on","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"44128","description":"Enterectomy cong add-on","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JENA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Bone imaging 3 phase","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"78315","description":"Bone imaging 3 phase","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GFKD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JGJB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KFYE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Assay of serum potassium","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"84132","description":"Assay of serum potassium","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Deb subq tissue add-on","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"11045","description":"Deb subq tissue add-on","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BBCE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Bk thigh lacer glut/ischia m","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"L5682","description":"Bk thigh lacer glut/ischia m","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"IGUD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Cardioversion electric ext","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"92960","description":"Cardioversion electric ext","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-4CGK1","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"4CGK1","description":"HIPPS-4CGK1","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Reposition l ventric lead","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"33226","description":"Reposition l ventric lead","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Electro connect btw 2 sys","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"E2311","description":"Electro connect btw 2 sys","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-3BGP4","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"3BGP4","description":"HIPPS-3BGP4","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"PEOC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Rmvl cardiac modulj pls gen","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0412T","description":"Rmvl cardiac modulj pls gen","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Fos c chld non-ther per mon","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"H0042","description":"Fos c chld non-ther per mon","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Rhythm ecg with report","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"93040","description":"Rhythm ecg with report","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OKJF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"ADAE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GBQE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Personal care item nos each","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"S5199","description":"Personal care item nos each","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Gradient compression bandaging supply_ bandage liner_ lower extremity_ any size or length_ each","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"A6594","description":"Gradient compression bandaging supply_ bandage liner_ lower extremity_ any size or length_ each","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NLCE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OIMF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KDME0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RLA8F","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RLA8F","description":"HIPPS-RLA8F","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"AHCC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FHTA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HH PDGM","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"1LC31","description":"HH PDGM","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Legg perthes orth newington","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"L1710","description":"Legg perthes orth newington","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NHTD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"IAID0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HH PDGM","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"3HA11","description":"HH PDGM","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NEHC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Trigeminal block anesthesia","billing_code_type":"CDT","billing_code_type_version":"2024","billing_code":"D9212","description":"Trigeminal block anesthesia","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"EDIC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Kafo plastic pediatric size","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"L2035","description":"Kafo plastic pediatric size","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Impltj ntrstrml crnl rng seg","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"65785","description":"Impltj ntrstrml crnl rng seg","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Insert ant drainage device","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"66183","description":"Insert ant drainage device","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Laparo drain lymphocele","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"49323","description":"Laparo drain lymphocele","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"ODFC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Curette/treat cornea","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"65435","description":"Curette/treat cornea","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NFDF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"IMM ADMN SARSCOV2 BIVALENT 25 MCG/0.25 ML ADDL","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0144A","description":"IMM ADMN SARSCOV2 BIVALENT 25 MCG/0.25 ML ADDL","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-HB18D","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"HB18D","description":"HIPPS-HB18D","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JDHC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JAUC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Pathogen reduced plasma pool","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"P9070","description":"Pathogen reduced plasma pool","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-CE15C","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"CE15C","description":"HIPPS-CE15C","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-M1477","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"M1477","description":"HCPCS-M1477","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Addition to lower extremity_ user adjustable_ mechanical_ residual limb volume management system","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"L5783","description":"Addition to lower extremity_ user adjustable_ mechanical_ residual limb volume management system","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OFQB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-LC240","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"LC240","description":"HIPPS-LC240","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NJBA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GAWC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Physical medicine procedure","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"97799","description":"Physical medicine procedure","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KEHD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Perc d-e cor revasc w ami s","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"C9606","description":"Perc d-e cor revasc w ami s","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Injection_ avelumab_ 10mg (bavencio)","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"C9491","description":"Injection_ avelumab_ 10mg (bavencio)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BGMF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"EFBF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RLX25","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RLX25","description":"HIPPS-RLX25","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FHLF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FBDB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GAGA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CFKF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GGIC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OHHB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Immunization admin each add","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"90472","description":"Immunization admin each add","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Elbow disart myoelectronic c","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"L6945","description":"Elbow disart myoelectronic c","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BIME0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"IIMD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FCED0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CACD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BEAD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Biopsy forearm soft tissues","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"25066","description":"Biopsy forearm soft tissues","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Musc tst done w/n tst nonext","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"95887","description":"Musc tst done w/n tst nonext","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Hospice/home hlth in asst lv","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"Q5002","description":"Hospice/home hlth in asst lv","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NJJF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NHBE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BHMF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FBJC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KBHD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KHSD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"HCWE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CASA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MJMD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Esrd demo bundle level i","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G9013","description":"Esrd demo bundle level i","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Aerosol inhalation treatment","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"94642","description":"Aerosol inhalation treatment","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Emergency dept visit","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"99285","description":"Emergency dept visit","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CFBB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Nasal septal prosthesis","billing_code_type":"CDT","billing_code_type_version":"2024","billing_code":"D5922","description":"Nasal septal prosthesis","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RUC4A","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RUC4A","description":"HIPPS-RUC4A","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"ABEC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FIFB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NHCB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Pain management (opioid-use disorder) genotyping panel_ 16 common variants (ie_ ABCB1_ COMT_ DAT1_ DBH_ DOR_ DRD1_ DRD2_ DRD4_ GABA_ GAL_ HTR2A_ HTTLPR_ MTHFR_ MUOR_ OPRK1_ OP","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0078U","description":"Pain management (opioid-use disorder) genotyping panel_ 16 common variants (ie_ ABCB1_ COMT_ DAT1_ DBH_ DOR_ DRD1_ DRD2_ DRD4_ GABA_ GAL_ HTR2A_ HTTLPR_ MTHFR_ MUOR_ OPRK1_ OP","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JFTD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Revision Or Replacement (Including Removal Of Existing Device)_ Osseointegrated Implant_ Skull; With Magnetic Transcutaneous Attachment To External Speech Processor","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"69719","description":"Revision Or Replacement (Including Removal Of Existing Device)_ Osseointegrated Implant_ Skull; With Magnetic Transcutaneous Attachment To External Speech Processor","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"HHRB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JDDB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-BB28G","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"BB28G","description":"HIPPS-BB28G","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KAJB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BEJF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KAME0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Direct immunofluorescence","billing_code_type":"CDT","billing_code_type_version":"2024","billing_code":"D0482","description":"Direct immunofluorescence","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Drain external ear lesion","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"69005","description":"Drain external ear lesion","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GBKA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BGXC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GBLD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Cytopath tbs c/v redo","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"88165","description":"Cytopath tbs c/v redo","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OKSA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GFGF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Lap esoph lengthening","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"43283","description":"Lap esoph lengthening","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Clinical decision support mechanism EvidenceCare imaging advisor_ as defined by the Medicare appropriate use criteria program","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G1013","description":"Clinical decision support mechanism EvidenceCare imaging advisor_ as defined by the Medicare appropriate use criteria program","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Removal of frontal sinus","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"31084","description":"Removal of frontal sinus","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-3CGK3","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"3CGK3","description":"HIPPS-3CGK3","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-4AFMU","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"4AFMU","description":"HIPPS-4AFMU","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Stool collection pouch","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"A4330","description":"Stool collection pouch","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Dermagraft","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"Q4106","description":"Dermagraft","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Nortriptyline","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G6037","description":"Nortriptyline","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FHNA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Prolong e&m/psyctx serv o/p","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"99355","description":"Prolong e&m/psyctx serv o/p","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KBEE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-CB28B","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"CB28B","description":"HIPPS-CB28B","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Biopsy of upper nose/throat","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"42806","description":"Biopsy of upper nose/throat","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Caster fork","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"E2396","description":"Caster fork","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Residential Habilitation 4-8","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"W0102","description":"Residential Habilitation 4-8","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"DGRF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-ES145","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"ES145","description":"HIPPS-ES145","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OAYC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Gradient compression stocking_ thigh length_ 30-40 mmhg_ custom_ each","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"A6557","description":"Gradient compression stocking_ thigh length_ 30-40 mmhg_ custom_ each","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Anoscopy control bleeding","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"46614","description":"Anoscopy control bleeding","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NLGA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"PLQC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BHVE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"IGMD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Anesth removal of nerves","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"63251","description":"Anesth removal of nerves","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NJXF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OLGF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"ICBB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JEBC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BGUF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Cystoscopy w/biopsy(s)","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"52204","description":"Cystoscopy w/biopsy(s)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Patient has metastatic disease at diagnosis","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G9838","description":"Patient has metastatic disease at diagnosis","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-2AGKV","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"2AGKV","description":"HIPPS-2AGKV","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"LDSD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NHHA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Exposure adaptive behavior treatment with protocol modification requiring two or more technicians for severe maladaptive behavior(s); each additional 30 minutes of technicians","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0374T","description":"Exposure adaptive behavior treatment with protocol modification requiring two or more technicians for severe maladaptive behavior(s); each additional 30 minutes of technicians","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OAEB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CHSC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KBEF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Inlay porcelain/ceramic 2 su","billing_code_type":"CDT","billing_code_type_version":"2024","billing_code":"D2620","description":"Inlay porcelain/ceramic 2 su","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Immune complex assay","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"86332","description":"Immune complex assay","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HH PDGM","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"4BC11","description":"HH PDGM","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GADD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Digitization of glass microscope slides for cytopathology_ smears_ any other source; screening and interpretation (List separately in addition to code for primary procedure)","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0832T","description":"Digitization of glass microscope slides for cytopathology_ smears_ any other source; screening and interpretation (List separately in addition to code for primary procedure)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"AECA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"CPT-00320","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"00320","description":"CPT-00320","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Treatment of ankle fracture","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"28436","description":"Treatment of ankle fracture","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"CPT-87494","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"87494","description":"CPT-87494","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Antibiot rxd/given","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"4120F","description":"Antibiot rxd/given","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RUX1C","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RUX1C","description":"HIPPS-RUX1C","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KGUC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-2CGLW","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"2CGLW","description":"HIPPS-2CGLW","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Repeat thyroid surgery","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"60260","description":"Repeat thyroid surgery","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-LD204","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"LD204","description":"HIPPS-LD204","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Haberman feeder","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"S8265","description":"Haberman feeder","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Contrst x-ray uppr gi tract","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"74247","description":"Contrst x-ray uppr gi tract","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Transfer care checklist used","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0583F","description":"Transfer care checklist used","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OLNB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BBDD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JATB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Extrnl bleaching per tooth","billing_code_type":"CDT","billing_code_type_version":"2024","billing_code":"D9973","description":"Extrnl bleaching per tooth","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GGAB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NEBB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"LBYF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Drainage of arm bursa","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"23931","description":"Drainage of arm bursa","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Echo guide for amniocentesis","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"76946","description":"Echo guide for amniocentesis","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Revise/replace knee joint","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"27487","description":"Revise/replace knee joint","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"ODBC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"ACTC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Ak pelvic control belt pad/l","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"L5694","description":"Ak pelvic control belt pad/l","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KHHB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Biopsy of rectum","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"45100","description":"Biopsy of rectum","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"PLOD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"IFLF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-HC235","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"HC235","description":"HIPPS-HC235","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OIUD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HH PDGM","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"1LA21","description":"HH PDGM","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Repair forearm tendon sheath","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"25275","description":"Repair forearm tendon sheath","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BICB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-BA145","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"BA145","description":"HIPPS-BA145","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GGND1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Afo w/ankle joint_ prefab","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"L1971","description":"Afo w/ankle joint_ prefab","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Er+ or pr+ breast cancer","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"3315F","description":"Er+ or pr+ breast cancer","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"CDT-D0502","billing_code_type":"CDT","billing_code_type_version":"2026","billing_code":"D0502","description":"CDT-D0502","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"REvenfenacin inhalation solution_ FDA-approved final product_ noncompounded_administered through DME_ 1 mcg","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"J7677","description":"REvenfenacin inhalation solution_ FDA-approved final product_ noncompounded_administered through DME_ 1 mcg","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Bl draw <3 yrs other vein","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"36406","description":"Bl draw <3 yrs other vein","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OJXD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Sputum specimen collection","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"89220","description":"Sputum specimen collection","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Bupropion hcl sr 60 tablets","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"S0106","description":"Bupropion hcl sr 60 tablets","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NBLD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-2AHKT","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"2AHKT","description":"HIPPS-2AHKT","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FIPD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Remove & graft wrist lesion","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"25135","description":"Remove & graft wrist lesion","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Treat finger fracture each","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"26720","description":"Treat finger fracture each","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Scoliosis dna alys","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0004M","description":"Scoliosis dna alys","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BENA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-2BGM1","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"2BGM1","description":"HIPPS-2BGM1","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"HAWE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"EDBC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RLA8B","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RLA8B","description":"HIPPS-RLA8B","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KCIF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NFLD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-1BFMW","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"1BFMW","description":"HIPPS-1BFMW","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MCBD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KHNC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"ACDB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Pathogen reduced platelets","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"P9072","description":"Pathogen reduced platelets","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"IFIA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NATA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"AIDA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OAYA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NAHA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-G0666","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"G0666","description":"HCPCS-G0666","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FDXD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Upper extremity prosthes nos","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"L7499","description":"Upper extremity prosthes nos","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"LFQA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NHDF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"AGMB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"ODID0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"CPT-00860","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"00860","description":"CPT-00860","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GBKA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"PIRE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Assay of volatiles","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"84600","description":"Assay of volatiles","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-A2044","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"A2044","description":"HCPCS-A2044","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-2CFL4","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"2CFL4","description":"HIPPS-2CFL4","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Removal of ankle/heel lesion","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"28100","description":"Removal of ankle/heel lesion","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"CPT-77438","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"77438","description":"CPT-77438","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GFMA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-BB28B","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"BB28B","description":"HIPPS-BB28B","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Comp comm supp svc_ per diem","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"H2016","description":"Comp comm supp svc_ per diem","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Overdenture complete mandib","billing_code_type":"CDT","billing_code_type_version":"2024","billing_code":"D5865","description":"Overdenture complete mandib","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Partial removal of eye fluid","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"67005","description":"Partial removal of eye fluid","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-CA23C","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"CA23C","description":"HIPPS-CA23C","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OJUA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Oncology (breast)_ mRNA gene expression profiling by hybrid capture of 58 genes (50 content and 8 housekeeping)_ utilizing formalin-fixed paraffin-embedded tissue_ algorithm r","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"81520","description":"Oncology (breast)_ mRNA gene expression profiling by hybrid capture of 58 genes (50 content and 8 housekeeping)_ utilizing formalin-fixed paraffin-embedded tissue_ algorithm r","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Brain aneurysm repr simple","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"61700","description":"Brain aneurysm repr simple","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Hepatitis B Vaccine (Hepb)_ 3-Antigen (S_ Pre-S1_ Pre-S2)_ 10 Mcg Dosage_ 3 Dose Schedule_ For Intramuscular Use","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"90759","description":"Hepatitis B Vaccine (Hepb)_ 3-Antigen (S_ Pre-S1_ Pre-S2)_ 10 Mcg Dosage_ 3 Dose Schedule_ For Intramuscular Use","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NAID1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Brachytx_ non-stranded_i-125","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"C2639","description":"Brachytx_ non-stranded_i-125","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Non-pneumatic compression controller with sequential calibrated gradient pressure","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"E0680","description":"Non-pneumatic compression controller with sequential calibrated gradient pressure","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Lower extremity orthosis nos","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"L2999","description":"Lower extremity orthosis nos","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Spherocylinder over 12.00d","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"V2114","description":"Spherocylinder over 12.00d","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"LASF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Human Platelet Antigen 9 genotyping (HPA-9w)_ ITGA2B (integrin_ alpha 2b [platelet glycoprotein IIb of IIb/IIIa complex_ antigen CD41] [GPIIb]) (eg_ neonatal alloimmune thromb","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"81111","description":"Human Platelet Antigen 9 genotyping (HPA-9w)_ ITGA2B (integrin_ alpha 2b [platelet glycoprotein IIb of IIb/IIIa complex_ antigen CD41] [GPIIb]) (eg_ neonatal alloimmune thromb","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MFHD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"CPT-1010T","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"1010T","description":"CPT-1010T","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Medical nutrition indiv in","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"97802","description":"Medical nutrition indiv in","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OBPF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CDJE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HH PDGM","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"4BB11","description":"HH PDGM","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GGUD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OFXE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BDKC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"LDWE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BDME0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Pathology report diagnosing cutaneous basal cell carcinoma or squamous cell carcinoma (to include in situ disease) sent from the pathologist/dermatopathologist to the biopsyin","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G9785","description":"Pathology report diagnosing cutaneous basal cell carcinoma or squamous cell carcinoma (to include in situ disease) sent from the pathologist/dermatopathologist to the biopsyin","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FEGD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-1AGPU","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"1AGPU","description":"HIPPS-1AGPU","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Catheter placement in coronary artery(ies) for coronary angiography_ including intraprocedural injection(s) for coronary angiography_ imaging supervision and interpretation_ w","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"C7519","description":"Catheter placement in coronary artery(ies) for coronary angiography_ including intraprocedural injection(s) for coronary angiography_ imaging supervision and interpretation_ w","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Excision breast lesion","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"19125","description":"Excision breast lesion","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BDAC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Death did not occur after discharge from the hospital within 30 days post procedure","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G9817","description":"Death did not occur after discharge from the hospital within 30 days post procedure","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HH PDGM","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"4EA11","description":"HH PDGM","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"EIEE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"ODNA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Amputate hand at wrist","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"25922","description":"Amputate hand at wrist","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"AIEC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BFDE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Tendon shortening","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"26477","description":"Tendon shortening","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BGBF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OEUE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"AEAC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"AELC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Excise breast duct fistula","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"19112","description":"Excise breast duct fistula","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KFCA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MCDB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OIPD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FFDF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-LE226","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"LE226","description":"HIPPS-LE226","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-1AHLX","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"1AHLX","description":"HIPPS-1AHLX","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-J2374","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"J2374","description":"HCPCS-J2374","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-1BHP4","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"1BHP4","description":"HIPPS-1BHP4","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FAAA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OLHC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Thorac cont lat support upri","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"L2680","description":"Thorac cont lat support upri","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FCJD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Extension drainage tubing","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"A4331","description":"Extension drainage tubing","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MITC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KIYC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Drain hand tendon sheath","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"26020","description":"Drain hand tendon sheath","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Injection_ hydroxocobalamin_ 10 mcg","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"J3425","description":"Injection_ hydroxocobalamin_ 10 mcg","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-B0505","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"B0505","description":"HCPCS-B0505","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"EHAF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"ODQB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-PB10D","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"PB10D","description":"HIPPS-PB10D","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CDIC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Skin full grft face/genit/hf","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"15240","description":"Skin full grft face/genit/hf","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Art byp pop-tibl-prl-other","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"35571","description":"Art byp pop-tibl-prl-other","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Repositioning of phrenic nerve stimulator transvenous lead(s)","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"33281","description":"Repositioning of phrenic nerve stimulator transvenous lead(s)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-4AFK3","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"4AFK3","description":"HIPPS-4AFK3","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OFWD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GGOC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Skin substitute_ nos","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"Q4100","description":"Skin substitute_ nos","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-CB246","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"CB246","description":"HIPPS-CB246","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OIEE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"N.gonorrhoeae dna quant","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"87592","description":"N.gonorrhoeae dna quant","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Nonvascular shunt x-ray","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"75809","description":"Nonvascular shunt x-ray","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Repair of bladder wound","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"51860","description":"Repair of bladder wound","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Neostim tl_ per square centimeter","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"Q4265","description":"Neostim tl_ per square centimeter","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Lymph system imaging","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"78195","description":"Lymph system imaging","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"EDAF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Repair of eardrum","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"69620","description":"Repair of eardrum","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-2BHK5","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"2BHK5","description":"HIPPS-2BHK5","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Electronic Analysis With Complex Programming Of Implanted Integrated Neurostimulation System (Eg_ Electrode Array And Receiver)_ Including Contact Group(S)_ Amplitude_ Pulse W","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0590T","description":"Electronic Analysis With Complex Programming Of Implanted Integrated Neurostimulation System (Eg_ Electrode Array And Receiver)_ Including Contact Group(S)_ Amplitude_ Pulse W","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Community/work reintegration","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"97537","description":"Community/work reintegration","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OJDB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KIKF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OADA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Pre-htn/htn_ no f/u_ not gvn","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G8952","description":"Pre-htn/htn_ no f/u_ not gvn","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-LD210","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"LD210","description":"HIPPS-LD210","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"ICCD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Histochemical stains add-on","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"88314","description":"Histochemical stains add-on","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OLAE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GDYD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CAFD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Removal of thymus gland","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"60521","description":"Removal of thymus gland","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OCGF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Neg microalbuminuria rev","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"3061F","description":"Neg microalbuminuria rev","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BHJF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Small bowel endoscopy","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"44384","description":"Small bowel endoscopy","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"EIDD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"EDLB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NFJE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"EDMC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Reinnervate larynx","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"31590","description":"Reinnervate larynx","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-BA14A","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"BA14A","description":"HIPPS-BA14A","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Pin radioulnar dislocation","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"25671","description":"Pin radioulnar dislocation","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Somatosensory testing","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"95926","description":"Somatosensory testing","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CDHC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Influenza virus vaccine_ quadrizalent (ccIIV4)_ derived from cell cultures_ subunit_ antibiotic free_ 0.5 mL dosage_ for intramuscular use","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"90756","description":"Influenza virus vaccine_ quadrizalent (ccIIV4)_ derived from cell cultures_ subunit_ antibiotic free_ 0.5 mL dosage_ for intramuscular use","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-HD21C","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"HD21C","description":"HIPPS-HD21C","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Revise breast reconstruction","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"19380","description":"Revise breast reconstruction","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FAVE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Cftr gene intron poly t","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"81224","description":"Cftr gene intron poly t","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Great toe-hand transfer","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"26551","description":"Great toe-hand transfer","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-BB105","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"BB105","description":"HIPPS-BB105","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CGHE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Cavopulmonary shunting","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"33768","description":"Cavopulmonary shunting","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KEVC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JDCD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JDHD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KFNA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Insert drug implant device","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"11981","description":"Insert drug implant device","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Echocardiography contrast","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"A9700","description":"Echocardiography contrast","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GFFF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JBED0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Chest x-ray 2vw frontal&latl","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"71020","description":"Chest x-ray 2vw frontal&latl","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FFFE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GERC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-PB23D","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"PB23D","description":"HIPPS-PB23D","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"EECF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Choline c-11_ diagnostic_ per study dose up to 20 millicuries","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"A9515","description":"Choline c-11_ diagnostic_ per study dose up to 20 millicuries","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"With maintenance hemodialysis (in-center and home hd) for the complete reporting month","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G0049","description":"With maintenance hemodialysis (in-center and home hd) for the complete reporting month","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-LB117","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"LB117","description":"HIPPS-LB117","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JBEC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HH PDGM","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"2IB31","description":"HH PDGM","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"EIEC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"X-ray exam of pelvis","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"72170","description":"X-ray exam of pelvis","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OCND0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CICA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OJJB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OAUD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JHUE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BHLF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GDIB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Revise eye muscle w/suture","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"67334","description":"Revise eye muscle w/suture","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CEMA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Cygnus_ per sq cm","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"Q4170","description":"Cygnus_ per sq cm","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Collagen based wound filler","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"A6010","description":"Collagen based wound filler","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"CPT-0558U","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"0558U","description":"CPT-0558U","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"IIUC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RHC55","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RHC55","description":"HIPPS-RHC55","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-BA21B","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"BA21B","description":"HIPPS-BA21B","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NDGB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Drainage of mouth lesion","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"41018","description":"Drainage of mouth lesion","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GIYA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-BB126","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"BB126","description":"HIPPS-BB126","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Allergen specific IgE; quantitative or semiquantitative_ recombinant or purified component_ each","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"86008","description":"Allergen specific IgE; quantitative or semiquantitative_ recombinant or purified component_ each","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Dress/debrid p-thick burn l","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"16030","description":"Dress/debrid p-thick burn l","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Fusion/graft of elbow joint","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"24802","description":"Fusion/graft of elbow joint","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"N block inj intercost mlt","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"64421","description":"N block inj intercost mlt","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HH PDGM","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"2FA21","description":"HH PDGM","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Neg press wound tx </=50 cm","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"97605","description":"Neg press wound tx </=50 cm","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CGXE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"AETD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Autoimmune rheumatoid arthr","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"81490","description":"Autoimmune rheumatoid arthr","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KCSE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Reconstruct cranial bone","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"21184","description":"Reconstruct cranial bone","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Complete sl_ per square centimeter","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"Q4270","description":"Complete sl_ per square centimeter","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NLCF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-HB23B","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"HB23B","description":"HIPPS-HB23B","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-CB20D","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"CB20D","description":"HIPPS-CB20D","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KEXA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GCXE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Plan care lipid control docd","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0556F","description":"Plan care lipid control docd","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Repair tunneled cv cath","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"36576","description":"Repair tunneled cv cath","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"CPT-86581","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"86581","description":"CPT-86581","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Abutment supported retainer","billing_code_type":"CDT","billing_code_type_version":"2024","billing_code":"D6073","description":"Abutment supported retainer","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GDWE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CDIF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JFJB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OHCB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HH PDGM","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"3HA21","description":"HH PDGM","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"ICHB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Hcg free betachain test","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"84704","description":"Hcg free betachain test","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"ICTD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Suicide risk based on their clinician_s evaluation or a clinician-rated tool","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"M1361","description":"Suicide risk based on their clinician_s evaluation or a clinician-rated tool","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"IFCA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Brain image 4+ views","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"78605","description":"Brain image 4+ views","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Inj biperiden lactate/5 mg","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"J0190","description":"Inj biperiden lactate/5 mg","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KCUD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-3CFM3","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"3CFM3","description":"HIPPS-3CFM3","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Surgery to stop leg growth","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"27475","description":"Surgery to stop leg growth","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NFJD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NLKE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Ped compr care pkg_ per hour","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"T1026","description":"Ped compr care pkg_ per hour","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OFNB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CIJF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KCFF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"CPT-00910","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"00910","description":"CPT-00910","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Repair of tibia","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"27720","description":"Repair of tibia","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"DDSF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GHRB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"PIRF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Removal of bone lesion","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"23146","description":"Removal of bone lesion","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Injection_ Vedolizumab_ 1mg","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"C9026","description":"Injection_ Vedolizumab_ 1mg","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OKAF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-PB225","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"PB225","description":"HIPPS-PB225","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Elec osteogen stim spinal","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"E0748","description":"Elec osteogen stim spinal","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JIHA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CHVC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BFPD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"DGWD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NEVC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Injection_ liposomal_ 1 mg daunorubicin and 2.27 mg cytarabine","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"J9153","description":"Injection_ liposomal_ 1 mg daunorubicin and 2.27 mg cytarabine","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Assay of apolipoprotein","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"82172","description":"Assay of apolipoprotein","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Exc forearm tum deep 3 cm/>","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"25073","description":"Exc forearm tum deep 3 cm/>","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GHUF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"IHIB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JFCD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"HFSA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Surgical procedures that included the use of silicone oil","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G9757","description":"Surgical procedures that included the use of silicone oil","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OHUC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Upper arm/elbow surgery","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"24999","description":"Upper arm/elbow surgery","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Personal care ser per 15 min","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"T1019","description":"Personal care ser per 15 min","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Ost pch clsd w barrier/filtr","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"A4416","description":"Ost pch clsd w barrier/filtr","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"AAEA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Foam filled caster tire","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"E2387","description":"Foam filled caster tire","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"PESE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Application long leg splint","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"29505","description":"Application long leg splint","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KARC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Debride nail 6 or more","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"11721","description":"Debride nail 6 or more","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BETB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Transection or ligation_ carotid artery in cavernous sinus_ with repair by anastomosis or graft (List separately in addition to code for primary procedure)","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"61610","description":"Transection or ligation_ carotid artery in cavernous sinus_ with repair by anastomosis or graft (List separately in addition to code for primary procedure)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OCVF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Formoterol comp unit","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"J7640","description":"Formoterol comp unit","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-1BFP3","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"1BFP3","description":"HIPPS-1BFP3","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Incision of windpipe","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"31601","description":"Incision of windpipe","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"EGEF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"EIIB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NJPB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FDIC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Ct colonography dx w/dye","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"74262","description":"Ct colonography dx w/dye","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Injection_ mepolizumab_ 1 mg","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"J2182","description":"Injection_ mepolizumab_ 1 mg","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"CPT-01404","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"01404","description":"CPT-01404","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CDSB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Inirs each vessel add-on","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0205T","description":"Inirs each vessel add-on","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RHL42","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RHL42","description":"HIPPS-RHL42","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Esrd serv 4 visits p mo <2yr","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"90951","description":"Esrd serv 4 visits p mo <2yr","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-Q4366","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"Q4366","description":"HCPCS-Q4366","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-PA104","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"PA104","description":"HIPPS-PA104","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BHDD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OKFE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Explore abdominal vessels","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"35840","description":"Explore abdominal vessels","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CGWF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CCJC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FGBE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Automated Quantification And Characterization Of Coronary Atherosclerotic Plaque To Assess Severity Of Coronary Disease_ Using Data From Coronary Computed Tomographic Angiogra","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0624T","description":"Automated Quantification And Characterization Of Coronary Atherosclerotic Plaque To Assess Severity Of Coronary Disease_ Using Data From Coronary Computed Tomographic Angiogra","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FEJF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-3BFK1","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"3BFK1","description":"HIPPS-3BFK1","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-L7406","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"L7406","description":"HCPCS-L7406","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OIID1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NKJD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CBKE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-4BFLV","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"4BFLV","description":"HIPPS-4BFLV","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CGRF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RUX8X","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RUX8X","description":"HIPPS-RUX8X","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KDFF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JDAF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-1AHKV","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"1AHKV","description":"HIPPS-1AHKV","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-1CGM1","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"1CGM1","description":"HIPPS-1CGM1","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OLLD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Small bowel endoscopy/biopsy","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"44361","description":"Small bowel endoscopy/biopsy","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BBCA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"HBRA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"EEIE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Biopsy of oral tissue hard","billing_code_type":"CDT","billing_code_type_version":"2024","billing_code":"D7285","description":"Biopsy of oral tissue hard","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Replacemnt lithium ionbatter","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"L7367","description":"Replacemnt lithium ionbatter","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Consultation with family","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"90887","description":"Consultation with family","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-CA120","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"CA120","description":"HIPPS-CA120","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-ES20B","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"ES20B","description":"HIPPS-ES20B","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GCSC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CIKA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"PGYC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"ECAC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Removal of heel spur","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"28119","description":"Removal of heel spur","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Surgical repair of stomach","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"43501","description":"Surgical repair of stomach","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-3BGKX","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"3BGKX","description":"HIPPS-3BGKX","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"LDQB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Apply forearm splint","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"29126","description":"Apply forearm splint","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"EBCA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CBWF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Ho post-op hip abduction","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"L1686","description":"Ho post-op hip abduction","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-J1370","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"J1370","description":"HCPCS-J1370","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Replacement of lower extremity joint with Motor <22.05._comorbidity in tier 1","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"B0806","description":"Replacement of lower extremity joint with Motor <22.05._comorbidity in tier 1","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CHME0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Flutamide 125 mg","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"S0175","description":"Flutamide 125 mg","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Dermabrasion total face","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"15780","description":"Dermabrasion total face","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Ht inj anticoag diem","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"S9372","description":"Ht inj anticoag diem","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"LBQB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"ODUE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GHCA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BHXD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Cst hgh nble mtl inlay >=3sr","billing_code_type":"CDT","billing_code_type_version":"2024","billing_code":"D6603","description":"Cst hgh nble mtl inlay >=3sr","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-CD14C","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"CD14C","description":"HIPPS-CD14C","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CACE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JCTB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BIVC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"HIQB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GDYD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"AEBD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-3CFKV","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"3CFKV","description":"HIPPS-3CFKV","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RUL8C","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RUL8C","description":"HIPPS-RUL8C","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KAJC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Intracranial vessel surgery","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"61692","description":"Intracranial vessel surgery","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JIAD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GEAF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"LHWE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-CC255","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"CC255","description":"HIPPS-CC255","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NJLF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Vibrate quant sensory test","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0107T","description":"Vibrate quant sensory test","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Application of surface (transcutaneous) neurostimulator (eg_ TENS unit)","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"64550","description":"Application of surface (transcutaneous) neurostimulator (eg_ TENS unit)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Bp sys <140 and dias <90","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G8476","description":"Bp sys <140 and dias <90","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Prev visit new age 5-11","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"99383","description":"Prev visit new age 5-11","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MLEA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Dilation and curettage","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"58120","description":"Dilation and curettage","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Removal of foreign body","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"27372","description":"Removal of foreign body","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Disposable canister for pump","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"A7000","description":"Disposable canister for pump","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KCOE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Laparo radical nephrectomy","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"50545","description":"Laparo radical nephrectomy","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RHL43","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RHL43","description":"HIPPS-RHL43","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Removal of knee cartilage","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"27333","description":"Removal of knee cartilage","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-HE11B","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"HE11B","description":"HIPPS-HE11B","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GDWB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Isoetharine non-comp unit","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"J7649","description":"Isoetharine non-comp unit","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JFUF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Hyaluronan or derivative_ Visco-3_ for intra-articular injection_ per dose","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"J7333","description":"Hyaluronan or derivative_ Visco-3_ for intra-articular injection_ per dose","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"CPT-0690U","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"0690U","description":"CPT-0690U","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Repair bowel-skin fistula","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"44640","description":"Repair bowel-skin fistula","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OIFE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NJTC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Ct lower extremity w/o dye","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"73700","description":"Ct lower extremity w/o dye","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Psychological testing evaluation services by physician or other qualified health care professional_ including integration of patient data_ interpretation of standardized test","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"96131","description":"Psychological testing evaluation services by physician or other qualified health care professional_ including integration of patient data_ interpretation of standardized test","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NJGF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"At least two orders for high-risk medications from the same drug class_ (table 4)_ not ordered","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"M1210","description":"At least two orders for high-risk medications from the same drug class_ (table 4)_ not ordered","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RLX4D","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RLX4D","description":"HIPPS-RLX4D","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Heart image (pet) single","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"78491","description":"Heart image (pet) single","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-PA112","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"PA112","description":"HIPPS-PA112","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MIDA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FILD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"EBEF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Pt rcvng warf thxpy","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"4300F","description":"Pt rcvng warf thxpy","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-2AGMV","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"2AGMV","description":"HIPPS-2AGMV","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Drainage of ovarian cyst(s)","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"58805","description":"Drainage of ovarian cyst(s)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GFBC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Mr guidance for needle place","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"77021","description":"Mr guidance for needle place","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-HE124","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"HE124","description":"HIPPS-HE124","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Injection_ pemetrexed (bluepoint) not therapeutically equivalent to j9305_ 10 mg","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"J9322","description":"Injection_ pemetrexed (bluepoint) not therapeutically equivalent to j9305_ 10 mg","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OBUE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-CA28X","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"CA28X","description":"HIPPS-CA28X","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-HD28E","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"HD28E","description":"HIPPS-HD28E","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Tee w or w/o fol w/cont_ mon","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"C8927","description":"Tee w or w/o fol w/cont_ mon","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"LDOA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"PIRA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"PKOB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JAGA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Exercise equipment","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"A9300","description":"Exercise equipment","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"HHQC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OITD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Head/extremity control inter","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"E2328","description":"Head/extremity control inter","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MEHD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HH PDGM","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"3CC11","description":"HH PDGM","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KAHB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"IBDB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Oprelvekin injection","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"J2355","description":"Oprelvekin injection","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MJUF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Treat spinal cord lesion","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"62280","description":"Treat spinal cord lesion","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-ES24D","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"ES24D","description":"HIPPS-ES24D","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KAMB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JGVF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"AIAA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Exploration of kidney","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"50120","description":"Exploration of kidney","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Excise excessive skin leg","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"15833","description":"Excise excessive skin leg","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Afo_ walk boot type_ cus fab","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"L4631","description":"Afo_ walk boot type_ cus fab","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Ampicillin sodium per 1.5 gm","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"J0295","description":"Ampicillin sodium per 1.5 gm","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-1BHPX","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"1BHPX","description":"HIPPS-1BHPX","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HH PDGM","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"4DC31","description":"HH PDGM","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BBHC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"AFAA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CAYD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"IIUC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NKTF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-1AHPX","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"1AHPX","description":"HIPPS-1AHPX","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FAAC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Assay of lrh hormone","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"83727","description":"Assay of lrh hormone","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"AHMC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NFGA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Repositioning Of Previously Implanted Substernal Implantable Defibrillator-Pacing Electrode","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0574T","description":"Repositioning Of Previously Implanted Substernal Implantable Defibrillator-Pacing Electrode","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RHC11","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RHC11","description":"HIPPS-RHC11","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BFHC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-2BHLT","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"2BHLT","description":"HIPPS-2BHLT","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HH PDGM","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"4HC21","description":"HH PDGM","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Rpr s/n/ax/gen/trk7.6-12.5cm","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"12004","description":"Rpr s/n/ax/gen/trk7.6-12.5cm","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JICE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Antiviral not ordered","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G9244","description":"Antiviral not ordered","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Incision of anal sphincter","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"46080","description":"Incision of anal sphincter","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JBTB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JCKC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Neuropsychological testing (eg_ Halstead-Reitan Neuropsychological Battery_ Wechsler Memory Scales and Wisconsin Card Sorting Test)_ per hour of the psychologist_s or physicia","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"96118","description":"Neuropsychological testing (eg_ Halstead-Reitan Neuropsychological Battery_ Wechsler Memory Scales and Wisconsin Card Sorting Test)_ per hour of the psychologist_s or physicia","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Removal fb skin/areolar tiss","billing_code_type":"CDT","billing_code_type_version":"2024","billing_code":"D7530","description":"Removal fb skin/areolar tiss","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Pt w/abn lvef b-bloc no rx","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G8452","description":"Pt w/abn lvef b-bloc no rx","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Assay ph body fluid nos","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"83986","description":"Assay ph body fluid nos","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Echo transesophageal","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"93314","description":"Echo transesophageal","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-CA255","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"CA255","description":"HIPPS-CA255","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-1AFP5","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"1AFP5","description":"HIPPS-1AFP5","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-1BHN1","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"1BHN1","description":"HIPPS-1BHN1","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CEPA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"HDQF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Rpr fem hernia init blocked","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"49553","description":"Rpr fem hernia init blocked","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Remove brain lining lesion","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"61519","description":"Remove brain lining lesion","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Rpr ing hernia baby reduc","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"49495","description":"Rpr ing hernia baby reduc","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"ABLA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Revascularization_ endovascular_ open or percutaneous_ femoral_ popliteal artery(ies)_ unilateral_ with atherectomy_ includes angioplasty within the same vessel_ when performe","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"C7534","description":"Revascularization_ endovascular_ open or percutaneous_ femoral_ popliteal artery(ies)_ unilateral_ with atherectomy_ includes angioplasty within the same vessel_ when performe","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Documentation of medical reason(s) surgical pathology reports did not contain impression or conclusion of or recommendation for testing of mmr by immunohistochemistry_ msi by","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"M1194","description":"Documentation of medical reason(s) surgical pathology reports did not contain impression or conclusion of or recommendation for testing of mmr by immunohistochemistry_ msi by","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KEBC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-PA18X","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"PA18X","description":"HIPPS-PA18X","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CDPD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Bedside drainage bag","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"A4357","description":"Bedside drainage bag","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JIFD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BFNA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Laryngoscopy w/fb removal","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"31530","description":"Laryngoscopy w/fb removal","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KGHE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Exc leg/ankle les sc 3 cm/>","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"27632","description":"Exc leg/ankle les sc 3 cm/>","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FFTC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NBXC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HH PDGM","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"4DA11","description":"HH PDGM","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"EFLE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OKVD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MATF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CDSD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-4BGL3","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"4BGL3","description":"HIPPS-4BGL3","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"ACTB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"CPT-01636","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"01636","description":"CPT-01636","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Electric wound treatment dev","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"E0769","description":"Electric wound treatment dev","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MGME1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Dtap vaccine < 7 yrs im","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"90700","description":"Dtap vaccine < 7 yrs im","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"ECCD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"IIHB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GEME1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OGLD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"ACMA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-PD217","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"PD217","description":"HIPPS-PD217","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FFGE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FFHD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Treat toe dislocation","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"28665","description":"Treat toe dislocation","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"IBUF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-HB145","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"HB145","description":"HIPPS-HB145","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"IECC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JBEF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JFJC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GCUC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"CPT-0493U","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"0493U","description":"CPT-0493U","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-LB135","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"LB135","description":"HIPPS-LB135","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-4AGM6","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"4AGM6","description":"HIPPS-4AGM6","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Cast sup sht arm adult plstr","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"Q4009","description":"Cast sup sht arm adult plstr","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GDAB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KDGF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OKYA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Intmd rpr s/tr/ext 7.6-12.5","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"12034","description":"Intmd rpr s/tr/ext 7.6-12.5","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Standing frame sys","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"E0638","description":"Standing frame sys","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NLAA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Debride skin musc at fx site","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"11011","description":"Debride skin musc at fx site","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Excision of brain tumor","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"61545","description":"Excision of brain tumor","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RHB11","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RHB11","description":"HIPPS-RHB11","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JBKF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"AIID0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Germline disorders_ gene rearrangement detection by whole genome next-generation sequencing_ DNA_ whole blood_ report of specific gene rearrangement(s)","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0012U","description":"Germline disorders_ gene rearrangement detection by whole genome next-generation sequencing_ DNA_ whole blood_ report of specific gene rearrangement(s)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"DDRB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-J9292","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"J9292","description":"HCPCS-J9292","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"IIIE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Onc dx prostate mets no cast","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G9132","description":"Onc dx prostate mets no cast","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Placement of extension prosthesis(es) distal to the common iliac artery(ies) or proximal to the renal artery(ies) for endovascular repair of infrarenal abdominal aortic or ili","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"34709","description":"Placement of extension prosthesis(es) distal to the common iliac artery(ies) or proximal to the renal artery(ies) for endovascular repair of infrarenal abdominal aortic or ili","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"ACHB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RMC02","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RMC02","description":"HIPPS-RMC02","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Air fluidized bed","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"E0194","description":"Air fluidized bed","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Truss single w/ standard pad","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"L8300","description":"Truss single w/ standard pad","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FHFE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"AFUC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"EAAE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"HAOA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BAEC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"ODVA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Afo spiral prefabricated","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"L1951","description":"Afo spiral prefabricated","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OEQE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GGPC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Whfo w/joint(s) custom fab","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"L3806","description":"Whfo w/joint(s) custom fab","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"HAQE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Daily cont lens","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"S0512","description":"Daily cont lens","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"CPT-37295","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"37295","description":"CPT-37295","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Repair/graft hand tendon","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"26358","description":"Repair/graft hand tendon","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-HB23A","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"HB23A","description":"HIPPS-HB23A","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Remove thigh pressure sore","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"15953","description":"Remove thigh pressure sore","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Gradient compression glove_ custom_ medium weight_ each","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"A6579","description":"Gradient compression glove_ custom_ medium weight_ each","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KAIA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Recement supp crown","billing_code_type":"CDT","billing_code_type_version":"2024","billing_code":"D6092","description":"Recement supp crown","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NCHF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"IGHD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-BA15C","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"BA15C","description":"HIPPS-BA15C","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NAJD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-BA28I","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"BA28I","description":"HIPPS-BA28I","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Brain image < 4 views","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"78600","description":"Brain image < 4 views","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Esophagoscopy flex biopsy","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"43202","description":"Esophagoscopy flex biopsy","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-CE21A","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"CE21A","description":"HIPPS-CE21A","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BDIC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Crutch underarm each no wood","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"E0116","description":"Crutch underarm each no wood","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Urethrlys transvag w/ scope","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"53500","description":"Urethrlys transvag w/ scope","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-3BGL6","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"3BGL6","description":"HIPPS-3BGL6","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Revise eye","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"65091","description":"Revise eye","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RHA5A","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RHA5A","description":"HIPPS-RHA5A","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"guided tissue regeneration_ edentulous area - non-resorbable barrier_ per site","billing_code_type":"CDT","billing_code_type_version":"2024","billing_code":"D7957","description":"guided tissue regeneration_ edentulous area - non-resorbable barrier_ per site","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-CE236","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"CE236","description":"HIPPS-CE236","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CGUA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FEXB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"CDT-D1702","billing_code_type":"CDT","billing_code_type_version":"2026","billing_code":"D1702","description":"CDT-D1702","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KGYF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Urine incon characterized","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"1091F","description":"Urine incon characterized","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NGHE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Diabetic management program_","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"S9460","description":"Diabetic management program_","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"PIQE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"PBOE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JCEB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CEWB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Clinical decision support mechanism Agile MD_ as defined by the Medicare appropriate use criteria program","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G1012","description":"Clinical decision support mechanism Agile MD_ as defined by the Medicare appropriate use criteria program","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GFLD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OHSE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Ho bi thighcuffs w sprdr bar","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"L1652","description":"Ho bi thighcuffs w sprdr bar","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Thyroid met uptake","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"78020","description":"Thyroid met uptake","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Sgd accessory_ mounting sys","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"E2512","description":"Sgd accessory_ mounting sys","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"DIWB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Placement bile duct support","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"47801","description":"Placement bile duct support","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Hyperbaric oxygen therapy","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"99183","description":"Hyperbaric oxygen therapy","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Treatment of ankle fracture","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"28430","description":"Treatment of ankle fracture","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-PD156","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"PD156","description":"HIPPS-PD156","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"CPT-00625","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"00625","description":"CPT-00625","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Ct neck spine w/o dye","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"72125","description":"Ct neck spine w/o dye","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FETA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-PA22A","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"PA22A","description":"HIPPS-PA22A","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NHVE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CEMF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Inpt/ed teleconsult50","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G0426","description":"Inpt/ed teleconsult50","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Ciprofloxacin iv","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"J0744","description":"Ciprofloxacin iv","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"CPT-0694U","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"0694U","description":"CPT-0694U","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-1AGL5","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"1AGL5","description":"HIPPS-1AGL5","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Gradient compression garment_ bra_ for nighttime use_ each","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"A6528","description":"Gradient compression garment_ bra_ for nighttime use_ each","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JAVD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Apply bone fixation device","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"20692","description":"Apply bone fixation device","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"EADD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Angiotensin i enzyme test","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"82164","description":"Angiotensin i enzyme test","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CHVE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KDWC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JBTD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CFQE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"DFYC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KHCF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FHMF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Ins mark abd/pel for rt perq","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"49411","description":"Ins mark abd/pel for rt perq","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NDJE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JFVD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"AAME1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"PBWC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Basic life disability exam","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"99450","description":"Basic life disability exam","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RVL0C","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RVL0C","description":"HIPPS-RVL0C","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FDVA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CANC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KHWD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"HFYE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"HDQB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"AACC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-HB215","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"HB215","description":"HIPPS-HB215","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"IICD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HH PDGM","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"3BC21","description":"HH PDGM","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-BB20B","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"BB20B","description":"HIPPS-BB20B","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Hearing aid dispensing fee","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"V5090","description":"Hearing aid dispensing fee","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Pca3/klk3 antigen","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"81313","description":"Pca3/klk3 antigen","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-CE215","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"CE215","description":"HIPPS-CE215","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Repair of parastomal hernia_ any approach (ie_ open_ laparoscopic_ robotic)_ initial or recurrent_ including implantation of mesh or other prosthesis_ when performed; incarcer","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"49622","description":"Repair of parastomal hernia_ any approach (ie_ open_ laparoscopic_ robotic)_ initial or recurrent_ including implantation of mesh or other prosthesis_ when performed; incarcer","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GDBD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Repair venous blockage","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"75978","description":"Repair venous blockage","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-CE141","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"CE141","description":"HIPPS-CE141","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Adjust ankle ext/flex device","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"E1815","description":"Adjust ankle ext/flex device","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"DIRC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GFVF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Parotid duct diversion","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"42507","description":"Parotid duct diversion","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MLLA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-B1801","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"B1801","description":"HCPCS-B1801","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Implantation of intrastromal corneal ring segments","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0099T","description":"Implantation of intrastromal corneal ring segments","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Dengue vaccine_ quadrivalent_ live_ 3 dose schedule_ for subcutaneous use","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"90587","description":"Dengue vaccine_ quadrivalent_ live_ 3 dose schedule_ for subcutaneous use","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RHL25","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RHL25","description":"HIPPS-RHL25","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FCVB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KDIC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"CPT-49188","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"49188","description":"CPT-49188","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GDRE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Biopsy/removal lymph nodes","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"38525","description":"Biopsy/removal lymph nodes","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FAEA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GDDF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Repair eyelid defect","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"67904","description":"Repair eyelid defect","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Oncology (bladder)_ mRNA_ microarray gene expression profiling of 209 genes_ utilizing formalin-fixed paraffin-embedded tissue_ algorithm reported as molecular subtype (lumina","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0016M","description":"Oncology (bladder)_ mRNA_ microarray gene expression profiling of 209 genes_ utilizing formalin-fixed paraffin-embedded tissue_ algorithm reported as molecular subtype (lumina","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-PD225","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"PD225","description":"HIPPS-PD225","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"PJRF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MJBA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"DARB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"HBOA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"LHQA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"IHTB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BITF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-HB201","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"HB201","description":"HIPPS-HB201","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OGEC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-CC146","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"CC146","description":"HIPPS-CC146","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-M1430","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"M1430","description":"HCPCS-M1430","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"AGTA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-PE106","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"PE106","description":"HIPPS-PE106","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Diagnostic analysis of vestibular implant_ unilateral; with initial programming","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0728T","description":"Diagnostic analysis of vestibular implant_ unilateral; with initial programming","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Repair of anterior abdominal hernia(s) (ie_ epigastric_ incisional_ ventral_ umbilical_ spigelian)_ any approach (ie_ open_ laparoscopic_ robotic)_ recurrent_ including implan","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"49613","description":"Repair of anterior abdominal hernia(s) (ie_ epigastric_ incisional_ ventral_ umbilical_ spigelian)_ any approach (ie_ open_ laparoscopic_ robotic)_ recurrent_ including implan","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FDPC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-CE18E","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"CE18E","description":"HIPPS-CE18E","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OBLE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MBLE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"1dose menig vac btwn 11 & 13","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G9414","description":"1dose menig vac btwn 11 & 13","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-1CHPX","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"1CHPX","description":"HIPPS-1CHPX","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"HIQA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GHYA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Mobilize erupted/malpos toot","billing_code_type":"CDT","billing_code_type_version":"2024","billing_code":"D7282","description":"Mobilize erupted/malpos toot","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NEUD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GIBB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Couns potent glauc impct","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"4174F","description":"Couns potent glauc impct","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NGTC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"IGHF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"LEYD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-LB224","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"LB224","description":"HIPPS-LB224","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GIUE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Treat pelvic ring fracture","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"27217","description":"Treat pelvic ring fracture","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JIAB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Critical care addl 30 min","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"99292","description":"Critical care addl 30 min","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"CPT-0560U","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"0560U","description":"CPT-0560U","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-1BHKW","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"1BHKW","description":"HIPPS-1BHKW","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FCEF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BBIA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KHNB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Aerosol compressor adjust pr","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"E0572","description":"Aerosol compressor adjust pr","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NAAB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-1AFK2","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"1AFK2","description":"HIPPS-1AFK2","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Pwc gp 3 std cap chair","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"K0849","description":"Pwc gp 3 std cap chair","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OJIF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Rbc_ l/r_ cmv-neg_ irrad","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"P9058","description":"Rbc_ l/r_ cmv-neg_ irrad","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"DDYC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Egd cautery tumor polyp","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"43250","description":"Egd cautery tumor polyp","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CCLB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Thoracoscopy w/bx infiltrate","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"32607","description":"Thoracoscopy w/bx infiltrate","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"IETD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JDGA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JCGC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CCLE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Cervical pneum trac equip","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"E0849","description":"Cervical pneum trac equip","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Bronchoscopy w/biopsy(s)","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"31625","description":"Bronchoscopy w/biopsy(s)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OAGB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KGJD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Rufinamide","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"80210","description":"Rufinamide","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Doc disc tx choices","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G9399","description":"Doc disc tx choices","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Brucella antibody","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"86622","description":"Brucella antibody","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OICE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CECC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GCUC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KGBB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JHLC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OBXB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OEKE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Hearing aid_ prog_ mon_ ite","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"V5246","description":"Hearing aid_ prog_ mon_ ite","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Pneumococcal vaccine admin","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G8864","description":"Pneumococcal vaccine admin","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Doc esrd dia trans preg","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G9231","description":"Doc esrd dia trans preg","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-G0549","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"G0549","description":"HCPCS-G0549","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"LBRA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"CPT-0622U","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"0622U","description":"CPT-0622U","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Disposable cycler set","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"A4671","description":"Disposable cycler set","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FHFC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CGTD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Implt cran bone flap to abdo","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"61316","description":"Implt cran bone flap to abdo","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"LGRD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Repair blood vessel lesion","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"35266","description":"Repair blood vessel lesion","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Tlso flex trnk sj-ss pre ots","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"L0457","description":"Tlso flex trnk sj-ss pre ots","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FACF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-3BGNX","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"3BGNX","description":"HIPPS-3BGNX","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Asser com tx face-face/15min","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"H0039","description":"Asser com tx face-face/15min","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"H&p for surgery","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"S0260","description":"H&p for surgery","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Endoscopy swallow tst (fees)","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"92612","description":"Endoscopy swallow tst (fees)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KHYC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-LB24C","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"LB24C","description":"HIPPS-LB24C","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KETD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Chemo ia push tecnique","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"96420","description":"Chemo ia push tecnique","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Tech other than surfc cultr","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"4261F","description":"Tech other than surfc cultr","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Virus inoculation shell via","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"87254","description":"Virus inoculation shell via","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"EDLA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Heart failure assessed (includes assessment of all the following components) (CAD): Blood pressure measured (2000F) Level of activity assessed (1003F) Clinical symptoms of vol","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0105U","description":"Heart failure assessed (includes assessment of all the following components) (CAD): Blood pressure measured (2000F) Level of activity assessed (1003F) Clinical symptoms of vol","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"ICAC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KBKC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GHIE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NIKE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Chest x-ray frnt lat oblique","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"71022","description":"Chest x-ray frnt lat oblique","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Ct scan for needle biopsy","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"77012","description":"Ct scan for needle biopsy","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OKKB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GGGC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"AILE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Ag detect nos ia single","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"87450","description":"Ag detect nos ia single","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OKOD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OKWE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Ak open end sach","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"L5321","description":"Ak open end sach","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Drug test(s)_ presumptive_ any number of drug classes_ any number of devices or procedures; read by instrument assisted direct optical observation (eg_ utilizing immunoassay [","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"80306","description":"Drug test(s)_ presumptive_ any number of drug classes_ any number of devices or procedures; read by instrument assisted direct optical observation (eg_ utilizing immunoassay [","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-CA14A","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"CA14A","description":"HIPPS-CA14A","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Bk back check","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"L5686","description":"Bk back check","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"ABUE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Not nsm lung ca","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G9291","description":"Not nsm lung ca","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Valvotomy pulmonary valve","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"33471","description":"Valvotomy pulmonary valve","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Catheter placement in coronary artery(s) for coronary angiography_ including intraprocedural injection(s) for coronary angiography_ imaging supervision and interpretation; wit","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"C7552","description":"Catheter placement in coronary artery(s) for coronary angiography_ including intraprocedural injection(s) for coronary angiography_ imaging supervision and interpretation; wit","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CAGE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"EELE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-HB20B","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"HB20B","description":"HIPPS-HB20B","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-A1801","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"A1801","description":"HCPCS-A1801","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Malaria antibody","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"86750","description":"Malaria antibody","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Pump for water circulating p","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"E0236","description":"Pump for water circulating p","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-HD117","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"HD117","description":"HIPPS-HD117","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RVB05","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RVB05","description":"HIPPS-RVB05","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Mrs disc pain transmis data","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0610T","description":"Mrs disc pain transmis data","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Mass spectrometry and tandem mass spectrometry (ms_ ms/ms)_ analyte notelsewhere specified; qualitative_ each specimen","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"83788","description":"Mass spectrometry and tandem mass spectrometry (ms_ ms/ms)_ analyte notelsewhere specified; qualitative_ each specimen","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Place stereo cath brain","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0169T","description":"Place stereo cath brain","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CGSC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Prosthesis_ penile_ non-inf","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"C2622","description":"Prosthesis_ penile_ non-inf","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"AJCC breast cancer stage I: T1b (tumor > 0.5 cm but <= 1 cm in greatest dimension) documented","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G9705","description":"AJCC breast cancer stage I: T1b (tumor > 0.5 cm but <= 1 cm in greatest dimension) documented","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HH PDGM","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"1LC11","description":"HH PDGM","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Harness figure of 8 sing con","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"L6675","description":"Harness figure of 8 sing con","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Prosthodont high noble metal","billing_code_type":"CDT","billing_code_type_version":"2024","billing_code":"D6210","description":"Prosthodont high noble metal","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Flowcytometry/ tc 1 marker","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"88184","description":"Flowcytometry/ tc 1 marker","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Int therapeutic restoration","billing_code_type":"CDT","billing_code_type_version":"2024","billing_code":"D2941","description":"Int therapeutic restoration","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Benesch boot pair junior","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"L3214","description":"Benesch boot pair junior","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Perq dev breast add us imag","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"19286","description":"Perq dev breast add us imag","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BIHD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BEGE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"ODQC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Laparo proc oviduct-ovary","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"58679","description":"Laparo proc oviduct-ovary","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FGCC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CHXA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Laparo total proctocolectomy","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"44210","description":"Laparo total proctocolectomy","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Surgical exposure of root surface without apicoectomy or repair of root resorption - molar","billing_code_type":"CDT","billing_code_type_version":"2024","billing_code":"D3503","description":"Surgical exposure of root surface without apicoectomy or repair of root resorption - molar","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"DAWB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"CPT-37272","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"37272","description":"CPT-37272","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JDGE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NDGF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Admin pneumococcal vaccine","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G0009","description":"Admin pneumococcal vaccine","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-PD130","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"PD130","description":"HIPPS-PD130","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RUA3C","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RUA3C","description":"HIPPS-RUA3C","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-ES13C","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"ES13C","description":"HIPPS-ES13C","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"PDWF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Tmj reconstruction","billing_code_type":"CDT","billing_code_type_version":"2024","billing_code":"D7858","description":"Tmj reconstruction","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RLA12","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RLA12","description":"HIPPS-RLA12","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JGGB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CHLD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Removal of colon/ileostomy","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"44156","description":"Removal of colon/ileostomy","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"No rec cortico>60d 1rx 600mg","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G9470","description":"No rec cortico>60d 1rx 600mg","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-4BGKW","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"4BGKW","description":"HIPPS-4BGKW","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MATE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Implt brain chemotx add-on","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"61517","description":"Implt brain chemotx add-on","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Reinforce clavicle","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"23490","description":"Reinforce clavicle","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Rabies vaccine id","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"90676","description":"Rabies vaccine id","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HH PDGM","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"1EA21","description":"HH PDGM","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"IEBE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Thoracoscopy w/bx nodule","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"32608","description":"Thoracoscopy w/bx nodule","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CAIA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NBPC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OFBC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FAIF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NKEC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Azacitidine injection","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"J9025","description":"Azacitidine injection","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KFAE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Removal of ischial bursa","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"27060","description":"Removal of ischial bursa","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OJWF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Reconstruction of urethra","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"54324","description":"Reconstruction of urethra","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"IGEC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-PC28I","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"PC28I","description":"HIPPS-PC28I","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-PD18H","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"PD18H","description":"HIPPS-PD18H","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"CPT-0970T","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"0970T","description":"CPT-0970T","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-CA20C","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"CA20C","description":"HIPPS-CA20C","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Salivary surgery procedure","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"42699","description":"Salivary surgery procedure","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Rmvl car modulj tranvns elt","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0413T","description":"Rmvl car modulj tranvns elt","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NGXD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"EDMD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"HIQF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Remove skin tags add-on","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"11201","description":"Remove skin tags add-on","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GDXA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-A2005","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"A2005","description":"HCPCS-A2005","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Addl neck spine fusion","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"22552","description":"Addl neck spine fusion","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Medication Assisted Treatment_ Naltrexone; Weekly Bundle Including Dispensing And/Or Administration_ Substance Use Counseling_ Individual And Group Therapy_ And Toxicology Tes","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G2073","description":"Medication Assisted Treatment_ Naltrexone; Weekly Bundle Including Dispensing And/Or Administration_ Substance Use Counseling_ Individual And Group Therapy_ And Toxicology Tes","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BACC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Excise parotid gland/lesion","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"42410","description":"Excise parotid gland/lesion","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-LC212","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"LC212","description":"HIPPS-LC212","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Pt asst re end life issues","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"4553F","description":"Pt asst re end life issues","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KAYB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Nerve repair; with nerve allograft_ each additional strand (List separately in addition to code for primary procedure)","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"64913","description":"Nerve repair; with nerve allograft_ each additional strand (List separately in addition to code for primary procedure)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-BB217","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"BB217","description":"HIPPS-BB217","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FFAF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BIAE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FHCE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"No unpln rup post cap","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G9390","description":"No unpln rup post cap","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BBXF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Biodfence 1cm","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"Q4140","description":"Biodfence 1cm","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JBVE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Exc leg/ankle tum < 3 cm","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"27618","description":"Exc leg/ankle tum < 3 cm","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FIKA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NHVB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"PERA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NDJF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JDLA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NJUB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OAVD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RVL44","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RVL44","description":"HIPPS-RVL44","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Routine ophthalmological exa","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"S0620","description":"Routine ophthalmological exa","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Treatment of thigh fracture","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"27514","description":"Treatment of thigh fracture","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"DFOB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Inpatient consultation","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"99254","description":"Inpatient consultation","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JEFF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KBJD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MBHB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Exam/biopsy of vag w/scope","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"57421","description":"Exam/biopsy of vag w/scope","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Tyrosinemia type I monitoring by patient-collected blood card sample_ quantitative measurement of tyrosine_ phenylalanine_ methionine_ succinylacetone_ nitisinone_ liquid chro","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0383U","description":"Tyrosinemia type I monitoring by patient-collected blood card sample_ quantitative measurement of tyrosine_ phenylalanine_ methionine_ succinylacetone_ nitisinone_ liquid chro","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-2BHL6","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"2BHL6","description":"HIPPS-2BHL6","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-CD23C","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"CD23C","description":"HIPPS-CD23C","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Semen anal sperm detection","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"89321","description":"Semen anal sperm detection","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Car seat/bed test 60 min","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"94780","description":"Car seat/bed test 60 min","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"IHMD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Sm 153 lexidronam","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"A9604","description":"Sm 153 lexidronam","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-1CFMX","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"1CFMX","description":"HIPPS-1CFMX","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RVX10","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RVX10","description":"HIPPS-RVX10","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RHB03","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RHB03","description":"HIPPS-RHB03","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BDCF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GEAC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Sp bone agrft struct add-on","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"20938","description":"Sp bone agrft struct add-on","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OJDF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BDGD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Vascular Surgery Mips Specialty Set","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G4038","description":"Vascular Surgery Mips Specialty Set","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MJMC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-5CGKT","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"5CGKT","description":"HIPPS-5CGKT","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JIJE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Syst bp ge 130 - 139mm hg","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"3075F","description":"Syst bp ge 130 - 139mm hg","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Rbc pretx incubatj w/chemicl","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"86970","description":"Rbc pretx incubatj w/chemicl","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KCIE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MBTE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"ICCC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"EAUC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GHSB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Fabrication athletic guard","billing_code_type":"CDT","billing_code_type_version":"2024","billing_code":"D9941","description":"Fabrication athletic guard","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BEXD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"HCQC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Gradient compression garment_ neck/head_ each","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"A6566","description":"Gradient compression garment_ neck/head_ each","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Tenoglide tendon prot_ cm2","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"C9356","description":"Tenoglide tendon prot_ cm2","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Ostomy accessory convex inse","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"A5093","description":"Ostomy accessory convex inse","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KIRC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"IEUB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-LE254","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"LE254","description":"HIPPS-LE254","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Replace brain cavity shunt","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"62258","description":"Replace brain cavity shunt","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-5AHKT","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"5AHKT","description":"HIPPS-5AHKT","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Ncntc r-t fluor wnd img 1st","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0598T","description":"Ncntc r-t fluor wnd img 1st","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Oncology (melanoma)_ autophagy and beclin 1 regulator 1 (AMBRA1) and loricrin (AMLo) by immunohistochemistry_ formalin-fixed paraffin-embedded (FFPE) tissue_ report for risk o","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0387U","description":"Oncology (melanoma)_ autophagy and beclin 1 regulator 1 (AMBRA1) and loricrin (AMLo) by immunohistochemistry_ formalin-fixed paraffin-embedded (FFPE) tissue_ report for risk o","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Special eye exam subsequent","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"92226","description":"Special eye exam subsequent","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NLMA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FDJB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-CB215","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"CB215","description":"HIPPS-CB215","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FFEA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Patient is not ambulatory_ bed ridden_ immobile_ confined to chair_ wheelchair bound_ dependent on helper pushing wheelchair_ independent in wheelchair or minimal help in whee","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G9719","description":"Patient is not ambulatory_ bed ridden_ immobile_ confined to chair_ wheelchair bound_ dependent on helper pushing wheelchair_ independent in wheelchair or minimal help in whee","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FCBA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"LESF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Oncology (ovarian)_ spheroid cell culture_ poly (ADP-ribose) polymerase (PARP) inhibitors (niraparib_ olaparib_ rucaparib_ velparib)_ tumor response prediction for each drug","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0325U","description":"Oncology (ovarian)_ spheroid cell culture_ poly (ADP-ribose) polymerase (PARP) inhibitors (niraparib_ olaparib_ rucaparib_ velparib)_ tumor response prediction for each drug","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CDVF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"EGDB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"CPT-01230","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"01230","description":"CPT-01230","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GCWF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"High mount flip-up footrest","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"K0037","description":"High mount flip-up footrest","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KHTE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KBGC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KGEE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"CPT-0972T","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"0972T","description":"CPT-0972T","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CFYC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-PA11C","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"PA11C","description":"HIPPS-PA11C","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"PGQE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FHVA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-2BGK2","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"2BGK2","description":"HIPPS-2BGK2","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"ACBA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Apply interstit radiat compl","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"77778","description":"Apply interstit radiat compl","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"LAOF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OKCF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RHL46","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RHL46","description":"HIPPS-RHL46","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Infectious disease (bacterial)_ strain typing by whole genome sequencing_ p","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0115U","description":"Infectious disease (bacterial)_ strain typing by whole genome sequencing_ p","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-BB144","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"BB144","description":"HIPPS-BB144","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OFDA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"ATXN10 (ataxin 10) (eg_ spinocerebellar ataxia) gene analysis_ evaluation to detect abnormal (eg_ expanded) alleles","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"81183","description":"ATXN10 (ataxin 10) (eg_ spinocerebellar ataxia) gene analysis_ evaluation to detect abnormal (eg_ expanded) alleles","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Repair great vessels defect","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"33770","description":"Repair great vessels defect","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Onc dx colon t1-3_n1-2_no pr","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G9084","description":"Onc dx colon t1-3_n1-2_no pr","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Euflexxa inj per dose","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"J7323","description":"Euflexxa inj per dose","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-4CFL2","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"4CFL2","description":"HIPPS-4CFL2","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-HD18B","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"HD18B","description":"HIPPS-HD18B","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-4CHMT","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"4CHMT","description":"HIPPS-4CHMT","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Empiric antibiotic rx","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"4045F","description":"Empiric antibiotic rx","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CEPE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-LE25C","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"LE25C","description":"HIPPS-LE25C","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Hearing aid_ prog_ bin_ ite","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"V5252","description":"Hearing aid_ prog_ bin_ ite","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Treat elbow dislocation","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"24640","description":"Treat elbow dislocation","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"4vhpv vaccine 3 dose im","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"90649","description":"4vhpv vaccine 3 dose im","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RHB12","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RHB12","description":"HIPPS-RHB12","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NCIA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-HB14D","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"HB14D","description":"HIPPS-HB14D","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"PASD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JBEE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-1BFM4","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"1BFM4","description":"HIPPS-1BFM4","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KAEB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"EDHA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"HGSA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"N block inj cervical plexus","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"64413","description":"N block inj cervical plexus","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JBNC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OGKD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-PA140","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"PA140","description":"HIPPS-PA140","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GFGE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GFLE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-4BGK6","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"4BGK6","description":"HIPPS-4BGK6","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"EEMA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CILC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JEXF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Test socket above knee","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"L5624","description":"Test socket above knee","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CDDA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"IETE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KIGE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NAEA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Drain shoulder bone lesion","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"23035","description":"Drain shoulder bone lesion","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OCSF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Plmt ureteral stent prq","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"50694","description":"Plmt ureteral stent prq","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JBGF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MHAD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Post fusion 7-12 vert seg","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"22802","description":"Post fusion 7-12 vert seg","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Injection_ infliximab-abda_ biosimilar_ (Renflexis)_ 10 mg","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"Q5104","description":"Injection_ infliximab-abda_ biosimilar_ (Renflexis)_ 10 mg","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"DDRD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RLA8D","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RLA8D","description":"HIPPS-RLA8D","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Inj paravert f jnt l/s 3 lev","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"64495","description":"Inj paravert f jnt l/s 3 lev","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Bia whole body","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0358T","description":"Bia whole body","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Red blood cell antigen typing_ DNA_ genotyping of 12 blood group system genes to predict 44 red blood cell antigen phenotypes (Versiti™ Red Cell Genotyping Panel)","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0282U","description":"Red blood cell antigen typing_ DNA_ genotyping of 12 blood group system genes to predict 44 red blood cell antigen phenotypes (Versiti™ Red Cell Genotyping Panel)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Ped crit care age 2-5 init","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"99475","description":"Ped crit care age 2-5 init","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Cmptr ophth dx img ant segmt","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"92132","description":"Cmptr ophth dx img ant segmt","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KECF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FCDE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GCSB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Infectious agent detection by nucleic acid (DNA or RNA); respiratory syncytial virus_ amplified probe technique","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"87634","description":"Infectious agent detection by nucleic acid (DNA or RNA); respiratory syncytial virus_ amplified probe technique","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CENA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"AAHC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Injection_ daptomycin (Xellia)_ unrefrigerated_ not therapeutically equivalent to J0878 or J0873_ 1 mg","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"J0872","description":"Injection_ daptomycin (Xellia)_ unrefrigerated_ not therapeutically equivalent to J0878 or J0873_ 1 mg","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KEFA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Removal of larynx","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"31365","description":"Removal of larynx","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JGUC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MKIA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GIYD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Repair of heart defect","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"33722","description":"Repair of heart defect","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"U/s trtmt_ not leiomyomata","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"C9734","description":"U/s trtmt_ not leiomyomata","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CDVA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KENB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MDTA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FGXA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Gradient compression stocking_ full length/chap style_ 30-40 mmhg_ custom_ each","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"A6560","description":"Gradient compression stocking_ full length/chap style_ 30-40 mmhg_ custom_ each","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-3BHPS","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"3BHPS","description":"HIPPS-3BHPS","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KHDD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BIFD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"AEUA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Aortic circulation assist","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"33970","description":"Aortic circulation assist","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FFTE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HH PDGM","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"3LC31","description":"HH PDGM","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GBUB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"HBYC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"HFYD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Unlisted maaa","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"81599","description":"Unlisted maaa","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RVL51","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RVL51","description":"HIPPS-RVL51","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-BB11C","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"BB11C","description":"HIPPS-BB11C","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KHKE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-Q5155","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"Q5155","description":"HCPCS-Q5155","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Eswl for gallstones","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"S9034","description":"Eswl for gallstones","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NFCD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RMX8F","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RMX8F","description":"HIPPS-RMX8F","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Pathology lab procedure","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"89240","description":"Pathology lab procedure","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Dialys sol fld vol > 1999cc","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"A4722","description":"Dialys sol fld vol > 1999cc","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Removal of face wrinkles","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"15828","description":"Removal of face wrinkles","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JFUA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Repair foot dislocation","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"28615","description":"Repair foot dislocation","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KBYC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-BB231","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"BB231","description":"HIPPS-BB231","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FHTD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Hepatitis b dna quant","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"87517","description":"Hepatitis b dna quant","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"CPT-27713","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"27713","description":"CPT-27713","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OGMF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Place catheter in artery","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"36015","description":"Place catheter in artery","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Part hand thumb rem","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"L6000","description":"Part hand thumb rem","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GCIA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"HEWA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HH PDGM","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"4DA21","description":"HH PDGM","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"PKRA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KFVD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Reduction of large breast","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"19318","description":"Reduction of large breast","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GBDA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-2CHLT","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"2CHLT","description":"HIPPS-2CHLT","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"ABHC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KBCD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-1AGPT","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"1AGPT","description":"HIPPS-1AGPT","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Treat hip socket fracture","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"27220","description":"Treat hip socket fracture","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-4AHMW","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"4AHMW","description":"HIPPS-4AHMW","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NHFF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-LC205","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"LC205","description":"HIPPS-LC205","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"DAOE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"DEYE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-PC28H","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"PC28H","description":"HIPPS-PC28H","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JFXB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OLAA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OBRB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JHKA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RVX8H","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RVX8H","description":"HIPPS-RVX8H","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-A0104","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"A0104","description":"HCPCS-A0104","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"CPT-0487U","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"0487U","description":"CPT-0487U","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"DERD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RHC50","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RHC50","description":"HIPPS-RHC50","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-BB201","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"BB201","description":"HIPPS-BB201","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-ES25D","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"ES25D","description":"HIPPS-ES25D","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NBNB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-Q4422","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"Q4422","description":"HCPCS-Q4422","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CGEB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BIFB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GFBE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Radiation Therapy For Brain Metastases Under The Radiation Oncology Model_ 90 Day Episode_ Technical Component","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"M1079","description":"Radiation Therapy For Brain Metastases Under The Radiation Oncology Model_ 90 Day Episode_ Technical Component","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NBUE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Esophagogastroduodenoscopy_ flexible_ transoral; with removal of intragastric bariatric balloon(s)","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"43291","description":"Esophagogastroduodenoscopy_ flexible_ transoral; with removal of intragastric bariatric balloon(s)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KCNA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Rx cntact lens aphakia 1 eye","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"92315","description":"Rx cntact lens aphakia 1 eye","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CCXE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Forensic cytopathology","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"88125","description":"Forensic cytopathology","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GCEB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JINC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Injection_ sebelipase alfa_ 1 mg","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"J2840","description":"Injection_ sebelipase alfa_ 1 mg","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NJVE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Compre dental tx transition","billing_code_type":"CDT","billing_code_type_version":"2024","billing_code":"D8070","description":"Compre dental tx transition","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Excise oral mucosa for graft","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"40818","description":"Excise oral mucosa for graft","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"EAEA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"ACLF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"X-ray of mammary duct","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"77053","description":"X-ray of mammary duct","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KILB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Deoxyribonucleic acid (DNA) antibody_ double stranded_ high avidity","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0039U","description":"Deoxyribonucleic acid (DNA) antibody_ double stranded_ high avidity","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MHTF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"CPT-0520U","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"0520U","description":"CPT-0520U","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"AGDB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OGCE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Treat clavicle dislocation","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"23550","description":"Treat clavicle dislocation","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"EETF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Range of motion measurements","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"95852","description":"Range of motion measurements","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KEHE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Ondansetron hcl injection","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"J2405","description":"Ondansetron hcl injection","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KHJF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FHXA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Stent placemt ante carotid","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"37218","description":"Stent placemt ante carotid","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HH PDGM","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"4AB31","description":"HH PDGM","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"CPT-37290","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"37290","description":"CPT-37290","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Medication Assisted Treatment_ Buprenorphine (Implant Insertion And Removal); Weekly Bundle Including Dispensing And/Or Administration_ Substance Use Counseling_ Individual An","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G2072","description":"Medication Assisted Treatment_ Buprenorphine (Implant Insertion And Removal); Weekly Bundle Including Dispensing And/Or Administration_ Substance Use Counseling_ Individual An","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OGND0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-HB24D","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"HB24D","description":"HIPPS-HB24D","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-1AHMS","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"1AHMS","description":"HIPPS-1AHMS","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Gradient compression stocking_ below knee_ 40 mmhg or greater_ each","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"A6554","description":"Gradient compression stocking_ below knee_ 40 mmhg or greater_ each","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KBHA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BBPF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OBXB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Traumatic brain injury with Motor >22.05 & Motor <28.75._comorbidity in tier 2","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"C0206","description":"Traumatic brain injury with Motor >22.05 & Motor <28.75._comorbidity in tier 2","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OBBD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-A0601","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"A0601","description":"HCPCS-A0601","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Myocardial Imaging_ Positron Emission Tomography (Pet)_ Combined Perfusion With Metabolic Evaluation Study (Including Ventricular Wall Motion[S] And/Or Ejection Fraction[S]_ W","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"78433","description":"Myocardial Imaging_ Positron Emission Tomography (Pet)_ Combined Perfusion With Metabolic Evaluation Study (Including Ventricular Wall Motion[S] And/Or Ejection Fraction[S]_ W","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OEJB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"CPT-90616","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"90616","description":"CPT-90616","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Myelogphy 2/> spine regions","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"72270","description":"Myelogphy 2/> spine regions","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Water pressure mattress","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"E0187","description":"Water pressure mattress","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KHAF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NKXC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NHTC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RLA1B","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RLA1B","description":"HIPPS-RLA1B","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FAAD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GGGD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KBXC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CGVE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Asthma symptoms evaluate","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"1005F","description":"Asthma symptoms evaluate","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CHWE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RLX0B","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RLX0B","description":"HIPPS-RLX0B","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HH PDGM","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"1JA21","description":"HH PDGM","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Open chest heart massage","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"32160","description":"Open chest heart massage","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Biopsy of urethra","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"53200","description":"Biopsy of urethra","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"CPT-00934","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"00934","description":"CPT-00934","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"LGSD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RVC2B","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RVC2B","description":"HIPPS-RVC2B","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Face bone graft","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"21210","description":"Face bone graft","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Application of silver diamine fluoride 38%_ by a physician or other qualified health care professional","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0792T","description":"Application of silver diamine fluoride 38%_ by a physician or other qualified health care professional","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KDFC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GDFA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NBFA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RLA03","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RLA03","description":"HIPPS-RLA03","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Bupren/nal 6.1 to 10mg bupre","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"J0574","description":"Bupren/nal 6.1 to 10mg bupre","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NDKD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GCYE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-3AFNW","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"3AFNW","description":"HIPPS-3AFNW","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Chemo iv infusion 1 hr","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"96413","description":"Chemo iv infusion 1 hr","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Exc f/e/e/n/l mal+mrg 1.1-2","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"11642","description":"Exc f/e/e/n/l mal+mrg 1.1-2","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JITC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Hemolysins/agglutinins auto","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"86940","description":"Hemolysins/agglutinins auto","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"ACBC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OGMB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-1CFM3","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"1CFM3","description":"HIPPS-1CFM3","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OJVA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Repair of lower leg","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"27727","description":"Repair of lower leg","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BHXC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Blood split unit","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"P9011","description":"Blood split unit","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Riv3 vaccine no preserv im","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"90673","description":"Riv3 vaccine no preserv im","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NDKC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Repair of anterior abdominal hernia(s) (ie_ epigastric_ incisional_ ventral_ umbilical_ spigelian)_ any approach (ie_ open_ laparoscopic_ robotic)_ initial_ including implanta","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"49596","description":"Repair of anterior abdominal hernia(s) (ie_ epigastric_ incisional_ ventral_ umbilical_ spigelian)_ any approach (ie_ open_ laparoscopic_ robotic)_ initial_ including implanta","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FEIB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GHHE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JFID0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MHCA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-2CFK1","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"2CFK1","description":"HIPPS-2CFK1","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OKFF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FEKA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NIJA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RVB32","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RVB32","description":"HIPPS-RVB32","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"HIQE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MLLB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Rear whl complete solid tire","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"K0069","description":"Rear whl complete solid tire","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Bk pn xm on init visit date","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"2040F","description":"Bk pn xm on init visit date","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BGPF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Refer to hospice","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G9524","description":"Refer to hospice","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Restraints any type","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"E0710","description":"Restraints any type","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Hydromorphone 250 mg","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"S0092","description":"Hydromorphone 250 mg","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"AGAB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-CE105","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"CE105","description":"HIPPS-CE105","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MBID1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-3BHNX","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"3BHNX","description":"HIPPS-3BHNX","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Onc prac mgmt dif pt comorb","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G9060","description":"Onc prac mgmt dif pt comorb","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RMB3B","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RMB3B","description":"HIPPS-RMB3B","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Biopsy of oral tissue soft","billing_code_type":"CDT","billing_code_type_version":"2024","billing_code":"D7286","description":"Biopsy of oral tissue soft","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OGYA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FFJB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NJGD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RVL16","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RVL16","description":"HIPPS-RVL16","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Cytopath c/v redo","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"88153","description":"Cytopath c/v redo","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KFIC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Adenoma detected screening","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"3775F","description":"Adenoma detected screening","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"PCQF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-ES32C","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"ES32C","description":"HIPPS-ES32C","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RHA8X","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RHA8X","description":"HIPPS-RHA8X","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KGDE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RMX2B","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RMX2B","description":"HIPPS-RMX2B","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GDMC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Belatacept injection","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"J0485","description":"Belatacept injection","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Adhere pos air press therapy","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G8851","description":"Adhere pos air press therapy","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Patients with a diagnosis of hypotony","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"M1326","description":"Patients with a diagnosis of hypotony","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Adult disp brief/diap abv xl","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"T4543","description":"Adult disp brief/diap abv xl","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Alcohols biomarkers 3/more","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"80322","description":"Alcohols biomarkers 3/more","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Hearing aid_ contralateral routing device_ monaural_ in the ear (ITE)","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"V5171","description":"Hearing aid_ contralateral routing device_ monaural_ in the ear (ITE)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RUL4C","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RUL4C","description":"HIPPS-RUL4C","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Bronchoscopy/needle bx addl","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"31633","description":"Bronchoscopy/needle bx addl","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Semen analysis","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G0027","description":"Semen analysis","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RVB12","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RVB12","description":"HIPPS-RVB12","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Scalp cooling_ mechanical; placement of device_ monitoring_ and removal of device (List separately in addition to code for primary procedure)","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0663T","description":"Scalp cooling_ mechanical; placement of device_ monitoring_ and removal of device (List separately in addition to code for primary procedure)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-E3200","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"E3200","description":"HCPCS-E3200","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-Q4207","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"Q4207","description":"HCPCS-Q4207","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Patient did not receive at least one td vaccine or one tdap vaccine between nine years prior to the encounter and the end of the measurement period","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"M1173","description":"Patient did not receive at least one td vaccine or one tdap vaccine between nine years prior to the encounter and the end of the measurement period","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KBJB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-ES28E","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"ES28E","description":"HIPPS-ES28E","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Doc pt reas no hospice refer","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G9525","description":"Doc pt reas no hospice refer","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JAGD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Remove shoulder joint lining","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"23105","description":"Remove shoulder joint lining","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Injection_ pegfilgrastim-fpgk (stimufend)_ biosimilar_ 0.5 mg","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"Q5127","description":"Injection_ pegfilgrastim-fpgk (stimufend)_ biosimilar_ 0.5 mg","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-ES355","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"ES355","description":"HIPPS-ES355","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Adolescent patients 12 to 17 years of age with major depression or dysthymia who reached remission at six months as demonstrate","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"M1023","description":"Adolescent patients 12 to 17 years of age with major depression or dysthymia who reached remission at six months as demonstrate","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OITD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"PIRC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Nephrology (chronic kidney disease)_ carboxymethyllysine_ methylglyoxal hydroimidazolone_ and carboxyethyl lysine by liquid chromatography with tandem mass spectrometry (LC-MS","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0384U","description":"Nephrology (chronic kidney disease)_ carboxymethyllysine_ methylglyoxal hydroimidazolone_ and carboxyethyl lysine by liquid chromatography with tandem mass spectrometry (LC-MS","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OGKE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Apply r&l pulm art bands","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"33620","description":"Apply r&l pulm art bands","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RML30","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RML30","description":"HIPPS-RML30","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CICF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"AACE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Biopsy oocyte polar body","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"89291","description":"Biopsy oocyte polar body","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CBKA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"LHOB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MGBA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OASF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Repl oral cushion combo mask","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"A7028","description":"Repl oral cushion combo mask","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Rem nonodonto cyst > 1.25 cm","billing_code_type":"CDT","billing_code_type_version":"2024","billing_code":"D7461","description":"Rem nonodonto cyst > 1.25 cm","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CCBB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Mra w/cont_ chest","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"C8909","description":"Mra w/cont_ chest","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OFHF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-HE23C","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"HE23C","description":"HIPPS-HE23C","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GACE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Vein x-ray arm/leg","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"75820","description":"Vein x-ray arm/leg","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Remove cervix/repair pelvis","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"57545","description":"Remove cervix/repair pelvis","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-C7571","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"C7571","description":"HCPCS-C7571","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-3AGLS","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"3AGLS","description":"HIPPS-3AGLS","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Documentation of medical reason(s) for not currently being a statin therapy user or receive an order(prescription)for statin therapy (e.g.patient with adverse effect_ allergy","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G9668","description":"Documentation of medical reason(s) for not currently being a statin therapy user or receive an order(prescription)for statin therapy (e.g.patient with adverse effect_ allergy","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CFSF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Open red comp malar/zygma fx","billing_code_type":"CDT","billing_code_type_version":"2024","billing_code":"D7750","description":"Open red comp malar/zygma fx","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Developmental screen w/score","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"96110","description":"Developmental screen w/score","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"HERA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OJVB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Endoskel knee-shin mnl lock","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"L5810","description":"Endoskel knee-shin mnl lock","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Remove ear lesion","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"69550","description":"Remove ear lesion","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Evacuation Of Meibomian Glands_ Using Heat Delivered Through Wearable_ Open-Eye Eyelid Treatment Devices And Manual Gland Expression_ Bilateral","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0563T","description":"Evacuation Of Meibomian Glands_ Using Heat Delivered Through Wearable_ Open-Eye Eyelid Treatment Devices And Manual Gland Expression_ Bilateral","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KCWA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Injection_ liposomal_ 1 mg daunorubicin and 2.27 mg cytarabine","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"C9024","description":"Injection_ liposomal_ 1 mg daunorubicin and 2.27 mg cytarabine","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OHLC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"AFCA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NAEF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JFPC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JHLB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OCWA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Excision of lingual tonsil","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"42870","description":"Excision of lingual tonsil","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Cardiology (heart transplant)_ cell-free DNA_ PCR assay of 96 DNA target sequences (94 single nucleotide polymorphism targets and two control targets)_ plasma","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0055U","description":"Cardiology (heart transplant)_ cell-free DNA_ PCR assay of 96 DNA target sequences (94 single nucleotide polymorphism targets and two control targets)_ plasma","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FINE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FHJF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Blood clot retraction","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"85170","description":"Blood clot retraction","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Rem odontogen cyst > 1.25 cm","billing_code_type":"CDT","billing_code_type_version":"2024","billing_code":"D7451","description":"Rem odontogen cyst > 1.25 cm","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Rcm celulr subcelulr img skn","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"96936","description":"Rcm celulr subcelulr img skn","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"ODQD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BIKB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Tis trnfr f/c/c/m/n/a/g/h/f","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"14040","description":"Tis trnfr f/c/c/m/n/a/g/h/f","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GEVC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KCRB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Electro hearng aid test one","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"92594","description":"Electro hearng aid test one","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Hospital Special Treatment Room Support Component","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"X0592","description":"Hospital Special Treatment Room Support Component","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BGGB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FEGD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Repl alkaline battery","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"L8622","description":"Repl alkaline battery","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GBPA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Implant Supported Retainer - Porcelain Fused To Predominantly Base Alloys","billing_code_type":"CDT","billing_code_type_version":"2024","billing_code":"D6098","description":"Implant Supported Retainer - Porcelain Fused To Predominantly Base Alloys","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Visual evoked potential_ testing for glaucoma_ with interpretation and report","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0464T","description":"Visual evoked potential_ testing for glaucoma_ with interpretation and report","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-CA18X","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"CA18X","description":"HIPPS-CA18X","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RMC0C","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RMC0C","description":"HIPPS-RMC0C","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OAAC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JBVE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RVL52","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RVL52","description":"HIPPS-RVL52","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GDSB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RUC23","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RUC23","description":"HIPPS-RUC23","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NFBE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CCKC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-PD28H","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"PD28H","description":"HIPPS-PD28H","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Treat wrist dislocation","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"25670","description":"Treat wrist dislocation","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-LC23A","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"LC23A","description":"HIPPS-LC23A","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-4BGMX","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"4BGMX","description":"HIPPS-4BGMX","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Doc order given stop antibio","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"4043F","description":"Doc order given stop antibio","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-CD225","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"CD225","description":"HIPPS-CD225","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"LISB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Lap vent/abd hern proc comp","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"49653","description":"Lap vent/abd hern proc comp","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"HBYB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MAUA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OGUA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Prgrmg eval npgs apnea 1 ses","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0435T","description":"Prgrmg eval npgs apnea 1 ses","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-1BFM3","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"1BFM3","description":"HIPPS-1BFM3","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KIUC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BALB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-3CGMW","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"3CGMW","description":"HIPPS-3CGMW","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FIHE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"ACBB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"HHWF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MIED1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Vaporizer room type","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"E0605","description":"Vaporizer room type","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Enuresis alarm","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"S8270","description":"Enuresis alarm","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Hc pro phone call 5-10 min","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"98966","description":"Hc pro phone call 5-10 min","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Lens sphcyl bifo 7.25-12/2.2","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"V2212","description":"Lens sphcyl bifo 7.25-12/2.2","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CCRC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Csf ventriculography","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"78635","description":"Csf ventriculography","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HH PDGM","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"3CA21","description":"HH PDGM","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"AFHF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Hip arthro acetabuloplasty","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"29915","description":"Hip arthro acetabuloplasty","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KDGD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"PAQB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Contracept iud","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"S4989","description":"Contracept iud","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KCVD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Injection procedure for cholangiography through an existing catheter(eg_ percutaneous transhepatic or t-tube)","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"47505","description":"Injection procedure for cholangiography through an existing catheter(eg_ percutaneous transhepatic or t-tube)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CBFC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Reimplant ureter in bladder","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"50780","description":"Reimplant ureter in bladder","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Beclomethasone comp unit","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"J7622","description":"Beclomethasone comp unit","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-1CFN5","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"1CFN5","description":"HIPPS-1CFN5","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MLDE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FIHB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Laparo urethral suspension","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"51990","description":"Laparo urethral suspension","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Rolapitant_ oral_ 1 mg","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"J8670","description":"Rolapitant_ oral_ 1 mg","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Treat fracture radius & ulna","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"25574","description":"Treat fracture radius & ulna","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"ACMC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OFKD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Plastic surgery neck","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"15819","description":"Plastic surgery neck","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GEFE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CHFA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CIIC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Dilated Retinal Eye Exam With Interpretation By An Ophthalmologist Or Optometrist Documented And Reviewed","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G2102","description":"Dilated Retinal Eye Exam With Interpretation By An Ophthalmologist Or Optometrist Documented And Reviewed","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NJEA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JAXA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KIFE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RVX1C","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RVX1C","description":"HIPPS-RVX1C","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Intraoral - periapical radiographic image - image capture only","billing_code_type":"CDT","billing_code_type_version":"2024","billing_code":"D0707","description":"Intraoral - periapical radiographic image - image capture only","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Renal function panel","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"80069","description":"Renal function panel","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FHAF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KFPE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GCKF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"EELA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MKLE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NGAB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GCPB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BIDD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JADC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FHXC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GGRF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"LCWF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RMA20","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RMA20","description":"HIPPS-RMA20","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Drainage of ovarian cyst(s)","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"58800","description":"Drainage of ovarian cyst(s)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JBIA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Electrical impedance spectroscopy of 1 or more skin lesions for automated melanoma risk score","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0658T","description":"Electrical impedance spectroscopy of 1 or more skin lesions for automated melanoma risk score","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"TPMT (thiopurine S-methyltransferase)_ NUDT15 (nudix hydroxylase 15)(eg_ thiopurine metabolism)_ gene analysis_ common variants (ie_ TPMT *2_ *3A_ *3B_ *3C_ *4_ *5_ *6_ *8_ *1","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0034U","description":"TPMT (thiopurine S-methyltransferase)_ NUDT15 (nudix hydroxylase 15)(eg_ thiopurine metabolism)_ gene analysis_ common variants (ie_ TPMT *2_ *3A_ *3B_ *3C_ *4_ *5_ *6_ *8_ *1","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Insulin (fiasp)_ per 5 units","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"J1812","description":"Insulin (fiasp)_ per 5 units","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"HBRD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"AADD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-HC244","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"HC244","description":"HIPPS-HC244","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Fun stat score knee not done","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G8650","description":"Fun stat score knee not done","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-4CGM5","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"4CGM5","description":"HIPPS-4CGM5","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Treat knee dislocation","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"27550","description":"Treat knee dislocation","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RUB4B","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RUB4B","description":"HIPPS-RUB4B","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Arthro_ loose body + chondro","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G0289","description":"Arthro_ loose body + chondro","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CIWC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FIFC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Parenteral infus pump statio","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"B9006","description":"Parenteral infus pump statio","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FIBC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Lens sphc trifocal 4.25-7/>6","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"V2310","description":"Lens sphc trifocal 4.25-7/>6","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-1AGK6","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"1AGK6","description":"HIPPS-1AGK6","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NBHC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GCVA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OFRE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Basiliximab","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"J0480","description":"Basiliximab","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CCPA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Harvest auto stem cells","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"38206","description":"Harvest auto stem cells","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"EFUE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CBWE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"O shoe add instep velcro clo","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"L3580","description":"O shoe add instep velcro clo","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Anesth perineal surgery","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"90451","description":"Anesth perineal surgery","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Treat midfoot fracture","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"28456","description":"Treat midfoot fracture","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JIJA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-LB151","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"LB151","description":"HIPPS-LB151","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RUL8D","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RUL8D","description":"HIPPS-RUL8D","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-LC22D","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"LC22D","description":"HIPPS-LC22D","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Inj tedizolid phosphate","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"J3090","description":"Inj tedizolid phosphate","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CIYF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-HC110","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"HC110","description":"HIPPS-HC110","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BEEA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NLAA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-4CGKV","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"4CGKV","description":"HIPPS-4CGKV","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JGDA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Lower Esophageal Myotomy_ Transoral (Ie_ Peroral Endoscopic Myotomy [Poem])","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"43497","description":"Lower Esophageal Myotomy_ Transoral (Ie_ Peroral Endoscopic Myotomy [Poem])","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FEKB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Cryptococcus antibody","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"86641","description":"Cryptococcus antibody","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MKMF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NGMB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Patients with a post-operative encounter of the eye with the acute pvd within 2 weeks before the initial encounter or 2 weeks after initial acute pvd encounter","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"M1334","description":"Patients with a post-operative encounter of the eye with the acute pvd within 2 weeks before the initial encounter or 2 weeks after initial acute pvd encounter","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-LE245","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"LE245","description":"HIPPS-LE245","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Respite care service 15 min","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"T1005","description":"Respite care service 15 min","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Laiv3 vaccine intranasal","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"90660","description":"Laiv3 vaccine intranasal","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Revision of uterus","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"58540","description":"Revision of uterus","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CCYE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OETE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Pegademase bovine_ 25 iu","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"J2504","description":"Pegademase bovine_ 25 iu","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Documented reason for not assessing hepatitis B virus (HBV) status (e.g._ patient not initiating anti-TNF therapy_ patient declined) prior to initiating anti-TNF therapy","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G9504","description":"Documented reason for not assessing hepatitis B virus (HBV) status (e.g._ patient not initiating anti-TNF therapy_ patient declined) prior to initiating anti-TNF therapy","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-Q4369","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"Q4369","description":"HCPCS-Q4369","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Denture reln cmplt mand lab","billing_code_type":"CDT","billing_code_type_version":"2024","billing_code":"D5751","description":"Denture reln cmplt mand lab","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Assay of ascorbic acid","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"82180","description":"Assay of ascorbic acid","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Psychosis_ Depression_ Anxiety_ Apathy_ And Impulse Control Disorder Not Assessed","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G2122","description":"Psychosis_ Depression_ Anxiety_ Apathy_ And Impulse Control Disorder Not Assessed","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Patients who had a suicide safety plan initiated_ reviewed_ or updated and reviewed and updated in collaboration with the patient and their clinician concurrent or within 24 h","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"M1351","description":"Patients who had a suicide safety plan initiated_ reviewed_ or updated and reviewed and updated in collaboration with the patient and their clinician concurrent or within 24 h","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NKFB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"AHLA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Ak/bk self-aligning unit ea","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"L5617","description":"Ak/bk self-aligning unit ea","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FFJC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KFOA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NCVA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BFBD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KABC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"EIHE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GCVF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GCUE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NJJF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Work hardening add-on","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"97546","description":"Work hardening add-on","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"EFEC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-M1480","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"M1480","description":"HCPCS-M1480","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Lev 3 hosp type b ed visit","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G0382","description":"Lev 3 hosp type b ed visit","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KILC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-1CFP5","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"1CFP5","description":"HIPPS-1CFP5","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CISC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Remove brain cavity fluid","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"61020","description":"Remove brain cavity fluid","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NIAA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-3CHLW","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"3CHLW","description":"HIPPS-3CHLW","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OJBC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MBUD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NIBF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Anticoagulant management for a patient taking warfarin_ must include review and interpretation of a new home_ office_ or lab international normalized ratio (INR) test result_","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"93793","description":"Anticoagulant management for a patient taking warfarin_ must include review and interpretation of a new home_ office_ or lab international normalized ratio (INR) test result_","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Hard protect helmet prefab","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"A8001","description":"Hard protect helmet prefab","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Infiltration of sustained release therapeutic drug - single or multiple sites","billing_code_type":"CDT","billing_code_type_version":"2024","billing_code":"D9613","description":"Infiltration of sustained release therapeutic drug - single or multiple sites","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KCYD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OHVE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GDWA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Neck spinal fusion","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"22595","description":"Neck spinal fusion","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"IFBC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-HC21B","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"HC21B","description":"HIPPS-HC21B","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"CPT-00567","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"00567","description":"CPT-00567","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Sex chromatin identification","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"88130","description":"Sex chromatin identification","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-PB28C","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"PB28C","description":"HIPPS-PB28C","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NKUA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Eeg ordered rvwd reqstd","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"3650F","description":"Eeg ordered rvwd reqstd","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Infusion pump_ non-prog_temp","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"C2626","description":"Infusion pump_ non-prog_temp","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CAYC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Treat elbow fracture","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"24587","description":"Treat elbow fracture","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Art byp grft subclav-carotid","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"35506","description":"Art byp grft subclav-carotid","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RUC8D","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RUC8D","description":"HIPPS-RUC8D","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-CA160","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"CA160","description":"HIPPS-CA160","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"EGDB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Dialysis one evaluation","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"90945","description":"Dialysis one evaluation","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OIJE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MIDF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Documentation of system reason(s) for not prescribing a long-acting inhaled bronchodilator","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G9698","description":"Documentation of system reason(s) for not prescribing a long-acting inhaled bronchodilator","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-HE121","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"HE121","description":"HIPPS-HE121","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Tracheostomy speaking valve","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"L8501","description":"Tracheostomy speaking valve","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Echo exam of fetal heart","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"76828","description":"Echo exam of fetal heart","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"EFIE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Fracture frame free standing","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"E0930","description":"Fracture frame free standing","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FGAD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OILD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GGYB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Cardiac rehab/monitor","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"93798","description":"Cardiac rehab/monitor","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FHBF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-LC14D","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"LC14D","description":"HIPPS-LC14D","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Onc dx ovarian unknown nos","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G9117","description":"Onc dx ovarian unknown nos","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MIME1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NKPD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Skilled services of a registered nurse (RN)_ in the training and/or education of a patient or family member_ in the home health or hospice setting_ each 15 minutes","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G0495","description":"Skilled services of a registered nurse (RN)_ in the training and/or education of a patient or family member_ in the home health or hospice setting_ each 15 minutes","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BIHC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Developmental test administration (including assessment of fine and/or gross motor_ language_ cognitive level_ social_ memory and/or executive functions by standardized develo","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"96113","description":"Developmental test administration (including assessment of fine and/or gross motor_ language_ cognitive level_ social_ memory and/or executive functions by standardized develo","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NFBC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"DIQE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NFVC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"PIQD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KCQC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JECC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Procuren or other growth fac","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"S9055","description":"Procuren or other growth fac","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Surgical pathology reports that contain impression or conclusion of or recommendation for testing of mmr by immunohistochemistry_ msi by dna-based testing status_ or both","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"M1193","description":"Surgical pathology reports that contain impression or conclusion of or recommendation for testing of mmr by immunohistochemistry_ msi by dna-based testing status_ or both","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Insrt pulse gen w/dual leads","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"33230","description":"Insrt pulse gen w/dual leads","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FCMC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-M1385","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"M1385","description":"HCPCS-M1385","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FGXB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Ini phq9 >9 not assess","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G9396","description":"Ini phq9 >9 not assess","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JGHF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KHCE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Interprof phone/online 11-20","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"99447","description":"Interprof phone/online 11-20","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Us bone density measure","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"76977","description":"Us bone density measure","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"CPT-1025T","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"1025T","description":"CPT-1025T","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JBMC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RUA34","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RUA34","description":"HIPPS-RUA34","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"CPT-82233","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"82233","description":"CPT-82233","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-3BFPT","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"3BFPT","description":"HIPPS-3BFPT","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MJLD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Transfer skin pedicle flap","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"15650","description":"Transfer skin pedicle flap","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Right heart cath","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"93451","description":"Right heart cath","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Im admin 1st/only component","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"90460","description":"Im admin 1st/only component","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"IILE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"DHRA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"AGUA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FAJC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Cmplx chron care addl 30 min","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"99489","description":"Cmplx chron care addl 30 min","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Insert abdomen-venous drain","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"49425","description":"Insert abdomen-venous drain","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-4BFK3","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"4BFK3","description":"HIPPS-4BFK3","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-ES28B","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"ES28B","description":"HIPPS-ES28B","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Heart rhythm pacing","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"93618","description":"Heart rhythm pacing","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-2AGK3","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"2AGK3","description":"HIPPS-2AGK3","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GGLD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"IBUC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-CB11B","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"CB11B","description":"HIPPS-CB11B","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Oncology (pancreas)_ DNA and mRNA next-generation sequencing analysis of 74 genes and analysis of CEA (CEACAM5) gene expression_ pancreatic cyst fluid_ algorithm reported as a","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0313U","description":"Oncology (pancreas)_ DNA and mRNA next-generation sequencing analysis of 74 genes and analysis of CEA (CEACAM5) gene expression_ pancreatic cyst fluid_ algorithm reported as a","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-CC214","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"CC214","description":"HIPPS-CC214","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Electro-oculography","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"92270","description":"Electro-oculography","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NAND0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"DHSC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KDOC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-1AGN6","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"1AGN6","description":"HIPPS-1AGN6","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Crown 3/4 cast noble metal","billing_code_type":"CDT","billing_code_type_version":"2024","billing_code":"D2782","description":"Crown 3/4 cast noble metal","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CBVE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KBUA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Addition of walker to cast","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"29440","description":"Addition of walker to cast","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Cantharidin for topical administration_ 0.7%_ single unit dose applicator (3.2 mg)","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"C9164","description":"Cantharidin for topical administration_ 0.7%_ single unit dose applicator (3.2 mg)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Storage/year oocyte(s)","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"89346","description":"Storage/year oocyte(s)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"EFLF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Assay of progesterone 20-","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"83499","description":"Assay of progesterone 20-","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Cataract mg qual act perform","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G8765","description":"Cataract mg qual act perform","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-C0504","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"C0504","description":"HCPCS-C0504","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FIMA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HH PDGM","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"4HA31","description":"HH PDGM","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"PermeaDerm C_ per sq cm","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"A2018","description":"PermeaDerm C_ per sq cm","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Per pm reeval est pat 65+ yr","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"99397","description":"Per pm reeval est pat 65+ yr","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Cap bacterial assess","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0012F","description":"Cap bacterial assess","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Removal of breast capsule","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"19371","description":"Removal of breast capsule","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Nerve graft arm/leg >4 cm","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"64898","description":"Nerve graft arm/leg >4 cm","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Treat fracture of radius","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"25525","description":"Treat fracture of radius","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JFDE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"ASXL1 (additional sex combs like 1_ transcriptional regulator) (eg_ myelodysplastic syndrome_ myeloproliferative neoplasms_ chronic myelomonocytic leukemia)_ gene analysis; ta","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"81176","description":"ASXL1 (additional sex combs like 1_ transcriptional regulator) (eg_ myelodysplastic syndrome_ myeloproliferative neoplasms_ chronic myelomonocytic leukemia)_ gene analysis; ta","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Ins cath abd/l-ext art 3rd","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"36247","description":"Ins cath abd/l-ext art 3rd","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GHDA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"DERF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BEXA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OKUD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FINF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NAXD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"IAUD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Homecare train pt session","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"S5109","description":"Homecare train pt session","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KFWD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Denture reln cmplt mand chr","billing_code_type":"CDT","billing_code_type_version":"2024","billing_code":"D5731","description":"Denture reln cmplt mand chr","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Flu immunize order/admin","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G8482","description":"Flu immunize order/admin","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"RAS (KRAS and NRAS) gene mutation testing performed before initiation of anti-EGFR MoAb","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G9840","description":"RAS (KRAS and NRAS) gene mutation testing performed before initiation of anti-EGFR MoAb","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CCVB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NACB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-ES335","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"ES335","description":"HIPPS-ES335","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RLX20","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RLX20","description":"HIPPS-RLX20","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"IEDA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Ct maxillofacial w/o dye","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"70486","description":"Ct maxillofacial w/o dye","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Shave skin lesion 0.6-1.0 cm","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"11301","description":"Shave skin lesion 0.6-1.0 cm","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NCTA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FGEA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"EATB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Hospital Special Treatment Room Support Component (Hstrsc) Injection/Nerve Block Procedures","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"X0620","description":"Hospital Special Treatment Room Support Component (Hstrsc) Injection/Nerve Block Procedures","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-3CFMU","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"3CFMU","description":"HIPPS-3CFMU","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-CB125","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"CB125","description":"HIPPS-CB125","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-HB113","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"HB113","description":"HIPPS-HB113","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-BA256","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"BA256","description":"HIPPS-BA256","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-2BGMX","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"2BGMX","description":"HIPPS-2BGMX","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MCHD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Prep bk ptb laminated socket","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"L5540","description":"Prep bk ptb laminated socket","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Neuromend nerve wrap","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"C9361","description":"Neuromend nerve wrap","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OFNF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Each additional cervical vertebral body (list separately in addition to code for primary procedure)","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"S2361","description":"Each additional cervical vertebral body (list separately in addition to code for primary procedure)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Ins lt atrl press monitor","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0293T","description":"Ins lt atrl press monitor","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Shave skin lesion 0.6-1.0 cm","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"11306","description":"Shave skin lesion 0.6-1.0 cm","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-2AGM3","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"2AGM3","description":"HIPPS-2AGM3","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Colonoscopy w/control bleed","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"45382","description":"Colonoscopy w/control bleed","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"EDLF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Back Pain Measured By The Visual Analog Scale (Vas) At Three Months (6 ? 20 Weeks) Postoperatively Was Greater Than 3.0 And Back Pain Measured By The Visual Analog Scale (Vas)","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G2137","description":"Back Pain Measured By The Visual Analog Scale (Vas) At Three Months (6 ? 20 Weeks) Postoperatively Was Greater Than 3.0 And Back Pain Measured By The Visual Analog Scale (Vas)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Colonoscopy thru stoma spx","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"44388","description":"Colonoscopy thru stoma spx","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-LE18D","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"LE18D","description":"HIPPS-LE18D","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-PB234","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"PB234","description":"HIPPS-PB234","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Auricular replacement","billing_code_type":"CDT","billing_code_type_version":"2024","billing_code":"D5927","description":"Auricular replacement","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Cystoscopy and treatment","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"52281","description":"Cystoscopy and treatment","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OAYB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Knee disart_ sach ft_ endo","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"L5312","description":"Knee disart_ sach ft_ endo","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FDKA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Hit midline cath insert kit","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"S5521","description":"Hit midline cath insert kit","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RVB2C","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RVB2C","description":"HIPPS-RVB2C","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"ADBD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GDPC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KDEA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Brca1&2 185&5385&6174 var","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"81212","description":"Brca1&2 185&5385&6174 var","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-C1904","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"C1904","description":"HCPCS-C1904","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GFIC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-CB255","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"CB255","description":"HIPPS-CB255","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NEIA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KAOF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Hi enrgy eswt plantar fascia","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"28890","description":"Hi enrgy eswt plantar fascia","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-HC225","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"HC225","description":"HIPPS-HC225","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KIXC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Insertion of non-biodegradable drug delivery implants_ 4 or more (services for subdermal rod implant)","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G0516","description":"Insertion of non-biodegradable drug delivery implants_ 4 or more (services for subdermal rod implant)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Set-up cardiovert-defibrill","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"93745","description":"Set-up cardiovert-defibrill","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"HIRC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NHMC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-1BGN1","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"1BGN1","description":"HIPPS-1BGN1","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Gallium ga-68 psma-11_ diagnostic_ (ucsf)_ 1 millicurie","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"A9593","description":"Gallium ga-68 psma-11_ diagnostic_ (ucsf)_ 1 millicurie","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Fetal surg myelomeningo","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"S2404","description":"Fetal surg myelomeningo","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RUC8I","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RUC8I","description":"HIPPS-RUC8I","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JBHC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"LGWB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GHLA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NFHA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Fibrinolysins screen i&r","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"85390","description":"Fibrinolysins screen i&r","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"CPT-0518U","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"0518U","description":"CPT-0518U","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OFQA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CBNF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OGRC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Parathyrd planar w/spect&ct","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"78072","description":"Parathyrd planar w/spect&ct","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OIKA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JDEA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OFSA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Partial removal of esophagus","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"43122","description":"Partial removal of esophagus","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-3AFN6","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"3AFN6","description":"HIPPS-3AFN6","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Doc viral load <200","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G9243","description":"Doc viral load <200","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Inject l ventr/atrial angio","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"93565","description":"Inject l ventr/atrial angio","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-1CGM4","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"1CGM4","description":"HIPPS-1CGM4","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Monitor elec vad_ rep","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"Q0483","description":"Monitor elec vad_ rep","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Attach bladder/urethra","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"51840","description":"Attach bladder/urethra","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JATC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BCGA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-CD212","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"CD212","description":"HIPPS-CD212","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FFKB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KHAC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-CB244","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"CB244","description":"HIPPS-CB244","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"ODDE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OCYC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BBGD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JCMF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-J0463","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"J0463","description":"HCPCS-J0463","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KFBE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"EEUB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KFDF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-CB225","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"CB225","description":"HIPPS-CB225","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NIPA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Replacement_ aortic valve; by translocation of autologous pulmonary valve and transventricular aortic annulus enlargement of the left ventricular outflow tract with valved con","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"33440","description":"Replacement_ aortic valve; by translocation of autologous pulmonary valve and transventricular aortic annulus enlargement of the left ventricular outflow tract with valved con","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Perc drug-el cor stent bran","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"C9601","description":"Perc drug-el cor stent bran","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FADE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Remove muti-comp penis pros","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"54406","description":"Remove muti-comp penis pros","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Metoclopramide hcl injection","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"J2765","description":"Metoclopramide hcl injection","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OJDD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Foam propulsion tire each","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"E2218","description":"Foam propulsion tire each","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GAIE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OGNF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JDPC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RVB5C","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RVB5C","description":"HIPPS-RVB5C","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"IHCE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OITC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BGIE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Reconstruction of jaw","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"21248","description":"Reconstruction of jaw","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Assay of sirolimus","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"80195","description":"Assay of sirolimus","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Documentation of immune checkpoint inhibitor therapy not held and/or corticosteroids or immunosuppressants prescribed or administered was not performed_ reason not given","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"M1185","description":"Documentation of immune checkpoint inhibitor therapy not held and/or corticosteroids or immunosuppressants prescribed or administered was not performed_ reason not given","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Pne scrn done doc vac done","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G9279","description":"Pne scrn done doc vac done","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Tis trnfr any 30.1-60 sq cm","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"14301","description":"Tis trnfr any 30.1-60 sq cm","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"PLQB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GDRF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GCLC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BILF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Release palm contracture","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"26125","description":"Release palm contracture","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"HCRB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-2AHM5","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"2AHM5","description":"HIPPS-2AHM5","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BAGA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Biopsy knee joint lining","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"27330","description":"Biopsy knee joint lining","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OAHA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-CC23B","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"CC23B","description":"HIPPS-CC23B","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Place catheter in artery","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"36215","description":"Place catheter in artery","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NFVB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CCCD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Ko double upright pre ots","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"K0902","description":"Ko double upright pre ots","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Screen depression performed","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"3725F","description":"Screen depression performed","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OBCF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Remove hip pressure sore","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"15940","description":"Remove hip pressure sore","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"IADE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KAFA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JIDF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"DuoAmnion_ per sq cm","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"Q4327","description":"DuoAmnion_ per sq cm","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GGMF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KBMF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GGOD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Tisagenlecleucel_ up to 600 million car-positive viable t-cells_ including leukopheresis and dose preparation procedures_ per therapeutic dose","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"Q2042","description":"Tisagenlecleucel_ up to 600 million car-positive viable t-cells_ including leukopheresis and dose preparation procedures_ per therapeutic dose","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Dorsi & plantar flex ass/res","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"L2220","description":"Dorsi & plantar flex ass/res","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MBIA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HH PDGM","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"3HA31","description":"HH PDGM","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BATF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"LIWB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"PDOE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Pos airway pressure cpap","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"94660","description":"Pos airway pressure cpap","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Trans-abdominal or trans-vaginal ultrasound not performed_ reason not given","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G8808","description":"Trans-abdominal or trans-vaginal ultrasound not performed_ reason not given","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Wheelchair standard w/ leg r","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"E1150","description":"Wheelchair standard w/ leg r","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RHX24","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RHX24","description":"HIPPS-RHX24","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NIEC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BFGB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Disposable collection and storage bag for breast milk_ any size_ any type_ each","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"A4287","description":"Disposable collection and storage bag for breast milk_ any size_ any type_ each","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RUL3B","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RUL3B","description":"HIPPS-RUL3B","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Hexagnal phosph pltlt neutrl","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"85598","description":"Hexagnal phosph pltlt neutrl","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CERB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NLKC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JIKB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BIJE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-HC241","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"HC241","description":"HIPPS-HC241","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Laryngoplasty; for laryngeal stenosis_ with graft_ with indwelling stent placement_ age 12 years or older","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"31554","description":"Laryngoplasty; for laryngeal stenosis_ with graft_ with indwelling stent placement_ age 12 years or older","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Ace/arb thxpy rxd","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G8473","description":"Ace/arb thxpy rxd","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Partial removal of thyroid","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"60220","description":"Partial removal of thyroid","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Closed tx nose/jaw fx","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"21345","description":"Closed tx nose/jaw fx","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-B0904","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"B0904","description":"HCPCS-B0904","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OEAC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"CPT-0982T","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"0982T","description":"CPT-0982T","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Presc opiates >6 wks","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G9577","description":"Presc opiates >6 wks","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MKCF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JBMD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"ADMB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OIXF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RVX5B","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RVX5B","description":"HIPPS-RVX5B","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OCOF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JAGA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Culture screen only","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"87081","description":"Culture screen only","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BFNF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Prep renal graft/venous","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"50327","description":"Prep renal graft/venous","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"HBWD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"HGRD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Bone replce graft each add","billing_code_type":"CDT","billing_code_type_version":"2024","billing_code":"D4264","description":"Bone replce graft each add","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GHEB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OFWC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-G0563","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"G0563","description":"HCPCS-G0563","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-CA18F","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"CA18F","description":"HIPPS-CA18F","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CGBB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MATC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"PLQA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Assay nephelometry not spec","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"83883","description":"Assay nephelometry not spec","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MEUE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"CPT-37298","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"37298","description":"CPT-37298","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Oral/facial photo images","billing_code_type":"CDT","billing_code_type_version":"2024","billing_code":"D0350","description":"Oral/facial photo images","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Treat lower jaw fracture","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"21452","description":"Treat lower jaw fracture","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Close nephrovisceral fistula","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"50525","description":"Close nephrovisceral fistula","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Treat dislocation/fracture","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"23675","description":"Treat dislocation/fracture","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"IFAB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KIXB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"IDCC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GDQE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Assay of vitamin k","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"84597","description":"Assay of vitamin k","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Assay of 5-hiaa","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"83497","description":"Assay of 5-hiaa","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-HD236","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"HD236","description":"HIPPS-HD236","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OBOB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Habil res waiver 15 min","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"T2017","description":"Habil res waiver 15 min","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OAKC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BIFB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RMX8H","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RMX8H","description":"HIPPS-RMX8H","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Hepatitis b vaccine injection administered or previously received and is receiving a first course of anti-tnf therapy","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G8870","description":"Hepatitis b vaccine injection administered or previously received and is receiving a first course of anti-tnf therapy","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-1BGNU","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"1BGNU","description":"HIPPS-1BGNU","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KDRB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-4BGM3","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"4BGM3","description":"HIPPS-4BGM3","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Valvuloplasty open","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"33401","description":"Valvuloplasty open","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"AIBC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Anesth abdominal wall surg","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"82051","description":"Anesth abdominal wall surg","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-CC20D","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"CC20D","description":"HIPPS-CC20D","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"LHYC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Ongoing Care Not Indicated_ Patient Seen Only 1-2 Visits (E.G._ Home Program Only_ Referred To Another Provider Or Facility_ Consultation Only","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"M1144","description":"Ongoing Care Not Indicated_ Patient Seen Only 1-2 Visits (E.G._ Home Program Only_ Referred To Another Provider Or Facility_ Consultation Only","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CDUE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NGUA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OHPF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NDKA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MDIA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Ct bone density axial","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"77078","description":"Ct bone density axial","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Routine ophthalmological exa","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"S0621","description":"Routine ophthalmological exa","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Low back disk surgery","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"63030","description":"Low back disk surgery","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GAMB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OBJF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Cell enumeration & id","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"86152","description":"Cell enumeration & id","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Caster pin lock each","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"K0073","description":"Caster pin lock each","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Decompressive lobectomy","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"61323","description":"Decompressive lobectomy","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CGQD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Laparo remove w/ureter","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"50548","description":"Laparo remove w/ureter","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NEKE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-3CFMS","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"3CFMS","description":"HIPPS-3CFMS","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RHX36","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RHX36","description":"HIPPS-RHX36","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NGMA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GGYF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-3AFP3","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"3AFP3","description":"HIPPS-3AFP3","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Nursing fac care subseq","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"99309","description":"Nursing fac care subseq","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NLFC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CARA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CFSC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CFHD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"LBOC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-PD24A","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"PD24A","description":"HIPPS-PD24A","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Assistive Technology","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"W0138","description":"Assistive Technology","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RUC44","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RUC44","description":"HIPPS-RUC44","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Pcp prophylaxis rxd","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"4279F","description":"Pcp prophylaxis rxd","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HH PDGM","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"1FC11","description":"HH PDGM","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SanoGraft_ per sq cm","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"Q4319","description":"SanoGraft_ per sq cm","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OJFC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-PD111","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"PD111","description":"HIPPS-PD111","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Assay of lidocaine","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"80176","description":"Assay of lidocaine","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Mh health assess by non-md","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"H0031","description":"Mh health assess by non-md","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Followup eval of foot pt lop","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G0246","description":"Followup eval of foot pt lop","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"CPT-0540U","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"0540U","description":"CPT-0540U","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-HD15A","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"HD15A","description":"HIPPS-HD15A","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RLB4C","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RLB4C","description":"HIPPS-RLB4C","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OGJF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OLGA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Special anesthesia procedure","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"99135","description":"Special anesthesia procedure","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OJMB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"AGAE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RMC06","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RMC06","description":"HIPPS-RMC06","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Supprelin la implant","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"J9226","description":"Supprelin la implant","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JEDA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"CPT-0610U","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"0610U","description":"CPT-0610U","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"HEWF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-A1703","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"A1703","description":"HCPCS-A1703","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-CE212","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"CE212","description":"HIPPS-CE212","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"F18 fdg","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"A9552","description":"F18 fdg","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Remote in-home visit for the e&m of a new patient for use only in the Medicare-approved Comprehensive Care for Joint Replacement model_ which requires these 3 key components","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G9481","description":"Remote in-home visit for the e&m of a new patient for use only in the Medicare-approved Comprehensive Care for Joint Replacement model_ which requires these 3 key components","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FFNF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"ACHF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Injection_ loncastuximab tesirine-lpyl_ 0.075 mg","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"J9359","description":"Injection_ loncastuximab tesirine-lpyl_ 0.075 mg","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MCIB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Injection of non-compounded foam sclerosant with ultrasound compression maneuvers to guide dispersion of the injectate_ inclusive of all imaging guidance and monitoring; multi","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"36466","description":"Injection of non-compounded foam sclerosant with ultrasound compression maneuvers to guide dispersion of the injectate_ inclusive of all imaging guidance and monitoring; multi","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"DCYA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Helicoll_ per square cm","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"Q4164","description":"Helicoll_ per square cm","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RVB4B","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RVB4B","description":"HIPPS-RVB4B","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Office emergency care","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"99058","description":"Office emergency care","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Surgical revision intestine","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"44680","description":"Surgical revision intestine","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Documentation of medical reason for not receiving at least 2 prophylactic pharmacologic anti-emetic agents of different classes preoperatively and/or intraoperatively (e.g._ i","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G9776","description":"Documentation of medical reason for not receiving at least 2 prophylactic pharmacologic anti-emetic agents of different classes preoperatively and/or intraoperatively (e.g._ i","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Placement of a custom removable clear plastic temporary aesthetic appliance","billing_code_type":"CDT","billing_code_type_version":"2024","billing_code":"D9939","description":"Placement of a custom removable clear plastic temporary aesthetic appliance","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NBAD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Injection_ talimogene laherparepvec_ per 1 million plaque forming units","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"J9325","description":"Injection_ talimogene laherparepvec_ per 1 million plaque forming units","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OKEC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OAMB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-LB22B","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"LB22B","description":"HIPPS-LB22B","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"HDYB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"IHCA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Ct hrt w/3d image","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"75572","description":"Ct hrt w/3d image","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GIKE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KCEC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Domicil/r-home visit new pat","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"99327","description":"Domicil/r-home visit new pat","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JAMA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MLCD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-HC18H","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"HC18H","description":"HIPPS-HC18H","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JADB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OAXB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Hip adj flex ext abduct cont","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"L2624","description":"Hip adj flex ext abduct cont","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Dilate ic vasospasm add-on","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"61642","description":"Dilate ic vasospasm add-on","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Pt w/clin ascvd dx","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G9674","description":"Pt w/clin ascvd dx","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Electroretinography (ERG) with interpretation and report_ pattern (PERG)","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0509T","description":"Electroretinography (ERG) with interpretation and report_ pattern (PERG)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Provider who referred the patient to another provider did not receive a report from the provider to whom the patient was referred","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G9970","description":"Provider who referred the patient to another provider did not receive a report from the provider to whom the patient was referred","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GBYF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Asth not controlled","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G9434","description":"Asth not controlled","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Lymphocyte culture mixed","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"86821","description":"Lymphocyte culture mixed","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CCBD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-BB160","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"BB160","description":"HIPPS-BB160","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FEUD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Transthor diaphrag hern rpr","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"43335","description":"Transthor diaphrag hern rpr","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-Q4408","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"Q4408","description":"HCPCS-Q4408","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KHWC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JCEB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Cabg artery-vein four","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"33521","description":"Cabg artery-vein four","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-3CGLV","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"3CGLV","description":"HIPPS-3CGLV","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CCRB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"EAIE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-4AFL1","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"4AFL1","description":"HIPPS-4AFL1","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OBGF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RVC1C","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RVC1C","description":"HIPPS-RVC1C","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Intmd rpr face/mm 5.1-7.5 cm","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"12053","description":"Intmd rpr face/mm 5.1-7.5 cm","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Pneumatic appliance full leg","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"E0660","description":"Pneumatic appliance full leg","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"CPT-0615U","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"0615U","description":"CPT-0615U","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NIMD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Left ventricular ejection fraction (lvef) less than or equal to 40% or documentation of moderately or severely depressed left ventricular systolic function","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"M1150","description":"Left ventricular ejection fraction (lvef) less than or equal to 40% or documentation of moderately or severely depressed left ventricular systolic function","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Primary closure sinus perf","billing_code_type":"CDT","billing_code_type_version":"2024","billing_code":"D7261","description":"Primary closure sinus perf","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Injection_ rituximab_ 100 mg","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"J9310","description":"Injection_ rituximab_ 100 mg","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Injection_ Gemcitabine Hydrochloride (Infugem)_ 200 Mg","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"J9199","description":"Injection_ Gemcitabine Hydrochloride (Infugem)_ 200 Mg","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Rad exp time w/fluor doc","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G9500","description":"Rad exp time w/fluor doc","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NCAD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Removal of rectum","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"45120","description":"Removal of rectum","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Anesth cabg w/pump","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"56751","description":"Anesth cabg w/pump","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-LC20C","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"LC20C","description":"HIPPS-LC20C","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"PDWB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FEAE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"HDRD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"CPT-0488U","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"0488U","description":"CPT-0488U","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CHNC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-CC21B","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"CC21B","description":"HIPPS-CC21B","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"PKSB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-1CHMX","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"1CHMX","description":"HIPPS-1CHMX","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CDQB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"LGWE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OHUB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"CPT-00210","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"00210","description":"CPT-00210","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Pneumococcal conjugate vaccine_ 15 valent (PCV15)_ for intramuscular use","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"90671","description":"Pneumococcal conjugate vaccine_ 15 valent (PCV15)_ for intramuscular use","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"IHHF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Cst bse mtl inlay >= 3 surfa","billing_code_type":"CDT","billing_code_type_version":"2024","billing_code":"D6605","description":"Cst bse mtl inlay >= 3 surfa","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RHB5C","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RHB5C","description":"HIPPS-RHB5C","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Pt asked re sleep disturb","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"4328F","description":"Pt asked re sleep disturb","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Gradient compression stocking_ thigh length_ 18-30 mmhg_ custom_ each","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"A6556","description":"Gradient compression stocking_ thigh length_ 18-30 mmhg_ custom_ each","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RUX2C","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RUX2C","description":"HIPPS-RUX2C","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NJND1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"CPT-01968","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"01968","description":"CPT-01968","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Col chromotography qual/quan","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"82542","description":"Col chromotography qual/quan","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HH PDGM","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"3FA21","description":"HH PDGM","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Rerepair ing hernia reduce","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"49520","description":"Rerepair ing hernia reduce","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Electroencephalogram (Eeg)_ Without Video_ Review Of Data_ Technical Description By Eeg Technologist_ 2-12 Hours; With Intermittent Monitoring And Maintenance","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"95706","description":"Electroencephalogram (Eeg)_ Without Video_ Review Of Data_ Technical Description By Eeg Technologist_ 2-12 Hours; With Intermittent Monitoring And Maintenance","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-C9308","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"C9308","description":"HCPCS-C9308","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OHVB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Place catheter in artery","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"36217","description":"Place catheter in artery","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-G0663","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"G0663","description":"HCPCS-G0663","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OJCE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Emr pwr cbl combo vad_ rep","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"Q0493","description":"Emr pwr cbl combo vad_ rep","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GIPC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JBBC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GBLB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"X-ray exam of jaw joints","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"70330","description":"X-ray exam of jaw joints","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Not initial eval for cond","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"1501F","description":"Not initial eval for cond","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"LDWB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"ODVD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BHAD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NDCC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Molecular testing for a public health related pathogen_ including coronavirus","billing_code_type":"CDT","billing_code_type_version":"2024","billing_code":"D0606","description":"Molecular testing for a public health related pathogen_ including coronavirus","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-LB25B","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"LB25B","description":"HIPPS-LB25B","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RVB23","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RVB23","description":"HIPPS-RVB23","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"LBSD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"EIBA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Partial removal of esophagus","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"43117","description":"Partial removal of esophagus","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NCND1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GIPA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Treat craniofacial fracture","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"21435","description":"Treat craniofacial fracture","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OAUE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CGGD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Cap bld skin piercing laser","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"E0620","description":"Cap bld skin piercing laser","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Exploration of vagina","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"57000","description":"Exploration of vagina","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-CD10D","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"CD10D","description":"HIPPS-CD10D","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FGTD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NBMD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CDAC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CBEC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KHUB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-HC28X","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"HC28X","description":"HIPPS-HC28X","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Incid ct liver/kid/adre fdg","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G9547","description":"Incid ct liver/kid/adre fdg","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Oncology (hematolymphoid neoplasm)_ optical genome mapping for copy number alterations_ aneuploidy_ and balanced/complex structural rearrangements_ DNA from blood or bone marr","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0413U","description":"Oncology (hematolymphoid neoplasm)_ optical genome mapping for copy number alterations_ aneuploidy_ and balanced/complex structural rearrangements_ DNA from blood or bone marr","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HH PDGM","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"3EA21","description":"HH PDGM","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FDPA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Mmr vaccine sc","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"90707","description":"Mmr vaccine sc","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Orchiectomy partial","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"54522","description":"Orchiectomy partial","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OBFD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CETD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Elastase_ Pancreatic (El-1)_ Fecal; Quantitative","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"82653","description":"Elastase_ Pancreatic (El-1)_ Fecal; Quantitative","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-CC246","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"CC246","description":"HIPPS-CC246","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OJFB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NJEC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FFLF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"HHOA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Afo multilig ank sup pre ots","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"L1906","description":"Afo multilig ank sup pre ots","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Hydrocolld drg filler paste","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"A6240","description":"Hydrocolld drg filler paste","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-3AFP2","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"3AFP2","description":"HIPPS-3AFP2","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-PB14C","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"PB14C","description":"HIPPS-PB14C","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JIME1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-2CHLU","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"2CHLU","description":"HIPPS-2CHLU","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"LFWC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KDXC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Residual limb support system","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"E1020","description":"Residual limb support system","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MITA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MJLC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Palb2 (Partner And Localizer Of Brca2) (Eg_ Breast And Pancreatic Cancer) Gene Analysis; Known Familial Variant","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"81308","description":"Palb2 (Partner And Localizer Of Brca2) (Eg_ Breast And Pancreatic Cancer) Gene Analysis; Known Familial Variant","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Liver imaging with flow","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"78202","description":"Liver imaging with flow","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JGGF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CIRF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CGNB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-3BFK4","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"3BFK4","description":"HIPPS-3BFK4","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OIMC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RUL14","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RUL14","description":"HIPPS-RUL14","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Patients who were in hospice at any time during the performance period","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"M1022","description":"Patients who were in hospice at any time during the performance period","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CCPF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MKUD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OHYD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"EHEF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"DERF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"CDT-D8671","billing_code_type":"CDT","billing_code_type_version":"2026","billing_code":"D8671","description":"CDT-D8671","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Home visit im injection","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"99506","description":"Home visit im injection","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Onc prac mgmt adheres guide","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G9056","description":"Onc prac mgmt adheres guide","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RVA01","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RVA01","description":"HIPPS-RVA01","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Salicylate","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"80179","description":"Salicylate","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FABB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Explore parathyroid glands","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"60500","description":"Explore parathyroid glands","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-1CFNV","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"1CFNV","description":"HIPPS-1CFNV","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-PC11C","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"PC11C","description":"HIPPS-PC11C","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Lengthen metacarpal/finger","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"26568","description":"Lengthen metacarpal/finger","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"CPT-16070","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"16070","description":"CPT-16070","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Injection_ triamcinolone acetonide_ suprachoroidal (Xipere)_ 1 mg","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"C9092","description":"Injection_ triamcinolone acetonide_ suprachoroidal (Xipere)_ 1 mg","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MIEE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-BB11B","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"BB11B","description":"HIPPS-BB11B","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Immunotherapy administration with electroporation_ intramuscular","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0732T","description":"Immunotherapy administration with electroporation_ intramuscular","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Visc & infraren abd 4+ prost","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"34848","description":"Visc & infraren abd 4+ prost","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RVC30","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RVC30","description":"HIPPS-RVC30","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Remove tear gland lesion","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"68540","description":"Remove tear gland lesion","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MGAE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RMB24","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RMB24","description":"HIPPS-RMB24","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Walker crutch attachment","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"E0157","description":"Walker crutch attachment","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Icar ischm mntrng sys compl","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0302T","description":"Icar ischm mntrng sys compl","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Exc h-f-nk-sp b9+marg 3.1-4","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"11424","description":"Exc h-f-nk-sp b9+marg 3.1-4","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KAXB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Office consultation","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"99242","description":"Office consultation","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OHHA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"PLYC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Tint_ any color/solid/grad","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"V2745","description":"Tint_ any color/solid/grad","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"EBID0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FIBF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Pt doc no events on discharg","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G8907","description":"Pt doc no events on discharg","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RLB4B","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RLB4B","description":"HIPPS-RLB4B","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-3AFNT","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"3AFNT","description":"HIPPS-3AFNT","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RVB17","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RVB17","description":"HIPPS-RVB17","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KHID1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NBXD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Insert tun ip cath perc","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"49418","description":"Insert tun ip cath perc","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JAIB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"LAOE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Hospital observation per hr","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G0378","description":"Hospital observation per hr","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KAWF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GEWA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"HHWA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Sio flex pelvic/sacr pre ots","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"L0621","description":"Sio flex pelvic/sacr pre ots","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GBIC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Partial removal of esophagus","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"43116","description":"Partial removal of esophagus","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Low cost skin substitute app","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"C5274","description":"Low cost skin substitute app","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Drainage of eye","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"65810","description":"Drainage of eye","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NANA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KEID0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"AGBA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Immune globulin_ powder","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"J1566","description":"Immune globulin_ powder","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HH PDGM","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"1CB31","description":"HH PDGM","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OIXC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BENF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FIHD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BCLC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GDMC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"IHBC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BFEF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Digitization of glass microscope slides for morphometric analysis_ in situ hybridization (quantitative or semiquantitative)_ manual_ per specimen; each additional single probe","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0852T","description":"Digitization of glass microscope slides for morphometric analysis_ in situ hybridization (quantitative or semiquantitative)_ manual_ per specimen; each additional single probe","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CGRD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GGPE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GBFE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FHTB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JIJF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Partial removal of larynx","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"31380","description":"Partial removal of larynx","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-CE13C","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"CE13C","description":"HIPPS-CE13C","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RMX34","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RMX34","description":"HIPPS-RMX34","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-PD18I","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"PD18I","description":"HIPPS-PD18I","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CIKF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-3BHPW","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"3BHPW","description":"HIPPS-3BHPW","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Whfo nontorsion joint prefab","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"L3931","description":"Whfo nontorsion joint prefab","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Assay of fetal fibronectin","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"82731","description":"Assay of fetal fibronectin","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"HFYB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"PFWA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Hit noc per diem","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"S9379","description":"Hit noc per diem","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FBEA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MBID0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Ascending aortic graft","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"33863","description":"Ascending aortic graft","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RLB1A","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RLB1A","description":"HIPPS-RLB1A","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Electron beam computed tomog","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"S8092","description":"Electron beam computed tomog","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Sargramostim injection","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"J2820","description":"Sargramostim injection","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Total hip arthroplasty","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"27132","description":"Total hip arthroplasty","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Pm device eval in person","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"93288","description":"Pm device eval in person","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OFJD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Incision of thigh tendons","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"27307","description":"Incision of thigh tendons","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BHIC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Endovas aaa repr w/long tube","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"34805","description":"Endovas aaa repr w/long tube","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Adj skin pro/pos wc cus>=22","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"E2625","description":"Adj skin pro/pos wc cus>=22","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Immunization administration by intramuscular injection of severe acute respiratory syndrome coronavirus 2 (SARS\u0002CoV-2) (coronavirus disease [COVID-19]) vaccine_ mRNA-LNP_ spik","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0093A","description":"Immunization administration by intramuscular injection of severe acute respiratory syndrome coronavirus 2 (SARS\u0002CoV-2) (coronavirus disease [COVID-19]) vaccine_ mRNA-LNP_ spik","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OFHC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Cardiac rehab","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"93797","description":"Cardiac rehab","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RMA17","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RMA17","description":"HIPPS-RMA17","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KEEF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Autologous prp for ulcers","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G0460","description":"Autologous prp for ulcers","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FCEA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Repair paravag defect open","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"57284","description":"Repair paravag defect open","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Connection of liver allograft to normothermic machine perfusion device_ hemostasis control; initial 4 hours of monitoring time_ including hourly physiological and laboratory a","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0895T","description":"Connection of liver allograft to normothermic machine perfusion device_ hemostasis control; initial 4 hours of monitoring time_ including hourly physiological and laboratory a","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-M1455","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"M1455","description":"HCPCS-M1455","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KDJC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Infectious agent (sexually transmitted infection)_ Chlamydia trachomatis_ Neisseria gonorrhoeae_ Trichomonas vaginalis_ Mycoplasma genitalium_ multiplex amplified probe techni","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0402U","description":"Infectious agent (sexually transmitted infection)_ Chlamydia trachomatis_ Neisseria gonorrhoeae_ Trichomonas vaginalis_ Mycoplasma genitalium_ multiplex amplified probe techni","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Transfer device","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"E0705","description":"Transfer device","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Ost skn barrier sld ext wear","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"A4385","description":"Ost skn barrier sld ext wear","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Nebulizer water collec devic","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"A7012","description":"Nebulizer water collec devic","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CCQF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OAAE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Peritoneal dialysis clamp","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"E1634","description":"Peritoneal dialysis clamp","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"CPT-98007","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"98007","description":"CPT-98007","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Patients who achieved a net increase in pam score of at least 6-points in a 6 to 12 month period (excellent)","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"M1348","description":"Patients who achieved a net increase in pam score of at least 6-points in a 6 to 12 month period (excellent)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Inpatient consultation","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"99255","description":"Inpatient consultation","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Ob us >/= 14 wks sngl fetus","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"76805","description":"Ob us >/= 14 wks sngl fetus","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Resect prox finger tumor","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"26260","description":"Resect prox finger tumor","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Patient screened for tobacco use and identified as a tobacco non-user","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G9903","description":"Patient screened for tobacco use and identified as a tobacco non-user","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Telehealth facility fee","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"Q3014","description":"Telehealth facility fee","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Glaucoma scrn hgh risk direc","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G0118","description":"Glaucoma scrn hgh risk direc","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"IEMB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GBNA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CFOC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Aspiration orbital contents","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"67415","description":"Aspiration orbital contents","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Darbepoetin alfa_ non-esrd","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"J0881","description":"Darbepoetin alfa_ non-esrd","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"IAAD IA CLOSTRIDIUM DIFFICILE TOXIN","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"87324","description":"IAAD IA CLOSTRIDIUM DIFFICILE TOXIN","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FGKC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Anesth stone removal","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"91851","description":"Anesth stone removal","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Neuromodulation stimulator system_ adjunct to rehabilitation therapy regime","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"A4593","description":"Neuromodulation stimulator system_ adjunct to rehabilitation therapy regime","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CAUD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Biopsy of foot joint lining","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"28050","description":"Biopsy of foot joint lining","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"AIME0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Esrd srv 2-3 vsts p mo 12-19","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"90958","description":"Esrd srv 2-3 vsts p mo 12-19","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GBUA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Hightop w/ supp/pronator inf","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"L3204","description":"Hightop w/ supp/pronator inf","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NDTC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Thoracoscopy w/thymus resect","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"32673","description":"Thoracoscopy w/thymus resect","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Transplt allo lymphocytes","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"38242","description":"Transplt allo lymphocytes","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Patients with clinical indications for imaging of the head: temporal headaches in patients over 55 years of age","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G2192","description":"Patients with clinical indications for imaging of the head: temporal headaches in patients over 55 years of age","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CBJB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JIUF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RUB60","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RUB60","description":"HIPPS-RUB60","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Intestinal stricturoplasty","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"44615","description":"Intestinal stricturoplasty","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KCEA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OIJD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GGTC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NGFF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GEKC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Ajcc cln cncr stage 3 docd","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"3388F","description":"Ajcc cln cncr stage 3 docd","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Ko immob canvas long pre ots","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"L1830","description":"Ko immob canvas long pre ots","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JFTD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"IEMC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-3BGK4","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"3BGK4","description":"HIPPS-3BGK4","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Single visn sphere 4.12-7.00","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"V2101","description":"Single visn sphere 4.12-7.00","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Ct hrt w/3d image congen","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"75573","description":"Ct hrt w/3d image congen","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Injection_ fremanezumab-vfrm_ 1 mg (code may be used for Medicare when drug administered under the direct supervision of a physician_ not for use when drug is self-administere","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"J3031","description":"Injection_ fremanezumab-vfrm_ 1 mg (code may be used for Medicare when drug administered under the direct supervision of a physician_ not for use when drug is self-administere","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Lipoprotein_ blood_ high resolution fractionation and quantitation of lipoproteins_ including all five major lipoprotein classes and subclasses of HDL_ LDL_ and VLDL by vertic","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0052U","description":"Lipoprotein_ blood_ high resolution fractionation and quantitation of lipoproteins_ including all five major lipoprotein classes and subclasses of HDL_ LDL_ and VLDL by vertic","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Ocular reconst transplant","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"65780","description":"Ocular reconst transplant","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Ophth us b w/non-quant a","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"76512","description":"Ophth us b w/non-quant a","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"PDRB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RLA41","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RLA41","description":"HIPPS-RLA41","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Below knee sus/seal sleeve","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"L5685","description":"Below knee sus/seal sleeve","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Probe/needle_ cryo","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"C2618","description":"Probe/needle_ cryo","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Sc ther infusion reset pump","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"96371","description":"Sc ther infusion reset pump","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Presbyopia-correct function","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"V2788","description":"Presbyopia-correct function","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Tongue mouth jaw surgery","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"41150","description":"Tongue mouth jaw surgery","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Observ/hosp same date","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"99236","description":"Observ/hosp same date","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-G0577","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"G0577","description":"HCPCS-G0577","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NEEC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OKEB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"PHYC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Pancreatorrhaphy","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"48545","description":"Pancreatorrhaphy","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-HD20B","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"HD20B","description":"HIPPS-HD20B","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Removal of bone lesion","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"23140","description":"Removal of bone lesion","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KFBE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-LE18B","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"LE18B","description":"HIPPS-LE18B","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CDWD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Electroencephalogram (Eeg) Continuous Recording_ With Video When Performed_ Setup_ Patient Education_ And Takedown When Performed_ Administered In Person By Eeg Technologist_","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"95700","description":"Electroencephalogram (Eeg) Continuous Recording_ With Video When Performed_ Setup_ Patient Education_ And Takedown When Performed_ Administered In Person By Eeg Technologist_","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RHX43","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RHX43","description":"HIPPS-RHX43","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"IABF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CBIB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-3CFMV","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"3CFMV","description":"HIPPS-3CFMV","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"CPT-0661U","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"0661U","description":"CPT-0661U","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RMB31","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RMB31","description":"HIPPS-RMB31","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Sirolimus_ oral","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"J7520","description":"Sirolimus_ oral","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KDAC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JAIE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"HEOF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OESD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JCPE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-3BGP5","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"3BGP5","description":"HIPPS-3BGP5","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KIWA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OHVA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CFBF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"DIRB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MBDF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JIED0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Resect/excise lesion skull","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"61616","description":"Resect/excise lesion skull","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FHGB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Dentures maxill part resin","billing_code_type":"CDT","billing_code_type_version":"2024","billing_code":"D5211","description":"Dentures maxill part resin","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GGSB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CAOC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Implant neuroelectrodes","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"64555","description":"Implant neuroelectrodes","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JAPC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"CPT-0642U","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"0642U","description":"CPT-0642U","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GBYF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BAVD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"EDUC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Anesth surgery of shoulder","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"45051","description":"Anesth surgery of shoulder","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"X-ray exam entire spi 1 vw","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"72081","description":"X-ray exam entire spi 1 vw","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Injection_ pegfilgrastim-jmdb_ biosimilar_ (Fulphila)_ 0.5 mg","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"Q5108","description":"Injection_ pegfilgrastim-jmdb_ biosimilar_ (Fulphila)_ 0.5 mg","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"G6PD (glucose-6-phosphate dehydrogenase) (eg_ hemolytic anemia_ jaundice)_ gene analysis; full gene sequence","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"81249","description":"G6PD (glucose-6-phosphate dehydrogenase) (eg_ hemolytic anemia_ jaundice)_ gene analysis; full gene sequence","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GHPE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NKJB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Transparent film > 48 sq in","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"A6259","description":"Transparent film > 48 sq in","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Misc vision item or service","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"V2799","description":"Misc vision item or service","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Adaptive behavior treatment by protocol_ administered by technician_ face-to-face with one patient; first 30 minutes of technician time","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0364T","description":"Adaptive behavior treatment by protocol_ administered by technician_ face-to-face with one patient; first 30 minutes of technician time","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"DEOF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NEBC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CCBD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Blink reflex test","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"95933","description":"Blink reflex test","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Preparation for bladder xray","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"51605","description":"Preparation for bladder xray","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Mycobacteria dna amp probe","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"87551","description":"Mycobacteria dna amp probe","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Patients with a diagnosis of lumbar spine region fracture at the time of the procedure","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"M1038","description":"Patients with a diagnosis of lumbar spine region fracture at the time of the procedure","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OFCF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BILF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"IGHA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Audiometry air & bone","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"92553","description":"Audiometry air & bone","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NHDA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-PB236","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"PB236","description":"HIPPS-PB236","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FCEB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"AFIC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RUB10","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RUB10","description":"HIPPS-RUB10","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Ultrasound_ targeted dynamic microbubble sonographic contrast characterization (non-cardiac); initial lesion","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"76978","description":"Ultrasound_ targeted dynamic microbubble sonographic contrast characterization (non-cardiac); initial lesion","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Closed tx nose fx w/o manj","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"21310","description":"Closed tx nose fx w/o manj","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JDJF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Ht care plan doc","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"4050F","description":"Ht care plan doc","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Vein x-ray skull epidural","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"75872","description":"Vein x-ray skull epidural","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"DCQD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GDUB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"CPT-00172","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"00172","description":"CPT-00172","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"LGWB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Creation of arteriovenous fistula_ percutaneous; direct_ any site_ including all imaging and radiologic supervision and interpr","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"C9754","description":"Creation of arteriovenous fistula_ percutaneous; direct_ any site_ including all imaging and radiologic supervision and interpr","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CCXD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NJCB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OLBD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Oral device/appliance prefab","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"E0485","description":"Oral device/appliance prefab","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Surgery to stop leg growth","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"27479","description":"Surgery to stop leg growth","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CDQF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"ECMB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-A2027","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"A2027","description":"HCPCS-A2027","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Indwelling intraurethral drainage device with valve_ patient inserted_ replacement only_ each","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"A4341","description":"Indwelling intraurethral drainage device with valve_ patient inserted_ replacement only_ each","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FAIB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FCHC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Astigmatism-correct function","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"V2787","description":"Astigmatism-correct function","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Provide inr test mater/equip","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G0249","description":"Provide inr test mater/equip","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"HHYF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"HCRE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OEVD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Radial keratotomy","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"65771","description":"Radial keratotomy","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CDIA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Hmes or trach valve housing","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"A7505","description":"Hmes or trach valve housing","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OIOC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BCDA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"HBQC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MGBD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Create eardrum opening","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"69433","description":"Create eardrum opening","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Correct skn color 6.1-20.0cm","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"11921","description":"Correct skn color 6.1-20.0cm","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CHGD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Pt trnsfrd from anesth to cc","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0581F","description":"Pt trnsfrd from anesth to cc","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NHEF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Incision of tongue nerve","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"64740","description":"Incision of tongue nerve","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MHLD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"ABTE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"LBYC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Anastomosis/artery-aorta","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"33606","description":"Anastomosis/artery-aorta","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Art byp ilio-celiac","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"35632","description":"Art byp ilio-celiac","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OEEF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CASB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"CPT-98009","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"98009","description":"CPT-98009","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BGIB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Hematology (inherited thrombocytopenia)_ genomic sequence analysis of 23 genes_ blood_ buccal swab_ or amniotic fluid (Versiti™ Inherited Thrombocytopenia Panel)","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0276U","description":"Hematology (inherited thrombocytopenia)_ genomic sequence analysis of 23 genes_ blood_ buccal swab_ or amniotic fluid (Versiti™ Inherited Thrombocytopenia Panel)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Removal of implant","billing_code_type":"CDT","billing_code_type_version":"2024","billing_code":"D6100","description":"Removal of implant","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BCPD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Thromboemb risk assessed","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"1180F","description":"Thromboemb risk assessed","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Ajcc brstcncr stage 4 docd","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"3380F","description":"Ajcc brstcncr stage 4 docd","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CFQB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Repair of hand or foot nerve","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"64834","description":"Repair of hand or foot nerve","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-LB216","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"LB216","description":"HIPPS-LB216","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BEXA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NKVB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-LD125","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"LD125","description":"HIPPS-LD125","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MHUD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Knee-shin ext jnts fld swg e","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"L5726","description":"Knee-shin ext jnts fld swg e","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"AGDC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-Q4393","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"Q4393","description":"HCPCS-Q4393","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RVB53","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RVB53","description":"HIPPS-RVB53","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"IIMB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NAGA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"IDMB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Physical performance test","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"97750","description":"Physical performance test","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Aflibercept injection","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"J0178","description":"Aflibercept injection","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MGHE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Stnd wt pwr whlchr w control","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"K0011","description":"Stnd wt pwr whlchr w control","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Extraosseous joint stblztion","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0335T","description":"Extraosseous joint stblztion","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BEJC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"IBCC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FBCB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-M1397","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"M1397","description":"HCPCS-M1397","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GGFA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OJBB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KCSD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Factor viii recomb novoeight","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"J7182","description":"Factor viii recomb novoeight","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RVC21","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RVC21","description":"HIPPS-RVC21","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NJLE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-1CHN1","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"1CHN1","description":"HIPPS-1CHN1","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BAPE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Hgh risk for thromboembolism","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"3552F","description":"Hgh risk for thromboembolism","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Contrast x-ray bladder","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"74430","description":"Contrast x-ray bladder","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JHMD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MLUC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"IEBA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-HD24A","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"HD24A","description":"HIPPS-HD24A","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"ACTF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Incise skull/brain surgery","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"61735","description":"Incise skull/brain surgery","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KBPA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NBME1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Biopsy of tear gland","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"68510","description":"Biopsy of tear gland","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Laminotomy single lumbar","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"63042","description":"Laminotomy single lumbar","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Inflammatory bowel dis mg","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G8899","description":"Inflammatory bowel dis mg","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"CPT-00148","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"00148","description":"CPT-00148","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OLCE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Hand tendon reconstruction","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"26500","description":"Hand tendon reconstruction","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RUB3C","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RUB3C","description":"HIPPS-RUB3C","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NEVA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-LE18I","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"LE18I","description":"HIPPS-LE18I","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Fusion of foot bones","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"28740","description":"Fusion of foot bones","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Oncology (cutaneous squamous cell carcinoma)_ mRNA gene expression profiling by RT-PCR of 40 genes (34 content and 6 housekeeping)_ utilizing formalin-fixed paraffin-embedded","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0315U","description":"Oncology (cutaneous squamous cell carcinoma)_ mRNA gene expression profiling by RT-PCR of 40 genes (34 content and 6 housekeeping)_ utilizing formalin-fixed paraffin-embedded","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"EGDD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Hla i & ii type verify lr","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"81371","description":"Hla i & ii type verify lr","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"HAWD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NFIE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BFHD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GFVB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"ECTA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NDJD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"DIQB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HH PDGM","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"3KA11","description":"HH PDGM","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Hgb <10g/dl_ med rsn","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G8975","description":"Hgb <10g/dl_ med rsn","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"ECEA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GDJA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Exploration of frontal sinus","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"31075","description":"Exploration of frontal sinus","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Radiologic examination_ abdomen; 2 views","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"74019","description":"Radiologic examination_ abdomen; 2 views","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Patient has copd symptoms (e.g._ dyspnea_ cough/sputum_ wheezing)","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"M1218","description":"Patient has copd symptoms (e.g._ dyspnea_ cough/sputum_ wheezing)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-LE114","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"LE114","description":"HIPPS-LE114","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Radiological examination_ surgical specimen","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"76098","description":"Radiological examination_ surgical specimen","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Small disposable underpad","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"T4542","description":"Small disposable underpad","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-1BHMS","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"1BHMS","description":"HIPPS-1BHMS","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GGVC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NHEB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"PFWA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Relieve bladder contracture","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"52640","description":"Relieve bladder contracture","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RUC51","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RUC51","description":"HIPPS-RUC51","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CDVA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BBJB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KAQC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"CPT-1043T","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"1043T","description":"CPT-1043T","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Small bowel endoscopy","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"44363","description":"Small bowel endoscopy","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Ambulatory bp monitoring","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"93784","description":"Ambulatory bp monitoring","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GAQD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-BB10A","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"BB10A","description":"HIPPS-BB10A","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OLJF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Remove tonsils and adenoids","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"42820","description":"Remove tonsils and adenoids","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GDEF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JIIE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RML1C","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RML1C","description":"HIPPS-RML1C","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Assay of haloperidol","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"80173","description":"Assay of haloperidol","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KATC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Impr med time edarr pain med","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G9426","description":"Impr med time edarr pain med","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"HDYA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Injection for bladder x-ray","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"51600","description":"Injection for bladder x-ray","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"DDRC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Abduction bar jointed adjust","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"L2300","description":"Abduction bar jointed adjust","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-5AHKS","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"5AHKS","description":"HIPPS-5AHKS","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-CA150","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"CA150","description":"HIPPS-CA150","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Ak/ft power asst incl motors","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"L5969","description":"Ak/ft power asst incl motors","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"CDT-D0505","billing_code_type":"CDT","billing_code_type_version":"2026","billing_code":"D0505","description":"CDT-D0505","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OGEE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"CPT-1037T","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"1037T","description":"CPT-1037T","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Patient Had Prior Pneumococcal Vaccine Adverse Reaction Any Time During Or Before The Measurement Period","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G2158","description":"Patient Had Prior Pneumococcal Vaccine Adverse Reaction Any Time During Or Before The Measurement Period","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GDRC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OHXD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Anoscopy w/rf delivery","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0288T","description":"Anoscopy w/rf delivery","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"EIDA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Influenza immunization was not administered for reasons documented by clinician (e.g._ patient allergy or other medical reasons_ patient declined or other patient reasons_ vac","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"M1300","description":"Influenza immunization was not administered for reasons documented by clinician (e.g._ patient allergy or other medical reasons_ patient declined or other patient reasons_ vac","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"DHOD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Chlamydia culture","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"87110","description":"Chlamydia culture","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OACD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KBXC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Heavyduty walker no wheels","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"E0148","description":"Heavyduty walker no wheels","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Kafo w/o joint multi-axis an","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"L2038","description":"Kafo w/o joint multi-axis an","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Imp/abut rem dent part max","billing_code_type":"CDT","billing_code_type_version":"2024","billing_code":"D6112","description":"Imp/abut rem dent part max","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-PD220","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"PD220","description":"HIPPS-PD220","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"AGLD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-ATP12","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"ATP12","description":"HIPPS-ATP12","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Rad dos limts b/4 3d rad","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0520F","description":"Rad dos limts b/4 3d rad","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Pten gene known fam variant","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"81322","description":"Pten gene known fam variant","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Vehicle Modifications","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"W0139","description":"Vehicle Modifications","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-HB250","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"HB250","description":"HIPPS-HB250","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Legg perthes patten bottom t","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"L1755","description":"Legg perthes patten bottom t","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Rpr umbil hern reduc > 5 yr","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"49585","description":"Rpr umbil hern reduc > 5 yr","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HH PDGM","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"4EA31","description":"HH PDGM","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BEAD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-3CFL3","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"3CFL3","description":"HIPPS-3CFL3","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FDVB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Color vision examination","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"92283","description":"Color vision examination","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OGMD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Injection_ epinephrine (belcher) not therapeutically equivalent to j0171_ 0.1 mg","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"J0173","description":"Injection_ epinephrine (belcher) not therapeutically equivalent to j0171_ 0.1 mg","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Injection Hpc Nos 10 Mg","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"Q9985","description":"Injection Hpc Nos 10 Mg","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NAVD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-LB235","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"LB235","description":"HIPPS-LB235","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"LU GNOTYP BCAM EXON 3","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0196U","description":"LU GNOTYP BCAM EXON 3","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Bronch thermoplsty 1 lobe","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"31660","description":"Bronch thermoplsty 1 lobe","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-CC14A","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"CC14A","description":"HIPPS-CC14A","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"EHBB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KGAB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"PAOE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RUL03","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RUL03","description":"HIPPS-RUL03","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-PE24B","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"PE24B","description":"HIPPS-PE24B","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-LC150","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"LC150","description":"HIPPS-LC150","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OEYB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NAXC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Clotting funct activity","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"85397","description":"Clotting funct activity","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-J3374","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"J3374","description":"HCPCS-J3374","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OLOE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"EFBA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NABC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Injection_ tezepelumab-ekko_ 1 mg","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"J2356","description":"Injection_ tezepelumab-ekko_ 1 mg","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BEGD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GAUB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KFNB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Onco (ovar) five proteins","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"81503","description":"Onco (ovar) five proteins","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Indirect immunofluorescence","billing_code_type":"CDT","billing_code_type_version":"2024","billing_code":"D0483","description":"Indirect immunofluorescence","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Wheelchair bearings","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"E2210","description":"Wheelchair bearings","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"EEUB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GHPF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-J2472","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"J2472","description":"HCPCS-J2472","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Salmonella antibody","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"86768","description":"Salmonella antibody","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"ODLB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GCAA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CHFD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"LFQF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-3AHM2","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"3AHM2","description":"HIPPS-3AHM2","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BDBA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OGUD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Repair detached retina","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"67110","description":"Repair detached retina","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GEYC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Patient was provided hospice services any time during the measurement period","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G9710","description":"Patient was provided hospice services any time during the measurement period","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Shave skin lesion >2.0 cm","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"11308","description":"Shave skin lesion >2.0 cm","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FBIA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"64 lead ecg w/i&r only","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0180T","description":"64 lead ecg w/i&r only","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Colonoscopy w/dilation","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"44405","description":"Colonoscopy w/dilation","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OIYC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"IATB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OJQB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JHAD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Irrigation maxillary sinus","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"31000","description":"Irrigation maxillary sinus","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KFLE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GDTB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"HIYE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"HFOD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GGRC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Removal Of Drug-Delivery Device(S)_ Intramedullary (List Separately In Addition To Code For Primary Procedure)","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"20703","description":"Removal Of Drug-Delivery Device(S)_ Intramedullary (List Separately In Addition To Code For Primary Procedure)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"EBLF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-HD23D","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"HD23D","description":"HIPPS-HD23D","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NCMB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) (coronavirus disease [COVID-19]) vaccine_ mRNA-LNP_ spike protein_ bivalent_ preservative free_ 10 mcg/0.2 mL dosa","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"91316","description":"Severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) (coronavirus disease [COVID-19]) vaccine_ mRNA-LNP_ spike protein_ bivalent_ preservative free_ 10 mcg/0.2 mL dosa","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-1BHP6","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"1BHP6","description":"HIPPS-1BHP6","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CDVB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OKSA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BABB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KEEE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-BB13A","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"BB13A","description":"HIPPS-BB13A","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CERE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-3BHLS","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"3BHLS","description":"HIPPS-3BHLS","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Nrv cndj tst 3-4 studies","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"95908","description":"Nrv cndj tst 3-4 studies","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Hepatitis a antibody","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"86708","description":"Hepatitis a antibody","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BFHF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"PKWF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Fosaprepitant injection","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"J1453","description":"Fosaprepitant injection","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-LC11C","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"LC11C","description":"HIPPS-LC11C","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KFVB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RHX30","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RHX30","description":"HIPPS-RHX30","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-G0552","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"G0552","description":"HCPCS-G0552","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"PDYB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NCVB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CEFE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CBMF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Immntx 2 sting insects","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"95131","description":"Immntx 2 sting insects","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MILE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-M1438","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"M1438","description":"HCPCS-M1438","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Explore inner ear","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"69806","description":"Explore inner ear","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MBMA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Upper ext fx orthosis wrist","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"L3984","description":"Upper ext fx orthosis wrist","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CISA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Injection_ teclistamab-cqyv_ 0.5 mg","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"C9148","description":"Injection_ teclistamab-cqyv_ 0.5 mg","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OEQF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CHQA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JAXC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Doc count of ct in 12mo","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G9321","description":"Doc count of ct in 12mo","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OCMC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FCLA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FBTB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Reduction of forehead","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"21137","description":"Reduction of forehead","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Oncology (Cutaneous Melanoma)_ Mrna_ Gene Expression Profiling By Real-Time Rt-Pcr Of 31 Genes (28 Content And 3 Housekeeping)_ Utilizing Formalin-Fixed Paraffin-Embedded Tiss","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"81529","description":"Oncology (Cutaneous Melanoma)_ Mrna_ Gene Expression Profiling By Real-Time Rt-Pcr Of 31 Genes (28 Content And 3 Housekeeping)_ Utilizing Formalin-Fixed Paraffin-Embedded Tiss","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JCMB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CIIB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-1BFMS","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"1BFMS","description":"HIPPS-1BFMS","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Bronchial valve remov init","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"31648","description":"Bronchial valve remov init","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KHQF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"LHYF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Gerd symps assessed 12 month","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"1118F","description":"Gerd symps assessed 12 month","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RHA33","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RHA33","description":"HIPPS-RHA33","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Excision of gum flap","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"41821","description":"Excision of gum flap","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GHSD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Oncology (multiple myeloma)_ liquid chromatography with tandem mass spectrometry (LC-MS/MS)_ monoclonal paraprotein sequencing analysis_ serum_ results reported as baseline pr","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0450U","description":"Oncology (multiple myeloma)_ liquid chromatography with tandem mass spectrometry (LC-MS/MS)_ monoclonal paraprotein sequencing analysis_ serum_ results reported as baseline pr","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"DBRE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Wound pouch each","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"A6154","description":"Wound pouch each","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"CPT-98003","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"98003","description":"CPT-98003","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"No reop req bld grft oth","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G8578","description":"No reop req bld grft oth","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JFCC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Fuse pancreas cyst and bowel","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"48520","description":"Fuse pancreas cyst and bowel","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Oncology (bladder)_ DNA_ next-generation sequencing (NGS) of 60 genes and whole genome aneuploidy_ urine_ algorithms reported as minimal residual disease (MRD) status positive","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0467U","description":"Oncology (bladder)_ DNA_ next-generation sequencing (NGS) of 60 genes and whole genome aneuploidy_ urine_ algorithms reported as minimal residual disease (MRD) status positive","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-4AHKX","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"4AHKX","description":"HIPPS-4AHKX","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Xe133 xenon 10mci","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"A9558","description":"Xe133 xenon 10mci","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GFOD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JAUE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FAHC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"HIYF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Biopsy of salivary gland","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"42405","description":"Biopsy of salivary gland","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GHJC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NLPC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Pmkr_ dual_ rate-resp","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"C1785","description":"Pmkr_ dual_ rate-resp","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BIGC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Art byp spenorenal","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"35636","description":"Art byp spenorenal","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BGXF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"HHSD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Breast reconstruction","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"19368","description":"Breast reconstruction","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Lipid panel doc rev","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"3011F","description":"Lipid panel doc rev","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Dyspnea scrnd mod-high dysp","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"3451F","description":"Dyspnea scrnd mod-high dysp","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"HFYF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FBIE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OKNC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RVB4D","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RVB4D","description":"HIPPS-RVB4D","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"PGSF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-M0231","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"M0231","description":"HCPCS-M0231","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-C8008","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"C8008","description":"HCPCS-C8008","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OCOE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JDMC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OIPC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Amnio-Maxx or Amnio Maxx Lite_ per sq cm","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"Q4239","description":"Amnio-Maxx or Amnio Maxx Lite_ per sq cm","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Deb skin bone at fx site","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"11012","description":"Deb skin bone at fx site","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RLA2B","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RLA2B","description":"HIPPS-RLA2B","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NDMD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-BB21C","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"BB21C","description":"HIPPS-BB21C","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JEVD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HH PDGM","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"2HA21","description":"HH PDGM","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Remove foreign body from eye","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"65260","description":"Remove foreign body from eye","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JGJC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KAOD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BEJB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CFAB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FEFD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GFQE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KHGB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KBED0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BATC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FFPC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JGVF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"CPT-52597","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"52597","description":"CPT-52597","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-PA254","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"PA254","description":"HIPPS-PA254","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"CPT-16073","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"16073","description":"CPT-16073","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MEUB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"PJRC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Muscle transfers","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"23397","description":"Muscle transfers","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KDJA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MHEA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-3BGN2","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"3BGN2","description":"HIPPS-3BGN2","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"M.tuberculo dna quant","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"87557","description":"M.tuberculo dna quant","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JGIF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"ADM SARSCV2 10MCG TRS-SUCR 2","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0072A","description":"ADM SARSCV2 10MCG TRS-SUCR 2","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-LE211","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"LE211","description":"HIPPS-LE211","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Hep a vac series prev recvd","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"4155F","description":"Hep a vac series prev recvd","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JFIC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FCJB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Perq abltj lvr cryoablation","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"47383","description":"Perq abltj lvr cryoablation","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Ht musc image planar mult","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"78454","description":"Ht musc image planar mult","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Dental case management - motivational interviewing","billing_code_type":"CDT","billing_code_type_version":"2024","billing_code":"D9993","description":"Dental case management - motivational interviewing","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GCVA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"DIYC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Cystatin c","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"82610","description":"Cystatin c","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Rcm celulr subcelulr img skn","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"96932","description":"Rcm celulr subcelulr img skn","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Vein byp fem-tibial peroneal","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"35585","description":"Vein byp fem-tibial peroneal","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"M.pneumon dna quant","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"87582","description":"M.pneumon dna quant","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Resect mediastinal cyst","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"39200","description":"Resect mediastinal cyst","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"LBYD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Calc bmi blw low param f/u","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G8418","description":"Calc bmi blw low param f/u","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-PC25B","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"PC25B","description":"HIPPS-PC25B","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CIRD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Clinical Decision Support Mechanism National Decision Support Company_ As Defined By The Medicare Appropriate Use Criteria Program","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G1004","description":"Clinical Decision Support Mechanism National Decision Support Company_ As Defined By The Medicare Appropriate Use Criteria Program","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Nikaidoh proc","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"33782","description":"Nikaidoh proc","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"IILA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Incise external hemorrhoid","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"46083","description":"Incise external hemorrhoid","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Qual card diag prior 12 mons","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"1460F","description":"Qual card diag prior 12 mons","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OLHB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Assessment by department of veterans affairs chaplain services","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"Q9001","description":"Assessment by department of veterans affairs chaplain services","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Remove esophagus obstruction","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"74235","description":"Remove esophagus obstruction","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RUL50","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RUL50","description":"HIPPS-RUL50","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NIXB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JFHB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MKUE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KGWF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Laparo proc spermatic cord","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"55559","description":"Laparo proc spermatic cord","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Enterectomy w/taper cong","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"44127","description":"Enterectomy w/taper cong","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"AHDD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OBQB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Bx breast add lesion us imag","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"19084","description":"Bx breast add lesion us imag","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MAMF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-3AFMW","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"3AFMW","description":"HIPPS-3AFMW","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RVX2D","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RVX2D","description":"HIPPS-RVX2D","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FHAA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"LDRB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OFVA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"DDSA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NJXC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"AEEF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MGBD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"LDYF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NFTD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"DISD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NJKC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Remove lung pneumonectomy","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"32440","description":"Remove lung pneumonectomy","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KDXB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KDKA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-LE15B","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"LE15B","description":"HIPPS-LE15B","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BCJF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-HB25C","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"HB25C","description":"HIPPS-HB25C","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Interferon alfa-2b inj","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"J9214","description":"Interferon alfa-2b inj","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"DGRE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MJCC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OEKB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Ligation of hemorrhoid(s)","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"46221","description":"Ligation of hemorrhoid(s)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Application of on-body injector (includes cannula insertion) for timed subcutaneous injection","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"96377","description":"Application of on-body injector (includes cannula insertion) for timed subcutaneous injection","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"DDSD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Battery charger_ single mode","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"E2366","description":"Battery charger_ single mode","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BGMA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MFCA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Injection_ bamlanivimab and etesevimab_ 2100 mg","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"Q0245","description":"Injection_ bamlanivimab and etesevimab_ 2100 mg","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Patient died including all deaths occurring during the hospitalization in which the operation was performed_ even if after 30 days_ and those deaths occurring after discharge","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G9812","description":"Patient died including all deaths occurring during the hospitalization in which the operation was performed_ even if after 30 days_ and those deaths occurring after discharge","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BFDC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Virtual reality technology to assist therapy (List separately in addition to code for primary procedure)","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0770T","description":"Virtual reality technology to assist therapy (List separately in addition to code for primary procedure)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Implant neuroelectrodes","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"61860","description":"Implant neuroelectrodes","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-G0541","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"G0541","description":"HCPCS-G0541","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Treat wrist bone fracture","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"25628","description":"Treat wrist bone fracture","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"PIWE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NFAC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Injection_ gemcitabine hydrochloride_ (Infugem)_ 100 mg","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"J9198","description":"Injection_ gemcitabine hydrochloride_ (Infugem)_ 100 mg","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FCKE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KGOB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NGJD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Repair mouth laceration","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"40830","description":"Repair mouth laceration","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"DESF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-J3405","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"J3405","description":"HCPCS-J3405","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OARE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-3AFK5","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"3AFK5","description":"HIPPS-3AFK5","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RMB07","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RMB07","description":"HIPPS-RMB07","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RMA2D","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RMA2D","description":"HIPPS-RMA2D","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CIRE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GCBB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"EEDF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CCBA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Insert vad art&vein access","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"33991","description":"Insert vad art&vein access","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RMA16","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RMA16","description":"HIPPS-RMA16","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KCAE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OCTD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Removal of thyroid","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"60271","description":"Removal of thyroid","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Endovas non-cardiac abl cath","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"C1888","description":"Endovas non-cardiac abl cath","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BCGD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Io map of sent lymph node","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"38900","description":"Io map of sent lymph node","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-E1813","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"E1813","description":"HCPCS-E1813","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Oncology_ Chemotherapeutic Drug Cytotoxicity Assay Of Cancer Stem Cells (Cscs)_ From Cultured Cscs And Primary Tumor Cells_ Categorical Drug Response Reported Based On Percent","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0564T","description":"Oncology_ Chemotherapeutic Drug Cytotoxicity Assay Of Cancer Stem Cells (Cscs)_ From Cultured Cscs And Primary Tumor Cells_ Categorical Drug Response Reported Based On Percent","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CBNC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"IGUB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OFPD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NGTB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"PARB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FAPB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RVA5D","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RVA5D","description":"HIPPS-RVA5D","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NALD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Treatment of thigh fracture","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"27502","description":"Treatment of thigh fracture","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Abd paracentesis","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"49082","description":"Abd paracentesis","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CHAE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Anesth cardiac electrophys","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"53751","description":"Anesth cardiac electrophys","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-1CGK6","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"1CGK6","description":"HIPPS-1CGK6","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"LCQB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Heinz bodies direct","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"85441","description":"Heinz bodies direct","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Art byp grft iliofemoral","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"35565","description":"Art byp grft iliofemoral","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"PKSF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Lap jejunostomy","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"44186","description":"Lap jejunostomy","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RLX05","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RLX05","description":"HIPPS-RLX05","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KIJC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CIFB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CIXB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KEVF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Occupational therapy_ in the","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"S9129","description":"Occupational therapy_ in the","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KGYD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MFBB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BGXC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NFHF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BBAF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"DBYD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-CC11C","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"CC11C","description":"HIPPS-CC11C","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CHBE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Augmentation cheek bone","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"21270","description":"Augmentation cheek bone","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Nuclear rx intra-arterial","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"79445","description":"Nuclear rx intra-arterial","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Stroke with Motor >22.35 & Motor <26.15 & Age <84.5_comorbidity in tier 1","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"B0109","description":"Stroke with Motor >22.35 & Motor <26.15 & Age <84.5_comorbidity in tier 1","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Drugs unclassified injection","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"J3490","description":"Drugs unclassified injection","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-C1741","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"C1741","description":"HCPCS-C1741","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Approp anticonvuls tstng","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"4191F","description":"Approp anticonvuls tstng","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MLUD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"CPT-16078","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"16078","description":"CPT-16078","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MBAE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"IDTF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BAEC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Air pressure pad for mattres","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"E0197","description":"Air pressure pad for mattres","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"ABBD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Odontics transosteal implnt","billing_code_type":"CDT","billing_code_type_version":"2024","billing_code":"D6050","description":"Odontics transosteal implnt","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-2BFMX","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"2BFMX","description":"HIPPS-2BFMX","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Injection treatment of nerve","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"64600","description":"Injection treatment of nerve","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RMC16","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RMC16","description":"HIPPS-RMC16","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-CD141","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"CD141","description":"HIPPS-CD141","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Genitourinary nuclear exam","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"78799","description":"Genitourinary nuclear exam","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"PLOC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"No urtr inj at surg/1ms post","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G9633","description":"No urtr inj at surg/1ms post","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Treatment of thigh fracture","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"27509","description":"Treatment of thigh fracture","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NGKB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Dysphag test done b/4 eating","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"6015F","description":"Dysphag test done b/4 eating","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Dilation of urethra","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"53665","description":"Dilation of urethra","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Water softening system","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"E1625","description":"Water softening system","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OLNA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Pt w/3+ post-op nausea&vom","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"4556F","description":"Pt w/3+ post-op nausea&vom","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MJDC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Anesth kidney/ureter surg","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"86251","description":"Anesth kidney/ureter surg","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MJME0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Tx contour defects 1.1-5.0cc","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"11951","description":"Tx contour defects 1.1-5.0cc","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-LC106","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"LC106","description":"HIPPS-LC106","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JEXD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OLTF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FGLD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Tobramycin comp unit","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"J7685","description":"Tobramycin comp unit","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Repair of windpipe injury","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"31805","description":"Repair of windpipe injury","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Surgraft ft_ per square centimeter","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"Q4268","description":"Surgraft ft_ per square centimeter","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GAJF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BFAE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OECE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-L0720","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"L0720","description":"HCPCS-L0720","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Injection_ bendamustine hydrochloride (vivimusta)_ 1 mg","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"J9056","description":"Injection_ bendamustine hydrochloride (vivimusta)_ 1 mg","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Eo rigid w/o joints pre ots","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"L3762","description":"Eo rigid w/o joints pre ots","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Vascular flow imaging","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"78445","description":"Vascular flow imaging","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"PCSC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RVB8I","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RVB8I","description":"HIPPS-RVB8I","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-PE112","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"PE112","description":"HIPPS-PE112","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Self-Measured Blood Pressure Using A Device Validated For Clinical Accuracy; Patient Education/Training And Device Calibration","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"99473","description":"Self-Measured Blood Pressure Using A Device Validated For Clinical Accuracy; Patient Education/Training And Device Calibration","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-1BGPV","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"1BGPV","description":"HIPPS-1BGPV","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NEUD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NFLA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Insert pulse gen sngl lead","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"33212","description":"Insert pulse gen sngl lead","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OHCA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-3CHMT","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"3CHMT","description":"HIPPS-3CHMT","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GFLA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"IAAD IA HPYLORI STOOL","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"87338","description":"IAAD IA HPYLORI STOOL","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NKIE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KGOE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JHPC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MHEF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KDIA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Electronic spirometer","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"E0487","description":"Electronic spirometer","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CFPE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GEOB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JHJF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NLNA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Noninvasive determination of absolute quantitation of myocardial blood flow (AQMBF)_ derived from augmentative algorithmic analysis of the dataset acquired via contrast cardia","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0899T","description":"Noninvasive determination of absolute quantitation of myocardial blood flow (AQMBF)_ derived from augmentative algorithmic analysis of the dataset acquired via contrast cardia","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Ef incomplete/modular","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"B4155","description":"Ef incomplete/modular","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KFPC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SARSCOV2 VACCINE BIVALENT 50 MCG/0.5 ML IM USE","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"91313","description":"SARSCOV2 VACCINE BIVALENT 50 MCG/0.5 ML IM USE","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CCRE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"AAMF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Assay of fecal fat","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"82715","description":"Assay of fecal fat","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Closure of valve","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"33602","description":"Closure of valve","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GERE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MLCF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"ODWD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MLBF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JEME1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Documentation or patient report of hcv antibody test or hcv rna test which occurred prior to the performance period","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"M1235","description":"Documentation or patient report of hcv antibody test or hcv rna test which occurred prior to the performance period","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Gastric bypass incl small i","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"43847","description":"Gastric bypass incl small i","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BAIC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KCBC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Plmt post facet implt lumb","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0221T","description":"Plmt post facet implt lumb","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"EAHB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Antipsychotic rx","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"4065F","description":"Antipsychotic rx","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Eye Imaging Validated To Match Diagnosis From Seven Standard Field Stereoscopic Photos Results Documented And Reviewed","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G2104","description":"Eye Imaging Validated To Match Diagnosis From Seven Standard Field Stereoscopic Photos Results Documented And Reviewed","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"EETC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FHPF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FHPA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Insertion of left heart vent","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"33988","description":"Insertion of left heart vent","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KHVE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FAVB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CIFA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-BA18E","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"BA18E","description":"HIPPS-BA18E","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KBCA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"CPT-92628","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"92628","description":"CPT-92628","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"PHSA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"LFWB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Fungi identification mold","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"87107","description":"Fungi identification mold","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-J3379","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"J3379","description":"HCPCS-J3379","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Radiopharmaceutical Localization Of Tumor_ Inflammatory Process Or Distribution Of Radiopharmaceutical Agent(S) (Includes Vascular Flow And Blood Pool Imaging_ When Performed)","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"78832","description":"Radiopharmaceutical Localization Of Tumor_ Inflammatory Process Or Distribution Of Radiopharmaceutical Agent(S) (Includes Vascular Flow And Blood Pool Imaging_ When Performed)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FEMD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"N block inj suprascapular","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"64418","description":"N block inj suprascapular","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FHBC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GIYF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Injection_ gemtuzumab ozogamicin_ 0.1 mg","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"J9203","description":"Injection_ gemtuzumab ozogamicin_ 0.1 mg","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"CDT-D5946","billing_code_type":"CDT","billing_code_type_version":"2026","billing_code":"D5946","description":"CDT-D5946","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Denture reln cmplt maxil ch","billing_code_type":"CDT","billing_code_type_version":"2024","billing_code":"D5730","description":"Denture reln cmplt maxil ch","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Hfe gene","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"81256","description":"Hfe gene","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CGVC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"HHSF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"DEOE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FIIB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KDTB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KGHA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-LD28C","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"LD28C","description":"HIPPS-LD28C","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Surgical exposure prostate","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"55860","description":"Surgical exposure prostate","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"IGLC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-Q5140","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"Q5140","description":"HCPCS-Q5140","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CGDE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RLA07","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RLA07","description":"HIPPS-RLA07","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Remove pelvis lymph nodes","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"38770","description":"Remove pelvis lymph nodes","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OCYD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NBKC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GBDE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Injection_ benralizumab_ 1 mg","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"J0517","description":"Injection_ benralizumab_ 1 mg","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FECC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GEIF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GDYB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KBUD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Comprehensive management and care coordination for advanced illness_ per calendar month","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"S0311","description":"Comprehensive management and care coordination for advanced illness_ per calendar month","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"PCOD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MEBC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-4BGLV","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"4BGLV","description":"HIPPS-4BGLV","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-PB12C","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"PB12C","description":"HIPPS-PB12C","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MAHB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Cast sup lng arm splnt ped f","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"Q4020","description":"Cast sup lng arm splnt ped f","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-PC21A","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"PC21A","description":"HIPPS-PC21A","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"LEYB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CCFB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FBVA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-1BHK1","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"1BHK1","description":"HIPPS-1BHK1","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"BMI is documented as being outside of normal limits_ follow-up plan is not completed for documented reason","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G9716","description":"BMI is documented as being outside of normal limits_ follow-up plan is not completed for documented reason","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GFLB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Injection_ rolapitant_ 0.5 mg","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"J2797","description":"Injection_ rolapitant_ 0.5 mg","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Hosp bed var ht w/o rail w/","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"E0293","description":"Hosp bed var ht w/o rail w/","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NKNE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"ACCC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JHNA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"ABLA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GGKF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Bx breast add lesion mr imag","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"19086","description":"Bx breast add lesion mr imag","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BEUF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-5CGK4","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"5CGK4","description":"HIPPS-5CGK4","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CEQA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-CD25A","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"CD25A","description":"HIPPS-CD25A","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"<50% of total number of a patient_s outpatient RA encounters assessed","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"M1008","description":"<50% of total number of a patient_s outpatient RA encounters assessed","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"ACIE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CAJD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"EHTF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Evaluation of wheezing","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"94060","description":"Evaluation of wheezing","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BBVE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Blm gene","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"81209","description":"Blm gene","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Bk mold socket sach ft endo","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"L5301","description":"Bk mold socket sach ft endo","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Repair heart vessel fistula","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"33500","description":"Repair heart vessel fistula","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OLNC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JIVD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"ODHC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Oncology work-up evaluation","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G9050","description":"Oncology work-up evaluation","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Near-infrared spectroscopy studies of lower extremity wounds (eg_ for oxyhemoglobin measurement)","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0493T","description":"Near-infrared spectroscopy studies of lower extremity wounds (eg_ for oxyhemoglobin measurement)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BCPD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CBXD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-LD20A","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"LD20A","description":"HIPPS-LD20A","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"EEHE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Assay of psa total","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"84153","description":"Assay of psa total","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KEGC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Removal of hydroceles","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"55041","description":"Removal of hydroceles","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CAHA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"AGTE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OECE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"CPT-01740","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"01740","description":"CPT-01740","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"PIYD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"AEUE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-G0681","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"G0681","description":"HCPCS-G0681","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NBCC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OENF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Transcatheter insertion or replacement of permanent leadless pacemaker_ right ventricular_ including imaging guidance (eg_ fluoroscopy_ venous ultrasound_ ventriculography_ fe","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"33274","description":"Transcatheter insertion or replacement of permanent leadless pacemaker_ right ventricular_ including imaging guidance (eg_ fluoroscopy_ venous ultrasound_ ventriculography_ fe","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"IEIB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NJJB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RUC8A","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RUC8A","description":"HIPPS-RUC8A","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Knee arthroscopy/surgery","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"29877","description":"Knee arthroscopy/surgery","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Re-Cement Or Re-Bond Unilateral Space Maintainer - Per Quadrant","billing_code_type":"CDT","billing_code_type_version":"2024","billing_code":"D1553","description":"Re-Cement Or Re-Bond Unilateral Space Maintainer - Per Quadrant","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JDBE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Dihydrotestosterone (DHT)","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"82642","description":"Dihydrotestosterone (DHT)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"EDUE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JEUA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JBJE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JIMC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Arthroflex","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"Q4125","description":"Arthroflex","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Phakic iol refractive error","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"S0596","description":"Phakic iol refractive error","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"HGSC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NLPD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FFLC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-HE28A","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"HE28A","description":"HIPPS-HE28A","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Quantitative magnetic resonance for analysis of tissue composition (eg_ fat_ iron_ water content)_ including multiparametric data acquisition_ data preparation and transmissio","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0649T","description":"Quantitative magnetic resonance for analysis of tissue composition (eg_ fat_ iron_ water content)_ including multiparametric data acquisition_ data preparation and transmissio","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Injection_ glofitamab-gxbm_ 2.5 mg","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"J9286","description":"Injection_ glofitamab-gxbm_ 2.5 mg","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BDIA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-3BGL2","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"3BGL2","description":"HIPPS-3BGL2","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OESC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Washed red blood cells unit","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"P9022","description":"Washed red blood cells unit","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BCPB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-2BHL3","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"2BHL3","description":"HIPPS-2BHL3","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"1>=risk or>= mod risk for te","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G8972","description":"1>=risk or>= mod risk for te","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Exc f/e/e/n/l mal+mrg 0.6-1","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"11641","description":"Exc f/e/e/n/l mal+mrg 0.6-1","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BCIE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Laryngography_ contrast_ radiological supervision and interpretation","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"70373","description":"Laryngography_ contrast_ radiological supervision and interpretation","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"CPT-91323","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"91323","description":"CPT-91323","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Coagulation time activated","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"85347","description":"Coagulation time activated","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Tumor cell deplete of harvst","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"38211","description":"Tumor cell deplete of harvst","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"First Medicare Diabetes Prevention Program (MDPP) core session was attended by an MDPP beneficiary under the MDPP Expanded Model (EM). A core session is an MDPP service tha","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G9873","description":"First Medicare Diabetes Prevention Program (MDPP) core session was attended by an MDPP beneficiary under the MDPP Expanded Model (EM). A core session is an MDPP service tha","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JALA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"ABDF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Drainage of breast lesion","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"19000","description":"Drainage of breast lesion","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"EDBE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FBFC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Hearing aid_ prog_ mon_ itc","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"V5245","description":"Hearing aid_ prog_ mon_ itc","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"DFSA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Treatment Of Amblyopia Using An Online Digital Program; Assessment Of Patient Performance And Program Data By Physician Or Other Qualified Health Care Professional_ With Repor","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0688T","description":"Treatment Of Amblyopia Using An Online Digital Program; Assessment Of Patient Performance And Program Data By Physician Or Other Qualified Health Care Professional_ With Repor","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"ACID0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GHEC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-HD220","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"HD220","description":"HIPPS-HD220","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Infrared therapy","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"97026","description":"Infrared therapy","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Hearing aid_ digit_ bin_ cic","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"V5258","description":"Hearing aid_ digit_ bin_ cic","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Pt couns 4 txmnt opt prost","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"4163F","description":"Pt couns 4 txmnt opt prost","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-L1653","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"L1653","description":"HCPCS-L1653","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Closed tx orbit w/o manipulj","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"21400","description":"Closed tx orbit w/o manipulj","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Pos airway press headgear","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"A7035","description":"Pos airway press headgear","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Suction lipectomy trunk","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"15877","description":"Suction lipectomy trunk","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OKBF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-1CHL3","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"1CHL3","description":"HIPPS-1CHL3","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Dermacell","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"Q4122","description":"Dermacell","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Prescription drug monitoring_ evaluation of drugs present by LC-MS/MS_ usin","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0116U","description":"Prescription drug monitoring_ evaluation of drugs present by LC-MS/MS_ usin","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GHJD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Speech audiom thresh & recog","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0211T","description":"Speech audiom thresh & recog","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Amputation of foot at ankle","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"27889","description":"Amputation of foot at ankle","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GCGF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GEJC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CGAB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MIEF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Assay rbc cholinesterase","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"82482","description":"Assay rbc cholinesterase","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MGIC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Removal of infusion pump","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"36262","description":"Removal of infusion pump","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"IDMF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Body pos current status","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G8981","description":"Body pos current status","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CBSF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Augmentative analysis of chest computed tomography (CT) imaging data to provide categorical diagnostic subtype classification of interstitial lung disease; obtained with concu","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0878T","description":"Augmentative analysis of chest computed tomography (CT) imaging data to provide categorical diagnostic subtype classification of interstitial lung disease; obtained with concu","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"LBOB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OIIA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Methylprednisolone injection","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"J2930","description":"Methylprednisolone injection","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"ODXA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Hospice/home hlth_ place nos","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"Q5009","description":"Hospice/home hlth_ place nos","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Reconstruct cleft palate","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"42210","description":"Reconstruct cleft palate","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BETF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RVC8X","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RVC8X","description":"HIPPS-RVC8X","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CECA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KFRA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Rpr ing hernia init reduce","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"49500","description":"Rpr ing hernia init reduce","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OEXB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Rprt bone scint xref w xray","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"3570F","description":"Rprt bone scint xref w xray","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Insert electrodes for eeg","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"95830","description":"Insert electrodes for eeg","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Hdr rdncl ntrstl/icav brchtx","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"77772","description":"Hdr rdncl ntrstl/icav brchtx","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JIJD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Antepartum manipulation","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"59412","description":"Antepartum manipulation","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NCDE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"DFYE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Assay of amikacin","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"80150","description":"Assay of amikacin","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Incise spine nrv half segmnt","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"63185","description":"Incise spine nrv half segmnt","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FFNA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Patient did not respond to the question of patient felt this provider and team understood what is important to me in my life","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"M1242","description":"Patient did not respond to the question of patient felt this provider and team understood what is important to me in my life","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-PE10B","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"PE10B","description":"HIPPS-PE10B","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BHJC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Hep b vac injxn admin/recvd","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"4149F","description":"Hep b vac injxn admin/recvd","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"AGMA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BGIC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Repair of nasal valve collapse with low energy_ temperature-controlled (ie_ radiofrequency) subcutaneous/submucosal remodeling","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"30469","description":"Repair of nasal valve collapse with low energy_ temperature-controlled (ie_ radiofrequency) subcutaneous/submucosal remodeling","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Treat hip fracture(s)","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"27227","description":"Treat hip fracture(s)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NGXC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-3CHPU","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"3CHPU","description":"HIPPS-3CHPU","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OKMF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-PB18C","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"PB18C","description":"HIPPS-PB18C","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FENA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FFKF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CAAB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"DBQE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BDBF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Test for porphobilinogen","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"84106","description":"Test for porphobilinogen","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"EEME1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Cell function assay w/stim","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"86352","description":"Cell function assay w/stim","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Hydrotherapy","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"97036","description":"Hydrotherapy","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Remove bladder/create pouch","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"51596","description":"Remove bladder/create pouch","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"LERB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Hd hosp bed_ 350-600 lbs","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"E0301","description":"Hd hosp bed_ 350-600 lbs","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Low- dose computed tomography for lung cancer screening","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"S8032","description":"Low- dose computed tomography for lung cancer screening","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HH PDGM","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"1DA31","description":"HH PDGM","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FCIB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Kyphosis pad","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"L1020","description":"Kyphosis pad","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NFNE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Electrode stim brain add-on","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"95962","description":"Electrode stim brain add-on","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"AEAC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KAQF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Set radiation therapy field","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"77285","description":"Set radiation therapy field","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"No reas_ no ret or w/in 90d","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G9515","description":"No reas_ no ret or w/in 90d","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BBUC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"ODLD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KDSF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Advanced life support mileag","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"A0390","description":"Advanced life support mileag","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BHUF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OHAA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Patients with a diagnosis of lumbar idiopathic or congenital scoliosis","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"M1040","description":"Patients with a diagnosis of lumbar idiopathic or congenital scoliosis","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Traumatic brain injury with Motor <22.05._comorbidity in tier 2","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"C0207","description":"Traumatic brain injury with Motor <22.05._comorbidity in tier 2","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Speech audiometry threshold","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0210T","description":"Speech audiometry threshold","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-AAA11","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"AAA11","description":"HIPPS-AAA11","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"PAQE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CBWC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NAFC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KEBF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Repair bowel opening","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"44626","description":"Repair bowel opening","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OFOB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-ES325","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"ES325","description":"HIPPS-ES325","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NAAF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Growth stimulation gene 2","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"83006","description":"Growth stimulation gene 2","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KASD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Revision of foot bones","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"28737","description":"Revision of foot bones","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GBLE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BHIC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KHLC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BAKA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JHBC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CHFC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"RARE DS XOM DNA ALYS PROBAND","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0214U","description":"RARE DS XOM DNA ALYS PROBAND","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"CPT-0653U","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"0653U","description":"CPT-0653U","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Revise vag graft via vagina","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"57295","description":"Revise vag graft via vagina","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Clinical decision support mechanism Infinx_ as defined by the Medicare appropriate use criteria program","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G1018","description":"Clinical decision support mechanism Infinx_ as defined by the Medicare appropriate use criteria program","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CCPF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NBFB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Msh6 gene known variants","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"81299","description":"Msh6 gene known variants","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"CPT-0906T","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"0906T","description":"CPT-0906T","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RVL8G","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RVL8G","description":"HIPPS-RVL8G","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Icut allergy titrate-airborn","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"95027","description":"Icut allergy titrate-airborn","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MDHB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OGOA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Excision of bone lower jaw","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"21025","description":"Excision of bone lower jaw","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CATD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KAVC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Alcohol and/or drug interven","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"H0022","description":"Alcohol and/or drug interven","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Bone strength and fracture risk using finite element analysis of functional data and bone mineral density (BMD)_ with concurrent vertebral fracture assessment_ utilizing data","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0743T","description":"Bone strength and fracture risk using finite element analysis of functional data and bone mineral density (BMD)_ with concurrent vertebral fracture assessment_ utilizing data","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Laparoscopy adrenalectomy","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"60650","description":"Laparoscopy adrenalectomy","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Vasc embolize/occlude bleed","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"37244","description":"Vasc embolize/occlude bleed","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-BB12C","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"BB12C","description":"HIPPS-BB12C","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CIKE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BFCD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-4CGMU","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"4CGMU","description":"HIPPS-4CGMU","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BAPF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KIID1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Prescription drug monitoring_ 14 or more classes of drugs and substances_ definitive tandem mass spectrometry with chromatography_ capillary blood_ quantitative report with th","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0054U","description":"Prescription drug monitoring_ 14 or more classes of drugs and substances_ definitive tandem mass spectrometry with chromatography_ capillary blood_ quantitative report with th","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Shoe molded plastazote cust","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"L3253","description":"Shoe molded plastazote cust","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GAKB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FANE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KDME1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Lymph vessel x-ray arms/legs","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"75803","description":"Lymph vessel x-ray arms/legs","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Dialysate conc pow per pack","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"A4765","description":"Dialysate conc pow per pack","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Patient unable to complete the FOTO general orthopedic intake PROM at admission and discharge due to blindness_ illiteracy_ severe mental incapacity or language incompatibilit","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G9739","description":"Patient unable to complete the FOTO general orthopedic intake PROM at admission and discharge due to blindness_ illiteracy_ severe mental incapacity or language incompatibilit","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Injection procedure during cardiac catheterization including imaging supervision_ interpretation_ and report; for selective pulmonary angiography of major aortopulmonary colla","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"93575","description":"Injection procedure during cardiac catheterization including imaging supervision_ interpretation_ and report; for selective pulmonary angiography of major aortopulmonary colla","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Cystoscopy and treatment","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"52214","description":"Cystoscopy and treatment","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OKCB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Sgd spelling phys contact","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"E2508","description":"Sgd spelling phys contact","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"CPT-00604","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"00604","description":"CPT-00604","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NKFD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-LC23C","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"LC23C","description":"HIPPS-LC23C","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Treatment of urethra lesion","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"53265","description":"Treatment of urethra lesion","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-PB150","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"PB150","description":"HIPPS-PB150","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Drug scrn quan levetiracetam","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"80177","description":"Drug scrn quan levetiracetam","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Doc antibio not given","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"4042F","description":"Doc antibio not given","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Med ind for induction","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G9361","description":"Med ind for induction","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Gradient compression garment_ arm_ padded_ for nighttime use_ each","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"A6522","description":"Gradient compression garment_ arm_ padded_ for nighttime use_ each","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NIHB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Mrcp","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"S8037","description":"Mrcp","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OHXB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Oncology (Breast)_ Mrna_ Next-Generation Sequencing Gene Expression Profiling Of 70 Content Genes And 31 Housekeeping Genes_ Utilizing Formalin-Fixed Paraffin-Embedded Tissue_","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"81523","description":"Oncology (Breast)_ Mrna_ Next-Generation Sequencing Gene Expression Profiling Of 70 Content Genes And 31 Housekeeping Genes_ Utilizing Formalin-Fixed Paraffin-Embedded Tissue_","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"LBYC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BAGD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"AABE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"T cells total count","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"86359","description":"T cells total count","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MDBE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NLME0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"IAHF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Pt rcvng anti r-viral thxpy","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"4271F","description":"Pt rcvng anti r-viral thxpy","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-2AGL1","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"2AGL1","description":"HIPPS-2AGL1","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KEUC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MICD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RMC51","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RMC51","description":"HIPPS-RMC51","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Ortho sidebar disconnect","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"L2768","description":"Ortho sidebar disconnect","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GASC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"PESA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Oncology tissue of origin","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"81504","description":"Oncology tissue of origin","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Replantation foot complete","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"20838","description":"Replantation foot complete","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Implant supported mtl crown","billing_code_type":"CDT","billing_code_type_version":"2024","billing_code":"D6067","description":"Implant supported mtl crown","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"PFQC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Rebuild outer ear canal","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"69320","description":"Rebuild outer ear canal","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-AAA3A","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"AAA3A","description":"HIPPS-AAA3A","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Psychophysiological therapy","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"90875","description":"Psychophysiological therapy","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BEAF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Lamellas xt_ per square centimeter","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"Q4291","description":"Lamellas xt_ per square centimeter","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OFFF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"EBBE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BHKE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"EBHE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Hysterectomy/revise vagina","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"58280","description":"Hysterectomy/revise vagina","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Immed mand part dent metal","billing_code_type":"CDT","billing_code_type_version":"2024","billing_code":"D5224","description":"Immed mand part dent metal","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Endoscopic outlet reduction_ gastric pouch application_ with endoscopy and intraluminal tube insertion_ if performed_ including all system and tissue anchoring components","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"C9785","description":"Endoscopic outlet reduction_ gastric pouch application_ with endoscopy and intraluminal tube insertion_ if performed_ including all system and tissue anchoring components","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KEMB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"LDOA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Doc no pt rsk death w/in 1yr","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"1151F","description":"Doc no pt rsk death w/in 1yr","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OKLC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-PE22B","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"PE22B","description":"HIPPS-PE22B","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Repair/graft of bronchus","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"31770","description":"Repair/graft of bronchus","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Thoracoscopy rem totl cortex","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"32652","description":"Thoracoscopy rem totl cortex","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NJJE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CFRA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FFIB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SMN1 (survival of motor neuron 1_ telomeric) and SMN2 (survival of motor neuron 2_ centromeric) (eg_ spinal muscular atrophy) full gene analysis_ including small sequence chan","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0236U","description":"SMN1 (survival of motor neuron 1_ telomeric) and SMN2 (survival of motor neuron 2_ centromeric) (eg_ spinal muscular atrophy) full gene analysis_ including small sequence chan","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GEQD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GAVE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-2CHL5","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"2CHL5","description":"HIPPS-2CHL5","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OFRA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"AIMB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NEPE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Sigmoidoscopy & polypectomy","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"45333","description":"Sigmoidoscopy & polypectomy","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Adult foster care per diem","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"S5140","description":"Adult foster care per diem","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NKBF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-3BHKT","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"3BHKT","description":"HIPPS-3BHKT","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CBGB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"N block inj fem cont inf","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"64448","description":"N block inj fem cont inf","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"PAOE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Mech remov tunneled cv cath","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"36595","description":"Mech remov tunneled cv cath","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Afo tib fx cast molded to pt","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"L2108","description":"Afo tib fx cast molded to pt","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KEUF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-LD146","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"LD146","description":"HIPPS-LD146","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KEGB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"IBAC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"EDTF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Cardiology hrt trnspl mrna","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"81595","description":"Cardiology hrt trnspl mrna","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Injection_ cefazolin sodium (WG Critical Care)_ not therapeutically equivalent to J0690_ 500 mg","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"J0687","description":"Injection_ cefazolin sodium (WG Critical Care)_ not therapeutically equivalent to J0690_ 500 mg","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"CPT-35602","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"35602","description":"CPT-35602","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-J9066","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"J9066","description":"HCPCS-J9066","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KHED0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GACB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OFOA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Patient screened for tobacco use and identified as a tobacco user","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G9902","description":"Patient screened for tobacco use and identified as a tobacco user","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"ODJF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FGMD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NEXC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MBAC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"ABDD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Removal of iris","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"66605","description":"Removal of iris","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FAKD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BDKA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CCUA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Hepb vacc 2 dose adult im","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"90739","description":"Hepb vacc 2 dose adult im","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"IBEC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"No history of spirometry results with confirmed airflow obstruction (fev1/fvc < 70%) and present spirometry is >= 70%","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"M1213","description":"No history of spirometry results with confirmed airflow obstruction (fev1/fvc < 70%) and present spirometry is >= 70%","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"EEHD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Pouch clsd w barr attached","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"A5051","description":"Pouch clsd w barr attached","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KHPA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GDVA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JEMC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OEEE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NAIB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KGMB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JGIE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CIDB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Oncology mg qual act perform","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G8953","description":"Oncology mg qual act perform","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NKEF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MGMB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Reinsert ocular implant","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"65155","description":"Reinsert ocular implant","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-3BGP6","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"3BGP6","description":"HIPPS-3BGP6","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FAIE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Removal of esophagus pouch","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"43135","description":"Removal of esophagus pouch","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-HB12D","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"HB12D","description":"HIPPS-HB12D","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Injection_ immune globulin (asceniv)_ 500 mg","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"J1554","description":"Injection_ immune globulin (asceniv)_ 500 mg","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BBPC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Ostomy irrigation bag","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"A4398","description":"Ostomy irrigation bag","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GCLA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-4BHK5","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"4BHK5","description":"HIPPS-4BHK5","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Wound char size etc docd","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"2050F","description":"Wound char size etc docd","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CALE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Repair forearm tendon/muscle","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"25265","description":"Repair forearm tendon/muscle","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KBAF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RMB43","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RMB43","description":"HIPPS-RMB43","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"AFEB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"CPT-0964T","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"0964T","description":"CPT-0964T","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Njx paravert w/us cer/thor","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0215T","description":"Njx paravert w/us cer/thor","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BHNB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Cytopath c/v auto redo","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"88152","description":"Cytopath c/v auto redo","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"CPT-38225","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"38225","description":"CPT-38225","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Art byp iliofemoral","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"35665","description":"Art byp iliofemoral","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NIPF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Abrasion lesion single","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"15786","description":"Abrasion lesion single","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Pet img wholbod melano nonco","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G0219","description":"Pet img wholbod melano nonco","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"ODNE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OLXE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-1BFP6","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"1BFP6","description":"HIPPS-1BFP6","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RLA50","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RLA50","description":"HIPPS-RLA50","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"AAMC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Hepatic function panel","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"80076","description":"Hepatic function panel","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FAND0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-LE205","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"LE205","description":"HIPPS-LE205","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FHNC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FBLD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Percutaneous Injection Of Allogeneic Cellular And/Or Tissue-Based Product_ Intervertebral Disc_ Unilateral Or Bilateral Injection_ With Ct Guidance_ Lumbar; First Level","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0629T","description":"Percutaneous Injection Of Allogeneic Cellular And/Or Tissue-Based Product_ Intervertebral Disc_ Unilateral Or Bilateral Injection_ With Ct Guidance_ Lumbar; First Level","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MAHF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RHC1A","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RHC1A","description":"HIPPS-RHC1A","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Remove windpipe lesion","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"31786","description":"Remove windpipe lesion","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Replace cover w/c seat cush","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"E2619","description":"Replace cover w/c seat cush","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JCJA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Remove foreign body from eye","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"65220","description":"Remove foreign body from eye","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Pmkr_ single_ rate-resp","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"C1786","description":"Pmkr_ single_ rate-resp","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Treat ulnar fracture","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"24670","description":"Treat ulnar fracture","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CBBE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BBME1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Transcondylar approach/skull","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"61597","description":"Transcondylar approach/skull","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RHX20","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RHX20","description":"HIPPS-RHX20","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"General anesthesia_ first 15 minutes","billing_code_type":"CDT","billing_code_type_version":"2024","billing_code":"D9222","description":"General anesthesia_ first 15 minutes","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"CPT-01782","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"01782","description":"CPT-01782","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GBYD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Sitz bath chair","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"E0162","description":"Sitz bath chair","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Revision of scrotum","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"55180","description":"Revision of scrotum","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NKAB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NBLF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-AAA46","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"AAA46","description":"HIPPS-AAA46","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"PBYC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Ultrasound_ abdominal aorta_ real time with image documentation_ screening study for abdominal aortic aneurysm (AAA)","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"76706","description":"Ultrasound_ abdominal aorta_ real time with image documentation_ screening study for abdominal aortic aneurysm (AAA)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BBNB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KHEC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-HB10B","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"HB10B","description":"HIPPS-HB10B","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Breast adjuvant chemotherapy administered","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G9829","description":"Breast adjuvant chemotherapy administered","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BHHF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OLMF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Injection_ buprenorphine extended-release (Brixadi)_ 1 mg","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"C9154","description":"Injection_ buprenorphine extended-release (Brixadi)_ 1 mg","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-PC28A","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"PC28A","description":"HIPPS-PC28A","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GIGE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RHB1A","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RHB1A","description":"HIPPS-RHB1A","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"EEUC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"EETE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KBJD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NLLA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"CPT-00220","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"00220","description":"CPT-00220","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GFAB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"HAWD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"PGYD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OLMF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MHTE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GDJA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"CPT-0586U","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"0586U","description":"CPT-0586U","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Supplies for home delivery","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"S8415","description":"Supplies for home delivery","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Sinus endo w/balloon dil","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"31296","description":"Sinus endo w/balloon dil","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JCVA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CEME1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Atten d/c status","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G9167","description":"Atten d/c status","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KBTB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CCTF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Biopsy of testis","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"54500","description":"Biopsy of testis","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Quantitative magnetic resonance for analysis of tissue composition (eg_ fat_ iron_ water content)_ including multiparametric data acquisition_ data preparation and transmissio","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0648T","description":"Quantitative magnetic resonance for analysis of tissue composition (eg_ fat_ iron_ water content)_ including multiparametric data acquisition_ data preparation and transmissio","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OEOC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Commode chair with detacharm","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"E0165","description":"Commode chair with detacharm","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FFUB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-E1804","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"E1804","description":"HCPCS-E1804","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"A finding of an incidental pulmonary nodule","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G9754","description":"A finding of an incidental pulmonary nodule","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HH PDGM","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"2FC21","description":"HH PDGM","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-PD254","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"PD254","description":"HIPPS-PD254","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Replacement of mitral valve","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"33430","description":"Replacement of mitral valve","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BIMF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MADF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Injection_ methylprednisolone acetate_ 1 mg","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"J1010","description":"Injection_ methylprednisolone acetate_ 1 mg","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JHEE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"EEEC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"X-ray exam of knee 1 or 2","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"73560","description":"X-ray exam of knee 1 or 2","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CDLE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Ratchet assembly","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"K0050","description":"Ratchet assembly","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-BB106","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"BB106","description":"HIPPS-BB106","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Ctlso a-p-l control w/ inter","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"L0710","description":"Ctlso a-p-l control w/ inter","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"IBHC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Histoplasmosis skin test","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"86510","description":"Histoplasmosis skin test","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OFTB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-CB113","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"CB113","description":"HIPPS-CB113","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Epstein-barr capsid vca","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"86665","description":"Epstein-barr capsid vca","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Fun stat score knee < 0","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G8648","description":"Fun stat score knee < 0","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"AEUD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Pinworm examinations","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"Q0113","description":"Pinworm examinations","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Recd scrn hcv infec","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G9383","description":"Recd scrn hcv infec","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Reconstruct entire forehead","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"21180","description":"Reconstruct entire forehead","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Digitization of glass microscope slides for level V_ surgical pathology_ gross and microscopic examination (List separately in addition to code for primary procedure)","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0754T","description":"Digitization of glass microscope slides for level V_ surgical pathology_ gross and microscopic examination (List separately in addition to code for primary procedure)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Wheelchair fixed arms","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"E1160","description":"Wheelchair fixed arms","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-3BHMX","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"3BHMX","description":"HIPPS-3BHMX","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KFAA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"PBYE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GCXD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BFNB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Onc dx gastric no recurrence","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G9100","description":"Onc dx gastric no recurrence","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MLAC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"DBSA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JGLA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-LC251","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"LC251","description":"HIPPS-LC251","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-LE154","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"LE154","description":"HIPPS-LE154","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Elec med comp dev_ noc","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"T1505","description":"Elec med comp dev_ noc","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KDAA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Oncology (solid tumor)_ gene expression profiling by real-time RT-PCR of 7 gene pathways (ER_ AR_ PI3K_ MAPK_ HH_ TGFB_ Notch)_ formalin-fixed paraffin-embedded (FFPE)_ algori","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0262U","description":"Oncology (solid tumor)_ gene expression profiling by real-time RT-PCR of 7 gene pathways (ER_ AR_ PI3K_ MAPK_ HH_ TGFB_ Notch)_ formalin-fixed paraffin-embedded (FFPE)_ algori","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Immediate breast prosthesis","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"19340","description":"Immediate breast prosthesis","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"PBYB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-3BGLW","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"3BGLW","description":"HIPPS-3BGLW","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"AHHA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CALA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"CPT-87183","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"87183","description":"CPT-87183","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MIHF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"LEYE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-4CHKW","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"4CHKW","description":"HIPPS-4CHKW","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Ocular dev_ intraop_ det ret","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"C1784","description":"Ocular dev_ intraop_ det ret","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Oncology (oropharyngeal)_ detection of minimal residual disease by next-generation sequencing (NGS) based quantitative evaluation of 8 DNA targets_ cell-free HPV 16 and 18 DNA","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0470U","description":"Oncology (oropharyngeal)_ detection of minimal residual disease by next-generation sequencing (NGS) based quantitative evaluation of 8 DNA targets_ cell-free HPV 16 and 18 DNA","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Pros_ urinary sph_ imp","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"C1815","description":"Pros_ urinary sph_ imp","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MAUF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"HARC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-HD254","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"HD254","description":"HIPPS-HD254","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GIBF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KEND0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BAEF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RVC11","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RVC11","description":"HIPPS-RVC11","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OIYD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CDKA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Alcohol wipes per box","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"A4245","description":"Alcohol wipes per box","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NKCD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Removal of pancreatic stone","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"48020","description":"Removal of pancreatic stone","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Stenger test speech","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"92577","description":"Stenger test speech","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Pelvic control band & belt u","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"L2630","description":"Pelvic control band & belt u","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FDBA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Flowcytometry/read 2-8","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"88187","description":"Flowcytometry/read 2-8","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OCRF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"CPT-1057T","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"1057T","description":"CPT-1057T","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FIND0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"AIED1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NLNE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Afo tibial fracture rigid","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"L2116","description":"Afo tibial fracture rigid","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Outside state ambulance serv","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"A0021","description":"Outside state ambulance serv","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"IHHD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Assay of nos vitamin","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"84591","description":"Assay of nos vitamin","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Mrs discogenic pain i&r","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0612T","description":"Mrs discogenic pain i&r","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"PGYD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"HGQE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Total hip resurfacing","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"S2118","description":"Total hip resurfacing","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Hmatrix","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"Q4134","description":"Hmatrix","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Lens lenticular bifocal","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"V2115","description":"Lens lenticular bifocal","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CBRA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Elbow inter loc elbow forarm","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"L6250","description":"Elbow inter loc elbow forarm","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Plastic Surgery Mips Specialty Set","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G4027","description":"Plastic Surgery Mips Specialty Set","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"HBSA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"EEMC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NHLD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BBJD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-Q4421","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"Q4421","description":"HCPCS-Q4421","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JHKA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Rabies vaccine im","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"90675","description":"Rabies vaccine im","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"DDWC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BEIB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Alcohol and/or drug services","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"H0014","description":"Alcohol and/or drug services","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"non - surgical sialolithotomy","billing_code_type":"CDT","billing_code_type_version":"2024","billing_code":"D7979","description":"non - surgical sialolithotomy","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CASD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-CD124","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"CD124","description":"HIPPS-CD124","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Cath therapeutic irrig agent","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"A4321","description":"Cath therapeutic irrig agent","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"IHAC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Realignment of hand","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"25335","description":"Realignment of hand","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"PLOA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"AIUE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"LBSC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OJID0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FBBA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RMC0A","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RMC0A","description":"HIPPS-RMC0A","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Rbc sickle cell test","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"85660","description":"Rbc sickle cell test","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JIJA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BEKB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"DGYF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GIDD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NLBC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NFGD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Battery elec/combo vad_ rep","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"Q0496","description":"Battery elec/combo vad_ rep","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"CPT-0672U","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"0672U","description":"CPT-0672U","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"ODND0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KFJE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Wheeled cart_ port cyl/conc","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"E1354","description":"Wheeled cart_ port cyl/conc","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Eeg monitoring/function test","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"95958","description":"Eeg monitoring/function test","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Drug screening cocaine","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"80353","description":"Drug screening cocaine","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OJPA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Revision of knee joint","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"27443","description":"Revision of knee joint","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Assay of phenytoin total","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"80185","description":"Assay of phenytoin total","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Methadone injection","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"J1230","description":"Methadone injection","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MHTD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Documentation of medical reason(s) that follow-up imaging is indicated (e.g._ patient has a known malignancy that can metastasize_ other medical reason(s)","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G9755","description":"Documentation of medical reason(s) that follow-up imaging is indicated (e.g._ patient has a known malignancy that can metastasize_ other medical reason(s)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NDBE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GFDF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JIXB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MGLA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Pwc gp2 std seat elevate cap","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"K0831","description":"Pwc gp2 std seat elevate cap","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CASC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Phq-scr >9 doc in 12m time","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G9572","description":"Phq-scr >9 doc in 12m time","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"IBTF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JDIE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OJYE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Emr pwr source elec vad_ rep","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"Q0490","description":"Emr pwr source elec vad_ rep","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"AEBA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Ligation of extremity artery","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"37618","description":"Ligation of extremity artery","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JAUF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Percutaneous breast biopsies using magnetic resonance guidance_ with placement of breast localization device(s) (eg_ clip_ metallic pellet)_ when performed_ and imaging of the","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"C7502","description":"Percutaneous breast biopsies using magnetic resonance guidance_ with placement of breast localization device(s) (eg_ clip_ metallic pellet)_ when performed_ and imaging of the","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Patient did not respond to the question of patient felt heard and understood by this provider and team","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"M1239","description":"Patient did not respond to the question of patient felt heard and understood by this provider and team","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Respiratory syncytial virus vaccine_ mRNA lipid nanoparticles_ for intramuscular use","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"90683","description":"Respiratory syncytial virus vaccine_ mRNA lipid nanoparticles_ for intramuscular use","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MDCA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Athletic training evaluation_ moderate complexity_ requiring these components: A medical history and physical activity profile with 1-2 comorbidities that affect physical acti","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"97170","description":"Athletic training evaluation_ moderate complexity_ requiring these components: A medical history and physical activity profile with 1-2 comorbidities that affect physical acti","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Trifoc prscrp lens","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"S0508","description":"Trifoc prscrp lens","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NJMA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OANF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-1CFN1","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"1CFN1","description":"HIPPS-1CFN1","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GCVB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-LB21B","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"LB21B","description":"HIPPS-LB21B","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Exploration of kidney","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"50045","description":"Exploration of kidney","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"ICAD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Rbc antibody screen","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"86850","description":"Rbc antibody screen","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RVC3C","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RVC3C","description":"HIPPS-RVC3C","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"IGBA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Tlso rigid frame pre subclav","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"L0470","description":"Tlso rigid frame pre subclav","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-BA15A","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"BA15A","description":"HIPPS-BA15A","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RUX34","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RUX34","description":"HIPPS-RUX34","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GDBB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OIDD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Remove cervix/repair vagina","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"57555","description":"Remove cervix/repair vagina","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OLLB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"IATD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Explore parathyroid glands","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"60505","description":"Explore parathyroid glands","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Flecainide","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"80181","description":"Flecainide","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-B1004","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"B1004","description":"HCPCS-B1004","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OHAC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"CPT-0557U","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"0557U","description":"CPT-0557U","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Egd biopsy single/multiple","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"43239","description":"Egd biopsy single/multiple","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Compressor nondispos filter","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"A7014","description":"Compressor nondispos filter","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KCKA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NCJE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JDUB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NHTC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OJOD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Tap block bi by infusion","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"64489","description":"Tap block bi by infusion","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KGJA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Patients 66 Years Of Age And Older With At Least One Claim/Encounter For Frailty During The Measurement Period And Either One Acute Inpatient Encounter With A Diagnosis Of Adv","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G2110","description":"Patients 66 Years Of Age And Older With At Least One Claim/Encounter For Frailty During The Measurement Period And Either One Acute Inpatient Encounter With A Diagnosis Of Adv","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Tap block unil by injection","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"64486","description":"Tap block unil by injection","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-3CHL4","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"3CHL4","description":"HIPPS-3CHL4","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CGJB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Gardner vag dna amp probe","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"87511","description":"Gardner vag dna amp probe","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GINE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Njx paravert w/us cer/thor","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0213T","description":"Njx paravert w/us cer/thor","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"CPT-37276","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"37276","description":"CPT-37276","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RVA0C","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RVA0C","description":"HIPPS-RVA0C","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Excision of salivary cyst","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"42408","description":"Excision of salivary cyst","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Esrd srv 1 visit p mo 2-11","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"90956","description":"Esrd srv 1 visit p mo 2-11","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JITC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-3AFK4","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"3AFK4","description":"HIPPS-3AFK4","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"IABD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"EAEE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CBTF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Open treatment of rib fracture without fixation_ each","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"21805","description":"Open treatment of rib fracture without fixation_ each","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Myelography l-s spine","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"72265","description":"Myelography l-s spine","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KGND1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Insertion of interlaminar/interspinous process stabilization/distraction device_ without open decompression or fusion_ including image guidance when performed_ lumbar; second","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"22870","description":"Insertion of interlaminar/interspinous process stabilization/distraction device_ without open decompression or fusion_ including image guidance when performed_ lumbar; second","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Exc hip/pelv tum deep < 5 cm","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"27048","description":"Exc hip/pelv tum deep < 5 cm","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RLX5D","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RLX5D","description":"HIPPS-RLX5D","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GANB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Viper venom prothrombin time","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"85612","description":"Viper venom prothrombin time","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"CPT-0675U","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"0675U","description":"CPT-0675U","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OCOE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Drainage of eye","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"65800","description":"Drainage of eye","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MFDD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NCVC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"PCQF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Repos car modulj tranvns elt","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0415T","description":"Repos car modulj tranvns elt","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-2AGK6","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"2AGK6","description":"HIPPS-2AGK6","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Adolescent patients 12 to 17 years of age with major depression or dysthymia who did not reach remission at six months as demon","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"M1024","description":"Adolescent patients 12 to 17 years of age with major depression or dysthymia who did not reach remission at six months as demon","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"LEYD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NGHC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"CPT-00908","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"00908","description":"CPT-00908","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"PGYE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OHXA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CENC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-Q4382","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"Q4382","description":"HCPCS-Q4382","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Intra-vaginal motion sensor system_ provides biofeedback for pelvic floor muscle rehabilitation device","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"S9002","description":"Intra-vaginal motion sensor system_ provides biofeedback for pelvic floor muscle rehabilitation device","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FGCD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Contact lens_ hydrophilic_ with blue-violet filter_ per lens","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"V2526","description":"Contact lens_ hydrophilic_ with blue-violet filter_ per lens","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FHIA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NEAE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"DDRE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RVC50","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RVC50","description":"HIPPS-RVC50","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Revise/remove neuroelectrode","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"64585","description":"Revise/remove neuroelectrode","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FGJD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JDBD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Surgery for urethra pouch","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"53240","description":"Surgery for urethra pouch","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Revise eye socket implant","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"67560","description":"Revise eye socket implant","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-2CFKV","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"2CFKV","description":"HIPPS-2CFKV","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Mandibular flange prosthesis","billing_code_type":"CDT","billing_code_type_version":"2024","billing_code":"D5934","description":"Mandibular flange prosthesis","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-3BFK2","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"3BFK2","description":"HIPPS-3BFK2","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-5AHKU","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"5AHKU","description":"HIPPS-5AHKU","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Treat foot dislocation","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"28545","description":"Treat foot dislocation","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Construct bladder opening","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"51980","description":"Construct bladder opening","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OGPC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Insrt/redo neurostim 1 array","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"61885","description":"Insrt/redo neurostim 1 array","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Skin sub graft trnk/arm/leg","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"15271","description":"Skin sub graft trnk/arm/leg","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Assay of endocrine hormone","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"84235","description":"Assay of endocrine hormone","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Chin cup interface","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"E2324","description":"Chin cup interface","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MDCA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BDDD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MGHA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Wheelchair semi-recl detach","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"E1110","description":"Wheelchair semi-recl detach","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OCOB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"DDOF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-BA23C","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"BA23C","description":"HIPPS-BA23C","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Partial removal of colon","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"44141","description":"Partial removal of colon","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OIWC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CFGE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Removal of salivary stone","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"42340","description":"Removal of salivary stone","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GBEC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"IBEF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"ADIB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RVA03","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RVA03","description":"HIPPS-RVA03","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Neurology (mild cognitive impairment)_ analysis of B-amyloid 1-42 and 1-40_ chemiluminescence enzyme immunoassay_ cerebral spinal fluid_ reported as positive_ likely positive_","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0358U","description":"Neurology (mild cognitive impairment)_ analysis of B-amyloid 1-42 and 1-40_ chemiluminescence enzyme immunoassay_ cerebral spinal fluid_ reported as positive_ likely positive_","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MCIE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Kidney endoscopy","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"50572","description":"Kidney endoscopy","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RMC2B","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RMC2B","description":"HIPPS-RMC2B","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-5CGKV","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"5CGKV","description":"HIPPS-5CGKV","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GIUC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Removal of epididymis","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"54860","description":"Removal of epididymis","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Wheelchair head rest extensi","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"E0966","description":"Wheelchair head rest extensi","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-M1396","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"M1396","description":"HCPCS-M1396","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Repair facial nerve","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"69740","description":"Repair facial nerve","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-B1502","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"B1502","description":"HCPCS-B1502","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Ct pelvis w/o & w/dye","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"72194","description":"Ct pelvis w/o & w/dye","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Treat wrist dislocation","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"25695","description":"Treat wrist dislocation","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OCJC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Hemolysin acid","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"85475","description":"Hemolysin acid","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"LEQA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"EIAB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Functional Status Measured By The Oswestry Disability Index (Odi Version 2.1A) At Three Months (6 ? 20 Weeks) Postoperatively Was Less Than Or Equal To 22 Or Functional Status","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G2144","description":"Functional Status Measured By The Oswestry Disability Index (Odi Version 2.1A) At Three Months (6 ? 20 Weeks) Postoperatively Was Less Than Or Equal To 22 Or Functional Status","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NFCC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"AHUF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FAKB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Droperidol injection","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"J1790","description":"Droperidol injection","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Inj benztropine mesylate","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"J0515","description":"Inj benztropine mesylate","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Electronic elbow sequential","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"L7180","description":"Electronic elbow sequential","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"IGAA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HBB (hemoglobin_ subunit beta) (eg_ sickle cell anemia_ beta thalassemia_ hemoglobinopathy); common variant(s) (eg_ HbS_ HbC_ HbE)","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"81361","description":"HBB (hemoglobin_ subunit beta) (eg_ sickle cell anemia_ beta thalassemia_ hemoglobinopathy); common variant(s) (eg_ HbS_ HbC_ HbE)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Appendectomy","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"44950","description":"Appendectomy","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Treat skull fracture","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"62005","description":"Treat skull fracture","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Art or venous blood tubing","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"A4750","description":"Art or venous blood tubing","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KDBB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OGYE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OFYD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NEVA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OBED0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-HE23D","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"HE23D","description":"HIPPS-HE23D","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BCEB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NBVF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Incision of thigh tendons","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"27391","description":"Incision of thigh tendons","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"PHWC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Sternal debridement","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"21627","description":"Sternal debridement","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GDPA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-PE117","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"PE117","description":"HIPPS-PE117","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Other power whlchr base","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"K0014","description":"Other power whlchr base","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"IBAF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MFUB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-2BFLU","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"2BFLU","description":"HIPPS-2BFLU","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Partial removal of rib","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"21600","description":"Partial removal of rib","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Lvonorgestrl-Rls Iu Coc Sys 19.5 Mg","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"Q9984","description":"Lvonorgestrl-Rls Iu Coc Sys 19.5 Mg","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JAXF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-C0103","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"C0103","description":"HCPCS-C0103","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Mccd_ risk adj_ maintenance","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G9005","description":"Mccd_ risk adj_ maintenance","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Pneum full leg splnt pre ots","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"L4370","description":"Pneum full leg splnt pre ots","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Re-Cement Or Re-Bond Fixed Retainer - Maxillary","billing_code_type":"CDT","billing_code_type_version":"2024","billing_code":"D8698","description":"Re-Cement Or Re-Bond Fixed Retainer - Maxillary","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NATA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Remove/graft leg bone lesion","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"27638","description":"Remove/graft leg bone lesion","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CICB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Exam synovial fluid crystals","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"89060","description":"Exam synovial fluid crystals","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GALE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Doc cur meds by prov","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G8427","description":"Doc cur meds by prov","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"CPT-92137","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"92137","description":"CPT-92137","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Injection_ amiodarone hydrochloride (nexterone)_ 30 mg","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"J0283","description":"Injection_ amiodarone hydrochloride (nexterone)_ 30 mg","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CIAA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RML03","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RML03","description":"HIPPS-RML03","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Comm trans waiver/service","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"T2038","description":"Comm trans waiver/service","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FBHA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BATD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NENA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"LARE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"CPT-0571U","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"0571U","description":"CPT-0571U","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"CPT-00952","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"00952","description":"CPT-00952","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"EEUE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Transcervical ablation of uterine fibroid(s)_ including intraoperative ultrasound guidance and monitoring_ radiofrequency","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"58580","description":"Transcervical ablation of uterine fibroid(s)_ including intraoperative ultrasound guidance and monitoring_ radiofrequency","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Laparoscopy_ surgical; with guided transhepatic cholangiography with biopsy","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"47561","description":"Laparoscopy_ surgical; with guided transhepatic cholangiography with biopsy","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KCOA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-5CHK5","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"5CHK5","description":"HIPPS-5CHK5","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MBDA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OLKA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Echocardiography_ transesophageal (TEE) for guidance of a transcatheter intracardiac or great vessel(s) structural intervention(s) (eg_TAVR_ transcatheter pulmonary valve repl","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"93355","description":"Echocardiography_ transesophageal (TEE) for guidance of a transcatheter intracardiac or great vessel(s) structural intervention(s) (eg_TAVR_ transcatheter pulmonary valve repl","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BCMA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NLNF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GCEA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Fna w/o image","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"10021","description":"Fna w/o image","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Assay of blood osmolality","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"83930","description":"Assay of blood osmolality","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Cptr-asst dir ms px","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"20985","description":"Cptr-asst dir ms px","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OHWE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"HHYB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Pelvic band & belt thigh fla","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"L2192","description":"Pelvic band & belt thigh fla","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Injection_ tixagevimab and cilgavimab_ for the pre-exposure prophylaxis only_ for certain adults and pediatric individuals (12 years of age and older weighing at least 40kg)","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"Q0221","description":"Injection_ tixagevimab and cilgavimab_ for the pre-exposure prophylaxis only_ for certain adults and pediatric individuals (12 years of age and older weighing at least 40kg)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Endo poly hip_ pneu/hyd/rot","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"L5961","description":"Endo poly hip_ pneu/hyd/rot","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CCNC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Revise/remove electrd antrum","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"43882","description":"Revise/remove electrd antrum","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JEHC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Chylmd trach dna dir probe","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"87490","description":"Chylmd trach dna dir probe","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"von Willebrand factor (VWF)_ type 2B_ platelet-binding evaluation_ radioimmunoassay_ plasma (Versiti™ VWD Type 2B Evaluation)","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0283U","description":"von Willebrand factor (VWF)_ type 2B_ platelet-binding evaluation_ radioimmunoassay_ plasma (Versiti™ VWD Type 2B Evaluation)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"IATA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GDNF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CFYB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Pure tone hearing test air","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"92551","description":"Pure tone hearing test air","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Diaphragm","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"A4266","description":"Diaphragm","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"PBWA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OHNB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Functional status measurement with score was not obtained utilizing the Oxford Knee Score (OKS) patient reported outcome tool w","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"M1046","description":"Functional status measurement with score was not obtained utilizing the Oxford Knee Score (OKS) patient reported outcome tool w","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"intraoral tomosynthesis-periapical radiographic image - image capture only","billing_code_type":"CDT","billing_code_type_version":"2024","billing_code":"D0389","description":"intraoral tomosynthesis-periapical radiographic image - image capture only","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KFPD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Inhaled bronchodilator rx","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"4025F","description":"Inhaled bronchodilator rx","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Removal of sutures or staples not requiring anesthesia (List separately in addition to E/M code)","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"15853","description":"Removal of sutures or staples not requiring anesthesia (List separately in addition to E/M code)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Injection_ adalimumab-aacf (idacio)_ biosimilar_ 20 mg","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"Q5131","description":"Injection_ adalimumab-aacf (idacio)_ biosimilar_ 20 mg","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Pain screened as moderate to severe","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"M1000","description":"Pain screened as moderate to severe","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"AAUA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Reconstruct wrist joint","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"25442","description":"Reconstruct wrist joint","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OFCE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"CPT-0496U","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"0496U","description":"CPT-0496U","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"40-75y w/type 1/2 w/ldl-c rs","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G9676","description":"40-75y w/type 1/2 w/ldl-c rs","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FGGB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Electrogastrography w/test","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"91133","description":"Electrogastrography w/test","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GBMC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RLA3D","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RLA3D","description":"HIPPS-RLA3D","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"EDED1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RHB56","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RHB56","description":"HIPPS-RHB56","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"IFAA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KICF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Solid drive wheel tire","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"E2390","description":"Solid drive wheel tire","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GAIF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Trcath replace aortic valve","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"33366","description":"Trcath replace aortic valve","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"EDBD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FFJD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GIIF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OCJB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GCNC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OHVC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Reas no adhere pos air pres","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G8854","description":"Reas no adhere pos air pres","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NKTE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"IFBF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GCUB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-LE234","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"LE234","description":"HIPPS-LE234","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MEEB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Rcm celulr subcelulr img skn","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"96934","description":"Rcm celulr subcelulr img skn","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Pwc gp3 vhd mult pow opt s/b","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"K0863","description":"Pwc gp3 vhd mult pow opt s/b","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"IDUB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RUB51","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RUB51","description":"HIPPS-RUB51","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OHIB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CHMA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"IAAD IA STREPTOCOCCUS GROUP A","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"87430","description":"IAAD IA STREPTOCOCCUS GROUP A","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BEPE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Lens sphcy trifocal 4.0/4.25","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"V2305","description":"Lens sphcy trifocal 4.0/4.25","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OAJB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"IETC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CBCB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-LE21C","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"LE21C","description":"HIPPS-LE21C","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Repair great vessels defect","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"33778","description":"Repair great vessels defect","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MAAD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RHB24","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RHB24","description":"HIPPS-RHB24","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GDNB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BGLF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OJGF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Microvolt t-wave assess","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"93025","description":"Microvolt t-wave assess","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Cysto/uretero w/up stricture","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"52345","description":"Cysto/uretero w/up stricture","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Extensive surgery of throat","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"42845","description":"Extensive surgery of throat","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Endoscopy of ureter","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"50951","description":"Endoscopy of ureter","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CBOC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Amino acids quan 6 or more","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"82139","description":"Amino acids quan 6 or more","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BHAF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"ADHD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Init pm e/m new pat 65+ yrs","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"99387","description":"Init pm e/m new pat 65+ yrs","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"LCQE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Onc dx cml remission","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G9126","description":"Onc dx cml remission","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JIFF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RUX40","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RUX40","description":"HIPPS-RUX40","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BAIB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Documentation Stating Patient Has A Diagnosis Of A Degenerative Neurological Condition Such As Als_ Ms_ Or Parkinson_S Diagnosed At Any Time Before Or During The Episode Of Ca","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"M1117","description":"Documentation Stating Patient Has A Diagnosis Of A Degenerative Neurological Condition Such As Als_ Ms_ Or Parkinson_S Diagnosed At Any Time Before Or During The Episode Of Ca","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Revision of mitral valve","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"33420","description":"Revision of mitral valve","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Drainage of urinary leakage","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"53080","description":"Drainage of urinary leakage","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CFDF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Speech/hearing therapy","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"92507","description":"Speech/hearing therapy","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Hit intermit chemo diem","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"S9331","description":"Hit intermit chemo diem","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BIDD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BDEB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Touch quant sensory test","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0106T","description":"Touch quant sensory test","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GCQE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FDAE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KGMD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CANF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CFDD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Near-infrared dual imaging (ie_ simultaneous reflective and trans-illuminated light) of meibomian glands_ unilateral or bilateral_ with interpretation and report","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0507T","description":"Near-infrared dual imaging (ie_ simultaneous reflective and trans-illuminated light) of meibomian glands_ unilateral or bilateral_ with interpretation and report","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Electronic wrist rotator any","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"L7259","description":"Electronic wrist rotator any","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JILC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JIMD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"IBDC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OJIF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-3CHM6","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"3CHM6","description":"HIPPS-3CHM6","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FHJA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Unspecified diagnostic proce","billing_code_type":"CDT","billing_code_type_version":"2024","billing_code":"D0999","description":"Unspecified diagnostic proce","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HH PDGM","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"2KB21","description":"HH PDGM","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HH PDGM","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"1AA21","description":"HH PDGM","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BCFD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HH PDGM","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"3GB21","description":"HH PDGM","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-CC113","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"CC113","description":"HIPPS-CC113","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"LDYE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KHWB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NDUC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-J9362","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"J9362","description":"HCPCS-J9362","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Exc hand tum deep 1.5 cm/>","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"26113","description":"Exc hand tum deep 1.5 cm/>","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"PKOC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OHCB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RUX1A","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RUX1A","description":"HIPPS-RUX1A","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RUA21","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RUA21","description":"HIPPS-RUA21","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-CB10B","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"CB10B","description":"HIPPS-CB10B","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CAUC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Nerve pedicle transfer","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"64907","description":"Nerve pedicle transfer","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NEBF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OCXA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-CC230","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"CC230","description":"HIPPS-CC230","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GIVA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"AFUE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OHHD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"X-ray exam of neck","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"70360","description":"X-ray exam of neck","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CFFB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Fusion/graft of wrist joint","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"25805","description":"Fusion/graft of wrist joint","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"PKWD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Limited (30 minutes) care management home care plan oversight. for use only in a medicare-approved cmmi model. (services must be furnished within a beneficiary_s home_ domicil","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G0086","description":"Limited (30 minutes) care management home care plan oversight. for use only in a medicare-approved cmmi model. (services must be furnished within a beneficiary_s home_ domicil","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Eye muscle evaluation","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"92265","description":"Eye muscle evaluation","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OBMB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CGUA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FHJC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-3AFLS","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"3AFLS","description":"HIPPS-3AFLS","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"IAUA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KILF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-PA241","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"PA241","description":"HIPPS-PA241","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"CPT-37257","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"37257","description":"CPT-37257","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Clinical decision support mechanism Reliant medical group_ as defined by the Medicare appropriate use criteria program","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G1015","description":"Clinical decision support mechanism Reliant medical group_ as defined by the Medicare appropriate use criteria program","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Infliximab injection","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"J1745","description":"Infliximab injection","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"DGOE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Onc prac guide differs nos","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G9062","description":"Onc prac guide differs nos","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Collagen crosslinking cornea","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0402T","description":"Collagen crosslinking cornea","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Tx/pro/dx inj same drug adon","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"96376","description":"Tx/pro/dx inj same drug adon","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"PCSE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Lower jaw bone graft","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"21215","description":"Lower jaw bone graft","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RMX02","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RMX02","description":"HIPPS-RMX02","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OIMD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RMC8A","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RMC8A","description":"HIPPS-RMC8A","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Revision or replacement of skull-mounted cranial neurostimulator pulse generator or receiver with connection to depth and/or cortical strip electrode array(s)","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"61891","description":"Revision or replacement of skull-mounted cranial neurostimulator pulse generator or receiver with connection to depth and/or cortical strip electrode array(s)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JGNB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Ocular instrumnt screen bil","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"99177","description":"Ocular instrumnt screen bil","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CIRC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Hook to hand cable adapter","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"L6670","description":"Hook to hand cable adapter","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NHLE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OKVA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CFAD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Dschrg med/current med merge","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"1111F","description":"Dschrg med/current med merge","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"ACMA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-HB10A","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"HB10A","description":"HIPPS-HB10A","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JGCC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Assay of sialic acid","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"84275","description":"Assay of sialic acid","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"ADMA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Restorigin_ per sq cm","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"Q4191","description":"Restorigin_ per sq cm","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Add ue prost b/e acrylic","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"L7403","description":"Add ue prost b/e acrylic","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"IBTC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OKBC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KFUA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Dental recement crown","billing_code_type":"CDT","billing_code_type_version":"2024","billing_code":"D2920","description":"Dental recement crown","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-LD28G","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"LD28G","description":"HIPPS-LD28G","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OIJA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Acute pvd","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"M1337","description":"Acute pvd","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MFMF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GCED1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"CPT-01656","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"01656","description":"CPT-01656","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GBGC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NBXE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Electrophysiology evaluation","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"93644","description":"Electrophysiology evaluation","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CBKD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Insert spine fixation device","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"22845","description":"Insert spine fixation device","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CAXF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Assay of vasopressin","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"84588","description":"Assay of vasopressin","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Apicoect/perirad surg anter","billing_code_type":"CDT","billing_code_type_version":"2024","billing_code":"D3410","description":"Apicoect/perirad surg anter","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Anesth corneal transplant","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"14451","description":"Anesth corneal transplant","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Ct neck spine w/dye","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"72126","description":"Ct neck spine w/dye","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"PISB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Wedging of clubfoot cast","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"29750","description":"Wedging of clubfoot cast","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-4AFMX","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"4AFMX","description":"HIPPS-4AFMX","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Principal illness navigation services_ additional 30 minutes per calendar month (list separately in addition to g0023)","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G0024","description":"Principal illness navigation services_ additional 30 minutes per calendar month (list separately in addition to g0023)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OKMD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Exhaled nitric oxide meas","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"95012","description":"Exhaled nitric oxide meas","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OEMD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OHSA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HBA1/HBA2 (alpha globin 1 and alpha globin 2) (eg_ alpha thalassemia_ Hb Bart hydrops fetalis syndrome_ HbH disease)_ gene analysis; common deletions or variant (eg_ Southeast","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"81257","description":"HBA1/HBA2 (alpha globin 1 and alpha globin 2) (eg_ alpha thalassemia_ Hb Bart hydrops fetalis syndrome_ HbH disease)_ gene analysis; common deletions or variant (eg_ Southeast","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OLMD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OEWE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FBKA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-HD28F","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"HD28F","description":"HIPPS-HD28F","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BDVF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"PEANUT ALLG ASMT EPI CLIN RX","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0178U","description":"PEANUT ALLG ASMT EPI CLIN RX","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"EDEE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OJDA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NLTC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Transcatheter removal of permanent leadless pacemaker_ right ventricular","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"33275","description":"Transcatheter removal of permanent leadless pacemaker_ right ventricular","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Doc pt w out cath maint dia","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G9241","description":"Doc pt w out cath maint dia","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Treat dislocation/fracture","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"23670","description":"Treat dislocation/fracture","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BBPA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NGHA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JCAC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Doc fe+ stores b/4 epo thx","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"3160F","description":"Doc fe+ stores b/4 epo thx","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Hip clevis/thrust bearing fr","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"L2600","description":"Hip clevis/thrust bearing fr","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Incision of urethra","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"53010","description":"Incision of urethra","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Toilet rail","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"E0243","description":"Toilet rail","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KIAB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RHC54","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RHC54","description":"HIPPS-RHC54","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"W/c dpth 20-21 in seat frame","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"E2342","description":"W/c dpth 20-21 in seat frame","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-HC246","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"HC246","description":"HIPPS-HC246","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"LHYB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Harness figure of 8 dual con","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"L6676","description":"Harness figure of 8 dual con","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Crown full cast high noble m","billing_code_type":"CDT","billing_code_type_version":"2024","billing_code":"D2790","description":"Crown full cast high noble m","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"IITE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Cath w/drainage 3-way","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"A4316","description":"Cath w/drainage 3-way","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Treat fracture radius & ulna","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"25560","description":"Treat fracture radius & ulna","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"EGCF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FHBB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Rechanneling of artery","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"35372","description":"Rechanneling of artery","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Pwr wc drivewheel gear repl","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"E2369","description":"Pwr wc drivewheel gear repl","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Repair of mitral valve","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"33427","description":"Repair of mitral valve","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NBTC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FINB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Assay of procainamide","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"80190","description":"Assay of procainamide","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OFOA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"IFCA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NGDB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Insert_ pneum wheel drive","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"E2383","description":"Insert_ pneum wheel drive","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Perq & icut allg test venoms","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"95017","description":"Perq & icut allg test venoms","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Iiv4 vaccine 3 yrs plus im","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"90688","description":"Iiv4 vaccine 3 yrs plus im","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CFAC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OCJA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Contact lens fitting for tx","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"92071","description":"Contact lens fitting for tx","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NLXD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Anesth penis nodes removal","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"93651","description":"Anesth penis nodes removal","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Treatment of choroid lesion","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"67220","description":"Treatment of choroid lesion","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"HAOB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JIJB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Carbonic anhydrase VI (CA VI)_ parotid specific/secretory protein (PSP) and salivary protein (SP1) IgG_ IgM_ and IgA antibodies_ enzyme-linked immunosorbent assay (ELISA)_ sem","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0472U","description":"Carbonic anhydrase VI (CA VI)_ parotid specific/secretory protein (PSP) and salivary protein (SP1) IgG_ IgM_ and IgA antibodies_ enzyme-linked immunosorbent assay (ELISA)_ sem","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RUB07","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RUB07","description":"HIPPS-RUB07","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CFJF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Immunotherapy one injection","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"95120","description":"Immunotherapy one injection","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BAUE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-BA24D","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"BA24D","description":"HIPPS-BA24D","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Revascularization_ endovascular_ open or percutaneous_ femoral_ popliteal artery(ies)_ unilateral_ with transluminal angioplasty with intravascular ultrasound (initial noncoro","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"C7531","description":"Revascularization_ endovascular_ open or percutaneous_ femoral_ popliteal artery(ies)_ unilateral_ with transluminal angioplasty with intravascular ultrasound (initial noncoro","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KGXE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"IIHC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RMA35","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RMA35","description":"HIPPS-RMA35","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Chlorambucil 2 mg","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"S0172","description":"Chlorambucil 2 mg","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FHBA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Removal of urethra","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"53210","description":"Removal of urethra","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Crown full cast base metal","billing_code_type":"CDT","billing_code_type_version":"2024","billing_code":"D2791","description":"Crown full cast base metal","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FABC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Design custom breast implant","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"19396","description":"Design custom breast implant","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-AAA5A","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"AAA5A","description":"HIPPS-AAA5A","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GECB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Non-osseointegrated snd proc","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"L8692","description":"Non-osseointegrated snd proc","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-4AHM5","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"4AHM5","description":"HIPPS-4AHM5","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KBWF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FCEF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OFTA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Pulpal regeneration initial","billing_code_type":"CDT","billing_code_type_version":"2024","billing_code":"D3355","description":"Pulpal regeneration initial","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BHNF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CGKC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"PJYD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NJPE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CGHA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Compressor air power source","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"E0565","description":"Compressor air power source","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Remote Afterloading High Dose Rate Radionuclide Brachytherapy; Over 12 Channels","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"77787","description":"Remote Afterloading High Dose Rate Radionuclide Brachytherapy; Over 12 Channels","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JBLF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"HESF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Dev interrog remote 1/2/mlt","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"93295","description":"Dev interrog remote 1/2/mlt","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Immunization administration by intramuscular injection of severe acute respiratory syndrome coronavirus 2 (SARSCoV-2) (coronavirus disease [COVID-19]) vaccine_ mRNA-LNP_ spike","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0094A","description":"Immunization administration by intramuscular injection of severe acute respiratory syndrome coronavirus 2 (SARSCoV-2) (coronavirus disease [COVID-19]) vaccine_ mRNA-LNP_ spike","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FHTE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Nuclear localization/abscess","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"78807","description":"Nuclear localization/abscess","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Injection_ udenyca 0.5mg","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"Q5111","description":"Injection_ udenyca 0.5mg","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NJFD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Hiv-1 quant&revrse trnscrpj","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"87536","description":"Hiv-1 quant&revrse trnscrpj","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Resect/excise cranial lesion","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"61607","description":"Resect/excise cranial lesion","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"PIOF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"LGOF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KBNE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MBBE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MEMF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-1CFNU","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"1CFNU","description":"HIPPS-1CFNU","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FBVD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NGBC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CIPE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FBMC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OEOF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"ACME1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OBGE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"ABDF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-A0101","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"A0101","description":"HCPCS-A0101","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-3CHKX","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"3CHKX","description":"HIPPS-3CHKX","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GHFC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NCJA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OKPE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"C diff amplified probe","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"87493","description":"C diff amplified probe","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GDKA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Arch supp att to shoe long/m","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"L3090","description":"Arch supp att to shoe long/m","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JCUE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"EGUF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KCXB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Remove hip bone les super","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"27065","description":"Remove hip bone les super","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"IEMA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Laparo ablate liver tumor rf","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"47370","description":"Laparo ablate liver tumor rf","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Non-speech device service","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"92606","description":"Non-speech device service","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"CPT-0671U","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"0671U","description":"CPT-0671U","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Drug scrn quan mycophenolate","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"80180","description":"Drug scrn quan mycophenolate","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"N blk inj sciatic cont inf","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"64446","description":"N blk inj sciatic cont inf","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Exemestane_ 25 mg","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"S0156","description":"Exemestane_ 25 mg","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-Q4420","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"Q4420","description":"HCPCS-Q4420","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-J9341","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"J9341","description":"HCPCS-J9341","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Hinge extension/flex wrist/f","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"L3900","description":"Hinge extension/flex wrist/f","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Patient treatment and final evaluation complete","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"M1014","description":"Patient treatment and final evaluation complete","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Insertion of phrenic nerve stimulator transvenous sensing lead (List separately in addition to code for primary procedure)","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"33277","description":"Insertion of phrenic nerve stimulator transvenous sensing lead (List separately in addition to code for primary procedure)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GEWF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RVC8I","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RVC8I","description":"HIPPS-RVC8I","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JECD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Ipratropium bromide non-comp","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"J7644","description":"Ipratropium bromide non-comp","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"DDQA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RML20","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RML20","description":"HIPPS-RML20","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GDVA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BDKB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KCBF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RLB8B","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RLB8B","description":"HIPPS-RLB8B","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FFXE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JIKA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Remove hip pressure sore","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"15946","description":"Remove hip pressure sore","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"R&l hrt art/ventricle angio","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"93461","description":"R&l hrt art/ventricle angio","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CAYE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KDHB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OJIC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GFNB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CEKF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HH PDGM","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"3LB11","description":"HH PDGM","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"CPT-0959T","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"0959T","description":"CPT-0959T","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-C1402","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"C1402","description":"HCPCS-C1402","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KDJB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FCJC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-PE220","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"PE220","description":"HIPPS-PE220","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Brain image w/flow < 4 views","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"78601","description":"Brain image w/flow < 4 views","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"CNBP (CCHC-type zinc finger nucleic acid binding protein) (eg_ myotonic dystrophy type 2) gene analysis_ evaluation to detect abnormal (eg_ expanded) alleles","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"81187","description":"CNBP (CCHC-type zinc finger nucleic acid binding protein) (eg_ myotonic dystrophy type 2) gene analysis_ evaluation to detect abnormal (eg_ expanded) alleles","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Sex transformation m to f","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"55970","description":"Sex transformation m to f","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-ES224","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"ES224","description":"HIPPS-ES224","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"EIEC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RUA2C","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RUA2C","description":"HIPPS-RUA2C","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Abutment Supported Crown - Porcelain Fused To Titanium And Titanium Alloys","billing_code_type":"CDT","billing_code_type_version":"2024","billing_code":"D6097","description":"Abutment Supported Crown - Porcelain Fused To Titanium And Titanium Alloys","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JGTE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"No wet-dry drssings rx recmd","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"4266F","description":"No wet-dry drssings rx recmd","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"PFYE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Microbe suscept mycobacteri","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"87190","description":"Microbe suscept mycobacteri","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Add joint upper ext orthosis","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"L3956","description":"Add joint upper ext orthosis","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"EALA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"MRI compatible system","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"L0859","description":"MRI compatible system","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GFVD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OCJE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MFAA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Hc pro phone call 11-20 min","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"98967","description":"Hc pro phone call 11-20 min","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Resect forarm/wrist tum 3cm>","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"25078","description":"Resect forarm/wrist tum 3cm>","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-CD224","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"CD224","description":"HIPPS-CD224","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NEMD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FHIC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"ABLF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Galactose transferase test","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"82776","description":"Galactose transferase test","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"HERE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Removal of wrist prosthesis","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"25251","description":"Removal of wrist prosthesis","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GFPA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-LD206","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"LD206","description":"HIPPS-LD206","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Bowel to bowel fusion","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"44130","description":"Bowel to bowel fusion","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CASE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Neostim dl_ per square centimeter","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"Q4267","description":"Neostim dl_ per square centimeter","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-3AHKU","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"3AHKU","description":"HIPPS-3AHKU","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Remove eyelid lesion","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"67840","description":"Remove eyelid lesion","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OFAB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Psa/t/glsc docd b/4 txmnt","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"3268F","description":"Psa/t/glsc docd b/4 txmnt","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HH PDGM","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"4AA11","description":"HH PDGM","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RVX11","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RVX11","description":"HIPPS-RVX11","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FEXA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Urinalysis volume measure","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"81050","description":"Urinalysis volume measure","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"HDWA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NKGB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Bridge noble metal cast","billing_code_type":"CDT","billing_code_type_version":"2024","billing_code":"D6212","description":"Bridge noble metal cast","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Removal of chest lining","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"32310","description":"Removal of chest lining","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Anticoag clinic per session","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"S9401","description":"Anticoag clinic per session","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"CDT-D0405","billing_code_type":"CDT","billing_code_type_version":"2026","billing_code":"D0405","description":"CDT-D0405","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Programming device evaluation (remote) of subcutaneous cardiac rhythm monitor system_ with iterative adjustment of the implantable device to test the function of the device an","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0650T","description":"Programming device evaluation (remote) of subcutaneous cardiac rhythm monitor system_ with iterative adjustment of the implantable device to test the function of the device an","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BCVC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RLB52","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RLB52","description":"HIPPS-RLB52","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Removal of fallopian tube","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"58700","description":"Removal of fallopian tube","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MIHA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Change of ureterostomy tube or externally accessible ureteral stent via ileal conduit with ureteral stricture balloon dilation_ including imaging guidance (eg_ ultrasound and/","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"C7549","description":"Change of ureterostomy tube or externally accessible ureteral stent via ileal conduit with ureteral stricture balloon dilation_ including imaging guidance (eg_ ultrasound and/","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Repair of anal sphincter","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"46751","description":"Repair of anal sphincter","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RVX0A","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RVX0A","description":"HIPPS-RVX0A","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KEWA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CESF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"LDQA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KEIC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Destruction ciliary body","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"66740","description":"Destruction ciliary body","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Rechanneling of artery","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"35305","description":"Rechanneling of artery","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CAEA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"CPT-16376","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"16376","description":"CPT-16376","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"EALE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Remote physiologic monitoring treatment management services_ 20 minutes or more of clinical staff/physician/other qualified health care professional time in a calendar month r","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"99457","description":"Remote physiologic monitoring treatment management services_ 20 minutes or more of clinical staff/physician/other qualified health care professional time in a calendar month r","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-4CHLS","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"4CHLS","description":"HIPPS-4CHLS","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"EDLD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Egd control bleeding any","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"43255","description":"Egd control bleeding any","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OGOC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Echo exam of eye","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"76529","description":"Echo exam of eye","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CEUC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BFUD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OFBB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FAXD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KIXE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CIMF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OAQC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-C0603","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"C0603","description":"HCPCS-C0603","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Rpr s/n/a/gen/trk12.6-20.0cm","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"12005","description":"Rpr s/n/a/gen/trk12.6-20.0cm","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JDME0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Subsequent prenatal care","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0502F","description":"Subsequent prenatal care","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-LB244","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"LB244","description":"HIPPS-LB244","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JGUA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NGEE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BCIB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Artery x-rays abdomen","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"75726","description":"Artery x-rays abdomen","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CHJB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Alkaloids_ urine_ quantitative","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G6041","description":"Alkaloids_ urine_ quantitative","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"AIUA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NAMC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Pwc gp 1 std port cap chair","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"K0814","description":"Pwc gp 1 std port cap chair","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Remove part thorax vertebra","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"22101","description":"Remove part thorax vertebra","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"PCYC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Cerv artific diskectomy","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"22856","description":"Cerv artific diskectomy","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OFTE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NDJC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"CPT-01420","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"01420","description":"CPT-01420","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NHEE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Hip arthro w/fb removal","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"29861","description":"Hip arthro w/fb removal","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"EFMD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Same day nb discharge","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"99463","description":"Same day nb discharge","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Percutaneous pulmonary artery revascularization by stent placement_ initial; abnormal connections_ unilateral","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"33902","description":"Percutaneous pulmonary artery revascularization by stent placement_ initial; abnormal connections_ unilateral","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RHL2B","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RHL2B","description":"HIPPS-RHL2B","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GCJD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CBDB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NBDC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Nerve graft head/neck </4 cm","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"64885","description":"Nerve graft head/neck </4 cm","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"EHDB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Exploration of sinuses","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"31090","description":"Exploration of sinuses","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GAHF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GGKD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Sgd prerec msg >8min <=20min","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"E2502","description":"Sgd prerec msg >8min <=20min","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JBLC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CGPD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Replantation thumb complete","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"20824","description":"Replantation thumb complete","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OIOE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FHHD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OGXE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CHRF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RLX06","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RLX06","description":"HIPPS-RLX06","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BDUA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Dentures adjust part maxill","billing_code_type":"CDT","billing_code_type_version":"2024","billing_code":"D5421","description":"Dentures adjust part maxill","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-2CHLS","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"2CHLS","description":"HIPPS-2CHLS","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MLTD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Abdomen surgery procedure","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"49999","description":"Abdomen surgery procedure","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KCIB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"ODTA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Patient did not receive combination therapy consisting of at least two prophylactic pharmacologic antiemetic agents of different classes preoperatively and/or intraoperatively","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G9958","description":"Patient did not receive combination therapy consisting of at least two prophylactic pharmacologic antiemetic agents of different classes preoperatively and/or intraoperatively","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NEEA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NCPA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NIMB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JAKC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GHMA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Heart failure composite","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0001F","description":"Heart failure composite","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KDVE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-PD28E","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"PD28E","description":"HIPPS-PD28E","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-M1412","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"M1412","description":"HCPCS-M1412","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Reconstruct elbow lat ligmnt","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"24344","description":"Reconstruct elbow lat ligmnt","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CEDD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Reconstruct ankle joint","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"27702","description":"Reconstruct ankle joint","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NEME1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KIOE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-4CHL2","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"4CHL2","description":"HIPPS-4CHL2","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Shave skin lesion 0.5 cm/<","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"11310","description":"Shave skin lesion 0.5 cm/<","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Dopamine injection","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"J1265","description":"Dopamine injection","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CEVF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BCVA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-LE106","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"LE106","description":"HIPPS-LE106","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"ECTE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OFJB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Removal of pressure sore","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"15999","description":"Removal of pressure sore","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CESC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CEAB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"High-resolution gastric electrophysiology mapping with simultaneous patient-symptom profiling_ with interpretation and report","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0868T","description":"High-resolution gastric electrophysiology mapping with simultaneous patient-symptom profiling_ with interpretation and report","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-M1497","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"M1497","description":"HCPCS-M1497","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Braf gene","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"81210","description":"Braf gene","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Gradient compression bandaging supply_ low density channel foam sheet_ per 250 square centimeters_ each","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"A6603","description":"Gradient compression bandaging supply_ low density channel foam sheet_ per 250 square centimeters_ each","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KIED0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KDRF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"IFLC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Replacement facemask interfa","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"A7031","description":"Replacement facemask interfa","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Hdr rdncl skn surf brachytx","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"77768","description":"Hdr rdncl skn surf brachytx","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-3CGP2","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"3CGP2","description":"HIPPS-3CGP2","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Sperm washing","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"58323","description":"Sperm washing","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MLLE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JIGD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Sio rig pnl pelv/sac pre ots","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"L0623","description":"Sio rig pnl pelv/sac pre ots","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OFLD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Shoulder arthroscopy/surgery","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"29819","description":"Shoulder arthroscopy/surgery","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GGTC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"PJRD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-CA24D","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"CA24D","description":"HIPPS-CA24D","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"DIOA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MHBF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KCBA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KDEB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Treatment of penis lesion","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"54115","description":"Treatment of penis lesion","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Endovasc iliac repr w/graft","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"34900","description":"Endovasc iliac repr w/graft","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"HGSE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Periph field stimul perm","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0283T","description":"Periph field stimul perm","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OEPB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BIFC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Laparoscope proc stom","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"43659","description":"Laparoscope proc stom","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BDHD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-A1202","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"A1202","description":"HCPCS-A1202","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Exc skin abd add-on","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"15847","description":"Exc skin abd add-on","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"EGUD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"EFAA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Revise circulation to head","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"61705","description":"Revise circulation to head","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Insert major vessel graft","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"33330","description":"Insert major vessel graft","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"HFQF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Fabrication & fitting","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"V2628","description":"Fabrication & fitting","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CITA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Odontics repr abutment","billing_code_type":"CDT","billing_code_type_version":"2024","billing_code":"D6095","description":"Odontics repr abutment","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OEJB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-Q5150","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"Q5150","description":"HCPCS-Q5150","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"IALA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Mecp2 gene known variant","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"81303","description":"Mecp2 gene known variant","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FBUA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Ultrasound_ elastography; first target lesion","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"76982","description":"Ultrasound_ elastography; first target lesion","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OBRC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-J1308","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"J1308","description":"HCPCS-J1308","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KEDD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KIEC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OJTE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Humidifier supplemental w/ i","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"E0560","description":"Humidifier supplemental w/ i","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Opiates 1 or more","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"80361","description":"Opiates 1 or more","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MGBA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Compres burngarment chinstrp","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"A6502","description":"Compres burngarment chinstrp","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Adults who have at least 180 days of continuous pharmacotherapy with a medication prescribed for OUD without a gap of more than","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"M1034","description":"Adults who have at least 180 days of continuous pharmacotherapy with a medication prescribed for OUD without a gap of more than","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RUL5B","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RUL5B","description":"HIPPS-RUL5B","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Prevention and treatment of infectious disorders including hepatitis c and hiv mips value pathway","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"M1368","description":"Prevention and treatment of infectious disorders including hepatitis c and hiv mips value pathway","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Hospice care_ in the home_ p","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"S9126","description":"Hospice care_ in the home_ p","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-E1832","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"E1832","description":"HCPCS-E1832","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":">85y no hx colo ca/rsn scope","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G9659","description":">85y no hx colo ca/rsn scope","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CEOC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Doc cath >90d for maint dia","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G9265","description":"Doc cath >90d for maint dia","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BGTD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NELA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Ext ecg complete","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0295T","description":"Ext ecg complete","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KCMA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Immunoassay for infectious agent antibody(ies)_ qualitative or semiquantitative_ single-step method (eg_ reagent strip);","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"86318","description":"Immunoassay for infectious agent antibody(ies)_ qualitative or semiquantitative_ single-step method (eg_ reagent strip);","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OEVD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-J3373","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"J3373","description":"HCPCS-J3373","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CFPA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BBXB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BAJF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Incision of vagus nerve","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"64760","description":"Incision of vagus nerve","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BFCA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Cast sup long leg fiberglass","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"Q4030","description":"Cast sup long leg fiberglass","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Hep b core antibody igm","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"86705","description":"Hep b core antibody igm","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Speech threshold audiometry","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"92555","description":"Speech threshold audiometry","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Affinity1 square cm","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"Q4159","description":"Affinity1 square cm","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-LB126","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"LB126","description":"HIPPS-LB126","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NGFA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Stationary compressed gas 02","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"E0424","description":"Stationary compressed gas 02","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Place po breast cath for rad","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"19296","description":"Place po breast cath for rad","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CHMA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Reconstruct shoulder joint","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"23470","description":"Reconstruct shoulder joint","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-J9601","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"J9601","description":"HCPCS-J9601","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-LB241","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"LB241","description":"HIPPS-LB241","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Treat foot dislocation","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"28576","description":"Treat foot dislocation","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Cat scan follow-up study","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"76380","description":"Cat scan follow-up study","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Tx contour defects 5.1-10cc","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"11952","description":"Tx contour defects 5.1-10cc","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Bronchoscopy_ rigid or flexible_ with insertion of esophageal protection device and circumferential radiofrequency destruction of the pulmonary nerves_ including fluoroscopic","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0782T","description":"Bronchoscopy_ rigid or flexible_ with insertion of esophageal protection device and circumferential radiofrequency destruction of the pulmonary nerves_ including fluoroscopic","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CEUE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FEFC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RMX1A","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RMX1A","description":"HIPPS-RMX1A","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"DAYA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Fusion of knuckle joint","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"26516","description":"Fusion of knuckle joint","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OIOB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Assay of breath ethanol","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"82075","description":"Assay of breath ethanol","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Release of lung","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"32220","description":"Release of lung","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"No eval activity clin symp","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"3119F","description":"No eval activity clin symp","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CEYD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-4BHKX","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"4BHKX","description":"HIPPS-4BHKX","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Assay of phenytoin free","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"80186","description":"Assay of phenytoin free","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Reconst lwr jaw w/o graft","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"21193","description":"Reconst lwr jaw w/o graft","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MKDF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Dstrj neurofibromata xtnsv","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0419T","description":"Dstrj neurofibromata xtnsv","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Exc tr-ext b9+marg 3.1-4 cm","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"11404","description":"Exc tr-ext b9+marg 3.1-4 cm","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-BB22D","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"BB22D","description":"HIPPS-BB22D","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Repair major vessel","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"33321","description":"Repair major vessel","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Insert mesh/pelvic flr addon","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"57267","description":"Insert mesh/pelvic flr addon","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OIGC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FATA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OGLB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CDTD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CABA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HH PDGM","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"3EC21","description":"HH PDGM","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MFCB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OIQB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-ES34B","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"ES34B","description":"HIPPS-ES34B","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FCAA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KFBA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Probe nasolacrimal duct","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"68810","description":"Probe nasolacrimal duct","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FIHD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Endovas aaa repr w/3-p part","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"34803","description":"Endovas aaa repr w/3-p part","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Laser treatment of retina","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"67040","description":"Laser treatment of retina","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CCOF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Reconstruct cranial bone","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"21182","description":"Reconstruct cranial bone","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Excision lesion mouth roof","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"42104","description":"Excision lesion mouth roof","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Ak 4 bar ling w/hydraul swig","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"L5613","description":"Ak 4 bar ling w/hydraul swig","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Injection_ rolapitant_ 0.5 mg","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"C9464","description":"Injection_ rolapitant_ 0.5 mg","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Treat lower leg dislocation","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"27832","description":"Treat lower leg dislocation","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CISB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Partial removal of radius","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"25230","description":"Partial removal of radius","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RMC22","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RMC22","description":"HIPPS-RMC22","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RUA44","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RUA44","description":"HIPPS-RUA44","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"IEUF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NGAE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Laparo ablate renal cyst","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"50541","description":"Laparo ablate renal cyst","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GHAD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KEJD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OIPA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JGJC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"I125 serum albumin_ dx","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"A9532","description":"I125 serum albumin_ dx","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"EEAA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"CPT-0577U","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"0577U","description":"CPT-0577U","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RUC4C","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RUC4C","description":"HIPPS-RUC4C","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OKDC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JFUB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Pt inelig rna no antvir tx","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G8460","description":"Pt inelig rna no antvir tx","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-HB12B","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"HB12B","description":"HIPPS-HB12B","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CGEF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KEGE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Debridement of premalignant hyperkeratotic lesion(s) (ie_ targeted curettage_ abrasion) followed with photodynamic therapy by external application of light to destroy premalig","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"96574","description":"Debridement of premalignant hyperkeratotic lesion(s) (ie_ targeted curettage_ abrasion) followed with photodynamic therapy by external application of light to destroy premalig","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FEBC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GDBD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NFEB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JDMF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Hosp bed fixd ht w/o mattres","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"E0251","description":"Hosp bed fixd ht w/o mattres","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Coude tip urinary catheter","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"A4352","description":"Coude tip urinary catheter","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KFLA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Chemodener muscle larynx emg","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"64617","description":"Chemodener muscle larynx emg","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Blood typing serologic rh(d)","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"86901","description":"Blood typing serologic rh(d)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Incision of esophagus","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"43045","description":"Incision of esophagus","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NKUE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"PGSC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Repair of heart defects","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"33665","description":"Repair of heart defects","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NJTB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JGKC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-J9278","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"J9278","description":"HCPCS-J9278","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Elbow fair lead cable dir fo","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"L6586","description":"Elbow fair lead cable dir fo","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"EIMA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Abortion","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"59841","description":"Abortion","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"EFLD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-AAA05","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"AAA05","description":"HIPPS-AAA05","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Hla i typing 1 antigen lr","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"81374","description":"Hla i typing 1 antigen lr","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Brachytx_ non-stranded_c-131","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"C2643","description":"Brachytx_ non-stranded_c-131","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JBVF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Remove tissue expander(s)","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"11971","description":"Remove tissue expander(s)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Blood smear interpretation","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"85060","description":"Blood smear interpretation","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Chromatography_ qualitative; column (eg_ gas liquid or hplc)_ analyte not elsewhere specified","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"82486","description":"Chromatography_ qualitative; column (eg_ gas liquid or hplc)_ analyte not elsewhere specified","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CEOB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Intraocular pressure (iop) reduced by a value less than 20% from the pre-intervention level","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"M1224","description":"Intraocular pressure (iop) reduced by a value less than 20% from the pre-intervention level","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Uv lens/es","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"V2755","description":"Uv lens/es","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FDKB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-LB20A","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"LB20A","description":"HIPPS-LB20A","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Card tamp w/in 30d","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G9408","description":"Card tamp w/in 30d","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KBOA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MLTB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NBNF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Pt has resp insufficiency","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"1504F","description":"Pt has resp insufficiency","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Services performed by a doula birth worker_ per diem","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"T1033","description":"Services performed by a doula birth worker_ per diem","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Programming device evaluation (in person) with iterative adjustment of the implantable device to test the function of the device and select optimal permanent programmed values","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0389T","description":"Programming device evaluation (in person) with iterative adjustment of the implantable device to test the function of the device and select optimal permanent programmed values","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RHA8C","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RHA8C","description":"HIPPS-RHA8C","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BIXA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MCDF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"AGEF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"HEOC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"EACC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Echo exam uterus","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"76831","description":"Echo exam uterus","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Adjunctive blue light cystoscopy with fluorescent imaging agent (list separately in addition to code for primary procedure)","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"C9738","description":"Adjunctive blue light cystoscopy with fluorescent imaging agent (list separately in addition to code for primary procedure)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GACC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Assay of progesterone","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"84234","description":"Assay of progesterone","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Removal of nose","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"30160","description":"Removal of nose","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Injection_ mepolizumab_ 1 mg (Nucala)","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"C9473","description":"Injection_ mepolizumab_ 1 mg (Nucala)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GBCF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Treat sternum fracture","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"21825","description":"Treat sternum fracture","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"PHWF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Partial removal of colon","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"44145","description":"Partial removal of colon","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NIGA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Antidepres rxthxpy not rxd","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"4063F","description":"Antidepres rxthxpy not rxd","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-1CFLV","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"1CFLV","description":"HIPPS-1CFLV","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-4BGL6","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"4BGL6","description":"HIPPS-4BGL6","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Revis reconst shoulder joint","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"23473","description":"Revis reconst shoulder joint","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SARSCOV2 VACCINE BIVALENT 10 MCG/0.2 ML IM USE","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"91315","description":"SARSCOV2 VACCINE BIVALENT 10 MCG/0.2 ML IM USE","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CCNB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NBBD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GGKC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"HHSB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Pt ed re comp thxpy rcvd","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"4268F","description":"Pt ed re comp thxpy rcvd","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-PB25C","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"PB25C","description":"HIPPS-PB25C","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GIPF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Leg/ankle surgery procedure","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"27899","description":"Leg/ankle surgery procedure","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KFOA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"AALC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OLEF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"PCSF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Revise/graft eyelid lining","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"68326","description":"Revise/graft eyelid lining","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JFTC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NLHA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Remove brain electrodes","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"61535","description":"Remove brain electrodes","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GIED1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Remove thigh pressure sore","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"15958","description":"Remove thigh pressure sore","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MDUE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Thera par drugs 2 or > admin","billing_code_type":"CDT","billing_code_type_version":"2024","billing_code":"D9612","description":"Thera par drugs 2 or > admin","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NDND0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Women who had a bilateral mastectomy or who have a history of a bilateral mastectomy or for whom there is evidence of a right and a left unilateral mastectomy","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"M1280","description":"Women who had a bilateral mastectomy or who have a history of a bilateral mastectomy or for whom there is evidence of a right and a left unilateral mastectomy","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KILA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"CPT-55710","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"55710","description":"CPT-55710","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"AAAC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Test socket hip disarticulat","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"L5626","description":"Test socket hip disarticulat","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CANE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OANC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Gold","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G6035","description":"Gold","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"ICEA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Remove bladder stone","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"52318","description":"Remove bladder stone","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"ICEB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JBNB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-M1375","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"M1375","description":"HCPCS-M1375","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Rectum surgery procedure","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"45999","description":"Rectum surgery procedure","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MDLC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KEID1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Repair liver wound","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"47361","description":"Repair liver wound","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"CPT-01965","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"01965","description":"CPT-01965","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Bx/exc xdrl spine lesn thrc","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"63276","description":"Bx/exc xdrl spine lesn thrc","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Heavy duty wheelchair","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"K0006","description":"Heavy duty wheelchair","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-2AHL1","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"2AHL1","description":"HIPPS-2AHL1","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-J9184","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"J9184","description":"HCPCS-J9184","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OHJA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GIKE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FIVD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Pain doc pos and plan","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G8730","description":"Pain doc pos and plan","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Documentation of medical reason(s) for not providing tobacco cessation intervention (e.g._ limited life expectancy_ other medical reason)","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G9907","description":"Documentation of medical reason(s) for not providing tobacco cessation intervention (e.g._ limited life expectancy_ other medical reason)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Tb scrng done-interpd 6mon","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"3455F","description":"Tb scrng done-interpd 6mon","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Exploration sphenoid sinus","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"31050","description":"Exploration sphenoid sinus","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RVX03","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RVX03","description":"HIPPS-RVX03","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-PD240","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"PD240","description":"HIPPS-PD240","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MFCD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"PCYC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NLTB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"CPT-0918T","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"0918T","description":"CPT-0918T","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Cast sup sht leg splnt plstr","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"Q4045","description":"Cast sup sht leg splnt plstr","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Cardiology (coronary heart disease [CAD])_ 9 genes (12 variants)_ targeted variant genotyping_ blood_ saliva_ or buccal swab_ algorithm reported as a genetic risk score for a","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0401U","description":"Cardiology (coronary heart disease [CAD])_ 9 genes (12 variants)_ targeted variant genotyping_ blood_ saliva_ or buccal swab_ algorithm reported as a genetic risk score for a","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FABB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Assay of amylase","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"82150","description":"Assay of amylase","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Vis field assmnt tech suppt","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0379T","description":"Vis field assmnt tech suppt","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OBWF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Srs cran les complex addl","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"61799","description":"Srs cran les complex addl","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Fun stat score hip not done","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G8654","description":"Fun stat score hip not done","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OHED1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RHB8G","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RHB8G","description":"HIPPS-RHB8G","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"ICDA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CIWF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Colonoscopy w/resection","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"45390","description":"Colonoscopy w/resection","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OLXF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CAKE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Removal of foreign body","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"20520","description":"Removal of foreign body","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HH PDGM","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"1KC21","description":"HH PDGM","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Patients with clinical indications for imaging of the head: new or change in headache above 50 years of age","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G2188","description":"Patients with clinical indications for imaging of the head: new or change in headache above 50 years of age","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JFKD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"CPT-93897","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"93897","description":"CPT-93897","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CGVA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NIFE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OJTC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Office-Based Treatment For Opioid Use Disorder_ Including Care Coordination_ Individual Therapy And Group Therapy And Counseling; Each Additional 30 Minutes Beyond The First 1","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G2088","description":"Office-Based Treatment For Opioid Use Disorder_ Including Care Coordination_ Individual Therapy And Group Therapy And Counseling; Each Additional 30 Minutes Beyond The First 1","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KFHB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CIHB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KFLD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FFBE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JHAA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Drainage of hydrocele","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"55000","description":"Drainage of hydrocele","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Rmvl & rpl car modulj pls gn","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0414T","description":"Rmvl & rpl car modulj pls gn","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Cath insertion tray w/bag","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"A4354","description":"Cath insertion tray w/bag","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"IICF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FDIC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-4AGL1","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"4AGL1","description":"HIPPS-4AGL1","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KILB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"EGUA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BFHB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Onc dx rectal extent unknwn","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G9095","description":"Onc dx rectal extent unknwn","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"PFRB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"3 cc sterile syringe&needle","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"A4208","description":"3 cc sterile syringe&needle","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Brain image w/flow 4 + views","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"78606","description":"Brain image w/flow 4 + views","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Hyoscyamine sulfate inj","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"J1980","description":"Hyoscyamine sulfate inj","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GBHE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"DERB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JFXF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Injection_ eravacycline_ 1 mg","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"J0122","description":"Injection_ eravacycline_ 1 mg","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-LD25B","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"LD25B","description":"HIPPS-LD25B","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KIJE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GBED1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Dissolve clot heart vessel","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"92975","description":"Dissolve clot heart vessel","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CBVD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BAXD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Remote multi-day complex uroflowmetry (eg_ calibrated electronic equipment); set-up and patient education on use of equipment","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0811T","description":"Remote multi-day complex uroflowmetry (eg_ calibrated electronic equipment); set-up and patient education on use of equipment","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BFTB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HH PDGM","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"4FC11","description":"HH PDGM","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Access thoracic lymph duct","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"38794","description":"Access thoracic lymph duct","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"AGTC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"AETD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"HGWA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-1BFP2","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"1BFP2","description":"HIPPS-1BFP2","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"DEQD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"PJYD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-LD250","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"LD250","description":"HIPPS-LD250","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Orbitocranial approach/skull","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"61585","description":"Orbitocranial approach/skull","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KBYD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"MECP2 (methyl CpG binding protein 2) (eg_ Rett syndrome)_ full gene analysis_ including small sequence changes in exonic and intronic regions_ deletions_ duplications_ mobile","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0234U","description":"MECP2 (methyl CpG binding protein 2) (eg_ Rett syndrome)_ full gene analysis_ including small sequence changes in exonic and intronic regions_ deletions_ duplications_ mobile","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Insert hepatic shunt (tips)","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"37182","description":"Insert hepatic shunt (tips)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Memory goal status","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G9169","description":"Memory goal status","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RMB25","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RMB25","description":"HIPPS-RMB25","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GADF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Pt instr no bd rest 4 days/>","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"4248F","description":"Pt instr no bd rest 4 days/>","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Reusable nipple prosthesis","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"L8032","description":"Reusable nipple prosthesis","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"CPT-0543U","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"0543U","description":"CPT-0543U","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HH PDGM","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"1EC11","description":"HH PDGM","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KHPD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GIVC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Facility services for dental rehabilitation procedure(s) performed on a patient who requires monitored anesthesia (e.g._ general_ intravenous sedation (monitored anesthesia ca","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G0330","description":"Facility services for dental rehabilitation procedure(s) performed on a patient who requires monitored anesthesia (e.g._ general_ intravenous sedation (monitored anesthesia ca","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-M1463","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"M1463","description":"HCPCS-M1463","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Home vent mgmt supervision","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"94005","description":"Home vent mgmt supervision","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-3AGPW","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"3AGPW","description":"HIPPS-3AGPW","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Bladder irrigation tubing","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"A4355","description":"Bladder irrigation tubing","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FADC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Prep donor pancreas/venous","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"48552","description":"Prep donor pancreas/venous","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KARB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Dx duod intub w/asp specs","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"43757","description":"Dx duod intub w/asp specs","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GEHA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Embolization endpoints are documented separately for each embolized vessel and ovarian artery angiography or embolization performed in the presence of variant uterine artery a","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G9962","description":"Embolization endpoints are documented separately for each embolized vessel and ovarian artery angiography or embolization performed in the presence of variant uterine artery a","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OIBE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"AABF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KIOF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NHXA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Ampho b cholesteryl sulfate","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"J0288","description":"Ampho b cholesteryl sulfate","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Dilate urethra stricture","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"53621","description":"Dilate urethra stricture","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KBWE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Excision of rectal prolapse","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"45130","description":"Excision of rectal prolapse","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Amp no reqd in48h ieler proc","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G9639","description":"Amp no reqd in48h ieler proc","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Repair windpipe opening","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"31613","description":"Repair windpipe opening","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Most recent tobacco status is tobacco free","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G9791","description":"Most recent tobacco status is tobacco free","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CEUA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"ADLF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Transcatheter implantation of coronary sinus reduction device including vascular access and closure_ right heart catheterization_ venous angiography_ coronary sinus angiograph","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0645T","description":"Transcatheter implantation of coronary sinus reduction device including vascular access and closure_ right heart catheterization_ venous angiography_ coronary sinus angiograph","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"LISD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Ckd meas qual act perform","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G8495","description":"Ckd meas qual act perform","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Patient in hospice at any time during the measurement period","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G9758","description":"Patient in hospice at any time during the measurement period","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CGLF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Osteoarthritis assessed (OA) Includes assessment of all the following compo","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0109U","description":"Osteoarthritis assessed (OA) Includes assessment of all the following compo","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Blood typing patient serum","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"86904","description":"Blood typing patient serum","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Onc dx nhl stg unknown","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G9138","description":"Onc dx nhl stg unknown","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Norsn no dicom format doc","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G9329","description":"Norsn no dicom format doc","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Urinary rubber pouch w/o fp","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"A4383","description":"Urinary rubber pouch w/o fp","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BDME1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"CPT-0696U","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"0696U","description":"CPT-0696U","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OGBC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KEFA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JDUE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Lap removal of rectum","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"45395","description":"Lap removal of rectum","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HH PDGM","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"2KA21","description":"HH PDGM","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Contour seat for ped size wc","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"E2294","description":"Contour seat for ped size wc","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-CA240","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"CA240","description":"HIPPS-CA240","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OKVC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JGCA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Nerve graft hand/foot </4 cm","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"64895","description":"Nerve graft hand/foot </4 cm","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MIID1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Afo sing bar clasp attach sh","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"L1910","description":"Afo sing bar clasp attach sh","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RVL5B","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RVL5B","description":"HIPPS-RVL5B","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Serial tonometry exam(s)","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"92100","description":"Serial tonometry exam(s)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Remote in-home visit for the e&m of a new patient for use only in the Medicare-approved Comprehensive Care for Joint Replacement model_ which requires these 3 key components","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G9484","description":"Remote in-home visit for the e&m of a new patient for use only in the Medicare-approved Comprehensive Care for Joint Replacement model_ which requires these 3 key components","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"CPT-00882","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"00882","description":"CPT-00882","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"LCYF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-1AFPV","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"1AFPV","description":"HIPPS-1AFPV","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-3BFMW","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"3BFMW","description":"HIPPS-3BFMW","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KIGA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BAAF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"PBWD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Comprssion thxpy prescribed","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"4267F","description":"Comprssion thxpy prescribed","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Autonomic nrv parasym inervj","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"95921","description":"Autonomic nrv parasym inervj","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Shdr fair lead cable molded","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"L6588","description":"Shdr fair lead cable molded","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-ES23D","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"ES23D","description":"HIPPS-ES23D","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OAQD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KIMB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CIID1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OIHE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JCIE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BCID0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Adult electric hand","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"L7007","description":"Adult electric hand","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Cast sup gauntlet plaster","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"Q4013","description":"Cast sup gauntlet plaster","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"ICBB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GIUB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OBHC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Extensive prostate surgery","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"55810","description":"Extensive prostate surgery","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"CPT-0939T","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"0939T","description":"CPT-0939T","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Water circ heat pad w pump","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"E0217","description":"Water circ heat pad w pump","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Tacrolimus imme rel oral 1mg","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"J7507","description":"Tacrolimus imme rel oral 1mg","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Cftr gene dup/delet variants","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"81222","description":"Cftr gene dup/delet variants","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"CPT-00580","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"00580","description":"CPT-00580","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OFXD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Nonstnd lens","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"S0581","description":"Nonstnd lens","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FEJC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HH PDGM","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"1GC11","description":"HH PDGM","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FAKA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Evidence-based therapy was prescribed","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"M1227","description":"Evidence-based therapy was prescribed","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Non-pvc intravenous administ","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"S1016","description":"Non-pvc intravenous administ","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Thromboplastin time partial","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"85732","description":"Thromboplastin time partial","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Prosthetic implant nos","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"L8699","description":"Prosthetic implant nos","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NLLF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CIVC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GDAC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FFGB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Rep dev_ urinary_ w/sling","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"C1771","description":"Rep dev_ urinary_ w/sling","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"HFSF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Patients who had a transplant prior to initiation of dialysis","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"M1262","description":"Patients who had a transplant prior to initiation of dialysis","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Self care mngment training","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"97535","description":"Self care mngment training","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Cmprsburngrmnt glove-axilla","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"A6506","description":"Cmprsburngrmnt glove-axilla","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Thoracoscopy w/w resect addl","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"32667","description":"Thoracoscopy w/w resect addl","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Spec site no lung","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G9420","description":"Spec site no lung","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CHYC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Factor viii recomb obizur","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"J7188","description":"Factor viii recomb obizur","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MCIF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Biopsy of bowel","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"44100","description":"Biopsy of bowel","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KFUB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RVA55","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RVA55","description":"HIPPS-RVA55","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Close kidney-skin fistula","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"50520","description":"Close kidney-skin fistula","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Arch supp att to shoe metata","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"L3080","description":"Arch supp att to shoe metata","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MBED0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JITE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Injection of pre-exposure prophylaxis (prep) drug for hiv prevention_ under skin or into muscle","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G0012","description":"Injection of pre-exposure prophylaxis (prep) drug for hiv prevention_ under skin or into muscle","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GCNA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Patients who did not have a follow-up assessment within 120 days of the index assessment","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"M1363","description":"Patients who did not have a follow-up assessment within 120 days of the index assessment","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-CC250","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"CC250","description":"HIPPS-CC250","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"EILA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JAJB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Collagen meniscus implant","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G0428","description":"Collagen meniscus implant","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OJYF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FAHE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Injection_ nadofaragene firadenovec-vncg_ per therapeutic dose","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"J9029","description":"Injection_ nadofaragene firadenovec-vncg_ per therapeutic dose","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-LD134","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"LD134","description":"HIPPS-LD134","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-CE154","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"CE154","description":"HIPPS-CE154","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FANC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BAPB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"CPT-1079T","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"1079T","description":"CPT-1079T","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"IAEA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"EEUA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Hospice services used by patient any time during the measurement period","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G9709","description":"Hospice services used by patient any time during the measurement period","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OBVB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CCYC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JFHD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Screening_ diagnostic_ film_ digital or digital breast tomosynthesis (3d) mammography results were not documented and reviewed_ reason not otherwise specified","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"M1285","description":"Screening_ diagnostic_ film_ digital or digital breast tomosynthesis (3d) mammography results were not documented and reviewed_ reason not otherwise specified","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"LCYE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-M1469","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"M1469","description":"HCPCS-M1469","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OBMA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Cesarean birth class","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"S9438","description":"Cesarean birth class","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KGNF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-2CGLT","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"2CGLT","description":"HIPPS-2CGLT","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Adult size brief/diaper xl","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"T4524","description":"Adult size brief/diaper xl","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-LB11B","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"LB11B","description":"HIPPS-LB11B","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-3AGM2","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"3AGM2","description":"HIPPS-3AGM2","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"MLH1 (mutL homolog 1) (eg_ hereditary non-polyposis colorectal cancer_ Lynch syndrome) mRNA sequence analysis (List separately in addition to code for primary procedure)","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0158U","description":"MLH1 (mutL homolog 1) (eg_ hereditary non-polyposis colorectal cancer_ Lynch syndrome) mRNA sequence analysis (List separately in addition to code for primary procedure)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Ivf canc a stim case rate","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"S4017","description":"Ivf canc a stim case rate","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CHQC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GBHC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FEFD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"PCYE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-PC10C","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"PC10C","description":"HIPPS-PC10C","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-4AFMW","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"4AFMW","description":"HIPPS-4AFMW","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Ecmo/ecls rmvl perph cannula","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"33965","description":"Ecmo/ecls rmvl perph cannula","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Reduce testis torsion","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"54600","description":"Reduce testis torsion","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-1BFKU","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"1BFKU","description":"HIPPS-1BFKU","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"DGOC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Anesth neck vessel surgery","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"35051","description":"Anesth neck vessel surgery","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FCFE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Transposition of vein valve","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"34510","description":"Transposition of vein valve","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"ODCA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KCWB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-J9026","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"J9026","description":"HCPCS-J9026","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Spec collection for sev acute resp synd coronavirus 2 (SARS-CoV-2) (Coronavirus disease [COVID-19])_ from an ind in a SNF or by a lab on behalf of an HH agcy any spec srce","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G2024","description":"Spec collection for sev acute resp synd coronavirus 2 (SARS-CoV-2) (Coronavirus disease [COVID-19])_ from an ind in a SNF or by a lab on behalf of an HH agcy any spec srce","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KEPD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OGYC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Autologous adipose-derived regenerative cell therapy for scleroderma in the hands; multiple injections in one or both hands","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0490T","description":"Autologous adipose-derived regenerative cell therapy for scleroderma in the hands; multiple injections in one or both hands","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OBTE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MFME1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Prepare face/oral prosthesis","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"21076","description":"Prepare face/oral prosthesis","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OKOE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Injection_ voretigene neparvovec-rzyl_ 1 billion vector genomes","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"J3398","description":"Injection_ voretigene neparvovec-rzyl_ 1 billion vector genomes","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-PD144","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"PD144","description":"HIPPS-PD144","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MCEB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"ABUB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"INTRAORIFICE BARRIER","billing_code_type":"CDT","billing_code_type_version":"2024","billing_code":"D3911","description":"INTRAORIFICE BARRIER","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"HASD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CBGE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FBXA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JACD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FGIE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"ADCE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Repair of web finger","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"26562","description":"Repair of web finger","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KCYB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"ECEE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Shrinker above knee","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"L8460","description":"Shrinker above knee","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"HAOE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HH PDGM","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"4CB21","description":"HH PDGM","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-3CGNS","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"3CGNS","description":"HIPPS-3CGNS","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Low cost skin substitute app","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"C5275","description":"Low cost skin substitute app","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OGQE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Destruction By Neurolytic Agent_ Genicular Nerve Branches Including Imaging Guidance_ When Performed","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"64624","description":"Destruction By Neurolytic Agent_ Genicular Nerve Branches Including Imaging Guidance_ When Performed","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Temp anchorage dev w/o flap","billing_code_type":"CDT","billing_code_type_version":"2024","billing_code":"D7294","description":"Temp anchorage dev w/o flap","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Drug test(s)_ presumptive_ with definitive confirmation of positive results_ any number of drug classes_ urine_ with specimen verification including DNA authentication in comp","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0020U","description":"Drug test(s)_ presumptive_ with definitive confirmation of positive results_ any number of drug classes_ urine_ with specimen verification including DNA authentication in comp","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Ostomy clamp_ replacement","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"A4363","description":"Ostomy clamp_ replacement","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"IFCF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RUA8E","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RUA8E","description":"HIPPS-RUA8E","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Per pm reeval est pat infant","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"99391","description":"Per pm reeval est pat infant","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Closed tx spine process fx","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"22305","description":"Closed tx spine process fx","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"DCSB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FDLF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JFLF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Sps forearm device","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"E1818","description":"Sps forearm device","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"CPT-0688U","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"0688U","description":"CPT-0688U","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RUB50","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RUB50","description":"HIPPS-RUB50","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Ascending Aorta Graft_ With Cardiopulmonary Bypass_ Includes Valve Suspension_ When Performed; For Aortic Disease Other Than Dissection (Eg_ Aneurysm)","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"33859","description":"Ascending Aorta Graft_ With Cardiopulmonary Bypass_ Includes Valve Suspension_ When Performed; For Aortic Disease Other Than Dissection (Eg_ Aneurysm)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FCPE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GDQA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-CE244","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"CE244","description":"HIPPS-CE244","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CIMD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GCGC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"EFMC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JEXB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MBIB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Egd guide wire insertion","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"43248","description":"Egd guide wire insertion","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"ACBD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JGPA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NDDA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Patient Had History Of At Least One Of The Following Contraindications Any Time During Or Before The Measurement Period: Anaphylaxis Due To Tdap Vaccine_ Anaphylaxis Due To Td","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G2155","description":"Patient Had History Of At Least One Of The Following Contraindications Any Time During Or Before The Measurement Period: Anaphylaxis Due To Tdap Vaccine_ Anaphylaxis Due To Td","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MCID0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Split flat caliper stirr & p","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"L2230","description":"Split flat caliper stirr & p","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BDIE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OHPB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-PC245","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"PC245","description":"HIPPS-PC245","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NCJF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"ICAB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BIMD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OHDA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MALA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-LB11C","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"LB11C","description":"HIPPS-LB11C","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CCVD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CDXA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JFCD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Cath_ ep_ cool-tip","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"C2630","description":"Cath_ ep_ cool-tip","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Implant supported retainer","billing_code_type":"CDT","billing_code_type_version":"2024","billing_code":"D6077","description":"Implant supported retainer","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-PD124","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"PD124","description":"HIPPS-PD124","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"PGYF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Low extemity neur not perfor","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G8405","description":"Low extemity neur not perfor","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HH PDGM","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"3JA11","description":"HH PDGM","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RML3C","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RML3C","description":"HIPPS-RML3C","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OLFE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FEKE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FIND1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Intrafraction track motion","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G6017","description":"Intrafraction track motion","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-1CHK6","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"1CHK6","description":"HIPPS-1CHK6","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NLAC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OLHD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Io rad tx delivery by x-ray","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"77424","description":"Io rad tx delivery by x-ray","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Interdental fixation","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"21110","description":"Interdental fixation","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BIIA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Socket insert symes","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"L5654","description":"Socket insert symes","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HH PDGM","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"3CA31","description":"HH PDGM","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CEEE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"IHCD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CBAC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OHPD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OFFD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Oncology (urothelial)_ mRNA expression profiling by real-time quantitative PCR of MDK_ HOXA13_ CDC2_ IGFBP5_ and CXCR2 in combination with droplet digital PCR (ddPCR) analysis","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0420U","description":"Oncology (urothelial)_ mRNA expression profiling by real-time quantitative PCR of MDK_ HOXA13_ CDC2_ IGFBP5_ and CXCR2 in combination with droplet digital PCR (ddPCR) analysis","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-M1429","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"M1429","description":"HCPCS-M1429","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NBFD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-LD231","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"LD231","description":"HIPPS-LD231","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NDDE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BHFF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-C9171","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"C9171","description":"HCPCS-C9171","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"EDUF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Belimumab injection","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"J0490","description":"Belimumab injection","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MHTA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CEFA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"EIDF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HH PDGM","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"3AC31","description":"HH PDGM","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CEPD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Optical coherence tomography (OCT) for microstructural and morphological imaging of skin_ image acq_ interpretation_ and report; each additional lesion","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0471T","description":"Optical coherence tomography (OCT) for microstructural and morphological imaging of skin_ image acq_ interpretation_ and report; each additional lesion","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Incision of iris","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"66500","description":"Incision of iris","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"EACF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Bld typing serologic rh phnt","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"86906","description":"Bld typing serologic rh phnt","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"DIQA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Beta-bloc rx pt w/abn lvef","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G8450","description":"Beta-bloc rx pt w/abn lvef","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"EAIA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JGVE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MGEE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OKOC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Asp therp used","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G8598","description":"Asp therp used","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Add pwr joystick","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"E0983","description":"Add pwr joystick","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-4BFL3","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"4BFL3","description":"HIPPS-4BFL3","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"HFYD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FIIA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Inpt/tele follow up 35","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G0408","description":"Inpt/tele follow up 35","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RUC8F","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RUC8F","description":"HIPPS-RUC8F","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OGDC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KIQC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GERA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KGTD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Hit cont insulin diem","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"S9353","description":"Hit cont insulin diem","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OLFD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OBME0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"AHAB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Hiv meas qual act perform","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G8500","description":"Hiv meas qual act perform","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Tobramycin non-comp unit","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"J7682","description":"Tobramycin non-comp unit","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Cardiac shunt imaging","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"78428","description":"Cardiac shunt imaging","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Magnetic resonance (eg_ vibration) elastography","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"76391","description":"Magnetic resonance (eg_ vibration) elastography","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Intl custm cong/latyp insert","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"L5681","description":"Intl custm cong/latyp insert","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Hemi-facial prosthesis","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"L8044","description":"Hemi-facial prosthesis","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Abutment supported retainer","billing_code_type":"CDT","billing_code_type_version":"2024","billing_code":"D6069","description":"Abutment supported retainer","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Inner skull vessel surgery","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"61702","description":"Inner skull vessel surgery","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BCNE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NEHF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Trabeculotomy by laser_ including optical coherence tomography (OCT) guidance","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0730T","description":"Trabeculotomy by laser_ including optical coherence tomography (OCT) guidance","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NJHF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Echo exam of eye thickness","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"76514","description":"Echo exam of eye thickness","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GEBA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Detect agent nos dna dir","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"87797","description":"Detect agent nos dna dir","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MJAF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BCFF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OFFD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BFFA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Laryngoscop w/vc inj + scope","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"31571","description":"Laryngoscop w/vc inj + scope","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OATB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Bleomycin sulfate injection","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"J9040","description":"Bleomycin sulfate injection","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GEMF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-BA115","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"BA115","description":"HIPPS-BA115","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GEQC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Init day hosp neonate care","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"99477","description":"Init day hosp neonate care","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CGHF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-CD104","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"CD104","description":"HIPPS-CD104","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-J1818","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"J1818","description":"HCPCS-J1818","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KCAB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Coll-e-Derm_ per sq cm","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"Q4193","description":"Coll-e-Derm_ per sq cm","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-A1301","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"A1301","description":"HCPCS-A1301","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GIMF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Monoclonal antibodies","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"J7505","description":"Monoclonal antibodies","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JFFD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Excision of hip joint/muscle","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"27036","description":"Excision of hip joint/muscle","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Remove in/ex hem grp w/fistu","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"46258","description":"Remove in/ex hem grp w/fistu","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Muscle test cran nerv unilat","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"95867","description":"Muscle test cran nerv unilat","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"CPT-98015","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"98015","description":"CPT-98015","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Lipid profile perf doc","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G8725","description":"Lipid profile perf doc","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Remove abdominal lymph nodes","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"38747","description":"Remove abdominal lymph nodes","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RMA21","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RMA21","description":"HIPPS-RMA21","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Patient unable to complete the FOTO foot or ankle intake PROM at admission and discharge due to blindness_ illiteracy_ severe mental incapacity or language incompatibility and","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G9731","description":"Patient unable to complete the FOTO foot or ankle intake PROM at admission and discharge due to blindness_ illiteracy_ severe mental incapacity or language incompatibility and","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BAHA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RUC42","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RUC42","description":"HIPPS-RUC42","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Incision of hip/thigh fascia","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"27025","description":"Incision of hip/thigh fascia","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Injection_ palonosetron HCl (Avyxa)_ not therapeutically equivalent to J2469_ 25 mcg","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"J2468","description":"Injection_ palonosetron HCl (Avyxa)_ not therapeutically equivalent to J2469_ 25 mcg","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"IELB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BAFE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Patient Did Not Receive At Least One Td Vaccine Or One Tdap Vaccine Between Nine Years Prior To The Start Of The Measurement Period And The End Of The Measurement Period; Or H","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G2156","description":"Patient Did Not Receive At Least One Td Vaccine Or One Tdap Vaccine Between Nine Years Prior To The Start Of The Measurement Period And The End Of The Measurement Period; Or H","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JDLE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"IITB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Blood ph","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"82800","description":"Blood ph","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CFYE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Repair arterial blockage","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"35452","description":"Repair arterial blockage","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Laparo total proctocolectomy","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"44212","description":"Laparo total proctocolectomy","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Hyaluronidase recombinant","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"J3473","description":"Hyaluronidase recombinant","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OIFD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CBXA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CDXD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JIID1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Patient not eligible due to active diagnosis of hypertension","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G9744","description":"Patient not eligible due to active diagnosis of hypertension","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"IAEC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KEQF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RHL8I","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RHL8I","description":"HIPPS-RHL8I","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Correction of bunion","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"28290","description":"Correction of bunion","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NKTB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CCAE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RLX52","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RLX52","description":"HIPPS-RLX52","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CCOF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Self care d/c status","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G8989","description":"Self care d/c status","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-LB22C","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"LB22C","description":"HIPPS-LB22C","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JIVF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Open aortoiliac prosth repr","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"34831","description":"Open aortoiliac prosth repr","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Postsurgical obturator","billing_code_type":"CDT","billing_code_type_version":"2024","billing_code":"D5932","description":"Postsurgical obturator","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Hearing aid_ digit_ mon_ itc","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"V5255","description":"Hearing aid_ digit_ mon_ itc","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-1BFL5","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"1BFL5","description":"HIPPS-1BFL5","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CIIF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-CB23D","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"CB23D","description":"HIPPS-CB23D","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NHFA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Intravascular ultrasound (non-coronary vessel)_ radiological supervision and interpretation; each additional non-coronary vessel (list separately in addition to c","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"75946","description":"Intravascular ultrasound (non-coronary vessel)_ radiological supervision and interpretation; each additional non-coronary vessel (list separately in addition to c","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-J0603","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"J0603","description":"HCPCS-J0603","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GCFB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-5BGKW","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"5BGKW","description":"HIPPS-5BGKW","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Documentation of patients with diabetes who have a most recent fasting or direct LDL- C laboratory test result < 70 mg/dl and are not taking statin therapy","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G9783","description":"Documentation of patients with diabetes who have a most recent fasting or direct LDL- C laboratory test result < 70 mg/dl and are not taking statin therapy","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RVX2A","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RVX2A","description":"HIPPS-RVX2A","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CAIB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-CC150","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"CC150","description":"HIPPS-CC150","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"EBDB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Acupunct w/stimul addl 15m","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"97814","description":"Acupunct w/stimul addl 15m","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Incise skull/brain surgery","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"61720","description":"Incise skull/brain surgery","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"No order for ceph no reason","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G9198","description":"No order for ceph no reason","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"HCRC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Introduction of ureteral catheter or stent into ureter through renal pelvis for drainage and/or injection_ percutaneous","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"50393","description":"Introduction of ureteral catheter or stent into ureter through renal pelvis for drainage and/or injection_ percutaneous","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-AAA60","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"AAA60","description":"HIPPS-AAA60","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OEID1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Documentation of medical reason(s) for not administering influenza vaccine (e.g._ prior anaphylaxis due to the influenza vaccine)","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"M1169","description":"Documentation of medical reason(s) for not administering influenza vaccine (e.g._ prior anaphylaxis due to the influenza vaccine)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"IGEF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FATB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"M.pneumon dna dir probe","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"87580","description":"M.pneumon dna dir probe","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HH PDGM","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"2CB11","description":"HH PDGM","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RMA31","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RMA31","description":"HIPPS-RMA31","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Assay of gastrin","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"82941","description":"Assay of gastrin","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"DCOF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Remove thigh pressure sore","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"15951","description":"Remove thigh pressure sore","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CAXD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"IIEE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"MRI upper extremity w/dye","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"73219","description":"MRI upper extremity w/dye","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GFOE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Oasis burn matrix","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"Q4103","description":"Oasis burn matrix","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Vbac class","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"S9439","description":"Vbac class","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Assay of vitamin e","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"84446","description":"Assay of vitamin e","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JDFA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"IIBC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-AAA25","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"AAA25","description":"HIPPS-AAA25","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Drainage of kidney","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"50040","description":"Drainage of kidney","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Ablate heart dysrhythm focus","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"33251","description":"Ablate heart dysrhythm focus","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"PEOB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FHHE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-3AGKT","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"3AGKT","description":"HIPPS-3AGKT","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CHLF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-3AHMX","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"3AHMX","description":"HIPPS-3AHMX","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MBIF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Cauterization of cervix","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"57510","description":"Cauterization of cervix","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Mediastinoscpy w/lmph nod bx","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"39402","description":"Mediastinoscpy w/lmph nod bx","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Treat metatarsal fracture","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"28476","description":"Treat metatarsal fracture","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Assay of beta-2 protein","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"82232","description":"Assay of beta-2 protein","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Prgrmg eval npgs apnea study","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0436T","description":"Prgrmg eval npgs apnea study","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Leg Pain Measured By The Visual Analog Scale (Vas) At Three Months (6 ? 20 Weeks) Postoperatively Was Greater Than 3.0 And Leg Pain Measured By The Visual Analog Scale (Vas) W","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G2141","description":"Leg Pain Measured By The Visual Analog Scale (Vas) At Three Months (6 ? 20 Weeks) Postoperatively Was Greater Than 3.0 And Leg Pain Measured By The Visual Analog Scale (Vas) W","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CIOB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Lumbar spine fusion","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"22630","description":"Lumbar spine fusion","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Insert brain-fluid device","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"61215","description":"Insert brain-fluid device","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RLX8D","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RLX8D","description":"HIPPS-RLX8D","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CAEE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BECE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Ct colonography dx","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"74261","description":"Ct colonography dx","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CDYB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Colon motility 6 hr study","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"91117","description":"Colon motility 6 hr study","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"2high risk med ord","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G9367","description":"2high risk med ord","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BFTD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"HHQE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"DAOF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Donor serv ivf case rate","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"S4025","description":"Donor serv ivf case rate","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Injection_ daratumumab_ 10mg (Darzalex)","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"C9476","description":"Injection_ daratumumab_ 10mg (Darzalex)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Contact lens fitting","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"92312","description":"Contact lens fitting","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"LFOB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GBQB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Home mgmt preterm labor","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"S9208","description":"Home mgmt preterm labor","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KANE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-LC15D","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"LC15D","description":"HIPPS-LC15D","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OJIA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NCFB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"AALE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KERC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NEMC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FBVE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Repair arm/leg nerve","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"64857","description":"Repair arm/leg nerve","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KHCD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NEPB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OGWA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FCGD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Vacsular emobolization or occlusion procedure with use of pressure-generation catheter (e.g._ one-way_ intermittentrly occluding)_ inclusive of all radiological supervision an","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"C9797","description":"Vacsular emobolization or occlusion procedure with use of pressure-generation catheter (e.g._ one-way_ intermittentrly occluding)_ inclusive of all radiological supervision an","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OFBB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JBCF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"CYP2D6 (cytochrome P450_ family 2_ subfamily D_ polypeptide 6) (eg_ drug metabolism) gene analysis_ targeted sequence analysis (ie_ CYP2D7-2D6 hybrid gene) (List separately in","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0073U","description":"CYP2D6 (cytochrome P450_ family 2_ subfamily D_ polypeptide 6) (eg_ drug metabolism) gene analysis_ targeted sequence analysis (ie_ CYP2D7-2D6 hybrid gene) (List separately in","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"CPT-00534","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"00534","description":"CPT-00534","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Hemi-wheelchair fixed arms","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"E1083","description":"Hemi-wheelchair fixed arms","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JACA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Hospice in lt/non-skilled nf","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"Q5003","description":"Hospice in lt/non-skilled nf","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JBCB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OFQD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-L6036","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"L6036","description":"HCPCS-L6036","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"IIAD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GATE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KEIF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"No reason for no hep c geno","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G9208","description":"No reason for no hep c geno","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Listeria monocytogenes","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"86723","description":"Listeria monocytogenes","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Ethanolamine oleate 100 mg","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"J1430","description":"Ethanolamine oleate 100 mg","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NHIB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OCMA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-LE121","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"LE121","description":"HIPPS-LE121","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Fixation of knee joint","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"27570","description":"Fixation of knee joint","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Peng benzathine/procaine inj","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"J0558","description":"Peng benzathine/procaine inj","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-ES18A","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"ES18A","description":"HIPPS-ES18A","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FAGB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"CPT-1056T","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"1056T","description":"CPT-1056T","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Adhesiolysis tube ovary","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"58740","description":"Adhesiolysis tube ovary","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Obstetrics (preeclampsia)_ kinase insert domain receptor (KDR)_ Endoglin (ENG)_ and retinol-binding protein 4 (RBP4)_ by immunoassay_ serum_ algorithm reported as a risk score","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0390U","description":"Obstetrics (preeclampsia)_ kinase insert domain receptor (KDR)_ Endoglin (ENG)_ and retinol-binding protein 4 (RBP4)_ by immunoassay_ serum_ algorithm reported as a risk score","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MCAE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Oncology (breast)_ mRNA_ microarray gene expression profiling of 70 content genes and 465 housekeeping genes_ utilizing fresh frozen or formalin-fixed paraffin-embedded tissue","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"81521","description":"Oncology (breast)_ mRNA_ microarray gene expression profiling of 70 content genes and 465 housekeeping genes_ utilizing fresh frozen or formalin-fixed paraffin-embedded tissue","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RUB20","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RUB20","description":"HIPPS-RUB20","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BCIC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BCBE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CCFB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Tracheostoma filter","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"A4481","description":"Tracheostoma filter","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-BA131","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"BA131","description":"HIPPS-BA131","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Treat trigeminal nerve","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"61790","description":"Treat trigeminal nerve","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OIWF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Take-Home Supply Of Methadone; Up To 7 Additional Day Supply (Provision Of The Services By A Medicare-Enrolled Opioid Treatment Program); List Separately In Addition To Code F","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G2078","description":"Take-Home Supply Of Methadone; Up To 7 Additional Day Supply (Provision Of The Services By A Medicare-Enrolled Opioid Treatment Program); List Separately In Addition To Code F","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"EDTE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JFDE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Thyroid met imaging body","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"78018","description":"Thyroid met imaging body","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"No hepc rna after med docrsn","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G9210","description":"No hepc rna after med docrsn","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GFCB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NITC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"CDT-D5943","billing_code_type":"CDT","billing_code_type_version":"2026","billing_code":"D5943","description":"CDT-D5943","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"EHDB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OGXA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MGCD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Injection_ allopurinol sodium_ 1 mg","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"J0206","description":"Injection_ allopurinol sodium_ 1 mg","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CELF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KBKF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Denture tiss conditn maxill","billing_code_type":"CDT","billing_code_type_version":"2024","billing_code":"D5850","description":"Denture tiss conditn maxill","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Back Pain Measured By The Visual Analog Scale (Vas) At Three Months (6 ? 20 Weeks) Postoperatively Was Less Than Or Equal To 3.0 Or Back Pain Measured By The Visual Analog Sca","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G2136","description":"Back Pain Measured By The Visual Analog Scale (Vas) At Three Months (6 ? 20 Weeks) Postoperatively Was Less Than Or Equal To 3.0 Or Back Pain Measured By The Visual Analog Sca","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CCDB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"PAWC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Clotting assay whole blood","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"85396","description":"Clotting assay whole blood","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GBCE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Contact layer > 48 sq in","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"A6208","description":"Contact layer > 48 sq in","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MKTC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-J2516","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"J2516","description":"HCPCS-J2516","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KFHF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Postop applicat rigid dsg on","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"L6388","description":"Postop applicat rigid dsg on","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"PAWD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OLRB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KCKB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NAVC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Remove/graft finger lesion","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"26215","description":"Remove/graft finger lesion","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"IHTD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Elbow arthroscopy/surgery","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"29835","description":"Elbow arthroscopy/surgery","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CIMD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JCJB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"EFBB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FDFC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CCSA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-5CHK6","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"5CHK6","description":"HIPPS-5CHK6","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Health risk assessment test","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"99420","description":"Health risk assessment test","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OIWB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JGJF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FCXA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CEXD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OEVA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BCGC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"IICC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"PDWC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Prescribed anticoagulant medication during the performance period_ history of GI bleeding_ history of intracranial bleeding_ bl","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"M1056","description":"Prescribed anticoagulant medication during the performance period_ history of GI bleeding_ history of intracranial bleeding_ bl","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Above elbow myoelectronic ct","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"L6955","description":"Above elbow myoelectronic ct","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GDYC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Water pressure pad for mattr","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"E0198","description":"Water pressure pad for mattr","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Wheelchair elevating leg res","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"E0990","description":"Wheelchair elevating leg res","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Plmt biliary drainage cath","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"47533","description":"Plmt biliary drainage cath","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Cabg arterial four or more","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"33536","description":"Cabg arterial four or more","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"ABUA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FGNE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CHWA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Anesth eye exam","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"14851","description":"Anesth eye exam","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"AGCB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-A1503","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"A1503","description":"HCPCS-A1503","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"AHAF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FCGA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GHHA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Phone e/m phys/qhp 5-10 min","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"99441","description":"Phone e/m phys/qhp 5-10 min","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-ATP07","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"ATP07","description":"HIPPS-ATP07","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GAKC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-CA155","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"CA155","description":"HIPPS-CA155","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CHXC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Compatibility test electric","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"86923","description":"Compatibility test electric","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GEKD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Abutment supported retainer","billing_code_type":"CDT","billing_code_type_version":"2024","billing_code":"D6074","description":"Abutment supported retainer","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Inflamation (eosinophilic esophagitis)_ ELISA analysis of eotaxin-3 (CCL26 [C-C motif chemokine ligand 26]) and major basic protein (PRG2 [proteoglycan 2_ pro eosinophil major","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0095U","description":"Inflamation (eosinophilic esophagitis)_ ELISA analysis of eotaxin-3 (CCL26 [C-C motif chemokine ligand 26]) and major basic protein (PRG2 [proteoglycan 2_ pro eosinophil major","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"HFRD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MIUC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BCLB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"LBOD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Repair finger tendon","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"26418","description":"Repair finger tendon","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RHB4C","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RHB4C","description":"HIPPS-RHB4C","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Remove torus mandibularis","billing_code_type":"CDT","billing_code_type_version":"2024","billing_code":"D7473","description":"Remove torus mandibularis","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Pediatrics (congenital epigenetic disorders)_ whole genome methylation analysis by microarray for 50 or more genes_ blood","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0318U","description":"Pediatrics (congenital epigenetic disorders)_ whole genome methylation analysis by microarray for 50 or more genes_ blood","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Removal of foot foreign body","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"28192","description":"Removal of foot foreign body","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-ES21A","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"ES21A","description":"HIPPS-ES21A","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KIPD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OKJF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Free assay (ft-3)","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"84481","description":"Free assay (ft-3)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Breast reconstruction","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"19350","description":"Breast reconstruction","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Patients with a diagnosis or past history of total colectomy or colorectal cancer","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G9711","description":"Patients with a diagnosis or past history of total colectomy or colorectal cancer","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NBHA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"IEBF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MIAB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-CB245","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"CB245","description":"HIPPS-CB245","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"EBTE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Mediastinoscpy w/medstnl bx","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"39401","description":"Mediastinoscpy w/medstnl bx","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Ongoing Care Not Indicated_ Patient Discharged After Only 1-2 Visits Due To Specific Medical Events_ Documented In The Medical Record That Make The Treatment Episode Impossibl","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"M1109","description":"Ongoing Care Not Indicated_ Patient Discharged After Only 1-2 Visits Due To Specific Medical Events_ Documented In The Medical Record That Make The Treatment Episode Impossibl","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"No knee/ankle joints w/ ft b","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"L5210","description":"No knee/ankle joints w/ ft b","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NJBF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KERD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OIAF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Revise spermatic cord veins","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"55530","description":"Revise spermatic cord veins","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Cysto impl 4 or more","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"C9740","description":"Cysto impl 4 or more","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"DDQC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Resect thigh/knee tum < 5 cm","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"27329","description":"Resect thigh/knee tum < 5 cm","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FBJF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KCUB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Hla i typing 1 locus hr","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"81380","description":"Hla i typing 1 locus hr","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JGEF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Rep perf anoper fistu","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"46715","description":"Rep perf anoper fistu","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Rpr f/e/e/n/l/m >30.0 cm","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"12018","description":"Rpr f/e/e/n/l/m >30.0 cm","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RVL05","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RVL05","description":"HIPPS-RVL05","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GFYB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Excision of mouth lesion","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"40810","description":"Excision of mouth lesion","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JBIE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Surgical trays","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"A4550","description":"Surgical trays","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RLX34","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RLX34","description":"HIPPS-RLX34","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KEQA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Insert pulse gen dual leads","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"33213","description":"Insert pulse gen dual leads","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RVL10","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RVL10","description":"HIPPS-RVL10","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Absorp drg >48 suc pump","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"K0746","description":"Absorp drg >48 suc pump","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-C7570","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"C7570","description":"HCPCS-C7570","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Detect agnt mult dna direc","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"87800","description":"Detect agnt mult dna direc","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NFXA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OEEC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"MRI neck spine w/o dye","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"72141","description":"MRI neck spine w/o dye","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"LBRE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CDPE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Sleep study attended","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"95807","description":"Sleep study attended","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Assay of neonatal thyroxine","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"84437","description":"Assay of neonatal thyroxine","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BEMF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Rbc mechanical fragility","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"85547","description":"Rbc mechanical fragility","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MCTA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MBUA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JIPC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Cur meds not document","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G8428","description":"Cur meds not document","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Cntct lens pmma-toric/prism","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"V2501","description":"Cntct lens pmma-toric/prism","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"CPT-0617U","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"0617U","description":"CPT-0617U","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GFQA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NLEF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Repair of urethra defect","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"53520","description":"Repair of urethra defect","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JEVF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-HE13B","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"HE13B","description":"HIPPS-HE13B","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Body-worn binaur hearing aid","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"V5120","description":"Body-worn binaur hearing aid","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-CD11C","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"CD11C","description":"HIPPS-CD11C","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Epicord_ per sq cm","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"Q4187","description":"Epicord_ per sq cm","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RUA45","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RUA45","description":"HIPPS-RUA45","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Patient provided a response other than completely true for the question of patient felt heard and understood by this provider and team","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"M1243","description":"Patient provided a response other than completely true for the question of patient felt heard and understood by this provider and team","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Rn telephone calls to dmp","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"S0320","description":"Rn telephone calls to dmp","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JFTB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"O shoe add felt w leath insl","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"L3520","description":"O shoe add felt w leath insl","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MKUB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Foot insert plastazote or eq","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"L3002","description":"Foot insert plastazote or eq","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OACF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Slp stdy unattended","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"95800","description":"Slp stdy unattended","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"N block inj plantar digit","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"64455","description":"N block inj plantar digit","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"CPT-0967T","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"0967T","description":"CPT-0967T","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Inj perflexane lip micros_ml","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"Q9955","description":"Inj perflexane lip micros_ml","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CGIA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GBRF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Hearing loss sequence analys","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"81430","description":"Hearing loss sequence analys","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OGFE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Pharmacotherapy for OUD initiated after June 30th of performance period","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"M1033","description":"Pharmacotherapy for OUD initiated after June 30th of performance period","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OKUC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"EHTB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CDLA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Insertion of cannula","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"36800","description":"Insertion of cannula","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JAGF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Mandible graft","billing_code_type":"CDT","billing_code_type_version":"2024","billing_code":"D7950","description":"Mandible graft","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GADE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Injection_ risperidone (uzedy)_ 1 mg","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"J2799","description":"Injection_ risperidone (uzedy)_ 1 mg","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Removal of eye lesion","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"65420","description":"Removal of eye lesion","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NALF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KBCD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-1BHNU","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"1BHNU","description":"HIPPS-1BHNU","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Overdenture complete max","billing_code_type":"CDT","billing_code_type_version":"2024","billing_code":"D5863","description":"Overdenture complete max","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Reduction of rectal prolapse","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"45900","description":"Reduction of rectal prolapse","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-3CGM4","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"3CGM4","description":"HIPPS-3CGM4","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GFTB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BDAE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Computer-aided detection_ including computer algorithm analysis of breast MRI image data for lesion detection/characterization_","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"C8937","description":"Computer-aided detection_ including computer algorithm analysis of breast MRI image data for lesion detection/characterization_","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RUC11","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RUC11","description":"HIPPS-RUC11","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FCMB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HH PDGM","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"2FA11","description":"HH PDGM","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"AGLE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Sprvsd xrcz back pn >12 wks","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"4242F","description":"Sprvsd xrcz back pn >12 wks","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BCCA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GFHC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Hip arthr0 w/debridement","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"29862","description":"Hip arthr0 w/debridement","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-BA21C","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"BA21C","description":"HIPPS-BA21C","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"22nf sealed leadacid battery","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"E2361","description":"22nf sealed leadacid battery","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BAKE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Antibody; Zika virus_ IgM","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"86794","description":"Antibody; Zika virus_ IgM","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Removal of lymph nodes neck","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"38700","description":"Removal of lymph nodes neck","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Onc dx brst stg3-hr_ no pro","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G9073","description":"Onc dx brst stg3-hr_ no pro","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RHB50","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RHB50","description":"HIPPS-RHB50","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KGNB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"DCSB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Incise & treat bladder","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"51020","description":"Incise & treat bladder","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GBVF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Magnetic resonance imaging_ breast_ without and with contrast material(s)_ including computer-aided detection (CAD real-time lesion detection_ characterization and pharmacokin","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"77048","description":"Magnetic resonance imaging_ breast_ without and with contrast material(s)_ including computer-aided detection (CAD real-time lesion detection_ characterization and pharmacokin","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Repair spigelian hernia","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"49590","description":"Repair spigelian hernia","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OCKF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Revision of eyelid","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"67882","description":"Revision of eyelid","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Twin zygosity_ genomic targeted sequence analysis of chromosome 2_ using circulating cell-free fetal DNA in maternal blood","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0060U","description":"Twin zygosity_ genomic targeted sequence analysis of chromosome 2_ using circulating cell-free fetal DNA in maternal blood","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Innovamatrix FS_ per sq cm","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"A2013","description":"Innovamatrix FS_ per sq cm","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"No doc count of ct in 12mo","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G9322","description":"No doc count of ct in 12mo","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"I131 iodide sol_ dx","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"A9529","description":"I131 iodide sol_ dx","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NDBD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CEIA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"EBBA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NHVA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JCJA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FAEE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"LGQB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"X-ray head for orthodontia","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"70350","description":"X-ray head for orthodontia","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"CPT-01840","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"01840","description":"CPT-01840","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Symes type medial opening so","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"L5636","description":"Symes type medial opening so","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RHB35","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RHB35","description":"HIPPS-RHB35","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"CPT-70471","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"70471","description":"CPT-70471","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-4AFMV","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"4AFMV","description":"HIPPS-4AFMV","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"No documentation of a chlamydia screening test with proper follow-up","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G9821","description":"No documentation of a chlamydia screening test with proper follow-up","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Ablative laser treatment_ non-contact_ full field and fractional ablation_ open wound_ per day_ total treatment surface area; first 20 sq cm or less","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0491T","description":"Ablative laser treatment_ non-contact_ full field and fractional ablation_ open wound_ per day_ total treatment surface area; first 20 sq cm or less","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OGLB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KIOC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Anesth head vessel surgery","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"21651","description":"Anesth head vessel surgery","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Cone beam ct interp both jaw","billing_code_type":"CDT","billing_code_type_version":"2024","billing_code":"D0367","description":"Cone beam ct interp both jaw","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Oral med adm direct observe","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"H0033","description":"Oral med adm direct observe","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OGXD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Tilt table evaluation","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"93660","description":"Tilt table evaluation","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Injection_ triamcinolone acetonide_ preservative-free_ extended-release_ microsphere formulation_ 1 mg","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"Q9993","description":"Injection_ triamcinolone acetonide_ preservative-free_ extended-release_ microsphere formulation_ 1 mg","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BBKE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Psychiatry (Suicidal Ideation)_ Mrna_ Gene Expression Profiling By Rna Sequencing Of 54 Genes_ Whole Blood_ Algorithm Reported As Predictive Risk Score","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0293U","description":"Psychiatry (Suicidal Ideation)_ Mrna_ Gene Expression Profiling By Rna Sequencing Of 54 Genes_ Whole Blood_ Algorithm Reported As Predictive Risk Score","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"HHQF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KGPD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"IGIF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Upper extremity rehabilitation system providing active assistance to facilitate muscle re-education_ include microprocessor_ all components and accessories","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"E0738","description":"Upper extremity rehabilitation system providing active assistance to facilitate muscle re-education_ include microprocessor_ all components and accessories","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Mdd severe w/psych","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"3091F","description":"Mdd severe w/psych","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"ADTA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Strapping of ankle and/or ft","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"29540","description":"Strapping of ankle and/or ft","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-PC117","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"PC117","description":"HIPPS-PC117","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JDXA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CECB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"AIHA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JBDF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Doc rsn no scr uter malig","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G9619","description":"Doc rsn no scr uter malig","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"EFCD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Drain thigh/knee lesion","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"27301","description":"Drain thigh/knee lesion","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Injection_ tixagevimab and cilgavimab_ for the pre-exposure prophylaxis only_ for certain adults and pediatric individuals (12 years of age and older weighing at least 40kg) w","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"Q0220","description":"Injection_ tixagevimab and cilgavimab_ for the pre-exposure prophylaxis only_ for certain adults and pediatric individuals (12 years of age and older weighing at least 40kg) w","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Injection_Nivolumab_ 1mg (Opdivo)","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"C9453","description":"Injection_Nivolumab_ 1mg (Opdivo)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FEBB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Chromosome analysis 20-25","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"88245","description":"Chromosome analysis 20-25","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Treat ectopic pregnancy","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"59136","description":"Treat ectopic pregnancy","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HH PDGM","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"2CA21","description":"HH PDGM","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Cyclophosphamide 100 mg inj","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"J9070","description":"Cyclophosphamide 100 mg inj","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Repair detached retina","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"67105","description":"Repair detached retina","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Mltispectrl digital les alys","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0400T","description":"Mltispectrl digital les alys","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KAED0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"IAHF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HH PDGM","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"1GA11","description":"HH PDGM","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GALA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NBDE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RHC8X","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RHC8X","description":"HIPPS-RHC8X","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NDFE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-PD15B","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"PD15B","description":"HIPPS-PD15B","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Human fibrinogen conc inj","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"J7178","description":"Human fibrinogen conc inj","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"AAEB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Percutaneous arteriovenous fistula creation_ upper extremity_ separate access sites of the peripheral artery and peripheral vein_ including fistula maturation procedures (eg_","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"36837","description":"Percutaneous arteriovenous fistula creation_ upper extremity_ separate access sites of the peripheral artery and peripheral vein_ including fistula maturation procedures (eg_","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GGJD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Injection_ isavuconazonium","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"J1833","description":"Injection_ isavuconazonium","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"ODHA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FFJF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Bp scrn no perf at interval","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G8785","description":"Bp scrn no perf at interval","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"IHLE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"PGSD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OGBB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OKTA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Release facial nerve","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"69955","description":"Release facial nerve","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Cstm manual wheelchair/base","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"K0008","description":"Cstm manual wheelchair/base","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OHWF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GIQA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RLA44","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RLA44","description":"HIPPS-RLA44","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OENB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"IAAD IA SEVERE AQT RESPIR SYND CORONAVIRUS","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"87426","description":"IAAD IA SEVERE AQT RESPIR SYND CORONAVIRUS","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"ACMB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OCLA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JFHD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FHDE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Fit spectacles single system","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"92354","description":"Fit spectacles single system","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OHGC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BIIC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Repair of sternum separation","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"21750","description":"Repair of sternum separation","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"DAOA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GCUF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Vascular study","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"93975","description":"Vascular study","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OEFF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-AAA1B","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"AAA1B","description":"HIPPS-AAA1B","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-1CHM6","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"1CHM6","description":"HIPPS-1CHM6","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"ACAD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Injection_ cyclophosphamide (ingenus)_ 5 mg","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"J9073","description":"Injection_ cyclophosphamide (ingenus)_ 5 mg","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-BA236","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"BA236","description":"HIPPS-BA236","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RVB46","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RVB46","description":"HIPPS-RVB46","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BIHF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OAAD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Long qt synd gene full seq","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"81280","description":"Long qt synd gene full seq","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FDEB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JFTF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Injection_ tixagevimab and cilgavimab_ for the pre-exposure prophylaxis only_ for certain adults and pediatric individuals (12 years of age and older weighing at least 40kg) w","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"M0221","description":"Injection_ tixagevimab and cilgavimab_ for the pre-exposure prophylaxis only_ for certain adults and pediatric individuals (12 years of age and older weighing at least 40kg) w","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GFWC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"NFCT AGT HIV GNRJ SEQ ALYS","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0219U","description":"NFCT AGT HIV GNRJ SEQ ALYS","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-E1827","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"E1827","description":"HCPCS-E1827","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Pt doc no burn prior to d/c","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G8909","description":"Pt doc no burn prior to d/c","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-PB216","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"PB216","description":"HIPPS-PB216","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GGLC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NHNF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"ADMC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Foam/fabric leg strap","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"A5114","description":"Foam/fabric leg strap","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-1AGKT","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"1AGKT","description":"HIPPS-1AGKT","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GEKB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KCLF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JILF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KDWA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MAIC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Minimally invasive direct co","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"S2205","description":"Minimally invasive direct co","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"IHCB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"EATB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GEPA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Exc abd tum over 10 cm","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"49205","description":"Exc abd tum over 10 cm","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GGUA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Laparo-vag hyst complex","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"58553","description":"Laparo-vag hyst complex","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"CPT-00160","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"00160","description":"CPT-00160","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Pwc gp4 std mult pow opt cap","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"K0885","description":"Pwc gp4 std mult pow opt cap","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Revision and/or reinsertion of transhepatic tube","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"47530","description":"Revision and/or reinsertion of transhepatic tube","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-CC154","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"CC154","description":"HIPPS-CC154","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Transplantation Medicine (Allograft Rejection_ Pediatric Liver And Small Bowel)_ Measurement Of Donor And Third-Party-Induced Cd154+T-Cytotoxic Memory Cells_ Utilizing Whole P","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"81560","description":"Transplantation Medicine (Allograft Rejection_ Pediatric Liver And Small Bowel)_ Measurement Of Donor And Third-Party-Induced Cd154+T-Cytotoxic Memory Cells_ Utilizing Whole P","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"CPT-1105T","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"1105T","description":"CPT-1105T","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"HGWF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"AELD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"IIHF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Rechanneling of artery","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"35311","description":"Rechanneling of artery","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CEPA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BDXE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Shrinker upper limb","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"L8465","description":"Shrinker upper limb","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GHGB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Injection_ Pembrolizumab_ 1 Mg","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"C9027","description":"Injection_ Pembrolizumab_ 1 Mg","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Apply srs headframe add-on","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"61800","description":"Apply srs headframe add-on","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Revision of knee joint","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"27446","description":"Revision of knee joint","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Team evaluation & management","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"T1024","description":"Team evaluation & management","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NDXF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Injection_ romosozumab-aqqg_ 1 mg","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"J3111","description":"Injection_ romosozumab-aqqg_ 1 mg","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BIJC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BFMA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OGCE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"3d photographic image","billing_code_type":"CDT","billing_code_type_version":"2024","billing_code":"D0351","description":"3d photographic image","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"PHWB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OFSA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"CPT-1024T","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"1024T","description":"CPT-1024T","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Virus inoculation tissue","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"87252","description":"Virus inoculation tissue","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"LGSA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KITD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"DGYA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Pt rcv <10mg daily predniso","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"4193F","description":"Pt rcv <10mg daily predniso","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Patients in hospice on their initiation of dialysis date or during the month of evaluation","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"M1263","description":"Patients in hospice on their initiation of dialysis date or during the month of evaluation","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"PGQE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CDJB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NJVF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Repair of nasal septum","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"30520","description":"Repair of nasal septum","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FELB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CBDC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Nebulizer with compression","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"E0570","description":"Nebulizer with compression","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Hydrocortisone sodium succ i","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"J1720","description":"Hydrocortisone sodium succ i","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RVC5B","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RVC5B","description":"HIPPS-RVC5B","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FEVF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NBBA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Fixation of ankle joint","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"27860","description":"Fixation of ankle joint","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KEDB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Cesarean delivery","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"59515","description":"Cesarean delivery","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Oncology (minimal residual disease [MRD])_ next-generation targeted sequencing analysis_ cell-free DNA_ initial (baseline) assessment to determine a patient specific panel for","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0306U","description":"Oncology (minimal residual disease [MRD])_ next-generation targeted sequencing analysis_ cell-free DNA_ initial (baseline) assessment to determine a patient specific panel for","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RUC07","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RUC07","description":"HIPPS-RUC07","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"HHYB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"History aids-defining cond","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"3490F","description":"History aids-defining cond","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Fuse gallbladder & bowel","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"47741","description":"Fuse gallbladder & bowel","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CHKE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Habil sup empl waiver 15min","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"T2019","description":"Habil sup empl waiver 15min","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OGIA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MACD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KCAA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Implant Supported Retainer - Porcelain Fused To Titanium And Titanium Alloys","billing_code_type":"CDT","billing_code_type_version":"2024","billing_code":"D6120","description":"Implant Supported Retainer - Porcelain Fused To Titanium And Titanium Alloys","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Repair vagina","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"57335","description":"Repair vagina","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"ICDD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-CB18E","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"CB18E","description":"HIPPS-CB18E","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Daptomycin injection","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"J0878","description":"Daptomycin injection","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Ped wc modify width adjustm","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"E1011","description":"Ped wc modify width adjustm","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-LD140","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"LD140","description":"HIPPS-LD140","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-Q5149","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"Q5149","description":"HCPCS-Q5149","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CGID0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NFKD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Storage/year sperm/semen","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"89343","description":"Storage/year sperm/semen","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CBLC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-4CGK3","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"4CGK3","description":"HIPPS-4CGK3","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BHUB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OKIC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"CPT-0572U","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"0572U","description":"CPT-0572U","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Revise ovarian tube(s)","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"58752","description":"Revise ovarian tube(s)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BBGD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Reconstruct cleft palate","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"42215","description":"Reconstruct cleft palate","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Shorten/lengthen thighs","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"27468","description":"Shorten/lengthen thighs","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"PLYA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KAXE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Repair finger/hand tendon","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"26370","description":"Repair finger/hand tendon","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"intravenous moderate (conscious) sedation/analgesia each subsequent 15 minute increment","billing_code_type":"CDT","billing_code_type_version":"2024","billing_code":"D9243","description":"intravenous moderate (conscious) sedation/analgesia each subsequent 15 minute increment","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NFFC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RVX8F","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RVX8F","description":"HIPPS-RVX8F","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"HHOD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Florbetaben f18","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"C9458","description":"Florbetaben f18","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GBQD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OKNB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OFWC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-CC23D","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"CC23D","description":"HIPPS-CC23D","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Crotalidae poly immune fab","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"J0840","description":"Crotalidae poly immune fab","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Art byp subclav-subclavian","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"35612","description":"Art byp subclav-subclavian","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NDIC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NLUF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Treat hip dislocation","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"27252","description":"Treat hip dislocation","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HH PDGM","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"1CB21","description":"HH PDGM","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CFBA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"CPT-01654","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"01654","description":"CPT-01654","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RLX03","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RLX03","description":"HIPPS-RLX03","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FDUF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Repair of lower leg","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"27725","description":"Repair of lower leg","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Correct malrotation of bowel","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"44055","description":"Correct malrotation of bowel","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CEFD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Aortic anrysm5.5-5.9cm diam","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"9003F","description":"Aortic anrysm5.5-5.9cm diam","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Patient encounter during the performance period with hospice and palliative care specialty code 17","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"M1365","description":"Patient encounter during the performance period with hospice and palliative care specialty code 17","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Incision of pyloric muscle","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"43520","description":"Incision of pyloric muscle","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-HC28C","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"HC28C","description":"HIPPS-HC28C","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BEPB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Infectious agent detection by nucleic acid (DNA and RNA)_ respiratory tract infection_ 17 bacteria_ 8 fungus_ 13 virus_ and 16 antibiotic-resistance genes_ multiplex amplified","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0373U","description":"Infectious agent detection by nucleic acid (DNA and RNA)_ respiratory tract infection_ 17 bacteria_ 8 fungus_ 13 virus_ and 16 antibiotic-resistance genes_ multiplex amplified","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Group psychotherapy","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"90853","description":"Group psychotherapy","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NEKD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MCLD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Pwc gp 1 std seat/back","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"K0815","description":"Pwc gp 1 std seat/back","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"CPT-0991T","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"0991T","description":"CPT-0991T","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KIEE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KFXB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CBLA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NALE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KFWF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Doc death in hosp aaa repair","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G9262","description":"Doc death in hosp aaa repair","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CAPD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Hallus-valgus nt dyn pre ots","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"L3100","description":"Hallus-valgus nt dyn pre ots","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BELB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Transparent film >16<=48 in","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"A6258","description":"Transparent film >16<=48 in","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KGQB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Amputation follow-up surgery","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"25929","description":"Amputation follow-up surgery","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Sp bone agrft local add-on","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"20936","description":"Sp bone agrft local add-on","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Cytopath c/v automated","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"88147","description":"Cytopath c/v automated","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-A2033","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"A2033","description":"HCPCS-A2033","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Treat shoulder dislocation","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"23655","description":"Treat shoulder dislocation","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Dentures rebase part mandbl","billing_code_type":"CDT","billing_code_type_version":"2024","billing_code":"D5721","description":"Dentures rebase part mandbl","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Treatment of bladder lesion","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"51720","description":"Treatment of bladder lesion","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NICA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Blood fungus culture","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"87103","description":"Blood fungus culture","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Doc reas biopsy not review","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G8884","description":"Doc reas biopsy not review","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-CA23D","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"CA23D","description":"HIPPS-CA23D","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Compres burn garment panty","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"A6511","description":"Compres burn garment panty","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Isch containmt/narrow m-l so","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"L5649","description":"Isch containmt/narrow m-l so","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Yellow fever vaccine subq","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"90717","description":"Yellow fever vaccine subq","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Sigmoidoscopy and biopsy","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"45331","description":"Sigmoidoscopy and biopsy","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GIIC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Inject skin lesions >7","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"11901","description":"Inject skin lesions >7","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JGAD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JGGA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Ablate bone tumor(s) perq","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"20983","description":"Ablate bone tumor(s) perq","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GITB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BFIB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"LGSF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CIGF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Follow up care plan mdd docd","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0545F","description":"Follow up care plan mdd docd","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-HB234","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"HB234","description":"HIPPS-HB234","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KHAE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Vaccina ig im","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"90393","description":"Vaccina ig im","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OAVF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"DFSE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OGDC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"EFUA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Iadna-dna/rna probe tq 12-25","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"87507","description":"Iadna-dna/rna probe tq 12-25","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Relocation of testis(es)","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"54680","description":"Relocation of testis(es)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OJFA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GCNB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HH PDGM","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"4GB11","description":"HH PDGM","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"HFOB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Pasrr level ii","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"T2011","description":"Pasrr level ii","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MILD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"CPT-0977T","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"0977T","description":"CPT-0977T","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"IEHF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-HD124","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"HD124","description":"HIPPS-HD124","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-4CHM3","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"4CHM3","description":"HIPPS-4CHM3","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"ODAB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"IDLF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Full sole/heel wedge btween","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"L3420","description":"Full sole/heel wedge btween","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Repair/graft of tibia","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"27724","description":"Repair/graft of tibia","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KFGE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Prolonged preventive service(s) (beyond the typical service time of the primary procedure)_ in the office or other outpatient setting requiring direct patient contact beyond t","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G0514","description":"Prolonged preventive service(s) (beyond the typical service time of the primary procedure)_ in the office or other outpatient setting requiring direct patient contact beyond t","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-B2101","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"B2101","description":"HCPCS-B2101","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JGAF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Ready gradient sleev/glov","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"S8421","description":"Ready gradient sleev/glov","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"IFIF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BFMB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Doc no pain comfort 48hr","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G9251","description":"Doc no pain comfort 48hr","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Solid caster tire each","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"E2221","description":"Solid caster tire each","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Injection treatment of nerve","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"64640","description":"Injection treatment of nerve","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Graftjacket xpress","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"Q4113","description":"Graftjacket xpress","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Ntrk (Neurotrophic-Tropomyosin Receptor Tyrosine Kinase 1_ 2_ And 3) (Eg_ Solid Tumors) Translocation Analysis","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"81194","description":"Ntrk (Neurotrophic-Tropomyosin Receptor Tyrosine Kinase 1_ 2_ And 3) (Eg_ Solid Tumors) Translocation Analysis","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KAAB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Naltrexone_ depot form","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"J2315","description":"Naltrexone_ depot form","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GEVB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Pin knuckle dislocation","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"26706","description":"Pin knuckle dislocation","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-2CHKU","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"2CHKU","description":"HIPPS-2CHKU","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OHYA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"PGWE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RMA01","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RMA01","description":"HIPPS-RMA01","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Comp genet test hyp cardiomy","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"S3865","description":"Comp genet test hyp cardiomy","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JAMC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JIKD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Doc medrsn no compl antibio","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G9300","description":"Doc medrsn no compl antibio","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Provisional splint extracoro","billing_code_type":"CDT","billing_code_type_version":"2024","billing_code":"D4321","description":"Provisional splint extracoro","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CAVD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Colonoscopy and biopsy","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"45380","description":"Colonoscopy and biopsy","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Appendectomy add-on","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"44955","description":"Appendectomy add-on","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"EDCC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BDMD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Phlebotomy","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"99195","description":"Phlebotomy","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Transcath mtral vlve repair","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0345T","description":"Transcath mtral vlve repair","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"PGWF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FIDE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GIJC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"PEWB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-2CGM4","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"2CGM4","description":"HIPPS-2CGM4","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OINF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Staggered spondaic word test","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"92572","description":"Staggered spondaic word test","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Clearance of airways","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"31725","description":"Clearance of airways","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"EBTC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"EEHF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Transperineal laser ablation of benign prostatic hyperplasia_ including imaging guidance","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0714T","description":"Transperineal laser ablation of benign prostatic hyperplasia_ including imaging guidance","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Leukocyte histamine release","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"86343","description":"Leukocyte histamine release","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Pt talk psychsoc&rx oh dpnd","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"4320F","description":"Pt talk psychsoc&rx oh dpnd","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-1BHP2","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"1BHP2","description":"HIPPS-1BHP2","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NCKA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FAGD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CCHD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-3AHPU","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"3AHPU","description":"HIPPS-3AHPU","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JFBA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Percutaneous transluminal mechanical thrombectomy and/or infusion for thrombolysis_ dialysis circuit_ any method_ including all imaging and radiological supervision and interp","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"36905","description":"Percutaneous transluminal mechanical thrombectomy and/or infusion for thrombolysis_ dialysis circuit_ any method_ including all imaging and radiological supervision and interp","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Hhc lpn/rn obs/asses ea 15","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G0163","description":"Hhc lpn/rn obs/asses ea 15","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Oncology (solid tumor)_ DNA and RNA by next-generation sequencing_ utilizing formalin-fixed paraffin-embedded (FFPE) tissue_ 437 genes_ interpretive report for single nucleoti","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0391U","description":"Oncology (solid tumor)_ DNA and RNA by next-generation sequencing_ utilizing formalin-fixed paraffin-embedded (FFPE) tissue_ 437 genes_ interpretive report for single nucleoti","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-PE246","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"PE246","description":"HIPPS-PE246","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OAPB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"CPT-0554U","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"0554U","description":"CPT-0554U","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Igh vari regional mutation","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"81263","description":"Igh vari regional mutation","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Oncology (colorectal cancer)_ evaluation for mutations of APC_ BRAF_ CTNNB1_ KRAS_ NRAS_ PIK3CA_ SMAD4_ and TP53_ and methylation markers (MYO1G_ KCNQ5_ C9ORF50_ FLI1_ CLIP4_","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0368U","description":"Oncology (colorectal cancer)_ evaluation for mutations of APC_ BRAF_ CTNNB1_ KRAS_ NRAS_ PIK3CA_ SMAD4_ and TP53_ and methylation markers (MYO1G_ KCNQ5_ C9ORF50_ FLI1_ CLIP4_","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FFXD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Oxygen system liquid station","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"E0440","description":"Oxygen system liquid station","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-LD106","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"LD106","description":"HIPPS-LD106","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BETC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"CPT-00872","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"00872","description":"CPT-00872","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-2CGL1","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"2CGL1","description":"HIPPS-2CGL1","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CGAD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OFOC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KINF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Lt compres band <3in/yd","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"A6448","description":"Lt compres band <3in/yd","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"IGUA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NBMB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-J9329","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"J9329","description":"HCPCS-J9329","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"ACAF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Excision malig lesion>1.25cm","billing_code_type":"CDT","billing_code_type_version":"2024","billing_code":"D7414","description":"Excision malig lesion>1.25cm","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"CPT-0698U","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"0698U","description":"CPT-0698U","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Removal of leg veins/lesion","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"37735","description":"Removal of leg veins/lesion","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"CPT-00912","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"00912","description":"CPT-00912","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-3BFN6","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"3BFN6","description":"HIPPS-3BFN6","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Injection_ lovotibeglogene autotemcel_ per treatment","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"J3394","description":"Injection_ lovotibeglogene autotemcel_ per treatment","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Borrelia burgdorferi (Lyme disease)_ OspA protein evaluation_ urine","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0316U","description":"Borrelia burgdorferi (Lyme disease)_ OspA protein evaluation_ urine","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Intraut copper contraceptive","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"J7300","description":"Intraut copper contraceptive","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"X-ray bend only l-s spine","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"72120","description":"X-ray bend only l-s spine","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Explore scrotum","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"55110","description":"Explore scrotum","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"DFSB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FBKE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Thumb fusion with graft","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"26842","description":"Thumb fusion with graft","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FCXE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BACE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-LE221","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"LE221","description":"HIPPS-LE221","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RLA5D","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RLA5D","description":"HIPPS-RLA5D","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"PJQC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GBHA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Ak flex inner socket ext fra","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"L5651","description":"Ak flex inner socket ext fra","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Infectious agent detection by nucleic acid (DNA or RNA)_ genitourinary pathogen_ semiquantitative identification_ DNA from 16 bacterial organisms and 1 fungal organism_ multip","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0371U","description":"Infectious agent detection by nucleic acid (DNA or RNA)_ genitourinary pathogen_ semiquantitative identification_ DNA from 16 bacterial organisms and 1 fungal organism_ multip","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JAFB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Remove femur lesion/graft","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"27357","description":"Remove femur lesion/graft","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MEUB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KBLB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CACB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CIBE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Abortion","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"59855","description":"Abortion","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KFEA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OAUF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Part removal of ankle/heel","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"28120","description":"Part removal of ankle/heel","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CFOA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JEFF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RUC0D","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RUC0D","description":"HIPPS-RUC0D","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Remote autonomous algorithm-based recommendation system for insulin dose calculation and titration; initial set-up and patient education","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0740T","description":"Remote autonomous algorithm-based recommendation system for insulin dose calculation and titration; initial set-up and patient education","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FEFA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"EGDF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Var vaccine live subq","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"90716","description":"Var vaccine live subq","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GBVE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KFEA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CHUA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Spontaneous nystagmus test","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"92541","description":"Spontaneous nystagmus test","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OKKE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-Q5144","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"Q5144","description":"HCPCS-Q5144","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Acth stimulation panel","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"80402","description":"Acth stimulation panel","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BDIB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KDSE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Antithrombin iii activity","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"85300","description":"Antithrombin iii activity","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RVL15","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RVL15","description":"HIPPS-RVL15","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"CPT-1023T","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"1023T","description":"CPT-1023T","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CAMC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NJEF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CAFC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Valrubicin injection","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"J9357","description":"Valrubicin injection","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KAFC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Abduction bar-straight","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"L2310","description":"Abduction bar-straight","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JHGA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FHXE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NGVE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-Q4440","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"Q4440","description":"HCPCS-Q4440","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Hearing aid_ contralateral routing system_ binaural_ ITC/BTE","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"V5215","description":"Hearing aid_ contralateral routing system_ binaural_ ITC/BTE","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Abutment supported mtl crown","billing_code_type":"CDT","billing_code_type_version":"2024","billing_code":"D6064","description":"Abutment supported mtl crown","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Us guidance fetal reduct","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"S8055","description":"Us guidance fetal reduct","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Ongoing Care Not Indicated_ Patient Seen Only 1-2 Visits (E.G._ Home Program Only_ Referred To Another Provider Or Facility_ Consultation Only)","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"M1132","description":"Ongoing Care Not Indicated_ Patient Seen Only 1-2 Visits (E.G._ Home Program Only_ Referred To Another Provider Or Facility_ Consultation Only)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Part hand myo exclu term dev","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"L6026","description":"Part hand myo exclu term dev","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"LBQC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"IGLB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-HB20C","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"HB20C","description":"HIPPS-HB20C","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"IGTC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FEDE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Patients 81 Years Of Age And Older With A Evidence Of Frailty During The Measurement Period","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G2118","description":"Patients 81 Years Of Age And Older With A Evidence Of Frailty During The Measurement Period","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"HHQB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OKXC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"LIOC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Enrollment**","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"W0009","description":"Enrollment**","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OERE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KDFB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Reguard_ for topical use only_ per square centimeter","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"Q4255","description":"Reguard_ for topical use only_ per square centimeter","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"ODBE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"HBYA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) (coronavirus disease [COVID-19]) vaccine_ DNA_ spike protein_ chimpanzee adenovirus Oxford 1 (ChAdOx1) vector_ pre","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"91302","description":"Severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) (coronavirus disease [COVID-19]) vaccine_ DNA_ spike protein_ chimpanzee adenovirus Oxford 1 (ChAdOx1) vector_ pre","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Gastro/jejuno tube_ low-pro","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"B4088","description":"Gastro/jejuno tube_ low-pro","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OKQB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-1CHLU","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"1CHLU","description":"HIPPS-1CHLU","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Blood culture for bacteria","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"87040","description":"Blood culture for bacteria","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Hhc lis nurse train ea 15","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G0164","description":"Hhc lis nurse train ea 15","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FHFC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"HIOB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"AGAA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NGBE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"PLWD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Retr bone flap to fix skull","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"62148","description":"Retr bone flap to fix skull","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Biopsy/removal lymph nodes","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"38510","description":"Biopsy/removal lymph nodes","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Rechanneling of artery","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"35361","description":"Rechanneling of artery","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GACC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Treat lower jaw fracture","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"21450","description":"Treat lower jaw fracture","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GCIA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"AGEF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Perq stent/chest vert art","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0075T","description":"Perq stent/chest vert art","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Excise submaxillary gland","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"42440","description":"Excise submaxillary gland","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-HE24A","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"HE24A","description":"HIPPS-HE24A","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"PJRA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Post fusion </6 vert seg","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"22800","description":"Post fusion </6 vert seg","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RVX8G","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RVX8G","description":"HIPPS-RVX8G","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Doc order given vte prophylx","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"4044F","description":"Doc order given vte prophylx","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"LISF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MKBE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CGQE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-LE25D","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"LE25D","description":"HIPPS-LE25D","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Decompress forearm 1 space","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"25020","description":"Decompress forearm 1 space","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NJDE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"AALF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CDMF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Knee control condylar pad","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"L2810","description":"Knee control condylar pad","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"CPT-0695U","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"0695U","description":"CPT-0695U","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"ACMC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OKID0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CARB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OFSB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Laparoscopy vagus nerve","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"43651","description":"Laparoscopy vagus nerve","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Compl gift case rate","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"S4013","description":"Compl gift case rate","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"IATE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Intrinsic factor antibody","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"86340","description":"Intrinsic factor antibody","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KHAA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-Q0520","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"Q0520","description":"HCPCS-Q0520","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RVX60","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RVX60","description":"HIPPS-RVX60","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NDIA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-HC12A","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"HC12A","description":"HIPPS-HC12A","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Destruct b9 lesion 1-14","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"17110","description":"Destruct b9 lesion 1-14","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CANC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Explore/treat eye socket","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"67412","description":"Explore/treat eye socket","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-HD18A","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"HD18A","description":"HIPPS-HD18A","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Intens behave ther cardio dx","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G0446","description":"Intens behave ther cardio dx","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Latex suspension sleeve each","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"L6632","description":"Latex suspension sleeve each","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Removal sweat gland lesion","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"11463","description":"Removal sweat gland lesion","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Targeted genomic sequence analysis panel_ solid organ neoplasm_ cell-free DNA_ analysis of 311 or more genes_ interrogation for sequence variants_ including substitutions_ ins","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0239U","description":"Targeted genomic sequence analysis panel_ solid organ neoplasm_ cell-free DNA_ analysis of 311 or more genes_ interrogation for sequence variants_ including substitutions_ ins","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Tissue culture lymphocyte","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"88230","description":"Tissue culture lymphocyte","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"DCQE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Injection_ ocrelizumab_ 1 mg","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"J2350","description":"Injection_ ocrelizumab_ 1 mg","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Static str toe dev ext/flex","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"E1831","description":"Static str toe dev ext/flex","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Incise inner eye adhesions","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"65870","description":"Incise inner eye adhesions","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Human Platelet Antigen 6 genotyping (HPA-6w)_ ITGB3 (integrin_ beta 3 [platelet glycoprotein IIIa_ antigen CD61] [GPIIIa]) (eg_ neonatal alloimmune thrombocytopenia [NAIT]_ po","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"81110","description":"Human Platelet Antigen 6 genotyping (HPA-6w)_ ITGB3 (integrin_ beta 3 [platelet glycoprotein IIIa_ antigen CD61] [GPIIIa]) (eg_ neonatal alloimmune thrombocytopenia [NAIT]_ po","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Ecg monit/reprt up to 48 hrs","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"93225","description":"Ecg monit/reprt up to 48 hrs","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Doxorubicin hcl injection","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"J9000","description":"Doxorubicin hcl injection","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"CPT-0595U","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"0595U","description":"CPT-0595U","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Gradient compression garment_ glove_ padded_ for nighttime use_ each","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"A6520","description":"Gradient compression garment_ glove_ padded_ for nighttime use_ each","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Exploration carotid artery","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"35701","description":"Exploration carotid artery","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Patient had a bone mineral density test in the past two years or received osteoporosis medication or therapy in the past 12 months","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G9769","description":"Patient had a bone mineral density test in the past two years or received osteoporosis medication or therapy in the past 12 months","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Mccd_ risk adj hi_ initial","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G9003","description":"Mccd_ risk adj hi_ initial","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Cysto w/up stricture tx","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"52342","description":"Cysto w/up stricture tx","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"EFDE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"AFLD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KFOE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-1CHLT","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"1CHLT","description":"HIPPS-1CHLT","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"EGEC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NAJB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BGMD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OLTD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BADC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FCFA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Rep dev_ urinary_ w/o sling","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"C2631","description":"Rep dev_ urinary_ w/o sling","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GILF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Composite drsg > 48 sq in","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"A6205","description":"Composite drsg > 48 sq in","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BGFD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NAXE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-1BGKX","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"1BGKX","description":"HIPPS-1BGKX","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-BA205","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"BA205","description":"HIPPS-BA205","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Opn tx orbit periorbtl implt","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"21390","description":"Opn tx orbit periorbtl implt","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OBSD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Chromatography_ qualitative; paper_ 2-dimensional_ analyte not elsewhere specified","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"82488","description":"Chromatography_ qualitative; paper_ 2-dimensional_ analyte not elsewhere specified","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Friction dampening arm supp","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"E2629","description":"Friction dampening arm supp","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Ko w/0 joint rigid molded to","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"L1834","description":"Ko w/0 joint rigid molded to","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MCHD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OIVD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Relieve cranial pressure","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"61345","description":"Relieve cranial pressure","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RHB16","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RHB16","description":"HIPPS-RHB16","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"PGRC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"HBOA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"HHSF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"IELE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CAVA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MKID1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"CPT-92638","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"92638","description":"CPT-92638","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Repair great vessels defect","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"33776","description":"Repair great vessels defect","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CIDD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"AGED1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"CPT-01990","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"01990","description":"CPT-01990","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Ongoing Care Not Indicated_ Patient Self-Discharged Early And Seen Only 1-2 Visits (E.G._ Financial Or Insurance Reasons_ Transportation Problems_ Or Reason Unknown)","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"M1115","description":"Ongoing Care Not Indicated_ Patient Self-Discharged Early And Seen Only 1-2 Visits (E.G._ Financial Or Insurance Reasons_ Transportation Problems_ Or Reason Unknown)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Adaptive behavior treatment with protocol modification administered by physician or other qualified health care professional with one patient; each additional 30 minutes of pa","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0369T","description":"Adaptive behavior treatment with protocol modification administered by physician or other qualified health care professional with one patient; each additional 30 minutes of pa","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OCEB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OBTD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CEFC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Reconstruct lower jaw bone","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"21255","description":"Reconstruct lower jaw bone","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"DGRB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CGGD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FHKF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Patients with a diagnosis of end stage renal disease (esrd)","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"M1187","description":"Patients with a diagnosis of end stage renal disease (esrd)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"IHEA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Pressure support ventilator with volume control mode_ may include pressure control mode_ used with non-invasive interface (e.g. mask)","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"E0464","description":"Pressure support ventilator with volume control mode_ may include pressure control mode_ used with non-invasive interface (e.g. mask)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NDPE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NHVC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Revis reconst shoulder joint","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"23474","description":"Revis reconst shoulder joint","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CCJA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KEXA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GFDB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Open wedge/bx lung nodule","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"32097","description":"Open wedge/bx lung nodule","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Bilirubin total","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"82247","description":"Bilirubin total","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"CPT-01400","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"01400","description":"CPT-01400","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JETF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NEJB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Ldl-c <100 mg/dl","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"3048F","description":"Ldl-c <100 mg/dl","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OHAF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CHFB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Removal of foot joint lining","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"28072","description":"Removal of foot joint lining","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Syphilis test_ non-treponemal antibody_ immunoassay_ qualitative (RPR)","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0065U","description":"Syphilis test_ non-treponemal antibody_ immunoassay_ qualitative (RPR)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-C1404","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"C1404","description":"HCPCS-C1404","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FAND1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Solid caster integrated whl","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"E2222","description":"Solid caster integrated whl","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OBFC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Cancer treatmentplan initial","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"S0353","description":"Cancer treatmentplan initial","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OLJF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Acute gi blood loss imaging","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"78278","description":"Acute gi blood loss imaging","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Office consultation","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"99245","description":"Office consultation","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OBAF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"CPT-0544U","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"0544U","description":"CPT-0544U","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Oncology (Prostate)_ Mrna_ Microarray Gene Expression Profiling Of 22 Content Genes_ Utilizing Formalin-Fixed Paraffin-Embedded Tissue_ Algorithm Reported As Metastasis Risk S","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"81542","description":"Oncology (Prostate)_ Mrna_ Microarray Gene Expression Profiling Of 22 Content Genes_ Utilizing Formalin-Fixed Paraffin-Embedded Tissue_ Algorithm Reported As Metastasis Risk S","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NFVA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"EBME1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OKRF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Thoracoscopy w/mediast exc","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"32662","description":"Thoracoscopy w/mediast exc","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"New lenses in pts old frame","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"S0595","description":"New lenses in pts old frame","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RMA5C","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RMA5C","description":"HIPPS-RMA5C","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NJGC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CCGF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RLB3A","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RLB3A","description":"HIPPS-RLB3A","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"CPT-00880","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"00880","description":"CPT-00880","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NLTE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-LE231","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"LE231","description":"HIPPS-LE231","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"DGYD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"HESA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CAUE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Control throat bleeding","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"42960","description":"Control throat bleeding","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Autopsy (necropsy) complete","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"88020","description":"Autopsy (necropsy) complete","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NEGF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OHOB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Skin pedicle flap trunk","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"15570","description":"Skin pedicle flap trunk","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Drug assay_ definitive_ 85 or more drugs or metabolites_ urine_ quantitative liquid chromatography with tandem mass spectrometry (LC-MS/MS) using multiple reaction monitoring","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0147U","description":"Drug assay_ definitive_ 85 or more drugs or metabolites_ urine_ quantitative liquid chromatography with tandem mass spectrometry (LC-MS/MS) using multiple reaction monitoring","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"EGTF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Doppler flow testing","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"93990","description":"Doppler flow testing","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Cast sup shrt leg ped plster","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"Q4039","description":"Cast sup shrt leg ped plster","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JAJD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Ligation of neck vein","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"37565","description":"Ligation of neck vein","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OGTC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-1BHLU","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"1BHLU","description":"HIPPS-1BHLU","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Repair of web finger","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"26561","description":"Repair of web finger","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"IAHE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Treat lower leg fracture","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"27828","description":"Treat lower leg fracture","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KCDA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NHPC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JCBE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-2AHLV","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"2AHLV","description":"HIPPS-2AHLV","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FBGC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"EFMC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NBVE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Ligate/strip short leg vein","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"37718","description":"Ligate/strip short leg vein","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"PCWC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Treat metatarsal fracture","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"28470","description":"Treat metatarsal fracture","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OKFC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"DHOA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-CD24A","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"CD24A","description":"HIPPS-CD24A","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Supply allowance for non-adjunctive_ non-implanted continuous glucose monitor (cgm)_ includes all supplies and accessories_ 1 month supply = 1 unit of service","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"A4239","description":"Supply allowance for non-adjunctive_ non-implanted continuous glucose monitor (cgm)_ includes all supplies and accessories_ 1 month supply = 1 unit of service","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JAHF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Closed tmp manipulation","billing_code_type":"CDT","billing_code_type_version":"2024","billing_code":"D7820","description":"Closed tmp manipulation","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Lpn/lvn services up to 15min","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"T1003","description":"Lpn/lvn services up to 15min","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"ABLE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CBDA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Whirlpool portable","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"E1300","description":"Whirlpool portable","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Drain/inj joint/bursa w/us","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"20611","description":"Drain/inj joint/bursa w/us","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Remove foreign body from eye","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"65205","description":"Remove foreign body from eye","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NCTD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"EHLC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Islet Cell Transplant_ Includes Portal Vein Catheterization And Infusion_ Including All Imaging_ Including Guidance_ And Radiological Supervision And Interpretation_ When Perf","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0585T","description":"Islet Cell Transplant_ Includes Portal Vein Catheterization And Infusion_ Including All Imaging_ Including Guidance_ And Radiological Supervision And Interpretation_ When Perf","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KBAB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"IEHE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Oncology (pan-cancer)_ analysis of minimal residual disease (MRD) from plasma_ with assays personalized to each patient based on prior next-generation sequencing of the patien","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0340U","description":"Oncology (pan-cancer)_ analysis of minimal residual disease (MRD) from plasma_ with assays personalized to each patient based on prior next-generation sequencing of the patien","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"IEDF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"LCQF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Critical care first hour","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"99291","description":"Critical care first hour","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NDVA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Pessary_ non rubber_any type","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"A4562","description":"Pessary_ non rubber_any type","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BCBD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"ECTF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-1CGP2","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"1CGP2","description":"HIPPS-1CGP2","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OBCA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GHVB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Eo elas w/metal jnts pre ots","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"L3710","description":"Eo elas w/metal jnts pre ots","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FCDA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Cisplatin 10 mg injection","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"J9060","description":"Cisplatin 10 mg injection","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Injection_ melphalan (apotex)_ 1 mg","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"J9249","description":"Injection_ melphalan (apotex)_ 1 mg","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Bis xtracell fluid analysis","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"93702","description":"Bis xtracell fluid analysis","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CCKB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-CA235","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"CA235","description":"HIPPS-CA235","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Bx/exc xdrl spine lesn scrl","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"63278","description":"Bx/exc xdrl spine lesn scrl","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-LD14C","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"LD14C","description":"HIPPS-LD14C","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JGCB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NEHE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Duodenal motility study","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"91022","description":"Duodenal motility study","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-Q5136","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"Q5136","description":"HCPCS-Q5136","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HH PDGM","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"4IA11","description":"HH PDGM","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Urinary leg or abdomen bag","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"A4358","description":"Urinary leg or abdomen bag","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OHCA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"LEOC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Dilate ic vasospasm add-on","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"61641","description":"Dilate ic vasospasm add-on","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MAUB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NGAB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OEPB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-CE217","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"CE217","description":"HIPPS-CE217","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Wheelchair solid seat insert","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"E0992","description":"Wheelchair solid seat insert","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Amino acid single qual","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"82127","description":"Amino acid single qual","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-PA24D","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"PA24D","description":"HIPPS-PA24D","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"IFID0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"LHWC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Toe joint transfer","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"26556","description":"Toe joint transfer","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MHDC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Anesth one lung ventilation","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"54151","description":"Anesth one lung ventilation","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Patients with a post-operative encounter of the eye with the acute pvd within 2 weeks before the initial encounter or 8 weeks after initial acute pvd encounter","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"M1329","description":"Patients with a post-operative encounter of the eye with the acute pvd within 2 weeks before the initial encounter or 8 weeks after initial acute pvd encounter","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"EFMD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OBWC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"DAYB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Assay of total thyroxine","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"84436","description":"Assay of total thyroxine","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GCLB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Lengthening of thigh tendons","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"27394","description":"Lengthening of thigh tendons","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"EALF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GCWF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-BA150","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"BA150","description":"HIPPS-BA150","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JIEF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Patient refused to participate","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G9726","description":"Patient refused to participate","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Airway inhalation treatment","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"94640","description":"Airway inhalation treatment","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BFFB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OJGD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CCWB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Strapping of knee","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"29530","description":"Strapping of knee","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-5CGKW","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"5CGKW","description":"HIPPS-5CGKW","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KHMA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OFXE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"LHYC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Thoracic duct procedure","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"38381","description":"Thoracic duct procedure","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"CPT-0587U","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"0587U","description":"CPT-0587U","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JCCB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Dstrj extensive retinopathy","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"67227","description":"Dstrj extensive retinopathy","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-PD226","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"PD226","description":"HIPPS-PD226","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KHUD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JBFC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CAXC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KDSA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-4BHLT","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"4BHLT","description":"HIPPS-4BHLT","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JEMF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Clinician Documented That Patient Was Not An Eligible Candidate For Autogenous AV Fistula","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G8531","description":"Clinician Documented That Patient Was Not An Eligible Candidate For Autogenous AV Fistula","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JFEA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CCRF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RHX8C","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RHX8C","description":"HIPPS-RHX8C","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Remove/graft foot lesion","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"28107","description":"Remove/graft foot lesion","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-2CGLU","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"2CGLU","description":"HIPPS-2CGLU","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-LD254","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"LD254","description":"HIPPS-LD254","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OFXC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RLB14","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RLB14","description":"HIPPS-RLB14","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Bcr/abl1 gene minor bp","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"81207","description":"Bcr/abl1 gene minor bp","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OKND1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Copd measures group","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G8898","description":"Copd measures group","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Injection for hip x-ray","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"27095","description":"Injection for hip x-ray","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OJOC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FCNC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RLB33","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RLB33","description":"HIPPS-RLB33","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BBLE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BGTB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-5AHK5","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"5AHK5","description":"HIPPS-5AHK5","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"EHCB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Individual counseling for pre-exposure prophylaxis (prep) by physician or qualified health care professional (qhp )to prevent human immunodeficiency virus (hiv)_ includes hiv","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G0011","description":"Individual counseling for pre-exposure prophylaxis (prep) by physician or qualified health care professional (qhp )to prevent human immunodeficiency virus (hiv)_ includes hiv","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OBNE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NLKF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KIQF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Treatment of urethra lesion","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"53220","description":"Treatment of urethra lesion","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Patients who did not have documented contact with a csp for at least one of their screened positive hrsns within 60 days after screening or documentation that there was no con","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"M1318","description":"Patients who did not have documented contact with a csp for at least one of their screened positive hrsns within 60 days after screening or documentation that there was no con","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CAIE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Gradient compression stocking_ below knee_ 40 mmhg or greater_ custom_ each","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"A6555","description":"Gradient compression stocking_ below knee_ 40 mmhg or greater_ custom_ each","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OLUD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Hematology (acute myelogenous leukemia)_ DNA_ whole genome next-generation sequencing to detect gene rearrangement(s)_ blood or bone marrow_ report of specific gene rearrangem","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0056U","description":"Hematology (acute myelogenous leukemia)_ DNA_ whole genome next-generation sequencing to detect gene rearrangement(s)_ blood or bone marrow_ report of specific gene rearrangem","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NAUB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OJAA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RMX25","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RMX25","description":"HIPPS-RMX25","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-2BGM3","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"2BGM3","description":"HIPPS-2BGM3","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"DEYC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GHYE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KGCA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-CE10C","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"CE10C","description":"HIPPS-CE10C","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NKXB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"ICIB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GDWB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Orbital prosthesis","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"L8042","description":"Orbital prosthesis","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Proctosigmoidoscopy ablate","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"45320","description":"Proctosigmoidoscopy ablate","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KIBC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Implant semi-imp hear","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"S2230","description":"Implant semi-imp hear","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NICE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"EDLF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"HFYF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OBCD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RHA3A","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RHA3A","description":"HIPPS-RHA3A","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MGDD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Amphetamines 3or 4","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"80325","description":"Amphetamines 3or 4","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MBEE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Bekesy audiometry screen","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"92560","description":"Bekesy audiometry screen","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-PE150","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"PE150","description":"HIPPS-PE150","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Dental skin graft","billing_code_type":"CDT","billing_code_type_version":"2024","billing_code":"D7920","description":"Dental skin graft","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"IETD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Crutch substitute","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"E0118","description":"Crutch substitute","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GIUC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Serpina1 gene","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"81332","description":"Serpina1 gene","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NIIA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JEHD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"CPT-0971T","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"0971T","description":"CPT-0971T","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Lutetium lu 177_ dotatate_ therapeutic_ 1 millicure","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"A9513","description":"Lutetium lu 177_ dotatate_ therapeutic_ 1 millicure","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Nonpectin based ostomy paste","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"A4405","description":"Nonpectin based ostomy paste","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Transcatheter removal of permanent dual-chamber leadless pacemaker_?including imaging guidance (eg_ fluoroscopy_ venous ultrasound_ right atrial angiography_ right ventriculog","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0799T","description":"Transcatheter removal of permanent dual-chamber leadless pacemaker_?including imaging guidance (eg_ fluoroscopy_ venous ultrasound_ right atrial angiography_ right ventriculog","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KEVA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RLA23","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RLA23","description":"HIPPS-RLA23","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CCSE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KCJD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"DEOF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"ECHB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-BB10B","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"BB10B","description":"HIPPS-BB10B","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OIYF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Image cath fluid colxn visc","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"49405","description":"Image cath fluid colxn visc","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Noncontact near-infrared spectroscopy studies of flap or wound (eg_ for measurement of deoxyhemoglobin_ oxyhemoglobin_ and ratio of tissue oxygenation [StO2]); image acquisiti","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0641T","description":"Noncontact near-infrared spectroscopy studies of flap or wound (eg_ for measurement of deoxyhemoglobin_ oxyhemoglobin_ and ratio of tissue oxygenation [StO2]); image acquisiti","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"ODGF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-C9305","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"C9305","description":"HCPCS-C9305","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-1BFLV","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"1BFLV","description":"HIPPS-1BFLV","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OGTE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"IHMD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"IHIE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RHX12","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RHX12","description":"HIPPS-RHX12","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-LB225","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"LB225","description":"HIPPS-LB225","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Telehealth transmit_ per min","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"T1014","description":"Telehealth transmit_ per min","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Clot factor viii vw ristoctn","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"85245","description":"Clot factor viii vw ristoctn","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"EDCF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JIVD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Remove cerclage suture","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"59871","description":"Remove cerclage suture","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"DIYC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-LD104","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"LD104","description":"HIPPS-LD104","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CHCF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Limited dental tx adolescent","billing_code_type":"CDT","billing_code_type_version":"2024","billing_code":"D8030","description":"Limited dental tx adolescent","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NFNF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KGIE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-M0233","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"M0233","description":"HCPCS-M0233","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Pt evaluation","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"97001","description":"Pt evaluation","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Exoskeletal ak ultra-light m","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"L5790","description":"Exoskeletal ak ultra-light m","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Transcatheter delivery of enhanced fixation device(s) to the endograft (eg_ anchor_ screw_ tack) and all associated radiological supervision and interpretation","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"34712","description":"Transcatheter delivery of enhanced fixation device(s) to the endograft (eg_ anchor_ screw_ tack) and all associated radiological supervision and interpretation","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"ODMA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Revision of nose","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"30430","description":"Revision of nose","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Application of forearm cast","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"29075","description":"Application of forearm cast","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CARB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FAIF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Decompression of thigh/knee","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"27496","description":"Decompression of thigh/knee","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"CDT-D0404","billing_code_type":"CDT","billing_code_type_version":"2026","billing_code":"D0404","description":"CDT-D0404","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Stimulated iui case rate","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"S4035","description":"Stimulated iui case rate","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CHIB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-CE23D","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"CE23D","description":"HIPPS-CE23D","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RVA3A","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RVA3A","description":"HIPPS-RVA3A","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"AITD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CHIA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-PB18E","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"PB18E","description":"HIPPS-PB18E","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Ald_ tv caption decoder","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"V5271","description":"Ald_ tv caption decoder","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KCGA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"ADLF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-4AHL5","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"4AHL5","description":"HIPPS-4AHL5","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"IFEF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GAXE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Remote in-home visit for the e&m of a new patient for use only in the Medicare-approved Comprehensive Care for Joint Replacement model_ which requires these 3 key components","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G9482","description":"Remote in-home visit for the e&m of a new patient for use only in the Medicare-approved Comprehensive Care for Joint Replacement model_ which requires these 3 key components","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Explore chest free adhesions","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"32124","description":"Explore chest free adhesions","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CHHE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Neurorraphy w/vein autograft","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"64911","description":"Neurorraphy w/vein autograft","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-BB18F","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"BB18F","description":"HIPPS-BB18F","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Assessment of aphasia","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"96105","description":"Assessment of aphasia","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Tlso 2mod symphis-xipho pre","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"L0458","description":"Tlso 2mod symphis-xipho pre","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-LB201","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"LB201","description":"HIPPS-LB201","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Major vessel shunt","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"33766","description":"Major vessel shunt","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Rheumatoid factor quant","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"86431","description":"Rheumatoid factor quant","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NBFE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Cath_ brachytx seed adm","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"C1728","description":"Cath_ brachytx seed adm","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-CE113","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"CE113","description":"HIPPS-CE113","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CDXE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-4CGL1","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"4CGL1","description":"HIPPS-4CGL1","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Bmi not documented due to medical reason or patient refusal of height or weight measurement","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G2181","description":"Bmi not documented due to medical reason or patient refusal of height or weight measurement","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Dermatological procedure","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"96999","description":"Dermatological procedure","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Removal of larynx lesion","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"31512","description":"Removal of larynx lesion","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CIQF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Reopen fallopian tube","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"58350","description":"Reopen fallopian tube","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-4BGMT","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"4BGMT","description":"HIPPS-4BGMT","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CDLD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Two Medicare Diabetes Prevention Program (MDPP) ongoing maintenance sess ions (MS) were attended by an MDPP beneficiary in months (mo) 16-18 under the MDPP Expanded Model","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G9883","description":"Two Medicare Diabetes Prevention Program (MDPP) ongoing maintenance sess ions (MS) were attended by an MDPP beneficiary in months (mo) 16-18 under the MDPP Expanded Model","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NBUF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Shingrix vaccine documented as administered or previously received","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"M1064","description":"Shingrix vaccine documented as administered or previously received","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CBRB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KDPC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FGLE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JAPC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"HDRB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GDDF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Replace g-j tube perc","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"49452","description":"Replace g-j tube perc","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CBUC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MLAA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OCCD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Implant eye drug system","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"67027","description":"Implant eye drug system","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MEDC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Distal transcutaneous electrical nerve stimulator_ stimulates peripheral nerves of the upper arm","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"K1023","description":"Distal transcutaneous electrical nerve stimulator_ stimulates peripheral nerves of the upper arm","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MBDC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Initiation of medication for the treatment of opioid use disorder in the emergency department setting_ including assessment_ referral to ongoing care_ and arranging access to","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G2213","description":"Initiation of medication for the treatment of opioid use disorder in the emergency department setting_ including assessment_ referral to ongoing care_ and arranging access to","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NCTF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"ADUF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"LASE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Low cost skin substitute app","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"C5273","description":"Low cost skin substitute app","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-BA117","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"BA117","description":"HIPPS-BA117","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Lens sphcy bifocal 4.25-7/ov","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"V2210","description":"Lens sphcy bifocal 4.25-7/ov","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OKVE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"PLWF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KDYB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"LDYC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-LB23D","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"LB23D","description":"HIPPS-LB23D","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MGEC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NJKF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"PEYD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Repair tooth socket","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"41874","description":"Repair tooth socket","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"IHMF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-HD18I","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"HD18I","description":"HIPPS-HD18I","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OJSB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KGAC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GIAB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"AGUE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Incision of finger tendon","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"26060","description":"Incision of finger tendon","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Prostate laser enucleation","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"52649","description":"Prostate laser enucleation","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CDDA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Angina absent","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"1012F","description":"Angina absent","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BEIE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JHVA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OGNC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FCXE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-5BGKU","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"5BGKU","description":"HIPPS-5BGKU","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OKFA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CHTE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-2CHK4","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"2CHK4","description":"HIPPS-2CHK4","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HH PDGM","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"3KC11","description":"HH PDGM","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NCPE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Reconstruct shoulder joint","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"23472","description":"Reconstruct shoulder joint","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-HE18B","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"HE18B","description":"HIPPS-HE18B","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JFAC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"PKOC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OLKE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Brain imaging (3d)","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"78607","description":"Brain imaging (3d)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NDPA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-CB11C","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"CB11C","description":"HIPPS-CB11C","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Anesthesia for intracranial procedures; not otherwise specified","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0129U","description":"Anesthesia for intracranial procedures; not otherwise specified","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Endodontic endosseous implan","billing_code_type":"CDT","billing_code_type_version":"2024","billing_code":"D3460","description":"Endodontic endosseous implan","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Destruction of skin lesions","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"17276","description":"Destruction of skin lesions","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CACC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Chlorpromazine hcl 5mg oral","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"Q0161","description":"Chlorpromazine hcl 5mg oral","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MADA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CHEB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"EBBF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"CPT-00162","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"00162","description":"CPT-00162","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OIND0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HH PDGM","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"3IC11","description":"HH PDGM","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Fecal microbiota_ live - jslm_ 1 ml","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"J1440","description":"Fecal microbiota_ live - jslm_ 1 ml","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-PB117","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"PB117","description":"HIPPS-PB117","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-L6035","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"L6035","description":"HCPCS-L6035","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GAIB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Pt inelig med check","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G8430","description":"Pt inelig med check","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Electromyograph biofeedback","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"E0746","description":"Electromyograph biofeedback","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Removal of frontal sinus","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"31081","description":"Removal of frontal sinus","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Targeted case management","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"T1017","description":"Targeted case management","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Implant Supported Retainer For Metal Fpd - Titanium And Titanium Alloys","billing_code_type":"CDT","billing_code_type_version":"2024","billing_code":"D6123","description":"Implant Supported Retainer For Metal Fpd - Titanium And Titanium Alloys","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Extensv oral eval prob focus","billing_code_type":"CDT","billing_code_type_version":"2024","billing_code":"D0160","description":"Extensv oral eval prob focus","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FFGC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GADA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Removal of brain tissue","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"61537","description":"Removal of brain tissue","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Ureter endoscopy & treatment","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"50980","description":"Ureter endoscopy & treatment","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BBAC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BHHD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CABE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GEXB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OBBF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BBBC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OHEE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GAXE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RMC5B","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RMC5B","description":"HIPPS-RMC5B","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Fungus nes antibody","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"86671","description":"Fungus nes antibody","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-1AFM3","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"1AFM3","description":"HIPPS-1AFM3","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-CA11C","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"CA11C","description":"HIPPS-CA11C","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Gastric electrophysiology mapping with simultaneous patient symptom profiling","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"C9787","description":"Gastric electrophysiology mapping with simultaneous patient symptom profiling","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Fine needle aspiration biopsy_ including ultrasound guidance; each additional lesion (List separately in addition to code for primary procedure)","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"10006","description":"Fine needle aspiration biopsy_ including ultrasound guidance; each additional lesion (List separately in addition to code for primary procedure)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JDMA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FDAD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"AALC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OGUC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"ABAF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OFAA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GGQF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MHLD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Ondansetron 4 mg","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"S0119","description":"Ondansetron 4 mg","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CGME0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OHAD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"IACC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-CE124","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"CE124","description":"HIPPS-CE124","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FDHD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Assay of proinsulin","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"84206","description":"Assay of proinsulin","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OCPD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Incision of metatarsal","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"28307","description":"Incision of metatarsal","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"DHRB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Art byp grft carotid-vertbrl","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"35508","description":"Art byp grft carotid-vertbrl","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Caregiver training in strategies and techniques to facilitate the patient_s functional performance in the home or community (eg_ activities of daily living [ADLs]_ instrumenta","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"97550","description":"Caregiver training in strategies and techniques to facilitate the patient_s functional performance in the home or community (eg_ activities of daily living [ADLs]_ instrumenta","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RMB23","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RMB23","description":"HIPPS-RMB23","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OBLB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HH PDGM","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"3JB31","description":"HH PDGM","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"HFRD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Functional status measurement with score was obtained utilizing the Oxford Knee Score (OKS) patient reported outcome tool withi","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"M1045","description":"Functional status measurement with score was obtained utilizing the Oxford Knee Score (OKS) patient reported outcome tool withi","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FIPB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"PHSC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-PA25C","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"PA25C","description":"HIPPS-PA25C","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GCYA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KGLD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"PLWA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Oncology (Diffuse Large B-Cell Lymphoma [Dlbcl])_ Mrna_ Gene Expression Profiling By Fluorescent Probe Hybridization Of 20 Genes_ Formalin-Fixed Paraffin-Embedded Tissue_ Algo","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0017M","description":"Oncology (Diffuse Large B-Cell Lymphoma [Dlbcl])_ Mrna_ Gene Expression Profiling By Fluorescent Probe Hybridization Of 20 Genes_ Formalin-Fixed Paraffin-Embedded Tissue_ Algo","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-1CGKV","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"1CGKV","description":"HIPPS-1CGKV","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GACD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Com wrap-around sv_ 15 min","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"H2021","description":"Com wrap-around sv_ 15 min","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"PJOD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"IHDE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"removal of implant body not requiring bone removal or flap elevation","billing_code_type":"CDT","billing_code_type_version":"2024","billing_code":"D6105","description":"removal of implant body not requiring bone removal or flap elevation","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Molecular diagnostic test reader_ nonprescription self-administered and self-collected use_ fda approved_ authorized or cleared","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"K1035","description":"Molecular diagnostic test reader_ nonprescription self-administered and self-collected use_ fda approved_ authorized or cleared","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"EAMB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Hepatitis a igm antibody","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"86709","description":"Hepatitis a igm antibody","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CITC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"CPT-0559U","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"0559U","description":"CPT-0559U","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Warfarin respon genetic test","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G9143","description":"Warfarin respon genetic test","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Removal of tonsils","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"42825","description":"Removal of tonsils","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OFCA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OLGA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GCJB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Immunohistochemical stains","billing_code_type":"CDT","billing_code_type_version":"2024","billing_code":"D0478","description":"Immunohistochemical stains","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Mast subq","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"19304","description":"Mast subq","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Thoracoscopy w/sac fb remove","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"32658","description":"Thoracoscopy w/sac fb remove","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KHSF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-3CFNW","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"3CFNW","description":"HIPPS-3CFNW","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MFHE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Jaw arthroscopy/surgery","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"29800","description":"Jaw arthroscopy/surgery","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GHAF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OCSE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JDHB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Neck spine disk surgery","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"63020","description":"Neck spine disk surgery","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Ash fibrosure (tm)_ labcorp","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0002M","description":"Ash fibrosure (tm)_ labcorp","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Removal of brain lesion","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"61526","description":"Removal of brain lesion","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Nephrology (renal transplant)_ RNA expression by select transcriptome sequencing_ using posttransplant peripheral blood_ algorithm reported as a risk score for acute cellular","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0320U","description":"Nephrology (renal transplant)_ RNA expression by select transcriptome sequencing_ using posttransplant peripheral blood_ algorithm reported as a risk score for acute cellular","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Diabetic custom molded shoe","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"A5501","description":"Diabetic custom molded shoe","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"CDT-D5939","billing_code_type":"CDT","billing_code_type_version":"2026","billing_code":"D5939","description":"CDT-D5939","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BAPE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"LASD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CADA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NLLB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KFRB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Surgical pathology procedure","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"88399","description":"Surgical pathology procedure","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Hepagam b im injection","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"J1571","description":"Hepagam b im injection","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CDHF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-HC134","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"HC134","description":"HIPPS-HC134","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Colonoscopy submucous njx","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"45381","description":"Colonoscopy submucous njx","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"AGMD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RLB5D","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RLB5D","description":"HIPPS-RLB5D","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NBNC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Abutment supported mtl crown","billing_code_type":"CDT","billing_code_type_version":"2024","billing_code":"D6059","description":"Abutment supported mtl crown","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MGLE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"DHQE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Assay of urine sulfate","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"84392","description":"Assay of urine sulfate","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KDVC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Rbc pretx incubatj w/enzymes","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"86971","description":"Rbc pretx incubatj w/enzymes","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RLA01","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RLA01","description":"HIPPS-RLA01","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FGHC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"EDCB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"DFRB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"EGLE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Hla class ii high defin qual","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"86833","description":"Hla class ii high defin qual","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KBED1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Repair/graft finger tendon","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"26434","description":"Repair/graft finger tendon","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"IHMC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Artacent cord_ per square centimeter","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"Q4216","description":"Artacent cord_ per square centimeter","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Cast noble metal inlay 2 sur","billing_code_type":"CDT","billing_code_type_version":"2024","billing_code":"D6606","description":"Cast noble metal inlay 2 sur","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KEUD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"IFDB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NHMD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Levalbuterol non-comp con","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"J7612","description":"Levalbuterol non-comp con","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Xylose tolerance test","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"84620","description":"Xylose tolerance test","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OHMD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-J0870","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"J0870","description":"HCPCS-J0870","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"MOLECULAR PATHOLOGY PROCEDURE LEVEL 5","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"81404","description":"MOLECULAR PATHOLOGY PROCEDURE LEVEL 5","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Community health integration services_ each additional 30 minutes per calendar month (list separately in addition to g0019)","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G0022","description":"Community health integration services_ each additional 30 minutes per calendar month (list separately in addition to g0019)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GFSC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NGUB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Extensive mastoid surgery","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"69530","description":"Extensive mastoid surgery","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Heart image spect","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"78494","description":"Heart image spect","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Echo guidance radiotherapy","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G6001","description":"Echo guidance radiotherapy","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Revision orbitofacial bones","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"21275","description":"Revision orbitofacial bones","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GCBF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"AGTB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NCFC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"implant/abutment supported interim fixed denture for edentulous arch - mandibular","billing_code_type":"CDT","billing_code_type_version":"2024","billing_code":"D6118","description":"implant/abutment supported interim fixed denture for edentulous arch - mandibular","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Pressure pneum appl full leg","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"E0671","description":"Pressure pneum appl full leg","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Meperidine hydrochl /100 mg","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"J2175","description":"Meperidine hydrochl /100 mg","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Insj/rplc nstim apnea compl","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0424T","description":"Insj/rplc nstim apnea compl","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Removal of pacemaker system","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"33234","description":"Removal of pacemaker system","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MFLB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-1AFMS","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"1AFMS","description":"HIPPS-1AFMS","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Stnd hemi (low seat) whlchr","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"K0002","description":"Stnd hemi (low seat) whlchr","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CIFA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Lens sphere trifocal 4.00d","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"V2300","description":"Lens sphere trifocal 4.00d","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HH PDGM","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"4JA31","description":"HH PDGM","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NGHB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"LHYE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JAED0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RMX8X","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RMX8X","description":"HIPPS-RMX8X","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JCGE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-PC28F","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"PC28F","description":"HIPPS-PC28F","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OJME1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KFHB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Cytogenetics 100-300","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"88275","description":"Cytogenetics 100-300","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-CA230","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"CA230","description":"HIPPS-CA230","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JIME0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"AGHE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OLIF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"IETB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-1CFLU","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"1CFLU","description":"HIPPS-1CFLU","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KIBA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FFCE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-1AGL2","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"1AGL2","description":"HIPPS-1AGL2","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Pancreatic elastase fecal","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"82656","description":"Pancreatic elastase fecal","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GAPC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Documentation Of Medical Reason(S) For Not Administering Pneumococcal Vaccine (E.G._ Adverse Reaction To Vaccine)","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G9989","description":"Documentation Of Medical Reason(S) For Not Administering Pneumococcal Vaccine (E.G._ Adverse Reaction To Vaccine)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CHHA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-LB14B","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"LB14B","description":"HIPPS-LB14B","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GDJF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Craniofacial approach skull","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"61582","description":"Craniofacial approach skull","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-HC230","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"HC230","description":"HIPPS-HC230","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Home visit prenatal","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"99500","description":"Home visit prenatal","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MLIC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-3BHNU","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"3BHNU","description":"HIPPS-3BHNU","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"CPT-1083T","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"1083T","description":"CPT-1083T","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"DIOE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"EIAF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Cerv flex n/adj foam pre ots","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"L0120","description":"Cerv flex n/adj foam pre ots","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Biphos thxpy vein ord/recvd","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"4100F","description":"Biphos thxpy vein ord/recvd","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-2BFM5","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"2BFM5","description":"HIPPS-2BFM5","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Mammo assess bengn docd","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"3342F","description":"Mammo assess bengn docd","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-HD131","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"HD131","description":"HIPPS-HD131","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Amniotic membrane","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"V2790","description":"Amniotic membrane","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Noninvasive augmentative arrhythmia analysis derived from quantitative computational cardiac arrhythmia simulations_ based on selected intervals of interest from 12-lead elect","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0897T","description":"Noninvasive augmentative arrhythmia analysis derived from quantitative computational cardiac arrhythmia simulations_ based on selected intervals of interest from 12-lead elect","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"DFSC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Fetal monitor w/report","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"59050","description":"Fetal monitor w/report","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OHVF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-LC235","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"LC235","description":"HIPPS-LC235","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Nurse practr visit outs cap","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"S0274","description":"Nurse practr visit outs cap","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"HGOF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Doc advncd dis comfort 1st","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"1152F","description":"Doc advncd dis comfort 1st","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"EBAA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Onc dx esophageal unknown","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G9099","description":"Onc dx esophageal unknown","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KBJA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Assay of calcitonin","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"82308","description":"Assay of calcitonin","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-CB234","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"CB234","description":"HIPPS-CB234","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NHHC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"EHMA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Adult size brief/diaper med","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"T4522","description":"Adult size brief/diaper med","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FEIB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NABA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OKIF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JCBB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Neurosurgical Mips Specialty Set","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G4016","description":"Neurosurgical Mips Specialty Set","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Evaluate swallowing function","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"92610","description":"Evaluate swallowing function","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-CA21A","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"CA21A","description":"HIPPS-CA21A","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Muscle/tendon transfer","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"24301","description":"Muscle/tendon transfer","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NKUB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Prostatic microwave thermotx","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"53850","description":"Prostatic microwave thermotx","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Hgb lvl 11-12.9 g/dl","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"3280F","description":"Hgb lvl 11-12.9 g/dl","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CIXF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CCXA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KIPE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Muscle test one fiber","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"95872","description":"Muscle test one fiber","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BIPE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Ht hemodialysis diem","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"S9335","description":"Ht hemodialysis diem","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NGID1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"PJQE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Participant-Directed Goods and Services","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"W1901","description":"Participant-Directed Goods and Services","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Repair artery rupture chest","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"35022","description":"Repair artery rupture chest","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NFVF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"LCWA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Management of a new patient with dementia_ moderate to high complexity_ for use in CMMI model","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G0523","description":"Management of a new patient with dementia_ moderate to high complexity_ for use in CMMI model","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Endovasc exten prosth addl","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"34826","description":"Endovasc exten prosth addl","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"PHSA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KASC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FFTB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BDEA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-Q5135","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"Q5135","description":"HCPCS-Q5135","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"AICF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Appendico-vesicostomy","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"50845","description":"Appendico-vesicostomy","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Dentures mand part resin","billing_code_type":"CDT","billing_code_type_version":"2024","billing_code":"D5212","description":"Dentures mand part resin","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JDGB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-2AFKT","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"2AFKT","description":"HIPPS-2AFKT","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-LD20C","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"LD20C","description":"HIPPS-LD20C","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Cd4+ cell percentage <15%","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"3497F","description":"Cd4+ cell percentage <15%","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OAWD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GAPE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FFLD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GCSD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-3AGN3","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"3AGN3","description":"HIPPS-3AGN3","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Devise bowel pouch","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"44316","description":"Devise bowel pouch","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Revision of foot tendon","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"28261","description":"Revision of foot tendon","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Laryngoscopy_ flexible; with injection(s) for augmentation (eg_ percutaneous_ transoral)_ unilateral","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"31574","description":"Laryngoscopy_ flexible; with injection(s) for augmentation (eg_ percutaneous_ transoral)_ unilateral","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GGLB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-CD145","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"CD145","description":"HIPPS-CD145","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CAPF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Remove/insert drug implant","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"11983","description":"Remove/insert drug implant","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"DCRC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Injection_ talquetamab-tgvs_ 0.25 mg","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"J3055","description":"Injection_ talquetamab-tgvs_ 0.25 mg","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-2AGKT","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"2AGKT","description":"HIPPS-2AGKT","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GGRA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Assay of ige","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"82785","description":"Assay of ige","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-1AGPS","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"1AGPS","description":"HIPPS-1AGPS","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RVX30","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RVX30","description":"HIPPS-RVX30","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NKAC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"LFOF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-PA22B","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"PA22B","description":"HIPPS-PA22B","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Pwc gp 3 hd cap chair","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"K0851","description":"Pwc gp 3 hd cap chair","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Proctosigmoidoscopy fb","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"45307","description":"Proctosigmoidoscopy fb","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Drug screen one/mult class","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"80304","description":"Drug screen one/mult class","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-PA201","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"PA201","description":"HIPPS-PA201","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BFDC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Infectious disease (bacterial or viral respiratory tract infection)_ pathogen-specific nucleic acid (DNA or RNA)_ 22 targets including severe acute respiratory syndrome corona","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0223U","description":"Infectious disease (bacterial or viral respiratory tract infection)_ pathogen-specific nucleic acid (DNA or RNA)_ 22 targets including severe acute respiratory syndrome corona","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MAIB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Insj/rplc nstim apnea sen ld","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0425T","description":"Insj/rplc nstim apnea sen ld","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Solid organ neoplasm_ genomic sequence analysis panel_ cell-free nucleic acid (eg_ plasma)_ interrogation for sequence variants; DNA analysis or combined DNA and RNA analysis_","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"81464","description":"Solid organ neoplasm_ genomic sequence analysis panel_ cell-free nucleic acid (eg_ plasma)_ interrogation for sequence variants; DNA analysis or combined DNA and RNA analysis_","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Ecmo/ecls repos perph cnula","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"33957","description":"Ecmo/ecls repos perph cnula","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BFCF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NBVD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Dress/debrid p-thick burn s","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"16020","description":"Dress/debrid p-thick burn s","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Ins bone device for rsa","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0347T","description":"Ins bone device for rsa","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Intestine transplnt cadaver","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"44135","description":"Intestine transplnt cadaver","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Hepatitis c revrs trnscrpj","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"87522","description":"Hepatitis c revrs trnscrpj","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Aprotonin_ 10_000 kiu","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"J0365","description":"Aprotonin_ 10_000 kiu","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Intracranial vessel surgery","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"61682","description":"Intracranial vessel surgery","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NKFE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"IHAA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RVL17","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RVL17","description":"HIPPS-RVL17","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OAPE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-3CHK4","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"3CHK4","description":"HIPPS-3CHK4","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"RARE DS XOM DNA ALYS EA COMP","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0215U","description":"RARE DS XOM DNA ALYS EA COMP","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"LEWC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-4CGK5","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"4CGK5","description":"HIPPS-4CGK5","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"X-ray exam of mastoids","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"70120","description":"X-ray exam of mastoids","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Laparoscopic Repositioning Of Diaphragmatic Lead(S)_ Permanent Implantable Synchronized Diaphragmatic Stimulation System For Augmentation Of Cardiac Function_ Including Connec","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0677T","description":"Laparoscopic Repositioning Of Diaphragmatic Lead(S)_ Permanent Implantable Synchronized Diaphragmatic Stimulation System For Augmentation Of Cardiac Function_ Including Connec","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Rvw meds by rx/dr in rcrd","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"1160F","description":"Rvw meds by rx/dr in rcrd","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Laparoscope proc lymphatic","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"38589","description":"Laparoscope proc lymphatic","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RLX31","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RLX31","description":"HIPPS-RLX31","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"CPT-0551U","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"0551U","description":"CPT-0551U","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"EELD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Transvaginal us obstetric","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"76817","description":"Transvaginal us obstetric","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"DAQF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Replantation hand complete","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"20808","description":"Replantation hand complete","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NKEF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-BB114","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"BB114","description":"HIPPS-BB114","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Nerve graft head/neck >4 cm","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"64886","description":"Nerve graft head/neck >4 cm","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Intraop cyto path consult 1","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"88333","description":"Intraop cyto path consult 1","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OAAA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JFCB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Trnslum dil eye canal w/stnt","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"66175","description":"Trnslum dil eye canal w/stnt","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FDCA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"EIMF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GARF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OLHC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"EFTD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Patients who died during the performance period","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"M1342","description":"Patients who died during the performance period","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RHB21","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RHB21","description":"HIPPS-RHB21","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"HGYF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GALF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"L colectomy/coloproctostomy","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"44208","description":"L colectomy/coloproctostomy","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Vinorelbine tartrate inj","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"J9390","description":"Vinorelbine tartrate inj","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Assay bld/serum cholesterol","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"82465","description":"Assay bld/serum cholesterol","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Extrnl counterpulse_ per tx","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G0166","description":"Extrnl counterpulse_ per tx","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Interferon gamma 1-b inj","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"J9216","description":"Interferon gamma 1-b inj","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-M1388","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"M1388","description":"HCPCS-M1388","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BEVE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"CPT-1097T","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"1097T","description":"CPT-1097T","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"IIUD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KBID0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Lefort iii w/o lefort i","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"21154","description":"Lefort iii w/o lefort i","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Adlt disp und/pull on abv xl","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"T4544","description":"Adlt disp und/pull on abv xl","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Bone strength and fracture risk using finite element analysis of functional data_ and bone-mineral density_ utilizing data from a computed tomography scan; interpretation and","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0557T","description":"Bone strength and fracture risk using finite element analysis of functional data_ and bone-mineral density_ utilizing data from a computed tomography scan; interpretation and","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KDFD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GEFD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NDKB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GIOB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JDPF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Onc dx rectal m1 w/mets prog","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G9094","description":"Onc dx rectal m1 w/mets prog","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Lung perfusion differential","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"78597","description":"Lung perfusion differential","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Knee arthroscopy/surgery","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"29882","description":"Knee arthroscopy/surgery","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"K flow/funct image w/o drug","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"78707","description":"K flow/funct image w/o drug","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MHEB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-4AGL2","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"4AGL2","description":"HIPPS-4AGL2","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Pathologists/dermatopathologists providing a second opinion on a biopsy","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G9784","description":"Pathologists/dermatopathologists providing a second opinion on a biopsy","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FFPE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Eval appros surg thxpy epi","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"5200F","description":"Eval appros surg thxpy epi","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-A1501","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"A1501","description":"HCPCS-A1501","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CBTE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Ther/proph/diag inj ia","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"96373","description":"Ther/proph/diag inj ia","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Etidronate disodium inj","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"J1436","description":"Etidronate disodium inj","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NEDC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MGMF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CDAE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-CA104","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"CA104","description":"HIPPS-CA104","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FBKD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MJBF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FAUF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CCTE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OKXA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Tib/per revasc stent & ather","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"37231","description":"Tib/per revasc stent & ather","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Treatment of tibia fracture","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"27759","description":"Treatment of tibia fracture","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NACA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"IFDB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Electromagnetic therapy onc","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G0295","description":"Electromagnetic therapy onc","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Dermal filler inj px/suppl","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"C9800","description":"Dermal filler inj px/suppl","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-HB28B","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"HB28B","description":"HIPPS-HB28B","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OJDB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Christian sci nurse visit","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"S9901","description":"Christian sci nurse visit","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Transcutaneous carboxyhb","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"88740","description":"Transcutaneous carboxyhb","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CGLA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Part remove hip bone super","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"27070","description":"Part remove hip bone super","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GAHD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OHIF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-CC21A","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"CC21A","description":"HIPPS-CC21A","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"LEOD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Gadoxetate disodium inj","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"A9581","description":"Gadoxetate disodium inj","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Onc dx esophag t1-t3 noprog","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G9096","description":"Onc dx esophag t1-t3 noprog","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"I&d abscess extraoral","billing_code_type":"CDT","billing_code_type_version":"2024","billing_code":"D7520","description":"I&d abscess extraoral","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-PD13A","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"PD13A","description":"HIPPS-PD13A","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JAGD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Ace/arb thxpy not rxd","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G8475","description":"Ace/arb thxpy not rxd","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JIPD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Treat lower jaw fracture","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"21454","description":"Treat lower jaw fracture","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"AATD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JHJA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Eia hiv-1/hiv-2 screen","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G0432","description":"Eia hiv-1/hiv-2 screen","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-1AGNS","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"1AGNS","description":"HIPPS-1AGNS","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Membrane graft or membrane wrap_ per square centimeter","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"Q4205","description":"Membrane graft or membrane wrap_ per square centimeter","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Acesso_ per sq cm","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"Q4311","description":"Acesso_ per sq cm","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"IICB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Range of motion measurements","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"95851","description":"Range of motion measurements","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Megestrol 20 mg","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"S0179","description":"Megestrol 20 mg","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MABA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Red cell mass multiple","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"78121","description":"Red cell mass multiple","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Phenotype dna hiv w/clt add","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"87904","description":"Phenotype dna hiv w/clt add","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RVA35","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RVA35","description":"HIPPS-RVA35","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Cinacalcet_ oral_ 1 mg_ (for ESRD on dialysis)","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"J0604","description":"Cinacalcet_ oral_ 1 mg_ (for ESRD on dialysis)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-G0556","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"G0556","description":"HCPCS-G0556","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Injection_ triptorelin extended release_ 3.75 mg","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"C9016","description":"Injection_ triptorelin extended release_ 3.75 mg","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MLBE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OHEC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BGMF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GFIE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Maxillofacial fixation","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"21100","description":"Maxillofacial fixation","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Genotype dna/rna hiv","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"87906","description":"Genotype dna/rna hiv","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"CPT-00541","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"00541","description":"CPT-00541","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"CPT-0643U","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"0643U","description":"CPT-0643U","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GEYF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-AAA22","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"AAA22","description":"HIPPS-AAA22","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Augmentation of facial bones","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"21208","description":"Augmentation of facial bones","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Pelvic control hip heavy dut","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"L2620","description":"Pelvic control hip heavy dut","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Dyspnea not screened","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"3452F","description":"Dyspnea not screened","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RVX46","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RVX46","description":"HIPPS-RVX46","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KEWC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"No doc comm risk calc","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G9317","description":"No doc comm risk calc","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-1BHM4","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"1BHM4","description":"HIPPS-1BHM4","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Destruction of skin lesions","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"17284","description":"Destruction of skin lesions","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Needle biopsy lymph nodes","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"38505","description":"Needle biopsy lymph nodes","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-BA23A","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"BA23A","description":"HIPPS-BA23A","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Cd4+cell count <200cells/mm3","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"3494F","description":"Cd4+cell count <200cells/mm3","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CASA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Removal of a peritoneal ascites pump system_ including implanted peritoneal ascites pump and indwelling bladder and peritoneal catheters","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0874T","description":"Removal of a peritoneal ascites pump system_ including implanted peritoneal ascites pump and indwelling bladder and peritoneal catheters","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Anesth larynx/trach < 1 yr","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"32651","description":"Anesth larynx/trach < 1 yr","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KHOF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Volun service at hospice","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G9476","description":"Volun service at hospice","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CFRF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-HE146","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"HE146","description":"HIPPS-HE146","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KGBE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JDTF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Ald unspecified","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"V5274","description":"Ald unspecified","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Transluminal balloon angioplasty (except lower extremity artery(ies) for occlusive disease_ intracranial_ coronary_ pulmonary_ or dialysis circuit)_ open or percutaneous_ incl","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"37247","description":"Transluminal balloon angioplasty (except lower extremity artery(ies) for occlusive disease_ intracranial_ coronary_ pulmonary_ or dialysis circuit)_ open or percutaneous_ incl","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MADA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"AECE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RVB3D","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RVB3D","description":"HIPPS-RVB3D","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Ak/knee disartic acrylic soc","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"L5631","description":"Ak/knee disartic acrylic soc","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OLFA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GBND1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MCUF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GHDE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FEHD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KISC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FFUE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Lens spher single plano 4.00","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"V2100","description":"Lens spher single plano 4.00","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OCNA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"CPT-00842","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"00842","description":"CPT-00842","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OEHC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"PPP2R2B (protein phosphatase 2 regulatory subunit Bbeta) (eg_ spinocerebellar ataxia) gene analysis_ evaluation to detect abnormal (eg_ expanded) alleles","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"81343","description":"PPP2R2B (protein phosphatase 2 regulatory subunit Bbeta) (eg_ spinocerebellar ataxia) gene analysis_ evaluation to detect abnormal (eg_ expanded) alleles","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Epidrm a-grft face/nck/hf/g","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"15115","description":"Epidrm a-grft face/nck/hf/g","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Factor ix non-recombinant","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"J7193","description":"Factor ix non-recombinant","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HH PDGM","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"1AA11","description":"HH PDGM","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Clinical Follow-Up And Mrs Score Assessed At 90 Days Following Endovascular Stroke Intervention","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G0045","description":"Clinical Follow-Up And Mrs Score Assessed At 90 Days Following Endovascular Stroke Intervention","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BCHA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OJHE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CFKC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KBFC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Acetaminophen injection","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"J0131","description":"Acetaminophen injection","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MGTE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CFPC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Neutron beam tx simple","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"77422","description":"Neutron beam tx simple","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OISF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Convert nephrostomy catheter to nephroureteral catheter_ percutaneous via pre-existing nephrostomy tract_ with ureteral stricture balloon dialation_ including diagnostic nephr","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"C7547","description":"Convert nephrostomy catheter to nephroureteral catheter_ percutaneous via pre-existing nephrostomy tract_ with ureteral stricture balloon dialation_ including diagnostic nephr","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KBCC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Revision of circulation","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"37180","description":"Revision of circulation","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KFGB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FBVC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NFPC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"DHWF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FEIC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Oncology (solid organ neoplasia)_ DNA_ targeted sequencing of protein-coding exons of 468 cancer-associated genes_ including interrogation for somatic mutations and microsatel","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0048U","description":"Oncology (solid organ neoplasia)_ DNA_ targeted sequencing of protein-coding exons of 468 cancer-associated genes_ including interrogation for somatic mutations and microsatel","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FIDB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CBHE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Cntct lens pmma color vision","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"V2503","description":"Cntct lens pmma color vision","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GBPD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BFJB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BDIB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CGHB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CEQD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Perq lamot/lam crv/thrc","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0274T","description":"Perq lamot/lam crv/thrc","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"AR (androgen receptor) (eg_ spinal and bulbar muscular atrophy_ Kennedy disease_ X chromosome inactivation)_ full sequence analysis_ including small sequence changes in exonic","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0230U","description":"AR (androgen receptor) (eg_ spinal and bulbar muscular atrophy_ Kennedy disease_ X chromosome inactivation)_ full sequence analysis_ including small sequence changes in exonic","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Mccd_ risk adj_ level 5","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G9011","description":"Mccd_ risk adj_ level 5","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BEPA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Oncology colon mrna","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"81525","description":"Oncology colon mrna","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"PDQF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Rare constitutional and other heritable disorders_ identification of copy number variations_ inversions_ insertions_ translocations_ and other structural variants by optical g","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0267U","description":"Rare constitutional and other heritable disorders_ identification of copy number variations_ inversions_ insertions_ translocations_ and other structural variants by optical g","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-J2789","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"J2789","description":"HCPCS-J2789","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-BB15D","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"BB15D","description":"HIPPS-BB15D","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GCLB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HH PDGM","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"2KA11","description":"HH PDGM","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CEBF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Ef blenderized foods","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"B4149","description":"Ef blenderized foods","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-BB154","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"BB154","description":"HIPPS-BB154","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"HBOE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Fluid flow or fluid GF_ 1 cc","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"Q4206","description":"Fluid flow or fluid GF_ 1 cc","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Induced abortion 29-31 wks","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"S2266","description":"Induced abortion 29-31 wks","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Treat foot bone lesion","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"28005","description":"Treat foot bone lesion","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"AmnioArmor_ per sq cm","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"Q4188","description":"AmnioArmor_ per sq cm","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FEXE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Spleen imaging","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"78185","description":"Spleen imaging","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-2CGLV","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"2CGLV","description":"HIPPS-2CGLV","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JCCB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KAEE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FDVF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Vis 20/40/> w/in 90 days","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"4175F","description":"Vis 20/40/> w/in 90 days","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-1BHKX","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"1BHKX","description":"HIPPS-1BHKX","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Commissure splint","billing_code_type":"CDT","billing_code_type_version":"2024","billing_code":"D5987","description":"Commissure splint","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Triamcinolone acet inj nos","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"J3301","description":"Triamcinolone acet inj nos","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Musculoskeletal surgery","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"20999","description":"Musculoskeletal surgery","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-5AGK5","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"5AGK5","description":"HIPPS-5AGK5","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"ICLE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NDVB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BHVE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Brca1&2 seq & full dup/del","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"81162","description":"Brca1&2 seq & full dup/del","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"ODJA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"CPT-1001T","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"1001T","description":"CPT-1001T","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-HE246","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"HE246","description":"HIPPS-HE246","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-J9326","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"J9326","description":"HCPCS-J9326","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FCAE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JAFD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"PBSA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HH PDGM","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"4DA31","description":"HH PDGM","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FAXA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GDDA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Treat thigh fracture","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"27240","description":"Treat thigh fracture","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CDLA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Partial removal of rectum","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"45111","description":"Partial removal of rectum","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Bx/exc xdrl spine lesn crvl","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"63275","description":"Bx/exc xdrl spine lesn crvl","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RVX8X","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RVX8X","description":"HIPPS-RVX8X","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MAHB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Special stains group 2","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"88313","description":"Special stains group 2","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"IDAD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NLBB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FHKB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MHIC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"EGAB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RVB41","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RVB41","description":"HIPPS-RVB41","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Neg pres wound ther drsg set","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"A6550","description":"Neg pres wound ther drsg set","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NBTD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FHFD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CGQE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"EETD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Repair eyelid defect","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"67906","description":"Repair eyelid defect","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Replace thrc unit hrt syst","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0052T","description":"Replace thrc unit hrt syst","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Tiss ex molecul study add-on","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"88388","description":"Tiss ex molecul study add-on","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MACC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"PFSA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JAVF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GCAB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Male condom","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"A4267","description":"Male condom","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Sperm evaluation test","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"89329","description":"Sperm evaluation test","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FBMA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Rem exostosis any site","billing_code_type":"CDT","billing_code_type_version":"2024","billing_code":"D7471","description":"Rem exostosis any site","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CDTF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RUL3C","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RUL3C","description":"HIPPS-RUL3C","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MGMC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JCIA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GAGD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-PC114","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"PC114","description":"HIPPS-PC114","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JCLF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Treatment of tibia fracture","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"27756","description":"Treatment of tibia fracture","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-1BHN6","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"1BHN6","description":"HIPPS-1BHN6","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"IBIA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FANC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OBYB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GIDA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MFTF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-CC20B","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"CC20B","description":"HIPPS-CC20B","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Csit perf sx or high chd rsk","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G8966","description":"Csit perf sx or high chd rsk","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-PC18G","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"PC18G","description":"HIPPS-PC18G","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FEFE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GCAE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"CPT-0532U","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"0532U","description":"CPT-0532U","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CDHE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RML8G","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RML8G","description":"HIPPS-RML8G","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Repair shoulder capsule","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"23465","description":"Repair shoulder capsule","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"DDYD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Documentation of patient reason(s) for not having a follow up exam (e.g._ inadequate time for follow up)","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"M1335","description":"Documentation of patient reason(s) for not having a follow up exam (e.g._ inadequate time for follow up)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"PKWD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KFVB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RVA3D","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RVA3D","description":"HIPPS-RVA3D","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Anthrax vaccine sc or im","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"90581","description":"Anthrax vaccine sc or im","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CEMA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FFGF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Epifix_ inj_ 1mg","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"Q4145","description":"Epifix_ inj_ 1mg","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MJUB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"LASC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Nasal/orogastric w/tube plmt","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"43752","description":"Nasal/orogastric w/tube plmt","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Incision of hip tendon","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"27001","description":"Incision of hip tendon","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"EHBC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GIRF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KGBB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Knee-shin sys stance flexion","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"L5845","description":"Knee-shin sys stance flexion","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JFJA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Foam filled propulsion tire","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"E2216","description":"Foam filled propulsion tire","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-1CHMV","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"1CHMV","description":"HIPPS-1CHMV","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Esoph scope w/submucous inj","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"43201","description":"Esoph scope w/submucous inj","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Pt inelig for ref oto eval","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G8561","description":"Pt inelig for ref oto eval","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Orbitocranial approach/skull","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"61592","description":"Orbitocranial approach/skull","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"ABLC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Treat kneecap fracture","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"27524","description":"Treat kneecap fracture","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GFJE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RMB36","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RMB36","description":"HIPPS-RMB36","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Incontinent rectal insert","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"A4337","description":"Incontinent rectal insert","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GFPB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OHGE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MDLA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-2BGM2","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"2BGM2","description":"HIPPS-2BGM2","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"PISD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Brachy linear_ non-str_p-103","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"C2636","description":"Brachy linear_ non-str_p-103","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FAPB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NJHA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Removal of bladder & nodes","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"51585","description":"Removal of bladder & nodes","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KGKF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Incision of small bowel","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"44010","description":"Incision of small bowel","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Assay glucose blood quant","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"82947","description":"Assay glucose blood quant","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Non-pneumatic sequential compression garment_ full leg","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"E0678","description":"Non-pneumatic sequential compression garment_ full leg","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Repair eyelid defect","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"67903","description":"Repair eyelid defect","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"PESE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MDUC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KCYA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"W/ch access det adj armrest","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"E0973","description":"W/ch access det adj armrest","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"PIQE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GAJA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Stroke with Motor >22.35 & Motor <26.15 & Age <84.5_comorbidity in tier 3","billing_code_type":"CDT","billing_code_type_version":"2024","billing_code":"D0109","description":"Stroke with Motor >22.35 & Motor <26.15 & Age <84.5_comorbidity in tier 3","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Fld ped wc adjstabl w/o seat","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"E1238","description":"Fld ped wc adjstabl w/o seat","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-BA13C","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"BA13C","description":"HIPPS-BA13C","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Sterile saline or water","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"A4218","description":"Sterile saline or water","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"CPT-0524U","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"0524U","description":"CPT-0524U","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CGSA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"HCWF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Domicil/r-home visit est pat","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"99337","description":"Domicil/r-home visit est pat","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OLMB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Genet virus isolate hsv","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"87255","description":"Genet virus isolate hsv","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OEUC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OBSF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Injection_ anesthetic agent; carotid sinus (separate procedure)","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"64508","description":"Injection_ anesthetic agent; carotid sinus (separate procedure)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Neurology (cerebral folate deficiency)_ serum_ detection of anti-human folate receptor IgG-binding antibody and blocking autoantibodies by enzyme-linked immunoassay (ELISA)_ q","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0399U","description":"Neurology (cerebral folate deficiency)_ serum_ detection of anti-human folate receptor IgG-binding antibody and blocking autoantibodies by enzyme-linked immunoassay (ELISA)_ q","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Compression form shoe insert","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"A5510","description":"Compression form shoe insert","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Speech volume modulation system_ any type_ including all components and accessories","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"K1009","description":"Speech volume modulation system_ any type_ including all components and accessories","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"X-ray exam of skull","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"70250","description":"X-ray exam of skull","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Skin barrier liquid per oz","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"A4369","description":"Skin barrier liquid per oz","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Remove eye/insert implant","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"65103","description":"Remove eye/insert implant","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KAIE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FAGE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BGND0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Fluvirin vacc_ 3 yrs & >_ im","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"Q2037","description":"Fluvirin vacc_ 3 yrs & >_ im","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Ob us nuchal meas add-on","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"76814","description":"Ob us nuchal meas add-on","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HH PDGM","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"3AB21","description":"HH PDGM","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"AHUF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BGCA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CCMD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Fun stat score ue not done","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G8670","description":"Fun stat score ue not done","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FHTA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-A1705","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"A1705","description":"HCPCS-A1705","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MLUE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NFTB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MITC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"No mrs score in 90d followup","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G9647","description":"No mrs score in 90d followup","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NKCF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-J2312","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"J2312","description":"HCPCS-J2312","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CDTA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"ODEA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Mra_ w/o dye_ spinal canal","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"C8932","description":"Mra_ w/o dye_ spinal canal","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MCEC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Proposed Adopting Best Practices And Promoting Patient Safety Within Emergency Medicine Mips Value Pathways","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G0057","description":"Proposed Adopting Best Practices And Promoting Patient Safety Within Emergency Medicine Mips Value Pathways","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Anesth removal of prostate","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"91451","description":"Anesth removal of prostate","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Removal of spleen total","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"38100","description":"Removal of spleen total","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GEMF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Cath_ hemodialysis_long-term","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"C1750","description":"Cath_ hemodialysis_long-term","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JAHF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Static or dynami afo pre cst","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"L4396","description":"Static or dynami afo pre cst","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GCJA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Chylmd pneum dna amp probe","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"87486","description":"Chylmd pneum dna amp probe","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NHJF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Hdr rdncl ntrstl/icav brchtx","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"77770","description":"Hdr rdncl ntrstl/icav brchtx","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JBGA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Explore adrenal gland","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"60540","description":"Explore adrenal gland","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OCYB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BCUC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"IIAF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BDUC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-C1902","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"C1902","description":"HCPCS-C1902","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RUX43","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RUX43","description":"HIPPS-RUX43","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KIFB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Autoimmune (systemic lupus erythematosus)_ IgG and IgM analysis of 80 biomarkers_ utilizing serum_ algorithm reported with a risk score","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0062U","description":"Autoimmune (systemic lupus erythematosus)_ IgG and IgM analysis of 80 biomarkers_ utilizing serum_ algorithm reported with a risk score","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GFVF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Esano ac_ per square centimeter","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"Q4274","description":"Esano ac_ per square centimeter","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CCAF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Counseling_ group_ by department of veterans affairs chaplain services","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"Q9003","description":"Counseling_ group_ by department of veterans affairs chaplain services","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OJXF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RUX4C","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RUX4C","description":"HIPPS-RUX4C","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Magnetic resonance imaging_ breast_ without and/or with contrast material(s); unilateral","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"77058","description":"Magnetic resonance imaging_ breast_ without and/or with contrast material(s); unilateral","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OGPF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Initial hospital care","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"99222","description":"Initial hospital care","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"EDBC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KBMB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"EBLC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CDKC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NIDD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"DBRE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Test urine for porphyrins","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"84119","description":"Test urine for porphyrins","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"PEYC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"IIDB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BGCE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"K flow/funct image multiple","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"78709","description":"K flow/funct image multiple","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RMC13","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RMC13","description":"HIPPS-RMC13","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GAME1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"AGDD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JBXC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-CA13C","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"CA13C","description":"HIPPS-CA13C","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-LE21A","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"LE21A","description":"HIPPS-LE21A","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Ftrst lower extension tube","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"K0043","description":"Ftrst lower extension tube","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Assay of urine potassium","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"84133","description":"Assay of urine potassium","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RUL8E","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RUL8E","description":"HIPPS-RUL8E","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KCJC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"EFUF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"LEQC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BEJF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OJND1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JFFC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Hbv assess&results intrp 1yr","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"3517F","description":"Hbv assess&results intrp 1yr","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"IAED0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Recement space maintainer","billing_code_type":"CDT","billing_code_type_version":"2024","billing_code":"D1550","description":"Recement space maintainer","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-PB25D","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"PB25D","description":"HIPPS-PB25D","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FCPE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"AHHF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"EEMC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GARA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-1BFKX","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"1BFKX","description":"HIPPS-1BFKX","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KIYB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"HDSA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GDWF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BGCD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Daunorubicin citrate inj","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"J9151","description":"Daunorubicin citrate inj","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"IDHA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NKHD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RHB34","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RHB34","description":"HIPPS-RHB34","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GHOA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Drainage of scrotum abscess","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"55100","description":"Drainage of scrotum abscess","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"LIOE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Shoe lift elev heel/sole cor","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"L3320","description":"Shoe lift elev heel/sole cor","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NEXB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NGND0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Vanomycin dna amp probe","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"87500","description":"Vanomycin dna amp probe","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Non-invasive vagus nerve stimulator","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"E0735","description":"Non-invasive vagus nerve stimulator","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Patients 66-80 Years Of Age And Had At Least One Claim/Encounter For Frailty During The Measurement Period And A Dispensed Dementia Medication","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G2124","description":"Patients 66-80 Years Of Age And Had At Least One Claim/Encounter For Frailty During The Measurement Period And A Dispensed Dementia Medication","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FEIE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Opn tx orbit fx w/bone grft","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"21408","description":"Opn tx orbit fx w/bone grft","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Excision of nail fold toe","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"11765","description":"Excision of nail fold toe","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CIYE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CCDB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"LCWD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KITC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-BB131","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"BB131","description":"HIPPS-BB131","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Cytopath c/v interpret","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"88141","description":"Cytopath c/v interpret","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GIBC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Ligation of neck artery","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"37615","description":"Ligation of neck artery","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Rib cartilage graft","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"21230","description":"Rib cartilage graft","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"ADDF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JDDB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Injection_ mirvetuximab soravtansine-gynx_ 1 mg","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"C9146","description":"Injection_ mirvetuximab soravtansine-gynx_ 1 mg","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-HB144","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"HB144","description":"HIPPS-HB144","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Explore epididymis","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"54865","description":"Explore epididymis","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OABA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Prolong clincl staff svc","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"99415","description":"Prolong clincl staff svc","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"PCQC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BDNC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-4AGMS","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"4AGMS","description":"HIPPS-4AGMS","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Mesna injection","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"J9209","description":"Mesna injection","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RMB1C","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RMB1C","description":"HIPPS-RMB1C","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NHBB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BICA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FHKF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Childbirth refresher class","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"S9437","description":"Childbirth refresher class","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Removal of iris","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"66635","description":"Removal of iris","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"LAYE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RHC8H","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RHC8H","description":"HIPPS-RHC8H","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-LE22A","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"LE22A","description":"HIPPS-LE22A","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"EIMB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FDHC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KEUE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RUB5C","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RUB5C","description":"HIPPS-RUB5C","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JELC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"EDHB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"EHUA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CFVA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"CPT-00670","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"00670","description":"CPT-00670","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Assay of ammonia","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"82140","description":"Assay of ammonia","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"N block inj pudendal","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"64430","description":"N block inj pudendal","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Pt cat/pn cat/hist grd docd","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"3260F","description":"Pt cat/pn cat/hist grd docd","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FIBC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Spermicide","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"A4269","description":"Spermicide","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-BA134","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"BA134","description":"HIPPS-BA134","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Biopsy of pancreas open","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"48100","description":"Biopsy of pancreas open","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"IEDD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"MRI brain stem w/o dye","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"70551","description":"MRI brain stem w/o dye","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Cardiac MRI for morph w/dye","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"75561","description":"Cardiac MRI for morph w/dye","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RUA0B","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RUA0B","description":"HIPPS-RUA0B","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Non-inhalation drug for dme","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"J7799","description":"Non-inhalation drug for dme","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Eeg monitoring/computer","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"95953","description":"Eeg monitoring/computer","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"ADEE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BDED0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-CC25C","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"CC25C","description":"HIPPS-CC25C","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OLEA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Infectious agent detection by nucleic acid (DNA or RNA); central nervous system pathogen (eg_ Neisseria meningitidis_ Streptococcus pneumoniae_ Listeria_ Haemophilus influenza","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"87483","description":"Infectious agent detection by nucleic acid (DNA or RNA); central nervous system pathogen (eg_ Neisseria meningitidis_ Streptococcus pneumoniae_ Listeria_ Haemophilus influenza","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-HB155","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"HB155","description":"HIPPS-HB155","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OICD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Egd remove foreign body","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"43247","description":"Egd remove foreign body","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Digitization of glass microscope slides for cytopathology_ concentration technique_ smears_ and interpretation (eg_ Saccomanno technique) (List separately in addition to code","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0829T","description":"Digitization of glass microscope slides for cytopathology_ concentration technique_ smears_ and interpretation (eg_ Saccomanno technique) (List separately in addition to code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KEGA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JAKE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-4CGMS","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"4CGMS","description":"HIPPS-4CGMS","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GAFB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KCRC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Online Digital Evaluation And Management Service_ For An Established Patient_ For Up To 7 Days_ Cumulative Time During The 7 Days; 21 Or More Minutes","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"99423","description":"Online Digital Evaluation And Management Service_ For An Established Patient_ For Up To 7 Days_ Cumulative Time During The 7 Days; 21 Or More Minutes","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Needle biopsy spinal cord","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"62269","description":"Needle biopsy spinal cord","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NIGE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-1CFK5","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"1CFK5","description":"HIPPS-1CFK5","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CGRA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"EBTD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Intracranial angioplasty","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"61630","description":"Intracranial angioplasty","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"EHAE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Esophagus surgery procedure","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"43499","description":"Esophagus surgery procedure","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OHMC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"AFUF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Injection_ bevacizumab-maly_ biosimilar_ (Alymsys)_ 10 mg","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"C9142","description":"Injection_ bevacizumab-maly_ biosimilar_ (Alymsys)_ 10 mg","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JFXD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Treat humerus fracture","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"24516","description":"Treat humerus fracture","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Apply intrcav radiat compl","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"77763","description":"Apply intrcav radiat compl","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Spherocylinder 4.25d/2.12-4d","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"V2108","description":"Spherocylinder 4.25d/2.12-4d","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FDBE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Lvef greater than 35%","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"3056F","description":"Lvef greater than 35%","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-ES113","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"ES113","description":"HIPPS-ES113","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RLB0C","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RLB0C","description":"HIPPS-RLB0C","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Anticoag thx rx at dischrg","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"4075F","description":"Anticoag thx rx at dischrg","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"AEMB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KIJF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Pneumococcal Vaccine Administered On Or After Patient_S 60Th Birthday And Before The End Of The Measurement Period","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G9991","description":"Pneumococcal Vaccine Administered On Or After Patient_S 60Th Birthday And Before The End Of The Measurement Period","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-1AHKW","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"1AHKW","description":"HIPPS-1AHKW","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KCDC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RUA53","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RUA53","description":"HIPPS-RUA53","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"IBLD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OAOA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JIIF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Clot inhibit prot c activity","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"85303","description":"Clot inhibit prot c activity","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NLVB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KHNB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FIAB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"ODIC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GDKB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"HHWB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JFND1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"LGOD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-3AGNS","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"3AGNS","description":"HIPPS-3AGNS","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KEJC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"HHYC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JDAB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NDTD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NGJB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Revita_ per sq cm","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"Q4180","description":"Revita_ per sq cm","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JGUD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"LCYB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JFAB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Application of thigh brace","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"20663","description":"Application of thigh brace","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CCDF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Anesth ear surgery","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"12051","description":"Anesth ear surgery","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Revise finger joint","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"26535","description":"Revise finger joint","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"ACApatch_ per sq cm","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"Q4325","description":"ACApatch_ per sq cm","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Onc dx pancreatc p r0 res no","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G9105","description":"Onc dx pancreatc p r0 res no","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Morphine 500 mg","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"S0093","description":"Morphine 500 mg","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CDCC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RHL36","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RHL36","description":"HIPPS-RHL36","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Delayed placement of distal or proximal extension prosthesis for endovascular repair of infrarenal abdominal aortic or iliac aneurysm_ false aneurysm_ dissection_ endoleak_ or","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"34711","description":"Delayed placement of distal or proximal extension prosthesis for endovascular repair of infrarenal abdominal aortic or iliac aneurysm_ false aneurysm_ dissection_ endoleak_ or","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"DFYF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-CB28G","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"CB28G","description":"HIPPS-CB28G","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JFJE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FDLB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Wheelchair lightwt fixed arm","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"E1089","description":"Wheelchair lightwt fixed arm","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-L6028","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"L6028","description":"HCPCS-L6028","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Partial thyroid excision","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"60212","description":"Partial thyroid excision","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Onc dx brst stg3-noprogress","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G9074","description":"Onc dx brst stg3-noprogress","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Tobacco use txmnt pharmacol","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"4001F","description":"Tobacco use txmnt pharmacol","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Late closure of wound","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"13160","description":"Late closure of wound","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"ABLB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"PCSF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Therapeutic activities","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"97530","description":"Therapeutic activities","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-3BFM4","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"3BFM4","description":"HIPPS-3BFM4","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Interrogation device evaluation (in person) of intracardiac ischemia monitoring system with analysis_ review_ and report","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0529T","description":"Interrogation device evaluation (in person) of intracardiac ischemia monitoring system with analysis_ review_ and report","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BEEC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Cmv antibody","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"86644","description":"Cmv antibody","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-CB21B","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"CB21B","description":"HIPPS-CB21B","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Diphenhydramine hcl 50mg","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"Q0163","description":"Diphenhydramine hcl 50mg","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Removal of kidney lesion","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"50290","description":"Removal of kidney lesion","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"PFOB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Reduction of skull defect","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"62115","description":"Reduction of skull defect","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KCAD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-A1603","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"A1603","description":"HCPCS-A1603","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Home std case rate 30 days","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"S0270","description":"Home std case rate 30 days","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Athletic train reeval","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"97006","description":"Athletic train reeval","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Incis 1 vertebral seg lumbar","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"22214","description":"Incis 1 vertebral seg lumbar","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JEJD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Home Adaptations (<$6_000)","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"W0140","description":"Home Adaptations (<$6_000)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"LCYF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Immunoassay nonantibody","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"83516","description":"Immunoassay nonantibody","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-HB141","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"HB141","description":"HIPPS-HB141","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Perq device breast 1st imag","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"19281","description":"Perq device breast 1st imag","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-1CHPU","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"1CHPU","description":"HIPPS-1CHPU","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Laparoscopy aspiration","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"49322","description":"Laparoscopy aspiration","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"ABDB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JHJC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Supp maint employ_ per diem","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"H2026","description":"Supp maint employ_ per diem","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"HDYF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GIGF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GFGC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Revision of foot","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"28116","description":"Revision of foot","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RHX8F","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RHX8F","description":"HIPPS-RHX8F","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Treatment of thigh fracture","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"27500","description":"Treatment of thigh fracture","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RLA02","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RLA02","description":"HIPPS-RLA02","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"For diabetics only_ multiple density insert_ made by direct carving with CAM technology from a rectified CAD model created from","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"K0903","description":"For diabetics only_ multiple density insert_ made by direct carving with CAM technology from a rectified CAD model created from","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OBXA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"X-ray exam of hand","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"73120","description":"X-ray exam of hand","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"HCQF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Comp preop assess cat surg","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0014F","description":"Comp preop assess cat surg","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"IBTE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HH PDGM","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"2JB11","description":"HH PDGM","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-G0558","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"G0558","description":"HCPCS-G0558","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Amnioband_ guardian 1 sq cm","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"Q4151","description":"Amnioband_ guardian 1 sq cm","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-1CHP3","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"1CHP3","description":"HIPPS-1CHP3","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Injection_ levoleucovorin (khapzory)","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"J0642","description":"Injection_ levoleucovorin (khapzory)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-HB254","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"HB254","description":"HIPPS-HB254","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"EHCF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"IEBB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GISA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-3CFM6","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"3CFM6","description":"HIPPS-3CFM6","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Art byp femoral-popliteal","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"35656","description":"Art byp femoral-popliteal","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"X-ray guide gi dilation","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"74360","description":"X-ray guide gi dilation","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RVL8X","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RVL8X","description":"HIPPS-RVL8X","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Fld ped wc tltnspc w/o seat","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"E1234","description":"Fld ped wc tltnspc w/o seat","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JIEA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Prev resin rest_ perm tooth","billing_code_type":"CDT","billing_code_type_version":"2024","billing_code":"D1352","description":"Prev resin rest_ perm tooth","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-M1478","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"M1478","description":"HCPCS-M1478","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CGIE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Hospitalizations in which the patient was transferred directly to a non-acute care facility for any diagnosis","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G9801","description":"Hospitalizations in which the patient was transferred directly to a non-acute care facility for any diagnosis","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Bile tract surgery procedure","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"47999","description":"Bile tract surgery procedure","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BBBF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-J9220","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"J9220","description":"HCPCS-J9220","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Injection_ cefazolin sodium (baxter)_ not therapeutically equivalent to j0690_ 500 mg","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"J0689","description":"Injection_ cefazolin sodium (baxter)_ not therapeutically equivalent to j0690_ 500 mg","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JHXF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Injection_ secukinumab_ IV_ 1 mg","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"J3247","description":"Injection_ secukinumab_ IV_ 1 mg","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FGIE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CEEC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CDJC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Treat fracture of radius","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"25520","description":"Treat fracture of radius","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Radiation Therapy For Cns Tumors Under The Radiation Oncology Model_ 90 Day Episode_ Professional Component","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"M1084","description":"Radiation Therapy For Cns Tumors Under The Radiation Oncology Model_ 90 Day Episode_ Professional Component","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BACA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GCMB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"EFAE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Clinical decision support mechanism intermountain clinical decision support mechanism_ as defined by the medicare appropriate use criteria program","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G1022","description":"Clinical decision support mechanism intermountain clinical decision support mechanism_ as defined by the medicare appropriate use criteria program","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FDED1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"LBWF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Closed treatment of posterior pelvic ring fracture(s)_ dislocation(s)_ diastasis or subluxation of the ilium_ sacroiliac joint_ and/or sacrum_ with or without anterior pelvic","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"27198","description":"Closed treatment of posterior pelvic ring fracture(s)_ dislocation(s)_ diastasis or subluxation of the ilium_ sacroiliac joint_ and/or sacrum_ with or without anterior pelvic","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NBUE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CGQC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NBXA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OKFD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-CD217","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"CD217","description":"HIPPS-CD217","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Csf shunt evaluation","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"78645","description":"Csf shunt evaluation","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Injection_ vestronidase alfa-vjbk_ 1 mg","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"J3397","description":"Injection_ vestronidase alfa-vjbk_ 1 mg","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-4BGM5","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"4BGM5","description":"HIPPS-4BGM5","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JFEF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Insert i-aort percut device","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"33967","description":"Insert i-aort percut device","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GDMD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"EADB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KDTA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-CD204","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"CD204","description":"HIPPS-CD204","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CAGE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"LGYC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Assay of transferrin","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"84466","description":"Assay of transferrin","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BIHD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MHMD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GIWA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-M1423","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"M1423","description":"HCPCS-M1423","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Repriza_ 1cm","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"Q4143","description":"Repriza_ 1cm","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KAHB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Benesch boot pair child","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"L3213","description":"Benesch boot pair child","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RHX50","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RHX50","description":"HIPPS-RHX50","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"ECIC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-A6515","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"A6515","description":"HCPCS-A6515","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Upper gi endo not barrtts","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"3141F","description":"Upper gi endo not barrtts","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Diphtheria_ tetanus toxoids_ and whole cell pertussis vaccine and hemophilus influenza b vaccine (dtp-hib)_ for intramuscular use","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"90720","description":"Diphtheria_ tetanus toxoids_ and whole cell pertussis vaccine and hemophilus influenza b vaccine (dtp-hib)_ for intramuscular use","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CCSF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Mccd_ risk adj_ level 3","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G9009","description":"Mccd_ risk adj_ level 3","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Cast sup shrt leg ped fbrgls","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"Q4040","description":"Cast sup shrt leg ped fbrgls","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Treat lower jaw fracture","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"21453","description":"Treat lower jaw fracture","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KEQD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-HC21C","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"HC21C","description":"HIPPS-HC21C","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FFXC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-CB28I","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"CB28I","description":"HIPPS-CB28I","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Chromosome analysis 50-100","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"88248","description":"Chromosome analysis 50-100","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Denture reln cmplt max lab","billing_code_type":"CDT","billing_code_type_version":"2024","billing_code":"D5750","description":"Denture reln cmplt max lab","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"CPT-47384","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"47384","description":"CPT-47384","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"EELC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Revise/remove neuroreceiver","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"63688","description":"Revise/remove neuroreceiver","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Interrogation without programming of implanted phrenic nerve stimulator system","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"93153","description":"Interrogation without programming of implanted phrenic nerve stimulator system","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Dermal filler injection(s)","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G0429","description":"Dermal filler injection(s)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"LFSE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Revision or removal of integrated neurostimulation system for bladder dysfunction_ including analysis_ programming_ and imaging_ when performed_ posterior tibial nerve; subcut","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0818T","description":"Revision or removal of integrated neurostimulation system for bladder dysfunction_ including analysis_ programming_ and imaging_ when performed_ posterior tibial nerve; subcut","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Injection_ factor IX_ albumin fusion protein_ (recombinant)_ Idelvion_ 1 IU","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"J7202","description":"Injection_ factor IX_ albumin fusion protein_ (recombinant)_ Idelvion_ 1 IU","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Remove part thorax vertebra","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"22112","description":"Remove part thorax vertebra","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FBBB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Automated Quantification And Characterization Of Coronary Atherosclerotic Plaque To Assess Severity Of Coronary Disease_ Using Data From Coronary Computed Tomographic Angiogra","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0625T","description":"Automated Quantification And Characterization Of Coronary Atherosclerotic Plaque To Assess Severity Of Coronary Disease_ Using Data From Coronary Computed Tomographic Angiogra","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"CPT-01842","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"01842","description":"CPT-01842","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Aerosol mask used w nebulize","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"A7015","description":"Aerosol mask used w nebulize","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"EBUF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"IATA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"LIYF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-3CFK5","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"3CFK5","description":"HIPPS-3CFK5","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OCXE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FBNF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-LD240","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"LD240","description":"HIPPS-LD240","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"ABED1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FBKF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OCIF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NHCD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NIMC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Hepatitis B virus (HBV) status not assessed and results interpreted prior to initiating anti-TNF (tumor necrosis factor) therapy_ reason not given","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G9913","description":"Hepatitis B virus (HBV) status not assessed and results interpreted prior to initiating anti-TNF (tumor necrosis factor) therapy_ reason not given","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"IIHA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MHUE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"IHLD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"W/c component-accessory nos","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"K0108","description":"W/c component-accessory nos","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MKMD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"PISE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BBKC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Apligraf","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"Q4101","description":"Apligraf","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Pathology Clinical Consultation; For A Highly Complex Clinical Problem_ With Comprehensive Review Of Patient_S History And Medical Records And High Level Of Medical Decision M","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"80505","description":"Pathology Clinical Consultation; For A Highly Complex Clinical Problem_ With Comprehensive Review Of Patient_S History And Medical Records And High Level Of Medical Decision M","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Metabolic panel total ca","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"80048","description":"Metabolic panel total ca","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FAAF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GBWD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Revise hip joint replacement","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"27134","description":"Revise hip joint replacement","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"EFUB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CATC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Chest x-ray frnt lat lordotc","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"71021","description":"Chest x-ray frnt lat lordotc","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Photodynamic therapy by external application of light to destroy premalignant lesions of the skin and adjacent mucosa with application and illumination/activation of photosens","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"96567","description":"Photodynamic therapy by external application of light to destroy premalignant lesions of the skin and adjacent mucosa with application and illumination/activation of photosens","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Release palm contracture","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"26123","description":"Release palm contracture","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KEWD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-PA204","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"PA204","description":"HIPPS-PA204","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"EAUE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OEUB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Bupivacaine_ Collagen-Matrix Implant_ 1 Mg","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"C9089","description":"Bupivacaine_ Collagen-Matrix Implant_ 1 Mg","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Injection_ meropenem_ vaborbactam","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"J2186","description":"Injection_ meropenem_ vaborbactam","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NGDE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MDMF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RMX42","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RMX42","description":"HIPPS-RMX42","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-PC14C","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"PC14C","description":"HIPPS-PC14C","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OKJA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NAAE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NEFE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"CDT-D2002","billing_code_type":"CDT","billing_code_type_version":"2026","billing_code":"D2002","description":"CDT-D2002","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"LBWF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FALF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"G compression stocking","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"A6549","description":"G compression stocking","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FEJE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Patient is dysarthric","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"3762F","description":"Patient is dysarthric","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"ECLE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"X-ray bile/panc endoscopy","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"74330","description":"X-ray bile/panc endoscopy","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CFLD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Contrast exam thoracic aorta","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"75605","description":"Contrast exam thoracic aorta","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MGME0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"LHSB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GESA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"EIAC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Art byp grft axill-brachial","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"35522","description":"Art byp grft axill-brachial","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Alcohol and/or drug screenin","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"H0002","description":"Alcohol and/or drug screenin","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NFNA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"PIRF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NHLF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BBMF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Oncology (prostate)_ detection of 8 autoantibodies (ARF 6_ NKX3-1_ 5_-UTR-BMI1_ CEP 164_ 3_-UTR-Ropporin_ Desmocollin_ AURKAIP-1_ CSNK2A2)_ multiplexed immunoassay and flow cy","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0021U","description":"Oncology (prostate)_ detection of 8 autoantibodies (ARF 6_ NKX3-1_ 5_-UTR-BMI1_ CEP 164_ 3_-UTR-Ropporin_ Desmocollin_ AURKAIP-1_ CSNK2A2)_ multiplexed immunoassay and flow cy","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"N.gonorrhoeae dna dir prob","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"87590","description":"N.gonorrhoeae dna dir prob","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JGJD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GEOE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Hippotherapy per session","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"S8940","description":"Hippotherapy per session","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OFGA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-J3386","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"J3386","description":"HCPCS-J3386","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Bone graft peri per tooth","billing_code_type":"CDT","billing_code_type_version":"2024","billing_code":"D3428","description":"Bone graft peri per tooth","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Digitization of glass microscope slides for consultation_ comprehensive_ with review of records and specimens_ with report on referred material (List separately in addition to","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0840T","description":"Digitization of glass microscope slides for consultation_ comprehensive_ with review of records and specimens_ with report on referred material (List separately in addition to","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Genetic test brugada","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"S3861","description":"Genetic test brugada","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BHGD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"PDOC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"DCQB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Spherocylinder 4.00d/4.25-6d","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"V2105","description":"Spherocylinder 4.00d/4.25-6d","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MFIE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-PE210","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"PE210","description":"HIPPS-PE210","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BCBB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Oncology (prostate cancer)_ analysis of all prostate-specific antigen (PSA) structural isoforms by phase separation and immunoassay_ plasma_ algorithm reports risk of cancer","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0359U","description":"Oncology (prostate cancer)_ analysis of all prostate-specific antigen (PSA) structural isoforms by phase separation and immunoassay_ plasma_ algorithm reports risk of cancer","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"NuDYN SL or NuDYN SLW_ per sq cm","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"Q4286","description":"NuDYN SL or NuDYN SLW_ per sq cm","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Ligate oviduct(s) add-on","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"58611","description":"Ligate oviduct(s) add-on","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JFMA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KESB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NKEE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MKAD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-PC13B","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"PC13B","description":"HIPPS-PC13B","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"ODVC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BGAA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OIQF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-1AFP6","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"1AFP6","description":"HIPPS-1AFP6","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"ACTD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Computed Tomography_ Thorax_ Low Dose For Lung Cancer Screening_ Without Contrast Material(S)","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"71271","description":"Computed Tomography_ Thorax_ Low Dose For Lung Cancer Screening_ Without Contrast Material(S)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Rpr f/e/e/n/l/m 7.6-12.5 cm","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"12015","description":"Rpr f/e/e/n/l/m 7.6-12.5 cm","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BCUA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Us exam chest","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"76604","description":"Us exam chest","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KHEF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KCPA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KIXA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GEPF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Somatosensory testing","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"95927","description":"Somatosensory testing","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"EFMA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"HBYA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-ES18E","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"ES18E","description":"HIPPS-ES18E","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Culture type immunologic","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"87147","description":"Culture type immunologic","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Suicidal ideation and/or behavior symptoms based on the c-ssrs","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"M1360","description":"Suicidal ideation and/or behavior symptoms based on the c-ssrs","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Injection_ atezolizumab_ 10 mg","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"J9022","description":"Injection_ atezolizumab_ 10 mg","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"CPT-01960","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"01960","description":"CPT-01960","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Toxoplasma antibody","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"86777","description":"Toxoplasma antibody","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MAAF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OCXC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"LFYF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KCBD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NHED1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Nondisposable pump canister","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"A7001","description":"Nondisposable pump canister","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Alcohol and/or drug services","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"H0020","description":"Alcohol and/or drug services","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-3AFP5","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"3AFP5","description":"HIPPS-3AFP5","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Humidif extens supple w ippb","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"E0550","description":"Humidif extens supple w ippb","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FGMF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Orth foot non-stndard size/w","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"L3254","description":"Orth foot non-stndard size/w","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Habil ed waiver_ per diem","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"T2012","description":"Habil ed waiver_ per diem","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"ACIC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Parenteral infusion pump sta","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"E0791","description":"Parenteral infusion pump sta","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Chimerism anal w/cell select","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"81268","description":"Chimerism anal w/cell select","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RUL36","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RUL36","description":"HIPPS-RUL36","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Pressure treatment esophagus","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"43460","description":"Pressure treatment esophagus","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JDBE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KHGB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"LISA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Resect tibia tumor","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"27645","description":"Resect tibia tumor","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BIEA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MDEA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"ADCF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Removal of wrist prosthesis","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"25250","description":"Removal of wrist prosthesis","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"CPT-1069T","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"1069T","description":"CPT-1069T","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Removal of jaw bone lesion","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"21044","description":"Removal of jaw bone lesion","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FIPD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RHA12","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RHA12","description":"HIPPS-RHA12","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Injection_ pemetrexed (hospira) not therapeutically equivalent to j9305_ 10 mg","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"J9294","description":"Injection_ pemetrexed (hospira) not therapeutically equivalent to j9305_ 10 mg","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-2CFL5","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"2CFL5","description":"HIPPS-2CFL5","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Blood sulfhemoglobin assay","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"83060","description":"Blood sulfhemoglobin assay","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Take-Home Supply Of Buprenorphine (Oral); Up To 7 Additional Day Supply (Provision Of The Services By A Medicare-Enrolled Opioid Treatment Program); List Separately In Additio","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G2079","description":"Take-Home Supply Of Buprenorphine (Oral); Up To 7 Additional Day Supply (Provision Of The Services By A Medicare-Enrolled Opioid Treatment Program); List Separately In Additio","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Surgigraft_ per sq cm","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"Q4183","description":"Surgigraft_ per sq cm","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OJLB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KEPF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"EFLA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OIHE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NKUF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Cases in which an inhalational anesthetic is used only for induction","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G9955","description":"Cases in which an inhalational anesthetic is used only for induction","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"CPT-0660U","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"0660U","description":"CPT-0660U","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"AEEA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MKDB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-J0644","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"J0644","description":"HCPCS-J0644","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KCHE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"LGSF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Adjst forearm pro/sup device","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"E1802","description":"Adjst forearm pro/sup device","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MFAF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"CPT-0584U","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"0584U","description":"CPT-0584U","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Insert needle bone cavity","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"36680","description":"Insert needle bone cavity","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NIBF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Trabecular Bone Score (Tbs)_ Structural Condition Of The Bone Microarchitecture; Using Dual X-Ray Absorptiometry (Dxa) Or Other Imaging Data On Gray-Scale Variogram_ Calculati","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"77089","description":"Trabecular Bone Score (Tbs)_ Structural Condition Of The Bone Microarchitecture; Using Dual X-Ray Absorptiometry (Dxa) Or Other Imaging Data On Gray-Scale Variogram_ Calculati","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Cervical traction equipment","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"E0855","description":"Cervical traction equipment","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HH PDGM","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"4CC11","description":"HH PDGM","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BFIC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"HBOE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OGQF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NLNB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GIEF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-CB141","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"CB141","description":"HIPPS-CB141","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Employment Career Assessment","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"W1732","description":"Employment Career Assessment","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Mibm but no dx of breast ca","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G8946","description":"Mibm but no dx of breast ca","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KDEF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JBBB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-LD12C","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"LD12C","description":"HIPPS-LD12C","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JIDA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Doc ref upper gi endoscopy","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"3132F","description":"Doc ref upper gi endoscopy","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"CPT-0905T","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"0905T","description":"CPT-0905T","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NIVB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Transplantation of small int","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"S2053","description":"Transplantation of small int","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"EGEF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RUA12","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RUA12","description":"HIPPS-RUA12","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"ADAF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FHDC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"ACBF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BCME0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Lead_ aicd_ non sing/dual","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"C1896","description":"Lead_ aicd_ non sing/dual","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NDLB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Varicella-zoster ig im","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"90396","description":"Varicella-zoster ig im","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RMA5D","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RMA5D","description":"HIPPS-RMA5D","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Td vacc no presv 7 yrs+ im","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"90714","description":"Td vacc no presv 7 yrs+ im","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KEKC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OEFC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NLAE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KENE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GELD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Insert major vessel graft","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"33335","description":"Insert major vessel graft","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OIRF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FHVC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KBTD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RHL11","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RHL11","description":"HIPPS-RHL11","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MJLF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"DCYA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"DIOB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-BB214","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"BB214","description":"HIPPS-BB214","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NGTE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Procedure-Related Bp_S Not Taken During An Outpatient Visit. Examples Include Same Day Surgery_ Ambulatory Service Center_ G.I. Lab_ Dialysis_ Infusion Center_ Chemotherapy","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G2129","description":"Procedure-Related Bp_S Not Taken During An Outpatient Visit. Examples Include Same Day Surgery_ Ambulatory Service Center_ G.I. Lab_ Dialysis_ Infusion Center_ Chemotherapy","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-PD20B","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"PD20B","description":"HIPPS-PD20B","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Oxygen supplies stand/rack","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"E1355","description":"Oxygen supplies stand/rack","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-HE235","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"HE235","description":"HIPPS-HE235","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"ACAA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KGCC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FAUD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FBHC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Remove elbow joint implant","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"24160","description":"Remove elbow joint implant","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GEFC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Drainage of mouth lesion","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"41017","description":"Drainage of mouth lesion","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Oncology (Merkel cell carcinoma)_ detection of antibodies to the Merkel cell polyoma virus capsid protein (VP1)_ serum_ reported as positive or negative","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0059U","description":"Oncology (Merkel cell carcinoma)_ detection of antibodies to the Merkel cell polyoma virus capsid protein (VP1)_ serum_ reported as positive or negative","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Nb resuscitation","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"99465","description":"Nb resuscitation","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BCGF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FEXC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RUC15","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RUC15","description":"HIPPS-RUC15","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GDLD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Imm counseling by a physician or other qualified health care prof when the vaccine(s) is not admin on the same date of service for ages under 21_ 16-30 min Medicaid only","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G0313","description":"Imm counseling by a physician or other qualified health care prof when the vaccine(s) is not admin on the same date of service for ages under 21_ 16-30 min Medicaid only","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"LIRB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BCMA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Above elbow prosth tiss shap","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"L6500","description":"Above elbow prosth tiss shap","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OISA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"LCQD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"CPT-0919T","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"0919T","description":"CPT-0919T","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Patient use of hospice services any time during the measurement period","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G9693","description":"Patient use of hospice services any time during the measurement period","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CGYC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BHAA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NHHA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NFPF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GBXB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Revision of eyelid","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"67966","description":"Revision of eyelid","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OATF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CFCA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NCHC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-HD13B","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"HD13B","description":"HIPPS-HD13B","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Spine surgery procedure","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"22899","description":"Spine surgery procedure","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NKXD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GGNB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Elec stim cancer treatment","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"E0766","description":"Elec stim cancer treatment","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Md document visit by npp","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G0454","description":"Md document visit by npp","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Ht inj growth horm diem","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"S9558","description":"Ht inj growth horm diem","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"ODHF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CIEE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-HD112","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"HD112","description":"HIPPS-HD112","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Fun stat score ls pt no elg","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G8661","description":"Fun stat score ls pt no elg","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Exc tr-ext mal+marg 3.1-4 cm","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"11604","description":"Exc tr-ext mal+marg 3.1-4 cm","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Insert needle cath bowel","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"44015","description":"Insert needle cath bowel","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"HDWC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"AILD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"AEHB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"guided tissue regeneration - non-resorbable barrier_ per implant","billing_code_type":"CDT","billing_code_type_version":"2024","billing_code":"D6107","description":"guided tissue regeneration - non-resorbable barrier_ per implant","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"PAQF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-HD15D","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"HD15D","description":"HIPPS-HD15D","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"AFIB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-C0104","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"C0104","description":"HCPCS-C0104","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OLFA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GEUE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"LERC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"ICTD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Excise parotid gland/lesion","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"42415","description":"Excise parotid gland/lesion","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MIAC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Injection_ sotalol hydrochloride_ 1 mg","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"C9482","description":"Injection_ sotalol hydrochloride_ 1 mg","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Patient is not currently on a daily aspirin or other antiplatelet","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G9795","description":"Patient is not currently on a daily aspirin or other antiplatelet","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Prostatectomy (turp)","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"52601","description":"Prostatectomy (turp)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Extensive (75 minutes) care management home visit for a new patient. for use only in a medicare-approved cmmi model. (services must be furnished within a beneficiary_s home_ d","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G0080","description":"Extensive (75 minutes) care management home visit for a new patient. for use only in a medicare-approved cmmi model. (services must be furnished within a beneficiary_s home_ d","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-CA205","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"CA205","description":"HIPPS-CA205","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Impr vis acuit w/in 90d","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G9516","description":"Impr vis acuit w/in 90d","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Psychological or neuropsychological test administration and scoring by physician or other qualified health care professional_ two or more tests_ any method; each additional 30","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"96137","description":"Psychological or neuropsychological test administration and scoring by physician or other qualified health care professional_ two or more tests_ any method; each additional 30","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Hhcp-svs of s/l path_ea 15mn","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G0153","description":"Hhcp-svs of s/l path_ea 15mn","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NLTF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"PLQE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Fusion of spermatic ducts","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"54900","description":"Fusion of spermatic ducts","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CIPC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Kidney imaging with flow","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"78701","description":"Kidney imaging with flow","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"LEYF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Art trnsposj vertbrl carotid","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"35691","description":"Art trnsposj vertbrl carotid","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Chemodenerv 1 extrem 1-4 ea","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"64643","description":"Chemodenerv 1 extrem 1-4 ea","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Fmr1 gene characterization","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"81244","description":"Fmr1 gene characterization","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"DERD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"LGYB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GGUB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JCDD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"PEYC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Insertion of interbody biomechanical device(s) (eg_ synthetic cage_ mesh) with integral anterior instrumentation for device anchoring (eg_ screws_ flanges)_ when performed_ to","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"22853","description":"Insertion of interbody biomechanical device(s) (eg_ synthetic cage_ mesh) with integral anterior instrumentation for device anchoring (eg_ screws_ flanges)_ when performed_ to","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OAJF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Hit hydra 1 liter diem","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"S9374","description":"Hit hydra 1 liter diem","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FEXE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GFMA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Nonneedle injection device","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"A4210","description":"Nonneedle injection device","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Lap close enterostomy","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"44227","description":"Lap close enterostomy","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GGVB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Rechanneling of artery","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"35302","description":"Rechanneling of artery","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BIIF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"IAIB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"DFRD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BDCC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Removal of brain tissue","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"61540","description":"Removal of brain tissue","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RHA8I","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RHA8I","description":"HIPPS-RHA8I","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Incis spine 3 column adl seg","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"22208","description":"Incis spine 3 column adl seg","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Tmj meniscectomy","billing_code_type":"CDT","billing_code_type_version":"2024","billing_code":"D7850","description":"Tmj meniscectomy","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MHBB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Knee arthroscopy/surgery","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"29873","description":"Knee arthroscopy/surgery","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Thoracoscopy w/wedge resect","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"32666","description":"Thoracoscopy w/wedge resect","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RHC12","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RHC12","description":"HIPPS-RHC12","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"PCQA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MJHA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Transcath occlusion cns","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"61624","description":"Transcath occlusion cns","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Knee-shin pneum swg frct exo","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"L5722","description":"Knee-shin pneum swg frct exo","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Esoph egd dilation <30 mm","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"43249","description":"Esoph egd dilation <30 mm","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GFTD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"IAUD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JHDC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FEVD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Enteral infusion pump w/ ala","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"B9002","description":"Enteral infusion pump w/ ala","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Ace inhibitor (ace-i) or arb therapy prescribed during the measurement period","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"M1200","description":"Ace inhibitor (ace-i) or arb therapy prescribed during the measurement period","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Cone beam ct capture limited","billing_code_type":"CDT","billing_code_type_version":"2024","billing_code":"D0380","description":"Cone beam ct capture limited","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RUL4A","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RUL4A","description":"HIPPS-RUL4A","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Bronchoscopy dilate w/stent","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"31631","description":"Bronchoscopy dilate w/stent","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Repair of sperm duct","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"55400","description":"Repair of sperm duct","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NBIE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Emergency dept visit","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"99282","description":"Emergency dept visit","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HH PDGM","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"4DB21","description":"HH PDGM","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BEAC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Mitomycin pyelocalyceal instillation_ 1 mg","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"C9064","description":"Mitomycin pyelocalyceal instillation_ 1 mg","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Injection_ methylprednisolone sodium succinate_ 5 mg","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"J2919","description":"Injection_ methylprednisolone sodium succinate_ 5 mg","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Preop anes or proxy b/4 surg","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G9497","description":"Preop anes or proxy b/4 surg","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NJID0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KHCB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MEUF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CCID1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FCUE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KDMF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"DCRC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RVX8B","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RVX8B","description":"HIPPS-RVX8B","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JAIA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KISB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"CPT-0508U","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"0508U","description":"CPT-0508U","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JHEC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"IAEA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"LFWA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JDFF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HH PDGM","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"4KB11","description":"HH PDGM","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GINB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CHDC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JCLD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OCGF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Injection_ pemivibart_ for the pre-exposure prophylaxis only_ for certain adults and adolescents (12 years of age and older weighing at least 40 kg) with no known SARS-CoV-2 e","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"Q0224","description":"Injection_ pemivibart_ for the pre-exposure prophylaxis only_ for certain adults and adolescents (12 years of age and older weighing at least 40 kg) with no known SARS-CoV-2 e","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Mechlorethamine hcl inj","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"J9230","description":"Mechlorethamine hcl inj","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-HD140","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"HD140","description":"HIPPS-HD140","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NCBE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"PBSB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CGJB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Long qt synd known fam var","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"81281","description":"Long qt synd known fam var","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"ODGD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MITB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Hydrocolloid drg filler dry","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"A6241","description":"Hydrocolloid drg filler dry","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Carotid intima atheroma eval","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"93895","description":"Carotid intima atheroma eval","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BGGD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Fo pip dip jnt/sprng pre ots","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"L3925","description":"Fo pip dip jnt/sprng pre ots","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Vascular surgery procedure","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"37799","description":"Vascular surgery procedure","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GEHF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MKAB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MITA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GHUA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Intravenous infusion of cipaglucosidase alfa-atga_ including provider/supplier acquisition and clinical supervision of oral administration of miglustat in preparation of recei","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G0138","description":"Intravenous infusion of cipaglucosidase alfa-atga_ including provider/supplier acquisition and clinical supervision of oral administration of miglustat in preparation of recei","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-3CHP5","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"3CHP5","description":"HIPPS-3CHP5","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RHL33","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RHL33","description":"HIPPS-RHL33","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-Q4378","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"Q4378","description":"HCPCS-Q4378","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Oncology (thyroid)_ microRNA profiling by RT-PCR of 10 microRNA sequences_ utilizing fine needle aspirate_ algorithm reported as a positive or negative result for moderate to","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0018U","description":"Oncology (thyroid)_ microRNA profiling by RT-PCR of 10 microRNA sequences_ utilizing fine needle aspirate_ algorithm reported as a positive or negative result for moderate to","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"ABUC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Prefab steel crown primary","billing_code_type":"CDT","billing_code_type_version":"2024","billing_code":"D2934","description":"Prefab steel crown primary","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JFCE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GFHB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FDEF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NENC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JDFC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Interrogation Device Evaluation(S) (Remote)_ Up To 90 Days_ Substernal Lead Implantable Cardioverter-Defibrillator System With Interim Analysis_ Review(S) And Report(S) By A P","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0578T","description":"Interrogation Device Evaluation(S) (Remote)_ Up To 90 Days_ Substernal Lead Implantable Cardioverter-Defibrillator System With Interim Analysis_ Review(S) And Report(S) By A P","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Treat humerus fracture","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"23605","description":"Treat humerus fracture","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OEYE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Post and core cast + crown","billing_code_type":"CDT","billing_code_type_version":"2024","billing_code":"D2952","description":"Post and core cast + crown","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Cftr gene com variants","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"81220","description":"Cftr gene com variants","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Prefab post/core + crown","billing_code_type":"CDT","billing_code_type_version":"2024","billing_code":"D2954","description":"Prefab post/core + crown","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Patient received hospice services any time during the measurement period","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G9707","description":"Patient received hospice services any time during the measurement period","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OLWA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Electronic analysis of implanted neurostimulator pulse generator system (eg_ rate_ pulse amplitude and duration_ battery status_ electrode selectability and polarity_ impedanc","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"95979","description":"Electronic analysis of implanted neurostimulator pulse generator system (eg_ rate_ pulse amplitude and duration_ battery status_ electrode selectability and polarity_ impedanc","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"CPT-37292","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"37292","description":"CPT-37292","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KALD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-HB20A","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"HB20A","description":"HIPPS-HB20A","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Insemination of oocytes","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"89268","description":"Insemination of oocytes","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CETA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-A8006","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"A8006","description":"HCPCS-A8006","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Hib-hepb vaccine im","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"90748","description":"Hib-hepb vaccine im","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Revision of foot tendon","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"28238","description":"Revision of foot tendon","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OBAA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CBQC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-Q4397","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"Q4397","description":"HCPCS-Q4397","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Treat slipped epiphysis","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"27177","description":"Treat slipped epiphysis","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BEVB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NELA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Patients who died during the measurement period","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"M1362","description":"Patients who died during the measurement period","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FIPA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Targeted genomic sequence analysis panel_ solid organ neoplasm_ cell-free circulating DNA analysis of 83 or more genes_ interrogation for sequence variants_ gene copy number a","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0326U","description":"Targeted genomic sequence analysis panel_ solid organ neoplasm_ cell-free circulating DNA analysis of 83 or more genes_ interrogation for sequence variants_ gene copy number a","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Vag hyst including t/o","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"58262","description":"Vag hyst including t/o","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Open reduc compd alveolus fx","billing_code_type":"CDT","billing_code_type_version":"2024","billing_code":"D7770","description":"Open reduc compd alveolus fx","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Excursion amplifier lever ty","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"L6642","description":"Excursion amplifier lever ty","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MABE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RML51","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RML51","description":"HIPPS-RML51","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RUB02","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RUB02","description":"HIPPS-RUB02","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"DESC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RHC5C","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RHC5C","description":"HIPPS-RHC5C","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OGSB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Injection_ nusinersen_ 0.1 mg","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"J2326","description":"Injection_ nusinersen_ 0.1 mg","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KAOA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CBXA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BBIE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Abrasion lesions add-on","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"15787","description":"Abrasion lesions add-on","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Ther/proph/diag iv inf init","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"96365","description":"Ther/proph/diag iv inf init","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"PFYE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"CPT-1089T","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"1089T","description":"CPT-1089T","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Partial amputation of toe","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"28825","description":"Partial amputation of toe","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Ciltacabtagene autoleucel_ up to 100 million autologous B-cell maturation antigen (BCMA) dir CAR-positive T cells_ inc leukapheresis and dose prep procs_ per therapeutic dose","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"Q2056","description":"Ciltacabtagene autoleucel_ up to 100 million autologous B-cell maturation antigen (BCMA) dir CAR-positive T cells_ inc leukapheresis and dose prep procs_ per therapeutic dose","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Phys review of motion tests","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"96004","description":"Phys review of motion tests","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KFCD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Hematology_ Red Blood Cell (Rbc) Adhesion To Endothelial/Subendothelial Adhesion Molecules_ Functional Assessment_ Whole Blood_ With Algorithmic Analysis And Result Reported A","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0303U","description":"Hematology_ Red Blood Cell (Rbc) Adhesion To Endothelial/Subendothelial Adhesion Molecules_ Functional Assessment_ Whole Blood_ With Algorithmic Analysis And Result Reported A","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"IDAB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GDBF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"EGHE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-LD214","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"LD214","description":"HIPPS-LD214","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JBGC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GGFD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NGTA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CBWB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"EDBF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"MRI jnt of lwr extre w/o dye","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"73721","description":"MRI jnt of lwr extre w/o dye","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NELC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OEDE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Symp aaa urgent repair","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G9600","description":"Symp aaa urgent repair","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CCCE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Ak/knee disartic pelvic join","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"L5696","description":"Ak/knee disartic pelvic join","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Interrogation vad in person","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"93750","description":"Interrogation vad in person","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Infectious agent antigen detection by immunoassay with direct optical (ie_ visual) observation; Trichomonas vaginalis","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"87808","description":"Infectious agent antigen detection by immunoassay with direct optical (ie_ visual) observation; Trichomonas vaginalis","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Assay carboxyhb qual","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"82376","description":"Assay carboxyhb qual","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Prev visit est age 5-11","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"99393","description":"Prev visit est age 5-11","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OBVF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KFND0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"ADBE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OJIE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Cst bse mtl inlay 2 surfaces","billing_code_type":"CDT","billing_code_type_version":"2024","billing_code":"D6604","description":"Cst bse mtl inlay 2 surfaces","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CBBF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Inpatient consultation","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"99251","description":"Inpatient consultation","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"AFBD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CEQC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CBLF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RUC02","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RUC02","description":"HIPPS-RUC02","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"2high risk no ord","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G9368","description":"2high risk no ord","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MGUD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FIAC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Doc of dsm-iv init eval","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G9212","description":"Doc of dsm-iv init eval","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JHPB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Hospice respite care","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"T2044","description":"Hospice respite care","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CCPD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CEID0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Hearing screening","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"V5008","description":"Hearing screening","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-CE18C","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"CE18C","description":"HIPPS-CE18C","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Revascularization_ endovascular_ open or percutaneous_ femoral_ popliteal artery(ies)_ unilateral_ with transluminal stent placement(s)_ includes angioplasty within the same v","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"C7535","description":"Revascularization_ endovascular_ open or percutaneous_ femoral_ popliteal artery(ies)_ unilateral_ with transluminal stent placement(s)_ includes angioplasty within the same v","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"HARE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"DAYF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Excision and repair of eyelid_ involving lid margin_ tarsus_ conjunctiva_ canthus_ or full thickness_ may include preparation for skin graft or pedicle flap with adjacent tiss","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"67961","description":"Excision and repair of eyelid_ involving lid margin_ tarsus_ conjunctiva_ canthus_ or full thickness_ may include preparation for skin graft or pedicle flap with adjacent tiss","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Repair bowel-bladder fistula","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"44661","description":"Repair bowel-bladder fistula","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"PERC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OFCC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NJTF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NFEF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GEXE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"HARA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JAVE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RVA1C","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RVA1C","description":"HIPPS-RVA1C","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NJCE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Repl girdle milwaukee orth","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"L4000","description":"Repl girdle milwaukee orth","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FHIA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Urinalysis nonauto w/scope","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"81000","description":"Urinalysis nonauto w/scope","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Decompression of thigh/knee","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"27499","description":"Decompression of thigh/knee","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Speech volume modulation system_ any type_ including all components and accessories","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"E3000","description":"Speech volume modulation system_ any type_ including all components and accessories","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OLTA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GEBE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-HD225","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"HD225","description":"HIPPS-HD225","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OLQF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-LB11A","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"LB11A","description":"HIPPS-LB11A","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Parotid duct diversion","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"42509","description":"Parotid duct diversion","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FIIC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Repair ing hernia sliding","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"49525","description":"Repair ing hernia sliding","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Analysis skeletal muscle","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"88355","description":"Analysis skeletal muscle","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Injection_ factor VIII_ (antihemophilic factor_ recombinant)_ PEGylated_ 1 IU","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"J7207","description":"Injection_ factor VIII_ (antihemophilic factor_ recombinant)_ PEGylated_ 1 IU","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Neg press wound therapy pump","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"E2402","description":"Neg press wound therapy pump","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Doc advncd dis cmfrt not 1st","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"1153F","description":"Doc advncd dis cmfrt not 1st","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"PHYB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NHBA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JCLE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Doc reas no sleep apnea","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G8840","description":"Doc reas no sleep apnea","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Iliac art angio_cardiac cath","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G0278","description":"Iliac art angio_cardiac cath","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-1CHN4","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"1CHN4","description":"HIPPS-1CHN4","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"CPT-01682","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"01682","description":"CPT-01682","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Place duod/jej tube perc","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"49441","description":"Place duod/jej tube perc","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Provisional pontic","billing_code_type":"CDT","billing_code_type_version":"2024","billing_code":"D6253","description":"Provisional pontic","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"DCWB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OEMC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CBAF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GITD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Spacer with mask","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"S8101","description":"Spacer with mask","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FHMC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-2BGKX","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"2BGKX","description":"HIPPS-2BGKX","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Insertion of catheter vein","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"36481","description":"Insertion of catheter vein","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FGJF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Hereditary pan-cancer (eg_ hereditary sarcomas_ hereditary endocrine tumors_ hereditary neuroendocrine tumors_ hereditary cutaneous melanoma)_ genomic sequence analysis panel","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0474U","description":"Hereditary pan-cancer (eg_ hereditary sarcomas_ hereditary endocrine tumors_ hereditary neuroendocrine tumors_ hereditary cutaneous melanoma)_ genomic sequence analysis panel","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-CB134","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"CB134","description":"HIPPS-CB134","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"HDQA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FHME0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Aspirin or another antiplatelet therapy not used_ reason not given","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"M1057","description":"Aspirin or another antiplatelet therapy not used_ reason not given","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"EEIC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FHIB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Xray place dist ext thor ao","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"75959","description":"Xray place dist ext thor ao","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JBHD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OLOD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NKHB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"EADE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Hla typing a b or c","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"86812","description":"Hla typing a b or c","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-B1501","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"B1501","description":"HCPCS-B1501","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Implant brain electrodes","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"61531","description":"Implant brain electrodes","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Thoracoscopy diagnostic","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"32601","description":"Thoracoscopy diagnostic","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"DCWE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-C1503","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"C1503","description":"HCPCS-C1503","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-ES28D","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"ES28D","description":"HIPPS-ES28D","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Sp bone algrft morsel add-on","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"20930","description":"Sp bone algrft morsel add-on","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Telethx isodose plan cplx","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"77307","description":"Telethx isodose plan cplx","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Repair foot dislocation","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"28585","description":"Repair foot dislocation","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Acetylcysteine injection","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"J0132","description":"Acetylcysteine injection","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CAOD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-PA15D","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"PA15D","description":"HIPPS-PA15D","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-2CFK4","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"2CFK4","description":"HIPPS-2CFK4","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-LB10B","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"LB10B","description":"HIPPS-LB10B","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HH PDGM","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"2DA11","description":"HH PDGM","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FFGE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BALB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NHXC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-CA18D","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"CA18D","description":"HIPPS-CA18D","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OEMF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NIJF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MIDE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FBJC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Inject sacroiliac joint","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"27096","description":"Inject sacroiliac joint","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"IHIA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GIJA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"HDSF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Removal of artery clot","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"34201","description":"Removal of artery clot","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Cyp2d6 gene com variants","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"81226","description":"Cyp2d6 gene com variants","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Remote Physiologic Monitoring Treatment Management Services_ Clinical Staff/Physician/Other Qualified Health Care Professional Time In A Calendar Month Requiring Interactive C","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"99458","description":"Remote Physiologic Monitoring Treatment Management Services_ Clinical Staff/Physician/Other Qualified Health Care Professional Time In A Calendar Month Requiring Interactive C","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"IHCF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-CD15C","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"CD15C","description":"HIPPS-CD15C","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Injection_ difelikefalin_ 0.1 microgram_ (for ESRD on dialysis)","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"J0879","description":"Injection_ difelikefalin_ 0.1 microgram_ (for ESRD on dialysis)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RMA8I","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RMA8I","description":"HIPPS-RMA8I","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GDXD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Etanercept injection","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"J1438","description":"Etanercept injection","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NKDC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-4CHMV","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"4CHMV","description":"HIPPS-4CHMV","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GHYE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Treat hip dislocation","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"27250","description":"Treat hip dislocation","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Crown resin w/base metal","billing_code_type":"CDT","billing_code_type_version":"2024","billing_code":"D6721","description":"Crown resin w/base metal","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NGMD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JIPE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BAAF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"IDCD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GDOF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"IBIC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-5AGK2","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"5AGK2","description":"HIPPS-5AGK2","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GGOC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"ADEB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"CPT-0526U","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"0526U","description":"CPT-0526U","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"AAUD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OBND0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CGIE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JDXC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OKDD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FDED0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Atten current status","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G9165","description":"Atten current status","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Motor speech goal status","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G9186","description":"Motor speech goal status","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"DGQA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Nerve graft arm/leg <4 cm","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"64892","description":"Nerve graft arm/leg <4 cm","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RML5B","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RML5B","description":"HIPPS-RML5B","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GEVD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"AFIB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CCMF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Cftr gene known fam variants","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"81221","description":"Cftr gene known fam variants","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MFEB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KCAA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Gene test myo musclr dyst","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"S3853","description":"Gene test myo musclr dyst","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-3CHMX","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"3CHMX","description":"HIPPS-3CHMX","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JGKB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Lens sphcyl bifo 7.25-12/4.2","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"V2213","description":"Lens sphcyl bifo 7.25-12/4.2","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Cytopath smear other source","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"88161","description":"Cytopath smear other source","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Calcitrol","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"S0169","description":"Calcitrol","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MCLE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Sigmoidoscopy & decompress","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"45337","description":"Sigmoidoscopy & decompress","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Destroy nerve of eye muscle","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"67345","description":"Destroy nerve of eye muscle","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Miscellaneous component_ supply or accessory for use with total artificial heart system","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"L8698","description":"Miscellaneous component_ supply or accessory for use with total artificial heart system","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-4CHK2","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"4CHK2","description":"HIPPS-4CHK2","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Assist living waiver/month","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"T2030","description":"Assist living waiver/month","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JAKE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-J0167","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"J0167","description":"HCPCS-J0167","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KIQD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KAFD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FIGF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KEHF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-4CGK6","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"4CGK6","description":"HIPPS-4CGK6","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JHBE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"CYP2D6 (cytochrome P450_ family 2_ subfamily D_ polypeptide 6) (eg_ drug metabolism) gene analysis_ targeted sequence analysis (ie_ CYP2D6-2D7 hybrid gene) (List separately in","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0072U","description":"CYP2D6 (cytochrome P450_ family 2_ subfamily D_ polypeptide 6) (eg_ drug metabolism) gene analysis_ targeted sequence analysis (ie_ CYP2D6-2D7 hybrid gene) (List separately in","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CHEE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CDXC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Treatment of thigh fracture","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"27501","description":"Treatment of thigh fracture","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BADB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-J9038","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"J9038","description":"HCPCS-J9038","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GEGD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OJEB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GFJD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MCAB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"ICUA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-1CGMV","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"1CGMV","description":"HIPPS-1CGMV","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"ODRF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HH PDGM","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"4IC31","description":"HH PDGM","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BCIB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CGHE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BFJD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"ADCB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Remove foreign body from eye","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"65235","description":"Remove foreign body from eye","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"ODGC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-PD206","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"PD206","description":"HIPPS-PD206","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KARA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"DHWB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Gc stocking waistlngth 30-40","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"A6540","description":"Gc stocking waistlngth 30-40","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-BA215","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"BA215","description":"HIPPS-BA215","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OCGE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NIBA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Electroencephalogram (Eeg)_ Continuous Recording_ Physician Or Other Qualified Health Care Professional Review Of Recorded Events_ Analysis Of Spike And Seizure Detection_ Int","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"95721","description":"Electroencephalogram (Eeg)_ Continuous Recording_ Physician Or Other Qualified Health Care Professional Review Of Recorded Events_ Analysis Of Spike And Seizure Detection_ Int","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NIUC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BBHD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KFBD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"CPT-90481","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"90481","description":"CPT-90481","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Death_ permanent nursing home resident or receiving hospice or palliative care any time during the measurement period","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G9433","description":"Death_ permanent nursing home resident or receiving hospice or palliative care any time during the measurement period","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Intrvl 3/>yr pts clnscp docd","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0529F","description":"Intrvl 3/>yr pts clnscp docd","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GEAA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FINC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Vag hyst w/enterocele compl","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"58294","description":"Vag hyst w/enterocele compl","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NFKC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Instr xrcz back pain 12 wks","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"4240F","description":"Instr xrcz back pain 12 wks","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RVC52","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RVC52","description":"HIPPS-RVC52","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JCAD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Hook/hand_ hvy dty_ vol clos","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"L6722","description":"Hook/hand_ hvy dty_ vol clos","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BAFC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FFLF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CAPC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Geriatrics Mips Specialty Set","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G4008","description":"Geriatrics Mips Specialty Set","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Ewhfo rigid w/o jnts cf","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"L3765","description":"Ewhfo rigid w/o jnts cf","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FAJE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CHYD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KIYF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Iop measurement not documented_ reason not otherwise specified","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"M1226","description":"Iop measurement not documented_ reason not otherwise specified","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Sitz bath/equipment w/faucet","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"E0161","description":"Sitz bath/equipment w/faucet","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Repair of abdominal wall","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"49900","description":"Repair of abdominal wall","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"X-ray consultation","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"76140","description":"X-ray consultation","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BGBA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Colonoscopy w/band ligation","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"45398","description":"Colonoscopy w/band ligation","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-M0238","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"M0238","description":"HCPCS-M0238","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MGED1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OEAB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BDBC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Dx bronchoscope/wash","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"31622","description":"Dx bronchoscope/wash","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Cystourethroscopy with adjunctive blue light cystoscopy with fluorescent imaging agent","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"C7554","description":"Cystourethroscopy with adjunctive blue light cystoscopy with fluorescent imaging agent","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Prq card revasc chronic 1vsl","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"92943","description":"Prq card revasc chronic 1vsl","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NLEB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Revision gastroplasty","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"43848","description":"Revision gastroplasty","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"IADA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FCPA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OIBE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CIYA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JFGA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Dental Case Management - Patients With Special Health Care Needs","billing_code_type":"CDT","billing_code_type_version":"2024","billing_code":"D9997","description":"Dental Case Management - Patients With Special Health Care Needs","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"C/o for orthotic/prosth use","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"97762","description":"C/o for orthotic/prosth use","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OFNE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MGTC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KDPD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GCJD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KBBC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-HB114","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"HB114","description":"HIPPS-HB114","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GFQD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Surgical site infection","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G9312","description":"Surgical site infection","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BGPF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Whfo w/o joints pre ots","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"L3809","description":"Whfo w/o joints pre ots","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Augmentative analysis of chest computed tomography (CT) imaging data to provide categorical diagnostic subtype classification of interstitial lung disease; obtained without co","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0877T","description":"Augmentative analysis of chest computed tomography (CT) imaging data to provide categorical diagnostic subtype classification of interstitial lung disease; obtained without co","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OJSA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"ICDD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-LE240","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"LE240","description":"HIPPS-LE240","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"The Number Of Adult Patient-Months In The Denominator Who Were On Maintenance Hemodialysis Using A Catheter Continuously For Three Months Or Longer Under The Care Of The Same","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G1026","description":"The Number Of Adult Patient-Months In The Denominator Who Were On Maintenance Hemodialysis Using A Catheter Continuously For Three Months Or Longer Under The Care Of The Same","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-CB22C","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"CB22C","description":"HIPPS-CB22C","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"EFEE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FHKA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"IBAD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NIUD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GETF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HH PDGM","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"2LA21","description":"HH PDGM","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Aor ane >=6.0 cm max diam","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G9599","description":"Aor ane >=6.0 cm max diam","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Revise/graft eyelid lining","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"68328","description":"Revise/graft eyelid lining","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OKCE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"META0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CEBE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KAHA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NENE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Lang express current status","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G9162","description":"Lang express current status","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BEPA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Treat hip dislocation","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"27256","description":"Treat hip dislocation","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KANB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RVA53","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RVA53","description":"HIPPS-RVA53","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MECB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"EDCD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OIDB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"LCSC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Thigh/wght bear high roll cu","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"L2550","description":"Thigh/wght bear high roll cu","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CHOA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-BB18E","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"BB18E","description":"HIPPS-BB18E","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GCHB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"IHDD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Patients who were not listed on the kidney-pancreas transplant waitlist or patients who did not receive a living donor transplant within the first year following initiation of","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"M1260","description":"Patients who were not listed on the kidney-pancreas transplant waitlist or patients who did not receive a living donor transplant within the first year following initiation of","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NDID0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KGPC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-LC155","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"LC155","description":"HIPPS-LC155","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Excise excessive skin thigh","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"15832","description":"Excise excessive skin thigh","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Blood typing paternity test","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"86910","description":"Blood typing paternity test","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JDDF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OLEF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KFLD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Esophagoscp guide wire dilat","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"43196","description":"Esophagoscp guide wire dilat","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Transcatheter insertion or replacement of permanent leadless pacemaker_ ventricular","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0387T","description":"Transcatheter insertion or replacement of permanent leadless pacemaker_ ventricular","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"IIUE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-3BFMV","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"3BFMV","description":"HIPPS-3BFMV","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RMX06","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RMX06","description":"HIPPS-RMX06","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"LESF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GAMA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Levonorgestrel-releasing intrauterine contraceptive system_ (Kyleena)_ 19.5 mg","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"J7296","description":"Levonorgestrel-releasing intrauterine contraceptive system_ (Kyleena)_ 19.5 mg","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GAEA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Resect tarsal tumor","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"28171","description":"Resect tarsal tumor","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BGPB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FBFE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KINC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Foot drop splint pre ots","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"L4398","description":"Foot drop splint pre ots","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FICA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CAQB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Njx platelet plasma","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0232T","description":"Njx platelet plasma","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OAFC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NJVA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Bone imaging multiple areas","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"78305","description":"Bone imaging multiple areas","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RVB8F","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RVB8F","description":"HIPPS-RVB8F","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-2CFL2","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"2CFL2","description":"HIPPS-2CFL2","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-LD114","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"LD114","description":"HIPPS-LD114","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Intermittent urinary cath","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"A4353","description":"Intermittent urinary cath","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Mod sedat phys/qhp 5yrs/>","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"99144","description":"Mod sedat phys/qhp 5yrs/>","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Ht inj antiemetic diem","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"S9370","description":"Ht inj antiemetic diem","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CBSB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MGCD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Whchr s-recl fxd arm leg res","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"E1100","description":"Whchr s-recl fxd arm leg res","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Dilated macular exam performed_ including documentation of the presence or absence of macular thickening or geographic atrophy or hemorrhage and the level of macular degenerat","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G9974","description":"Dilated macular exam performed_ including documentation of the presence or absence of macular thickening or geographic atrophy or hemorrhage and the level of macular degenerat","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"LHQE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Transcatheter removal of permanent dual-chamber leadless pacemaker_?including imaging guidance (eg_ fluoroscopy_ venous ultrasound_ right atrial angiography_ right ventriculog","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0800T","description":"Transcatheter removal of permanent dual-chamber leadless pacemaker_?including imaging guidance (eg_ fluoroscopy_ venous ultrasound_ right atrial angiography_ right ventriculog","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FAPA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RVX2B","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RVX2B","description":"HIPPS-RVX2B","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"ACHE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Prolonged home or residence evaluation and management service(s) beyond the total time for the primary service (when the primary service has been selected using time on the da","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G0318","description":"Prolonged home or residence evaluation and management service(s) beyond the total time for the primary service (when the primary service has been selected using time on the da","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GIIE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-2AFK6","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"2AFK6","description":"HIPPS-2AFK6","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"DCWF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JHTA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FAJF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Cutting ramus open w/graft","billing_code_type":"CDT","billing_code_type_version":"2024","billing_code":"D7943","description":"Cutting ramus open w/graft","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RHL2D","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RHL2D","description":"HIPPS-RHL2D","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RUX3B","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RUX3B","description":"HIPPS-RUX3B","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Acne surgery","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"10040","description":"Acne surgery","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"IATF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Percutaneous pulmonary artery revascularization by stent placement_ each additional vessel or separate lesion_ normal or abnormal connections (List separately in addition to c","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"33904","description":"Percutaneous pulmonary artery revascularization by stent placement_ each additional vessel or separate lesion_ normal or abnormal connections (List separately in addition to c","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"ADDE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"AETB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Emr pwr cbl elec vad_ rep","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"Q0492","description":"Emr pwr cbl elec vad_ rep","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"HGOB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KFKD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Sensory integration","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"97533","description":"Sensory integration","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Pt=d(rh)+ or sensitized","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"3291F","description":"Pt=d(rh)+ or sensitized","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Abortion","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"59852","description":"Abortion","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Resect leg/ankle tum < 5 cm","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"27615","description":"Resect leg/ankle tum < 5 cm","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-CE256","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"CE256","description":"HIPPS-CE256","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Repair eyelid defect","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"67902","description":"Repair eyelid defect","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CHPF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Metal frame recipro hip & ca","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"L2628","description":"Metal frame recipro hip & ca","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CILC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BEPF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BCMC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"CPT-01937","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"01937","description":"CPT-01937","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BBAA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OCVF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Oral device/appliance for neuromuscular electrical stimulation of the tongue muscle_ used in conjunction with the power source and control electronics unit_ controlled by phon","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"E0493","description":"Oral device/appliance for neuromuscular electrical stimulation of the tongue muscle_ used in conjunction with the power source and control electronics unit_ controlled by phon","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Insert tunneled cv cath","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"36558","description":"Insert tunneled cv cath","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MGMF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-A2002","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"A2002","description":"HCPCS-A2002","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Crown resin-based indirect","billing_code_type":"CDT","billing_code_type_version":"2024","billing_code":"D2710","description":"Crown resin-based indirect","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"AIAE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"ODSF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"No start/rec antvir tx hep c","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G9499","description":"No start/rec antvir tx hep c","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NKLE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JABB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CGGC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RHC44","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RHC44","description":"HIPPS-RHC44","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BAPA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"DHQA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Intmd rpr n-hf/genit 2.5cm/<","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"12041","description":"Intmd rpr n-hf/genit 2.5cm/<","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Ltwt portbl power whlchr","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"K0012","description":"Ltwt portbl power whlchr","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NAIB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Carecoordination prenatal","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"H1002","description":"Carecoordination prenatal","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"IDAC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JEXF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Removal of nose lesion","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"30125","description":"Removal of nose lesion","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HH PDGM","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"3AA31","description":"HH PDGM","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BCJC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"DASD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BAKD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RMC03","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RMC03","description":"HIPPS-RMC03","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Revision of foot fascia","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"28250","description":"Revision of foot fascia","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-HB25A","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"HB25A","description":"HIPPS-HB25A","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"ACCA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"MRI chest spine w/o & w/dye","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"72157","description":"MRI chest spine w/o & w/dye","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-3CFK1","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"3CFK1","description":"HIPPS-3CFK1","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Health club membership yr","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"S9970","description":"Health club membership yr","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MFHF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NBGF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CGBC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Vit for membrane dissect","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"67043","description":"Vit for membrane dissect","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CBCE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Pin finger fracture each","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"26756","description":"Pin finger fracture each","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JBJC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Iiv4 vacc no prsv 6-35 m im","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"90685","description":"Iiv4 vacc no prsv 6-35 m im","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NDLA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"H pylori (c-13) breath","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"83013","description":"H pylori (c-13) breath","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Wearable artificial kidney","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"E1632","description":"Wearable artificial kidney","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Patient lift sling or seat","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"E0621","description":"Patient lift sling or seat","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Assay of chromium","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"82495","description":"Assay of chromium","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KDUF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CCIC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KBXE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CHVA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"EBCA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"PLRE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FELE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-1BFL2","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"1BFL2","description":"HIPPS-1BFL2","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Lens lenticular bifocal","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"V2215","description":"Lens lenticular bifocal","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OHTC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NAPF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"HCSC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HH PDGM","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"2DC21","description":"HH PDGM","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"CPT-00561","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"00561","description":"CPT-00561","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"HDQF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Incise/drain tear gland","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"68400","description":"Incise/drain tear gland","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OEPC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GHIF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CCKF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Vacuum drain bottle/tube kit","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"A7048","description":"Vacuum drain bottle/tube kit","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Exam of vagina w/scope","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"57420","description":"Exam of vagina w/scope","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-A2102","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"A2102","description":"HCPCS-A2102","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"CPT-77436","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"77436","description":"CPT-77436","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Retrograde filling","billing_code_type":"CDT","billing_code_type_version":"2024","billing_code":"D3430","description":"Retrograde filling","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Set up port xray equipment","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"Q0092","description":"Set up port xray equipment","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Reconstruct cleft palate","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"42205","description":"Reconstruct cleft palate","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CGXC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KAEC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Repair venous blockage","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"35460","description":"Repair venous blockage","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"IALD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-J3387","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"J3387","description":"HCPCS-J3387","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Drainage of salivary gland","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"42320","description":"Drainage of salivary gland","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Removal of rectal marker","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"46030","description":"Removal of rectal marker","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"AIDD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-G0543","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"G0543","description":"HCPCS-G0543","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"LCRD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BDTF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FBUD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OIEB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BHCD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Mltispectrl digital les alys","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0401T","description":"Mltispectrl digital les alys","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KEDC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"IGUC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Alcohol and/or drug services","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"H0006","description":"Alcohol and/or drug services","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-ES254","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"ES254","description":"HIPPS-ES254","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CBGA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JCFC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"LIWF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Sisi hearing test","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"92564","description":"Sisi hearing test","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RVB8B","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RVB8B","description":"HIPPS-RVB8B","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RUB1A","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RUB1A","description":"HIPPS-RUB1A","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BFXC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Transpl allograft pancreas","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"48554","description":"Transpl allograft pancreas","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OFRF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Onlay titanium","billing_code_type":"CDT","billing_code_type_version":"2024","billing_code":"D6634","description":"Onlay titanium","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OFQE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-BB135","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"BB135","description":"HIPPS-BB135","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Transplantation of kidney","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"50360","description":"Transplantation of kidney","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Diagnostic mammography_ including computer-aided detection (CAD) when performed; unilateral","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"77065","description":"Diagnostic mammography_ including computer-aided detection (CAD) when performed; unilateral","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Treatment of fibula fracture","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"27784","description":"Treatment of fibula fracture","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"High risk recurrence pro ca","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G8465","description":"High risk recurrence pro ca","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"IDDA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"PEOF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Ablate heart dysrhythm focus","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"33261","description":"Ablate heart dysrhythm focus","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-L6700","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"L6700","description":"HCPCS-L6700","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KDWE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Repair of retinal detachment; by scleral buckling or vitrectomy_ on patient having previous ipsilateral retinal detachment repair(s) using scleral buckling or vit","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"67112","description":"Repair of retinal detachment; by scleral buckling or vitrectomy_ on patient having previous ipsilateral retinal detachment repair(s) using scleral buckling or vit","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Treat knee dislocation","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"27558","description":"Treat knee dislocation","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CDWA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"ODWC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RUC8B","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RUC8B","description":"HIPPS-RUC8B","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Vaginal hysterectomy","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"58260","description":"Vaginal hysterectomy","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Exc s/n/h/f/g mal+mrg >4 cm","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"11626","description":"Exc s/n/h/f/g mal+mrg >4 cm","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JAKD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OGME1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"LARA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Crisis interven svc_ 15 min","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"H2011","description":"Crisis interven svc_ 15 min","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KCNF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OGFC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Bone marrow harvest autolog","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"38232","description":"Bone marrow harvest autolog","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KGSF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Hand/finger surgery","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"26989","description":"Hand/finger surgery","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JHTF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JBBB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NINB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Incomplete endodontic tx","billing_code_type":"CDT","billing_code_type_version":"2024","billing_code":"D3332","description":"Incomplete endodontic tx","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Replace prox & dist upright","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"L4070","description":"Replace prox & dist upright","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Destruction penis lesion(s)","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"54050","description":"Destruction penis lesion(s)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Cabazitaxel injection","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"J9043","description":"Cabazitaxel injection","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RUA30","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RUA30","description":"HIPPS-RUA30","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Microslide consultation","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"88323","description":"Microslide consultation","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Sps ankle device","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"E1816","description":"Sps ankle device","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JGTA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-LD22C","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"LD22C","description":"HIPPS-LD22C","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OINC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JENE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NJTA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Ischm stroke symp lt3 hrsb/4","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"1065F","description":"Ischm stroke symp lt3 hrsb/4","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Chromosome analys amniotic","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"88269","description":"Chromosome analys amniotic","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Cefepime hcl for injection","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"J0692","description":"Cefepime hcl for injection","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FDVE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"ODOC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GHTA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"PEQA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NINF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FBJB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"CDT-D0803","billing_code_type":"CDT","billing_code_type_version":"2026","billing_code":"D0803","description":"CDT-D0803","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"IGAB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Insert palate implants","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"C9727","description":"Insert palate implants","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-3BGNW","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"3BGNW","description":"HIPPS-3BGNW","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OFKD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FBLB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NILE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Home visit resp therapy","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"99503","description":"Home visit resp therapy","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"IGUD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"IHTA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Excision graft thorax","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"35905","description":"Excision graft thorax","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Remis 6m w/6mos phq-9 <5","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G9573","description":"Remis 6m w/6mos phq-9 <5","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GDYB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-L1821","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"L1821","description":"HCPCS-L1821","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NGUF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"ICTF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GEIB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"EELF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"EFCA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-J2802","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"J2802","description":"HCPCS-J2802","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BFMD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-PC18A","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"PC18A","description":"HIPPS-PC18A","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FAFA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Oncology colorectal scr","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"81528","description":"Oncology colorectal scr","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CGVE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Treponema pallidum","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"86780","description":"Treponema pallidum","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Oncology (Merkel cell carcinoma)_ detection of antibodies to the Merkel cell polyoma virus oncoprotein (small T antigen)_ serum_ quantitative","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0058U","description":"Oncology (Merkel cell carcinoma)_ detection of antibodies to the Merkel cell polyoma virus oncoprotein (small T antigen)_ serum_ quantitative","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"EFIC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Patients 66 years of age and older with at least one claim/encounter for frailty during the measurement period and a dispensed medication for dementia during the measurement p","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"M1291","description":"Patients 66 years of age and older with at least one claim/encounter for frailty during the measurement period and a dispensed medication for dementia during the measurement p","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Shoulder joint surgery","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"23101","description":"Shoulder joint surgery","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"3d render w/intrp postproces","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"76376","description":"3d render w/intrp postproces","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GFXE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GFXE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-HD110","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"HD110","description":"HIPPS-HD110","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Revise eye muscle(s) add-on","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"67320","description":"Revise eye muscle(s) add-on","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"N block spenopalatine gangl","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"64505","description":"N block spenopalatine gangl","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RHX5B","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RHX5B","description":"HIPPS-RHX5B","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RMB01","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RMB01","description":"HIPPS-RMB01","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BCUB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"ICAB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"PISC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Laryngoscopy w/fb & op scope","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"31531","description":"Laryngoscopy w/fb & op scope","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KDGC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"IAHA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"DHQE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GCRE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Bk waist belt webbing","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"L5688","description":"Bk waist belt webbing","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-Q4428","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"Q4428","description":"HCPCS-Q4428","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-A1001","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"A1001","description":"HCPCS-A1001","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Strep a dna amp probe","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"87651","description":"Strep a dna amp probe","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Trans shoe caliper plate new","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"L3610","description":"Trans shoe caliper plate new","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BAXA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Fracture assessment via dxa","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"77086","description":"Fracture assessment via dxa","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CARD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OERC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Repair of body cast","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"29720","description":"Repair of body cast","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Other carot sten 120 days/>","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"9007F","description":"Other carot sten 120 days/>","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KAIB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"ECDB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KHWC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"ODUC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JHMB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Removal of finger lesion","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"26210","description":"Removal of finger lesion","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-1CFK2","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"1CFK2","description":"HIPPS-1CFK2","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"EIUF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Tracheostoma stent/stud/bttn","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"A7524","description":"Tracheostoma stent/stud/bttn","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Dental sedative filling","billing_code_type":"CDT","billing_code_type_version":"2024","billing_code":"D2940","description":"Dental sedative filling","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KCAD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"AIHF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Documentation of medical reason(s) for not performing functional status (e.g._ patient is severely impaired and caregiver knowledge is limited_ other medical reason)","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G9917","description":"Documentation of medical reason(s) for not performing functional status (e.g._ patient is severely impaired and caregiver knowledge is limited_ other medical reason)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Plastic eye prosth custom","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"V2623","description":"Plastic eye prosth custom","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"HDOA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-4BFKU","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"4BFKU","description":"HIPPS-4BFKU","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OKOB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Repair of anterior abdominal hernia(s) (ie_ epigastric_ incisional_ ventral_ umbilical_ spigelian)_ any approach (ie_ open_ laparoscopic_ robotic)_ recurrent_ including implan","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"49614","description":"Repair of anterior abdominal hernia(s) (ie_ epigastric_ incisional_ ventral_ umbilical_ spigelian)_ any approach (ie_ open_ laparoscopic_ robotic)_ recurrent_ including implan","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Injection_ delafloxacin_ 1 mg","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"C9462","description":"Injection_ delafloxacin_ 1 mg","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Hearing service","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"V5299","description":"Hearing service","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Vit for macular pucker","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"67041","description":"Vit for macular pucker","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FDTA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OAME1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Immunoassay infectious agent","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"86317","description":"Immunoassay infectious agent","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CCTE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"PCSA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GHLC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Remove unilat space maintain","billing_code_type":"CDT","billing_code_type_version":"2024","billing_code":"D1520","description":"Remove unilat space maintain","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Repair liver wound","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"47362","description":"Repair liver wound","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Osteochondral knee autograft","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"27416","description":"Osteochondral knee autograft","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Anesthesia for procedures on nose and accessory sinuses; radical surgery","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0123U","description":"Anesthesia for procedures on nose and accessory sinuses; radical surgery","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-1BGM2","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"1BGM2","description":"HIPPS-1BGM2","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-B0601","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"B0601","description":"HCPCS-B0601","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Nandrolone decanoate 50 mg","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"J2320","description":"Nandrolone decanoate 50 mg","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-4CFK1","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"4CFK1","description":"HIPPS-4CFK1","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"HEOF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GIUE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-CD240","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"CD240","description":"HIPPS-CD240","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RMX32","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RMX32","description":"HIPPS-RMX32","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-4AFLU","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"4AFLU","description":"HIPPS-4AFLU","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FCDE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Stereoisomer analysis","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"80374","description":"Stereoisomer analysis","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-HE241","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"HE241","description":"HIPPS-HE241","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"ICAE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OLND0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JGMA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GGDC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"LCYD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Blood methemoglobin test","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"83045","description":"Blood methemoglobin test","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Injection_ irinotecan liposome_ 1 mg (Onivyde)","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"C9474","description":"Injection_ irinotecan liposome_ 1 mg (Onivyde)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Hyaluronan or derivative_ Durolane_ for intra-articular injection_ per dose","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"C9465","description":"Hyaluronan or derivative_ Durolane_ for intra-articular injection_ per dose","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BBTB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Bk fork strap","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"L5684","description":"Bk fork strap","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KHVC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Hereditary ovarian cancer (eg_ hereditary ovarian cancer_ hereditary endometrial cancer)_ genomic sequence analysis panel utilizing a combination of NGS_ Sanger_ MLPA_ and arr","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0103U","description":"Hereditary ovarian cancer (eg_ hereditary ovarian cancer_ hereditary endometrial cancer)_ genomic sequence analysis panel utilizing a combination of NGS_ Sanger_ MLPA_ and arr","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OIUA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Removable Unilateral Partial Denture - One Piece Resin - Per Quadrant","billing_code_type":"CDT","billing_code_type_version":"2024","billing_code":"D5286","description":"Removable Unilateral Partial Denture - One Piece Resin - Per Quadrant","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Throat x-ray & fluoroscopy","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"70370","description":"Throat x-ray & fluoroscopy","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Revise circulation to head","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"61708","description":"Revise circulation to head","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"IEUF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"LBYB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Art byp fem-ant-post tib/prl","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"35666","description":"Art byp fem-ant-post tib/prl","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"DBOB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Rehab system with interactive interface providing active assistance in rehabilitation therapy_ includes all components and accessories_ motors_ microprocessors_ sensors","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"E0739","description":"Rehab system with interactive interface providing active assistance in rehabilitation therapy_ includes all components and accessories_ motors_ microprocessors_ sensors","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Rh ig minidose im","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"90385","description":"Rh ig minidose im","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Vendaje ac_ per square centimeter","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"Q4279","description":"Vendaje ac_ per square centimeter","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Number of patients not screened for food insecurity_ housing instability_ transportation needs_ utility difficulties_ and interpersonal safety","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"M1208","description":"Number of patients not screened for food insecurity_ housing instability_ transportation needs_ utility difficulties_ and interpersonal safety","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Band stabilization - per tooth","billing_code_type":"CDT","billing_code_type_version":"2024","billing_code":"D2976","description":"Band stabilization - per tooth","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Calculus analysis qual","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"82355","description":"Calculus analysis qual","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MAUC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GDAF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RMC3B","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RMC3B","description":"HIPPS-RMC3B","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"ICCB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NBPA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Factor viii recombinant nos","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"J7192","description":"Factor viii recombinant nos","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Laparoscopy lymphadenectomy","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"38571","description":"Laparoscopy lymphadenectomy","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Decompress small bowel","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"44021","description":"Decompress small bowel","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Ankle control ortho pre ots","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"L4350","description":"Ankle control ortho pre ots","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Biliary endoscopy thru skin","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"47553","description":"Biliary endoscopy thru skin","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BDFD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"HIQC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"LGRC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FIMC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-LD12B","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"LD12B","description":"HIPPS-LD12B","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Aortic circulation assist","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"33971","description":"Aortic circulation assist","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"HGSD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Hepb vacc 4 dose immunsup im","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"90747","description":"Hepb vacc 4 dose immunsup im","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Shoulder arthroscopy/surgery","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"29824","description":"Shoulder arthroscopy/surgery","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Implant Supported Crown - Predominantly Base Alloys","billing_code_type":"CDT","billing_code_type_version":"2024","billing_code":"D6086","description":"Implant Supported Crown - Predominantly Base Alloys","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CIKD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"LCOF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CIVD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GFID1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Hfo without joints pre cst","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"L3923","description":"Hfo without joints pre cst","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Treat slipped epiphysis","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"27175","description":"Treat slipped epiphysis","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"AGTA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-HE10B","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"HE10B","description":"HIPPS-HE10B","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-5AFK3","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"5AFK3","description":"HIPPS-5AFK3","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OJMD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Joint device (implantable)","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"C1776","description":"Joint device (implantable)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"IDDF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JEGF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RHL2A","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RHL2A","description":"HIPPS-RHL2A","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Targeted genomic sequence analysis panel_ solid organ neoplasm_ 5-50 genes (eg_ ALK_ BRAF_ CDKN2A_ EGFR_ ERBB2_ KIT_ KRAS_ MET_ NRAS_ PDGFRA_ PDGFRB_ PGR_ PIK3CA_ PTEN_ RET)_","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"81449","description":"Targeted genomic sequence analysis panel_ solid organ neoplasm_ 5-50 genes (eg_ ALK_ BRAF_ CDKN2A_ EGFR_ ERBB2_ KIT_ KRAS_ MET_ NRAS_ PDGFRA_ PDGFRB_ PGR_ PIK3CA_ PTEN_ RET)_","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Rotary wing air transport","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"A0431","description":"Rotary wing air transport","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Community health integration services performed by certified or trained auxiliary personnel_ including a community health worker_ under the direction of a physician or other p","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G0019","description":"Community health integration services performed by certified or trained auxiliary personnel_ including a community health worker_ under the direction of a physician or other p","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CEOA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GEOC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"End-tidal control of inhaled anesthetic agents and oxygen to assist anesthesia care delivery (List separately in addition to code for primary procedure)","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0887T","description":"End-tidal control of inhaled anesthetic agents and oxygen to assist anesthesia care delivery (List separately in addition to code for primary procedure)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Sheath upper limb","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"L8415","description":"Sheath upper limb","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"LFYF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"AIMC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BIVB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"X-ray exam of abdomen","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"74000","description":"X-ray exam of abdomen","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Dysphag test done b/4 eating","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"6010F","description":"Dysphag test done b/4 eating","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Infectious agent detection by nucleic acid (DNA or RNA); hepatitis D (delta)_ quantification_ including reverse transcription_ when performed","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"87523","description":"Infectious agent detection by nucleic acid (DNA or RNA); hepatitis D (delta)_ quantification_ including reverse transcription_ when performed","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JALA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CDBD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CEDF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-HD13D","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"HD13D","description":"HIPPS-HD13D","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"ECCB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JIMB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CEOD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BBMC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Drug metabolism or processing (multiple conditions)_ whole blood or buccal specimen_ DNA analysis_ 16 gene report_ with variant analysis and reported phenotypes","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0347U","description":"Drug metabolism or processing (multiple conditions)_ whole blood or buccal specimen_ DNA analysis_ 16 gene report_ with variant analysis and reported phenotypes","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RVX0D","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RVX0D","description":"HIPPS-RVX0D","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Deli/install chrg hemo equip","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"E1600","description":"Deli/install chrg hemo equip","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"F emb trns canc case rate","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"S4018","description":"F emb trns canc case rate","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Rem mntr pulm flu mntr alys","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0608T","description":"Rem mntr pulm flu mntr alys","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GHTF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-HD12D","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"HD12D","description":"HIPPS-HD12D","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Visual field examination(s)","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"92083","description":"Visual field examination(s)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NFVE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"ODGA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Daunorubicin injection","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"J9150","description":"Daunorubicin injection","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Repair throat esophagus","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"42953","description":"Repair throat esophagus","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JEUB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NDXE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CBLA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"DBYE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OEKA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"PISA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JAJE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Battery for hearing device","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"V5266","description":"Battery for hearing device","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Myocardial imaging by magnetocardiography (MCG) for detection of cardiac ischemia_ by signal acquisition using minimum 36 channel grid_ generation of magnetic-field time-serie","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0541T","description":"Myocardial imaging by magnetocardiography (MCG) for detection of cardiac ischemia_ by signal acquisition using minimum 36 channel grid_ generation of magnetic-field time-serie","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MGLC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"CPT-00730","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"00730","description":"CPT-00730","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-LB18E","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"LB18E","description":"HIPPS-LB18E","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KAQB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"AHMD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RML25","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RML25","description":"HIPPS-RML25","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Laps rmvl nstim array vagus","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0313T","description":"Laps rmvl nstim array vagus","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Exploratory shoulder surgery","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"23040","description":"Exploratory shoulder surgery","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"CPT-00450","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"00450","description":"CPT-00450","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"LHWF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FDGB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-M1403","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"M1403","description":"HCPCS-M1403","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CDBE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Patient responded completely true for the question of patient felt this provider and team put my best interests first when making recommendations about my care","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"M1247","description":"Patient responded completely true for the question of patient felt this provider and team put my best interests first when making recommendations about my care","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Ophthalmic mitomycin","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"J7315","description":"Ophthalmic mitomycin","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Percutaneous access and closure of femoral artery for delivery of endograft through a large sheath (12 French or larger)_ including ultrasound guidance_ when performed_ unilat","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"34713","description":"Percutaneous access and closure of femoral artery for delivery of endograft through a large sheath (12 French or larger)_ including ultrasound guidance_ when performed_ unilat","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-PB25A","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"PB25A","description":"HIPPS-PB25A","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Hyperthermia treatment","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"77620","description":"Hyperthermia treatment","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GHLC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"BRCA1 (BRCA1_ DNA repair associated)_ BRCA2 (BRCA2_ DNA repair associated) (eg_ hereditary breast and ovarian cancer) gene analysis; full sequence analysis","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"81163","description":"BRCA1 (BRCA1_ DNA repair associated)_ BRCA2 (BRCA2_ DNA repair associated) (eg_ hereditary breast and ovarian cancer) gene analysis; full sequence analysis","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Fetal aneuploidy trisom risk","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0009M","description":"Fetal aneuploidy trisom risk","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FFMF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Antibiotic not pres","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G8708","description":"Antibiotic not pres","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Genotype dna hiv reverse t","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"87901","description":"Genotype dna hiv reverse t","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Mopath procedure level 3","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"81402","description":"Mopath procedure level 3","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FGND1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-2CGKT","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"2CGKT","description":"HIPPS-2CGKT","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Amputation follow-up surgery","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"25931","description":"Amputation follow-up surgery","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MFLA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Onlay porc/crmc 2 surfaces","billing_code_type":"CDT","billing_code_type_version":"2024","billing_code":"D6608","description":"Onlay porc/crmc 2 surfaces","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-3AGMX","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"3AGMX","description":"HIPPS-3AGMX","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CDWF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-PC20C","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"PC20C","description":"HIPPS-PC20C","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Transperineal focal laser ablation of malignant prostate tissue_ including transrectal imaging guidance_ with MR-fused images or other enhanced ultrasound imaging","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0655T","description":"Transperineal focal laser ablation of malignant prostate tissue_ including transrectal imaging guidance_ with MR-fused images or other enhanced ultrasound imaging","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GDYA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BBDB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Assay of biotinidase","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"82261","description":"Assay of biotinidase","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"PKWC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"DNA analysis_ fecal_ for colorectal cancer screening","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"S3890","description":"DNA analysis_ fecal_ for colorectal cancer screening","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Methadone","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G6053","description":"Methadone","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-HD234","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"HD234","description":"HIPPS-HD234","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Measure ureter pressure","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"50686","description":"Measure ureter pressure","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"CPT-0914T","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"0914T","description":"CPT-0914T","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Supplies For Maintenance Of Insulin Infusion Pump With Dosage Rate Adjustment Using Therapeutic Continuous Glucose Sensing_ Per Week","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"A4226","description":"Supplies For Maintenance Of Insulin Infusion Pump With Dosage Rate Adjustment Using Therapeutic Continuous Glucose Sensing_ Per Week","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Plmt access bil tree sm bwl","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"47541","description":"Plmt access bil tree sm bwl","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"IFHC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-CE226","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"CE226","description":"HIPPS-CE226","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BGTD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OJBE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CGOE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"EGMA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RUL26","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RUL26","description":"HIPPS-RUL26","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"LAOF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Compres burn garment jacket","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"A6509","description":"Compres burn garment jacket","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BAJB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NGHD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Insert pacing lead & connect","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"33224","description":"Insert pacing lead & connect","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CHMB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OGXE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"PHOD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Inj aripiprazole ext rel 1mg","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"J0401","description":"Inj aripiprazole ext rel 1mg","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CCHA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Treat odontoid fx w/o graft","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"22318","description":"Treat odontoid fx w/o graft","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MFMA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FAHC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Construct bowel bladder","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"50825","description":"Construct bowel bladder","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Intmd rpr n-hf/genit >30.0cm","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"12047","description":"Intmd rpr n-hf/genit >30.0cm","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Treat pelvic ring fracture","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"27218","description":"Treat pelvic ring fracture","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OGRA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FGBA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OIPC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MDTF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GHXD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KGKD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Us transrectal","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"76872","description":"Us transrectal","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HH PDGM","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"3EA11","description":"HH PDGM","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-A1201","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"A1201","description":"HCPCS-A1201","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RVB4A","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RVB4A","description":"HIPPS-RVB4A","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Dialysis circuit_ introduction of needle(s) and/or catheter(s)_ with diagnostic angiography of the dialysis circuit_ including all direct puncture(s) and catheter placement(s)","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"C7513","description":"Dialysis circuit_ introduction of needle(s) and/or catheter(s)_ with diagnostic angiography of the dialysis circuit_ including all direct puncture(s) and catheter placement(s)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Brush biopsy","billing_code_type":"CDT","billing_code_type_version":"2024","billing_code":"D7288","description":"Brush biopsy","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"PGSC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JDPB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Plmt ureteral stent prq","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"50693","description":"Plmt ureteral stent prq","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BFEE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Artificial insemination","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"58321","description":"Artificial insemination","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MLTF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Cerv sr 2pc thor ext pre ots","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"L0174","description":"Cerv sr 2pc thor ext pre ots","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OFTE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BHED0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-1CGP5","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"1CGP5","description":"HIPPS-1CGP5","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FCBD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Transthor diaphrag hern rpr","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"43334","description":"Transthor diaphrag hern rpr","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"LEWD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-3CGLU","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"3CGLU","description":"HIPPS-3CGLU","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-HC18G","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"HC18G","description":"HIPPS-HC18G","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Factor inhibitor test","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"85335","description":"Factor inhibitor test","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Ecmo/ecls repos perph cnula","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"33959","description":"Ecmo/ecls repos perph cnula","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Shoulder flexion-abduction j","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"L6645","description":"Shoulder flexion-abduction j","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"ODVA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NJNA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"CPT-0997T","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"0997T","description":"CPT-0997T","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Injection_ tebentafusp-tebn_ 1 mcg","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"J9274","description":"Injection_ tebentafusp-tebn_ 1 mcg","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JHXA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Oncoprotein her-2/neu","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"83950","description":"Oncoprotein her-2/neu","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KBYE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Car seat/bed test + 30 min","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"94781","description":"Car seat/bed test + 30 min","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BBLB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Remis 12m not phq-9 score <5","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G9510","description":"Remis 12m not phq-9 score <5","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"CDT-D1705","billing_code_type":"CDT","billing_code_type_version":"2026","billing_code":"D1705","description":"CDT-D1705","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JAJF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NGFE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Tilt table locking hip sing","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"L5270","description":"Tilt table locking hip sing","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OBUA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Drainage of bladder abscess","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"51080","description":"Drainage of bladder abscess","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Amputation of arm & girdle","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"23900","description":"Amputation of arm & girdle","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Sigmoidoscopy w/us guide bx","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"45342","description":"Sigmoidoscopy w/us guide bx","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FDGC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-C0602","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"C0602","description":"HCPCS-C0602","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Us urine capacity measure","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"51798","description":"Us urine capacity measure","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OETF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"PEQC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Radiation therapy management","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"77499","description":"Radiation therapy management","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NBFC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Percutaneous pulmonary artery revascularization by stent placement_ initial; normal native connections_ bilateral","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"33901","description":"Percutaneous pulmonary artery revascularization by stent placement_ initial; normal native connections_ bilateral","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OIGB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"AAAE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Multiple-family group behavior management/modification training for parent(s)/guardian(s)/caregiver(s) of patients with a mental or physical health diagnosis_ administered by","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"96202","description":"Multiple-family group behavior management/modification training for parent(s)/guardian(s)/caregiver(s) of patients with a mental or physical health diagnosis_ administered by","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Infusion pump_non-prog_ perm","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"C1891","description":"Infusion pump_non-prog_ perm","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RVL4C","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RVL4C","description":"HIPPS-RVL4C","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-CE18A","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"CE18A","description":"HIPPS-CE18A","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Diag tst detect mucos abnorm","billing_code_type":"CDT","billing_code_type_version":"2024","billing_code":"D0431","description":"Diag tst detect mucos abnorm","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FGJA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KFAA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Bone mineral single photon","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"78350","description":"Bone mineral single photon","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MKBB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NDTE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KGLF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OHID0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MILC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FFPF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"IGAE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KCMC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Disease mgmt per diem","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"S0317","description":"Disease mgmt per diem","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BEKA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-PA206","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"PA206","description":"HIPPS-PA206","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OAYB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Ak pelvic control belt light","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"L5692","description":"Ak pelvic control belt light","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"ECTE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CBBA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FAID1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Transcatheter mitral valve annulus reconstruction_ with implantation of adjustable annulus reconstruction device_ percutaneous approach including transseptal puncture","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0544T","description":"Transcatheter mitral valve annulus reconstruction_ with implantation of adjustable annulus reconstruction device_ percutaneous approach including transseptal puncture","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Tap block uni by infusion","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"64487","description":"Tap block uni by infusion","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"PAWE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"DHWE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-2BGK1","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"2BGK1","description":"HIPPS-2BGK1","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Prq card revasc mi 1 vsl","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"92941","description":"Prq card revasc mi 1 vsl","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Mapcp demo community","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G9152","description":"Mapcp demo community","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Cosyntropin cortrosyn inj","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"J0834","description":"Cosyntropin cortrosyn inj","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OHVB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RHB2B","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RHB2B","description":"HIPPS-RHB2B","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-HC20D","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"HC20D","description":"HIPPS-HC20D","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BIJD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GCFA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GDMA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BIMA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MILF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Limited autopsy","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"88037","description":"Limited autopsy","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JGXA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CEGD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-BA220","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"BA220","description":"HIPPS-BA220","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Remote Therapeutic Monitoring Treatment Management Services_ Physician Or Other Qualified Health Care Professional Time In A Calendar Month Requiring At Least One Interactive","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"98981","description":"Remote Therapeutic Monitoring Treatment Management Services_ Physician Or Other Qualified Health Care Professional Time In A Calendar Month Requiring At Least One Interactive","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"CPT-0477U","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"0477U","description":"CPT-0477U","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"ACBA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NECA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Dextroamphetamine","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"S0160","description":"Dextroamphetamine","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Ova and parasites smears","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"87177","description":"Ova and parasites smears","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"ADM SARSCOV2 25MCG/0.25ML1ST","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0111A","description":"ADM SARSCOV2 25MCG/0.25ML1ST","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NBIC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Cytogen micrarray copy nmbr","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"81228","description":"Cytogen micrarray copy nmbr","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Cystoscopy & duct catheter","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"52010","description":"Cystoscopy & duct catheter","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OGIE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-LB28X","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"LB28X","description":"HIPPS-LB28X","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FEPA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"HAYB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RHX16","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RHX16","description":"HIPPS-RHX16","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-3CFN2","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"3CFN2","description":"HIPPS-3CFN2","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GFKB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OLVC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KBEE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Remove lung foreign body","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"32151","description":"Remove lung foreign body","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Gauze >16 <=48 sq in w/bordr","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"A6220","description":"Gauze >16 <=48 sq in w/bordr","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OGOA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Sperm antibody test","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"89325","description":"Sperm antibody test","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Pt consid poss risk fx","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"3572F","description":"Pt consid poss risk fx","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Liver disease_ analysis of 3 biomarkers (hyaluronic acid [ha]_ procollagen iii amino terminal peptide [piiinp]_ tissue inhibitor of metalloproteinase 1 [timp-1])_ using immuno","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0014M","description":"Liver disease_ analysis of 3 biomarkers (hyaluronic acid [ha]_ procollagen iii amino terminal peptide [piiinp]_ tissue inhibitor of metalloproteinase 1 [timp-1])_ using immuno","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"EEMA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Manipulation of spine","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"22505","description":"Manipulation of spine","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FFHB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"ADAD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"AEEF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Gradient compression stocking_ thigh length_ 40 mmhg or greater_ custom_ each","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"A6558","description":"Gradient compression stocking_ thigh length_ 40 mmhg or greater_ custom_ each","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-C7564","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"C7564","description":"HCPCS-C7564","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Paramedicintercep nonhospals","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"S0207","description":"Paramedicintercep nonhospals","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CFLC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Ertapenem injection","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"J1335","description":"Ertapenem injection","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HH PDGM","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"1JB21","description":"HH PDGM","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Revision of toe","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"28312","description":"Revision of toe","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-J0458","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"J0458","description":"HCPCS-J0458","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Hearing aid sup/access/dev","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"V5267","description":"Hearing aid sup/access/dev","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Integra bmwd","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"Q4104","description":"Integra bmwd","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Esano aaa_ per square centimeter","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"Q4273","description":"Esano aaa_ per square centimeter","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MJTE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"DFOB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Ct perfusion w/contrast cbf","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0042T","description":"Ct perfusion w/contrast cbf","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Bronchoscopy_ rigid or flexible_ with single or multiple bronchial or endobronchial biopsy(ies)_ single or multiple sites_ with transendoscopic endobronchial ultrasound (ebus)","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"C7512","description":"Bronchoscopy_ rigid or flexible_ with single or multiple bronchial or endobronchial biopsy(ies)_ single or multiple sites_ with transendoscopic endobronchial ultrasound (ebus)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"EFAB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Patient received at least 2 prophylactic pharmacologic anti-emetic agents of different classes preoperatively and/or intraoperatively","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G9775","description":"Patient received at least 2 prophylactic pharmacologic anti-emetic agents of different classes preoperatively and/or intraoperatively","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Cbt 1st hour","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"94644","description":"Cbt 1st hour","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Body-worn bilat hearing aid","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"V5100","description":"Body-worn bilat hearing aid","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"IAIF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OGUD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Lens sphc trifo 7.25-12/2.25","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"V2312","description":"Lens sphc trifo 7.25-12/2.25","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KCQA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Percutaneous transcatheter placement of iliac arteriovenous anastomosis implant_ inclusive of all radiological supervision and interpretation_ intraprocedural roadmapping_ and","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0553T","description":"Percutaneous transcatheter placement of iliac arteriovenous anastomosis implant_ inclusive of all radiological supervision and interpretation_ intraprocedural roadmapping_ and","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-PA156","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"PA156","description":"HIPPS-PA156","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Radiation Therapy For Pancreatic Cancer Under The Radiation Oncology Model_ 90 Day Episode_ Technical Component","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"M1099","description":"Radiation Therapy For Pancreatic Cancer Under The Radiation Oncology Model_ 90 Day Episode_ Technical Component","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RHA54","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RHA54","description":"HIPPS-RHA54","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-HD10A","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"HD10A","description":"HIPPS-HD10A","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-5CGK5","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"5CGK5","description":"HIPPS-5CGK5","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NLDD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FBAA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CGTC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GFTC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Nerve palsy fascial graft","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"15840","description":"Nerve palsy fascial graft","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-J3402","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"J3402","description":"HCPCS-J3402","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CGRF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NIND1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-C9816","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"C9816","description":"HCPCS-C9816","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OHQA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Tension based scoliosis orth","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"L1005","description":"Tension based scoliosis orth","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JDXE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CFGC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HH PDGM","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"4DB31","description":"HH PDGM","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GETD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Hiv/aids measures grp","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G8491","description":"Hiv/aids measures grp","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BGKA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OIIA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Oral busulfan","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"J8510","description":"Oral busulfan","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CHSF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OJSE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Ear mold/insert","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"V5264","description":"Ear mold/insert","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CASF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RHL12","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RHL12","description":"HIPPS-RHL12","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KIQE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NCBA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Art pancreas system","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"S1034","description":"Art pancreas system","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NLMA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KHAD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Infectious agent detection by nucleic acid (DNA or RNA); orthopoxvirus (e.g._ monkeypox virus_ cowpox virus_ vaccinia virus)_ amplified probe technique_ each","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"87593","description":"Infectious agent detection by nucleic acid (DNA or RNA); orthopoxvirus (e.g._ monkeypox virus_ cowpox virus_ vaccinia virus)_ amplified probe technique_ each","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"CPT-00800","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"00800","description":"CPT-00800","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Rare diseases (constitutional/heritable disorders)_ identification of copy number variations_ inversions_ insertions_ translocations_ and other structural variants by optical","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0264U","description":"Rare diseases (constitutional/heritable disorders)_ identification of copy number variations_ inversions_ insertions_ translocations_ and other structural variants by optical","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JFXA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CGCE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FEUC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Dialysis blood pressure cuff","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"A4663","description":"Dialysis blood pressure cuff","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OILE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"HBRB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KDDA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-3BHN5","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"3BHN5","description":"HIPPS-3BHN5","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RLB05","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RLB05","description":"HIPPS-RLB05","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Functional outcome assessment documented_ care plan not documented_ documentation the patient is not eligible for a care plan at the time of the encounter","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G9227","description":"Functional outcome assessment documented_ care plan not documented_ documentation the patient is not eligible for a care plan at the time of the encounter","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"CPT-01610","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"01610","description":"CPT-01610","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OLTC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Reusable enema bag","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"A4458","description":"Reusable enema bag","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HH PDGM","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"1GC31","description":"HH PDGM","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Remove inner ear lesion","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"69970","description":"Remove inner ear lesion","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Hhc occup therapy ea 15","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G0160","description":"Hhc occup therapy ea 15","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"PDSE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Explr/decompress eye socket","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"67414","description":"Explr/decompress eye socket","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BHLD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KDGE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HH PDGM","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"2JC21","description":"HH PDGM","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FIMC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Delivery comp imrt","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G6016","description":"Delivery comp imrt","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Occupational therapy evaluation_ high complexity_ requiring these components: An occupational profile and medical and therapy history_ which includes review of medical and/or","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"97167","description":"Occupational therapy evaluation_ high complexity_ requiring these components: An occupational profile and medical and therapy history_ which includes review of medical and/or","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NJHE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-1BGP6","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"1BGP6","description":"HIPPS-1BGP6","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"PJYE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MHME1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"HEYB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CHFE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"AGHF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-2CGKX","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"2CGKX","description":"HIPPS-2CGKX","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Cabg arterial three","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"33535","description":"Cabg arterial three","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JAMB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OFDD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"ABBF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OILC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Esophagogastroduodenoscopy_ flexible_ transnasal; with insertion of intraluminal tube or catheter","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0654T","description":"Esophagogastroduodenoscopy_ flexible_ transnasal; with insertion of intraluminal tube or catheter","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Ct scan for therapy guide","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"77014","description":"Ct scan for therapy guide","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MHAF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-A5102","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"A5102","description":"HCPCS-A5102","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-M1404","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"M1404","description":"HCPCS-M1404","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Draw blood off venous device","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"36591","description":"Draw blood off venous device","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RHX8A","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RHX8A","description":"HIPPS-RHX8A","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-1AHLT","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"1AHLT","description":"HIPPS-1AHLT","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CHKF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KIVA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Srs cran les simple addl","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"61797","description":"Srs cran les simple addl","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RUX14","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RUX14","description":"HIPPS-RUX14","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FETB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FHAB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MBAB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Influenza imm order/admin","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"4037F","description":"Influenza imm order/admin","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Repair/graft of foot tendon","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"28202","description":"Repair/graft of foot tendon","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BGVB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RLX1A","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RLX1A","description":"HIPPS-RLX1A","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BHKB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Revision of pulmonary valve","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"92990","description":"Revision of pulmonary valve","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Place cath carotid/inom art","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"36222","description":"Place cath carotid/inom art","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Legionella micdadei ag if","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"87277","description":"Legionella micdadei ag if","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Tlso rigid lined custom fab","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"L0482","description":"Tlso rigid lined custom fab","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KHEE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"EHDA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-1AHK2","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"1AHK2","description":"HIPPS-1AHK2","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NGIB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Md doc_ door to punc tm >2hr","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G9581","description":"Md doc_ door to punc tm >2hr","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Drainage of spinal cyst","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"63172","description":"Drainage of spinal cyst","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Dental unspec restorative pr","billing_code_type":"CDT","billing_code_type_version":"2024","billing_code":"D2999","description":"Dental unspec restorative pr","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GIAF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NBJE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GBKC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Thoracostomy w/rib resection","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"32035","description":"Thoracostomy w/rib resection","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KBCE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JIHB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Albumin; other source_ quantitative_ each specimen","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"82042","description":"Albumin; other source_ quantitative_ each specimen","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-PB18A","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"PB18A","description":"HIPPS-PB18A","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Small bowel endoscopy br/wa","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"44381","description":"Small bowel endoscopy br/wa","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Hiv-2 antibody","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"86702","description":"Hiv-2 antibody","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CIXD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-HC146","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"HC146","description":"HIPPS-HC146","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"DCRE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-1AHMX","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"1AHMX","description":"HIPPS-1AHMX","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"EIIC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"LEWB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BADF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Clot factor ii prothrom spec","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"85210","description":"Clot factor ii prothrom spec","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CEIA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Antidepressant rx","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"4064F","description":"Antidepressant rx","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KDRC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KGEC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Medical services after hrs","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"99050","description":"Medical services after hrs","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FHDB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-4BFMV","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"4BFMV","description":"HIPPS-4BFMV","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Refill/maint pump/resvr syst","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"96522","description":"Refill/maint pump/resvr syst","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-PE15C","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"PE15C","description":"HIPPS-PE15C","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FBXB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Photochemotherapy uv-a or b","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"96913","description":"Photochemotherapy uv-a or b","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"CPT-00920","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"00920","description":"CPT-00920","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Replace aortic valve open","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"33365","description":"Replace aortic valve open","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GDJB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CBDF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GFEE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Hiv unsure baby of hiv+moms","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"3491F","description":"Hiv unsure baby of hiv+moms","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NHTA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Injection_ midazolam hydrochloride (wg critical care) not therapeutically equivalent to j2250_ per 1 mg","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"J2251","description":"Injection_ midazolam hydrochloride (wg critical care) not therapeutically equivalent to j2250_ per 1 mg","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Injection procedure for chemonucleolysis_ including discography_ intervertebral disc_ single or multiple levels_ lumbar","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"62292","description":"Injection procedure for chemonucleolysis_ including discography_ intervertebral disc_ single or multiple levels_ lumbar","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Fusion of knuckle joints","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"26518","description":"Fusion of knuckle joints","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-1BGKW","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"1BGKW","description":"HIPPS-1BGKW","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KIRC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NDED1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OANE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Drug metabolism (adverse drug reactions and drug response)_ genomic analysis panel_ variant analysis of 25 genes with reported phenotypes","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0434U","description":"Drug metabolism (adverse drug reactions and drug response)_ genomic analysis panel_ variant analysis of 25 genes with reported phenotypes","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HH PDGM","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"3GC11","description":"HH PDGM","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-J2151","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"J2151","description":"HCPCS-J2151","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Pt or manip for maint","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"S8990","description":"Pt or manip for maint","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"HCQE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Revision of nose","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"30120","description":"Revision of nose","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Injection_ cabotegravir_ 1 mg","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"J0739","description":"Injection_ cabotegravir_ 1 mg","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-LD24A","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"LD24A","description":"HIPPS-LD24A","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RUA0A","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RUA0A","description":"HIPPS-RUA0A","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RMC21","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RMC21","description":"HIPPS-RMC21","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"CPT-01274","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"01274","description":"CPT-01274","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RVL46","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RVL46","description":"HIPPS-RVL46","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"LHRA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CHJB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"ICUD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-CE130","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"CE130","description":"HIPPS-CE130","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NHUA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"AFAC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Foot plas heel stabi pre ots","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"L3170","description":"Foot plas heel stabi pre ots","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Injection(s)_ bone-substitute material for bone and/or soft tissue hardware fixation augmentation_ including intraoperative imaging guidance_ when performed","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0869T","description":"Injection(s)_ bone-substitute material for bone and/or soft tissue hardware fixation augmentation_ including intraoperative imaging guidance_ when performed","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KAYD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MLMD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Mastectomy bra","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"L8000","description":"Mastectomy bra","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NEND0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JEVE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Assay of urine creatinine","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"82570","description":"Assay of urine creatinine","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Nasal Endo Surg; Balln Dilat Eust T","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"C9745","description":"Nasal Endo Surg; Balln Dilat Eust T","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NCUD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"EIBF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"CYP3A5 (cytochrome P450 family 3 subfamily A member 5) (eg_ drug metabolism)_ gene analysis_ common variants (eg_ *2_ *3_ *4_ *5_ *6_ *7)","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"81231","description":"CYP3A5 (cytochrome P450 family 3 subfamily A member 5) (eg_ drug metabolism)_ gene analysis_ common variants (eg_ *2_ *3_ *4_ *5_ *6_ *7)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CAIA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KBYE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Interferon beta-1b / .25 mg","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"J1830","description":"Interferon beta-1b / .25 mg","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"IBAA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KECE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Meniscal trnspl knee w/scpe","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"29868","description":"Meniscal trnspl knee w/scpe","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OHRB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Remote body and limb kinematic measurement-based therapy ordered by a physician or other qualified health care professional; supply and technical support_ per 30 days","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0733T","description":"Remote body and limb kinematic measurement-based therapy ordered by a physician or other qualified health care professional; supply and technical support_ per 30 days","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-LE23D","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"LE23D","description":"HIPPS-LE23D","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Compres burngarment facehood","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"A6503","description":"Compres burngarment facehood","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"CPT-55711","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"55711","description":"CPT-55711","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"PLYB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Non cutaneous loc","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G9295","description":"Non cutaneous loc","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Reconstruct wrist joint","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"25444","description":"Reconstruct wrist joint","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-1CFMU","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"1CFMU","description":"HIPPS-1CFMU","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JECA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"IFHD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-ES12B","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"ES12B","description":"HIPPS-ES12B","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KHJE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Psychoed svc_ per 15 min","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"H2027","description":"Psychoed svc_ per 15 min","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-A1802","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"A1802","description":"HCPCS-A1802","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GCJC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"EDID0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OHDA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KHVD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Surgical supplies","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"A4649","description":"Surgical supplies","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"ICMC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Electrophysiology evaluation","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"93619","description":"Electrophysiology evaluation","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OEGB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KHAE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FAKF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Elevated or hypertensive blood pressure reading documented_ and the indicated follow-up is documented","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"M1278","description":"Elevated or hypertensive blood pressure reading documented_ and the indicated follow-up is documented","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GGDA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Methylprednisolone injection","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"J2920","description":"Methylprednisolone injection","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"ODSC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FCJF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HH PDGM","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"4BA21","description":"HH PDGM","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Removal of fascia for graft","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"20920","description":"Removal of fascia for graft","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Oncology (solid tumor)_ DNA (80 genes) and RNA (36 genes)_ by next-generation sequencing from plasma_ including single nucleotide variants_ insertions/deletions_ copy number a","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0409U","description":"Oncology (solid tumor)_ DNA (80 genes) and RNA (36 genes)_ by next-generation sequencing from plasma_ including single nucleotide variants_ insertions/deletions_ copy number a","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"DDOB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Destruction of skin lesions","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"17280","description":"Destruction of skin lesions","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Exc leg/ankle tum dep 5 cm/>","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"27634","description":"Exc leg/ankle tum dep 5 cm/>","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"DBSD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KFJF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CHBC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BIAF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FHKA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OCGA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MFLF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"ECAD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Documentation Of Medical Reason(S) For Not Screening For Tobacco Use (E.G._ Limited Life Expectancy_ Other Medical Reason)","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G0028","description":"Documentation Of Medical Reason(S) For Not Screening For Tobacco Use (E.G._ Limited Life Expectancy_ Other Medical Reason)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-CA23B","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"CA23B","description":"HIPPS-CA23B","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GGUE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Exploration of ankle joint","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"27612","description":"Exploration of ankle joint","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"PBSC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BFKF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Gallium Ga-68 gozetotide_ diagnostic_ (Illuccix)_ 1 mCi","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"A9596","description":"Gallium Ga-68 gozetotide_ diagnostic_ (Illuccix)_ 1 mCi","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Implantation_ Osseointegrated Implant_ Skull; With Magnetic Transcutaneous Attachment To External Speech Processor","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"69716","description":"Implantation_ Osseointegrated Implant_ Skull; With Magnetic Transcutaneous Attachment To External Speech Processor","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FFMD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BHVC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"CoreCyte_ for topical use only_ per 0.5 cc","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"Q4240","description":"CoreCyte_ for topical use only_ per 0.5 cc","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-CC101","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"CC101","description":"HIPPS-CC101","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GERE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KESF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MFCC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NHHB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"AAEF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GCMF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KCVF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OGUF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BINE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KAKD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"ACUE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MGTA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GBNB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OCEF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RVC8E","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RVC8E","description":"HIPPS-RVC8E","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Low risk prostate cancer","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"3271F","description":"Low risk prostate cancer","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OBLD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"EBTF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-CC28C","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"CC28C","description":"HIPPS-CC28C","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"DDYE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RML45","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RML45","description":"HIPPS-RML45","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Irrigation syringe","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"A4322","description":"Irrigation syringe","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JFNE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Exc thigh/knee les sc 3 cm/>","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"27337","description":"Exc thigh/knee les sc 3 cm/>","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KCJA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Partial removal of nose","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"30150","description":"Partial removal of nose","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-M1409","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"M1409","description":"HCPCS-M1409","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"CT/MRI chest/neck follup rec","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G9554","description":"CT/MRI chest/neck follup rec","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BIUF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GEFF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Hand held low vision aids","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"V2600","description":"Hand held low vision aids","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NKKD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NDKE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FGDB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Deoxycortisol","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"82634","description":"Deoxycortisol","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Outpatient_ ed_ or observation visits that result in an inpatient admission","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G2176","description":"Outpatient_ ed_ or observation visits that result in an inpatient admission","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"IDDE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"DAOB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"LDWD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"AEMB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JICC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OHEB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Drain external ear lesion","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"69000","description":"Drain external ear lesion","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Catheter placement in coronary artery(ies) for coronary angiography_ including intraprocedural injection(s) for coronary angiography_ imaging supervision and interpretation_ w","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"C7528","description":"Catheter placement in coronary artery(ies) for coronary angiography_ including intraprocedural injection(s) for coronary angiography_ imaging supervision and interpretation_ w","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OALA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RVC45","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RVC45","description":"HIPPS-RVC45","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"PHQD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FCCB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-ES250","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"ES250","description":"HIPPS-ES250","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Not medically necessary svc","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"S9986","description":"Not medically necessary svc","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-CB18X","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"CB18X","description":"HIPPS-CB18X","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-2CFM6","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"2CFM6","description":"HIPPS-2CFM6","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-HE28G","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"HE28G","description":"HIPPS-HE28G","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Sewhfo cap design w/o jnt cf","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"L3975","description":"Sewhfo cap design w/o jnt cf","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-3AGK6","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"3AGK6","description":"HIPPS-3AGK6","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GIWD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OIDB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CCQC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Molecular Fluorescent Imaging Of Suspicious Nevus; Each Additional Lesion (List Separately In Addition To Code For Primary Procedure)","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0701T","description":"Molecular Fluorescent Imaging Of Suspicious Nevus; Each Additional Lesion (List Separately In Addition To Code For Primary Procedure)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Patient did not receive at least one dose of the herpes zoster live vaccine or two doses of the herpes zoster recombinant vaccine (at least 28 days apart) anytime on or after","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"M1176","description":"Patient did not receive at least one dose of the herpes zoster live vaccine or two doses of the herpes zoster recombinant vaccine (at least 28 days apart) anytime on or after","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"IDTB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KAUF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"DFOC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KDSD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FAVE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-PB215","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"PB215","description":"HIPPS-PB215","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"EIDD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"(Zerbaxa) Injection_ Ceftolozane 50mg And Tazobactam 25 Mg","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"C9452","description":"(Zerbaxa) Injection_ Ceftolozane 50mg And Tazobactam 25 Mg","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Part pulp for apexogenesis","billing_code_type":"CDT","billing_code_type_version":"2024","billing_code":"D3222","description":"Part pulp for apexogenesis","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Place cath intracranial art","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"36228","description":"Place cath intracranial art","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Pulmonary stress testing (eg_ 6-minute walk test)_ including measurement of heart rate_ oximetry_ and oxygen titration_ when performed","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"94618","description":"Pulmonary stress testing (eg_ 6-minute walk test)_ including measurement of heart rate_ oximetry_ and oxygen titration_ when performed","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Liver disease_ analysis of 3 biomarkers (hyaluronic acid [HA]_ procollagen III amino terminal peptide [PIIINP]_ tissue inhibitor of metalloproteinase 1 [TIMP-1])_ using immuno","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"81517","description":"Liver disease_ analysis of 3 biomarkers (hyaluronic acid [HA]_ procollagen III amino terminal peptide [PIIINP]_ tissue inhibitor of metalloproteinase 1 [TIMP-1])_ using immuno","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FFFC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OBTB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-PA13D","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"PA13D","description":"HIPPS-PA13D","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-E0767","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"E0767","description":"HCPCS-E0767","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FCND1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MCLD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JCLA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FAPF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CBGC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"X-ray exam of small bowel","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"74260","description":"X-ray exam of small bowel","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Drainage of forearm lesion","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"25028","description":"Drainage of forearm lesion","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Exploration of abdomen","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"58960","description":"Exploration of abdomen","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Ef ped complete soy based","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"B4159","description":"Ef ped complete soy based","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"PJOB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Hemoglobin copper sulfate","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"83026","description":"Hemoglobin copper sulfate","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Muscle test cran nerve bilat","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"95868","description":"Muscle test cran nerve bilat","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Planar seat for ped size wc","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"E2292","description":"Planar seat for ped size wc","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NATB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NGTA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-B1904","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"B1904","description":"HCPCS-B1904","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"AHEC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NBCE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Meals per diem","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"S9977","description":"Meals per diem","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"DFQC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KEMD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MDAC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Noner transport mini-bus","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"A0120","description":"Noner transport mini-bus","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BIXC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Ocular imp_ aqueous drain de","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"C1783","description":"Ocular imp_ aqueous drain de","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Revision of tricuspid valve","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"33468","description":"Revision of tricuspid valve","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MDEE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MDBB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BFJE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"IFHB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Suspend bowel w/prosthesis","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"44700","description":"Suspend bowel w/prosthesis","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-CC28I","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"CC28I","description":"HIPPS-CC28I","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Hydromorphone injection","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"J1170","description":"Hydromorphone injection","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OKRE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MHCA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"LEWF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"CPT-0510U","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"0510U","description":"CPT-0510U","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Electrodes_ pair","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"A4556","description":"Electrodes_ pair","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JFLA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BIGA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-G0533","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"G0533","description":"HCPCS-G0533","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Grafix Core and GrafixPL Core_ per sq cm","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"Q4132","description":"Grafix Core and GrafixPL Core_ per sq cm","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"ADMF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KABE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BCXB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-LB14A","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"LB14A","description":"HIPPS-LB14A","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"PJWA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OIFE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GILB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Transcutaneous measurement of five biomarkers (tissue oxygenation [StO2]_ oxyhemoglobin [ctHbO2]_ deoxyhemoglobin [ctHbR]_ papillary and reticular dermal hemoglobin concentrat","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0061U","description":"Transcutaneous measurement of five biomarkers (tissue oxygenation [StO2]_ oxyhemoglobin [ctHbO2]_ deoxyhemoglobin [ctHbR]_ papillary and reticular dermal hemoglobin concentrat","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-PB110","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"PB110","description":"HIPPS-PB110","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HH PDGM","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"3KC21","description":"HH PDGM","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HH PDGM","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"4EC11","description":"HH PDGM","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Prolong serv w/o contact add","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"99359","description":"Prolong serv w/o contact add","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Ct soft tissue neck w/dye","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"70491","description":"Ct soft tissue neck w/dye","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Visualization of windpipe","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"31615","description":"Visualization of windpipe","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Implantable/insertable device for device intensive procedure_ not otherwise classified","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"C1889","description":"Implantable/insertable device for device intensive procedure_ not otherwise classified","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Colorectal cancer screening results documented and reviewed","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"M1277","description":"Colorectal cancer screening results documented and reviewed","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Care after delivery","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"59430","description":"Care after delivery","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GFLA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"LAMINECTOMY_ FACETECTOMY_ OR FORAMINOTOMY (UNILATERAL OR BILATERAL WITH DECOMPRESSION OF SPINAL CORD_ CAUDA EQUINA AND/OR NERVE ROOT[S] [EG_ SPINAL OR LATERAL RECESS STENOSIS]","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"63052","description":"LAMINECTOMY_ FACETECTOMY_ OR FORAMINOTOMY (UNILATERAL OR BILATERAL WITH DECOMPRESSION OF SPINAL CORD_ CAUDA EQUINA AND/OR NERVE ROOT[S] [EG_ SPINAL OR LATERAL RECESS STENOSIS]","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"IHBB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Dolasetron mesylate","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"J1260","description":"Dolasetron mesylate","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Patients determined to be in hospice were excluded from month of evaluation and the remainder of reporting period","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"M1275","description":"Patients determined to be in hospice were excluded from month of evaluation and the remainder of reporting period","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Diagnostic anoscopy","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"46601","description":"Diagnostic anoscopy","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NLUC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Biopsy of mouth lesion","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"40808","description":"Biopsy of mouth lesion","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FHCE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"LDOE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Test for acetone/ketones","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"82009","description":"Test for acetone/ketones","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Gonadotropin chorionic (hCG) immunoassay with direct optical observation blood","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0167U","description":"Gonadotropin chorionic (hCG) immunoassay with direct optical observation blood","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MDEE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OFSE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Muscle test larynx","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"95865","description":"Muscle test larynx","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BDXD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Dialysis circuit_ introduction of needle(s) and/or catheter(s)_ with diagnostic angiography of the dialysis circuit_ including all direct puncture(s) and catheter placement(s)","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"C7515","description":"Dialysis circuit_ introduction of needle(s) and/or catheter(s)_ with diagnostic angiography of the dialysis circuit_ including all direct puncture(s) and catheter placement(s)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CBWB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-CC12B","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"CC12B","description":"HIPPS-CC12B","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FCUC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Computed Tomography_ Breast_ Including 3D Rendering_ When Performed_ Unilateral; Without Contrast_ Followed By Contrast Material(S)","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0635T","description":"Computed Tomography_ Breast_ Including 3D Rendering_ When Performed_ Unilateral; Without Contrast_ Followed By Contrast Material(S)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-3CFKT","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"3CFKT","description":"HIPPS-3CFKT","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Smoking & 2nd hand assessed","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"1031F","description":"Smoking & 2nd hand assessed","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Pediatrics (vasculitis_ Kawasaki disease [KD])_ analysis of 3 biomarkers (NT-proBNP_ C-reactive protein_ and T-uptake)_ plasma_ algorithm reported as a risk score for KD","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0310U","description":"Pediatrics (vasculitis_ Kawasaki disease [KD])_ analysis of 3 biomarkers (NT-proBNP_ C-reactive protein_ and T-uptake)_ plasma_ algorithm reported as a risk score for KD","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Replace non-molded thigh lac","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"L4045","description":"Replace non-molded thigh lac","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JHUE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FDCA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KIKE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KHUA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"DBSB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JBXB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"AFBB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-CD11B","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"CD11B","description":"HIPPS-CD11B","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KEQB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CDQE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"LIOB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Str markers specimen anal","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"81265","description":"Str markers specimen anal","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-4BHK3","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"4BHK3","description":"HIPPS-4BHK3","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NEBD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Revision of kidney/ureter","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"50405","description":"Revision of kidney/ureter","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Repair modified fontan","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"33615","description":"Repair modified fontan","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"CPT-0575U","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"0575U","description":"CPT-0575U","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"EIUE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"AHIB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"METF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BIVB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Wound warming device","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"E0231","description":"Wound warming device","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"MLG-Complete_ per sq cm","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"Q4256","description":"MLG-Complete_ per sq cm","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KBHC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"ADEA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NBAD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NBTF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"IGBD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Ctrl dose inh drug deliv sys","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"K0730","description":"Ctrl dose inh drug deliv sys","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Permanent Fallopian Tube Occlusion With Degradable Biopolymer Implant_ Transcervical Approach_ Including Transvaginal Ultrasound","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0567T","description":"Permanent Fallopian Tube Occlusion With Degradable Biopolymer Implant_ Transcervical Approach_ Including Transvaginal Ultrasound","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"HFSD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Adjacent tissue transfer or rearrangement_ scalp_ arms and/or legs; defect","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"2023F","description":"Adjacent tissue transfer or rearrangement_ scalp_ arms and/or legs; defect","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Esophagoscopy flexible brush","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"43200","description":"Esophagoscopy flexible brush","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Incision of thigh","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"27450","description":"Incision of thigh","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OBWA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GFMB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-ES205","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"ES205","description":"HIPPS-ES205","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Ins cath abd/l-ext art 1st","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"36245","description":"Ins cath abd/l-ext art 1st","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MBEB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CBPB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Electrocorticogram from an implanted brain neurostimulator pulse generator/transmitter_ including recording_ with interpretation and written report_ up to 30 days","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"95836","description":"Electrocorticogram from an implanted brain neurostimulator pulse generator/transmitter_ including recording_ with interpretation and written report_ up to 30 days","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KFRE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Anatomic model 3D-printed from image data set(s); each additional individually prepared and processed component of an anatomic structure (List separately in addition to code f","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0560T","description":"Anatomic model 3D-printed from image data set(s); each additional individually prepared and processed component of an anatomic structure (List separately in addition to code f","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Apply hand/wrist cast","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"29085","description":"Apply hand/wrist cast","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BIBC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KHVF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-BA124","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"BA124","description":"HIPPS-BA124","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CCRD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-Q4361","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"Q4361","description":"HCPCS-Q4361","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JBJE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KAOC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Elbow fair lead cable molded","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"L6584","description":"Elbow fair lead cable molded","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-3BGLS","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"3BGLS","description":"HIPPS-3BGLS","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OILE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"CPT-0501U","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"0501U","description":"CPT-0501U","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Clinician documented that patient was not an eligible candidate for lower extremity neurological exam measure_ for example patient bilateral amputee; patient has condition tha","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G2178","description":"Clinician documented that patient was not an eligible candidate for lower extremity neurological exam measure_ for example patient bilateral amputee; patient has condition tha","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Electrocardiogram tracing","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"93005","description":"Electrocardiogram tracing","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Dias bp > or = 90","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G8755","description":"Dias bp > or = 90","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Injection_ doxercalciferol","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"J1270","description":"Injection_ doxercalciferol","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Dose optimization auc - 5fu","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"S3722","description":"Dose optimization auc - 5fu","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JFME1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KCQF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-Q5160","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"Q5160","description":"HCPCS-Q5160","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"DGWD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-2BFLX","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"2BFLX","description":"HIPPS-2BFLX","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GIDF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CCQE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Replace socket below knee","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"L5700","description":"Replace socket below knee","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KHFA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Lvef less than/equal to 35%","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"3055F","description":"Lvef less than/equal to 35%","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HH PDGM","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"3FC21","description":"HH PDGM","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GHSE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Intent pot remv time placemt","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G9539","description":"Intent pot remv time placemt","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"ABCB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JCUE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-1BGN4","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"1BGN4","description":"HIPPS-1BGN4","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NEUB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OEEF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Fetal contract stress test","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"59020","description":"Fetal contract stress test","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Suspension of testis","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"54640","description":"Suspension of testis","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BEXF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Meas lung vol thru 2 yrs","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"94013","description":"Meas lung vol thru 2 yrs","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"HAYB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JFGD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Treatment of heel fracture","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"28405","description":"Treatment of heel fracture","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-LC12D","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"LC12D","description":"HIPPS-LC12D","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HH PDGM","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"1FA11","description":"HH PDGM","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"AICC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NCFE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Disposable underpads","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"A4554","description":"Disposable underpads","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FHBD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RVC44","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RVC44","description":"HIPPS-RVC44","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NGUC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"EHAD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MGTF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Doc recpt counsl vit d/calc+","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"4019F","description":"Doc recpt counsl vit d/calc+","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KAWC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GFMD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MBEB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Patients with clinical indications for imaging of the head: new onset headache in pre-school children or younger (<6 years of age)","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G2193","description":"Patients with clinical indications for imaging of the head: new onset headache in pre-school children or younger (<6 years of age)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-4BHKS","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"4BHKS","description":"HIPPS-4BHKS","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-3AHLV","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"3AHLV","description":"HIPPS-3AHLV","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Inpt/ed teleconsult30","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G0425","description":"Inpt/ed teleconsult30","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-HE18F","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"HE18F","description":"HIPPS-HE18F","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Lumbar spine fusion","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"22612","description":"Lumbar spine fusion","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CCSD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BATA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KCME0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-3AGPX","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"3AGPX","description":"HIPPS-3AGPX","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Create tear sac drain","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"68720","description":"Create tear sac drain","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JEPB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"ODNC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KFDC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Strapping of hand or finger","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"29280","description":"Strapping of hand or finger","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Transperineal placement of biodegradable material_ peri-prostatic_ single or multiple injection(s)_ including image guidance_ when performed","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"55874","description":"Transperineal placement of biodegradable material_ peri-prostatic_ single or multiple injection(s)_ including image guidance_ when performed","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Ins lt atrl mont pres lead","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0294T","description":"Ins lt atrl mont pres lead","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Hepa vaccine adult im","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"90632","description":"Hepa vaccine adult im","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FHDF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GGWC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KAJB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Employment - Job Finding","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"W1735","description":"Employment - Job Finding","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Glasses air conduction","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"V5070","description":"Glasses air conduction","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NHLB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KIFD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CHOA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Removal of nail bed","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"11750","description":"Removal of nail bed","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GEPD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Anal pressure record","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"91122","description":"Anal pressure record","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MBCB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KGTE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Testosterone; bioavailable_ direct measurement (eg_ differential precipitation)","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"84410","description":"Testosterone; bioavailable_ direct measurement (eg_ differential precipitation)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Chlordiazepoxide injection","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"J1990","description":"Chlordiazepoxide injection","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Ak sleeve susp neoprene/equa","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"L5695","description":"Ak sleeve susp neoprene/equa","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Treat dental ridge fracture","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"21445","description":"Treat dental ridge fracture","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Nutritional counseling_ diet","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"S9470","description":"Nutritional counseling_ diet","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Revision of lower leg tendon","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"27685","description":"Revision of lower leg tendon","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Microprocessor control uplmb","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"L6882","description":"Microprocessor control uplmb","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Medical nutrition group","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"97804","description":"Medical nutrition group","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Piperacillin/tazobactam","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"J2543","description":"Piperacillin/tazobactam","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Patients who use hospice services any time during the measurement period","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G9715","description":"Patients who use hospice services any time during the measurement period","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BAID0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JDVA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OBTA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Afo plastic molded w/ankle j","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"L1970","description":"Afo plastic molded w/ankle j","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-PD121","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"PD121","description":"HIPPS-PD121","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Catheter_ Pressure-Generating_ One-Way Valve_ Intermittently Occlusive","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"C1982","description":"Catheter_ Pressure-Generating_ One-Way Valve_ Intermittently Occlusive","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"PEQD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GGXF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-HE155","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"HE155","description":"HIPPS-HE155","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MLLC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RUA3A","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RUA3A","description":"HIPPS-RUA3A","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"PHOA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"IIIE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GICF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Quant her2 ihc eval brst cx","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"3394F","description":"Quant her2 ihc eval brst cx","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CGFB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Renin stimulation panel","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"80416","description":"Renin stimulation panel","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Patients who are transferred from one institution to another with a known diagnosis of CVA for endovascular stroke treatment","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G9766","description":"Patients who are transferred from one institution to another with a known diagnosis of CVA for endovascular stroke treatment","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Patient_ who has a reactive hcv antibody test_ and has a follow up hcv viral test that detected hcv viremia_ is referred within 1 month of the reactive hcv antibody test to a","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"M1229","description":"Patient_ who has a reactive hcv antibody test_ and has a follow up hcv viral test that detected hcv viremia_ is referred within 1 month of the reactive hcv antibody test to a","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Venous m-thrombectomy add-on","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"37188","description":"Venous m-thrombectomy add-on","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KIOD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Alcohol and/or drug services","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"H0018","description":"Alcohol and/or drug services","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-BB101","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"BB101","description":"HIPPS-BB101","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-Q4410","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"Q4410","description":"HCPCS-Q4410","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Polysom 6/>yrs cpap 4/> parm","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"95811","description":"Polysom 6/>yrs cpap 4/> parm","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MIUE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Azithromycin","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"J0456","description":"Azithromycin","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NCTE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KHCB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FGKE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Corticorelin ovine triflutal","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"J0795","description":"Corticorelin ovine triflutal","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KHOB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Ctlso milwauke initial model","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"L1000","description":"Ctlso milwauke initial model","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"PGRE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Treat slipped epiphysis","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"27178","description":"Treat slipped epiphysis","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RMC56","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RMC56","description":"HIPPS-RMC56","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Repair septal defect","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"33853","description":"Repair septal defect","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Proton trmt intermediate","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"77523","description":"Proton trmt intermediate","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Revision of arm tendon","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"24310","description":"Revision of arm tendon","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OCXF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Diagnostic colonoscopy","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"45378","description":"Diagnostic colonoscopy","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KEFB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JCGE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Allergen specific IgE; quantitative or semiquantitative_ crude allergen extract_ each","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"86003","description":"Allergen specific IgE; quantitative or semiquantitative_ crude allergen extract_ each","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Repair lower leg tendons","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"27676","description":"Repair lower leg tendons","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"CPT-1074T","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"1074T","description":"CPT-1074T","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"PFQE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BFFA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"CPT-00940","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"00940","description":"CPT-00940","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Cus elbo skt in not con/atyp","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"L6697","description":"Cus elbo skt in not con/atyp","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JIBB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-BB112","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"BB112","description":"HIPPS-BB112","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Fetoscop laser ther ttts","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"S2411","description":"Fetoscop laser ther ttts","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MLBF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"EBMA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Ongoing Care Not Indicated_ Patient Discharged After Only 1-2 Visits Due To Specific Medical Events_ Documented In The Medical Record That Make The Treatment Episode Impossibl","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"M1124","description":"Ongoing Care Not Indicated_ Patient Discharged After Only 1-2 Visits Due To Specific Medical Events_ Documented In The Medical Record That Make The Treatment Episode Impossibl","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Removal of tail bone ulcer","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"15922","description":"Removal of tail bone ulcer","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Cytopath eval fna report","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"88173","description":"Cytopath eval fna report","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-BB205","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"BB205","description":"HIPPS-BB205","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CFQF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"IDAA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Repl semi/precision attach","billing_code_type":"CDT","billing_code_type_version":"2024","billing_code":"D6091","description":"Repl semi/precision attach","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GAHC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"IGME1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Skin substitute_ FDA-cleared as a device_ not otherwise specified","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"A4100","description":"Skin substitute_ FDA-cleared as a device_ not otherwise specified","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CDLC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OFDE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"MRI ct scan ord rvwd rqstd","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"3324F","description":"MRI ct scan ord rvwd rqstd","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OKPD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JAUC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NHTD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BHEC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Md service required for pmd","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G0372","description":"Md service required for pmd","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JCHB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-CE10B","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"CE10B","description":"HIPPS-CE10B","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Urinary reflex study","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"51792","description":"Urinary reflex study","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NCCA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Insertion of catheter vein","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"36500","description":"Insertion of catheter vein","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BEND1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CAHC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Injection_ voretigene neparvovec-rzyl_ 1 billion vector genome","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"C9032","description":"Injection_ voretigene neparvovec-rzyl_ 1 billion vector genome","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KDXB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Hereditary colon ca dsordrs","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"81435","description":"Hereditary colon ca dsordrs","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Contrast x-ray exam of colon","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"74270","description":"Contrast x-ray exam of colon","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CIRB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Patients 66-80 Years Of Age With At Least One Claim/Encounter For Frailty During The Measurement Period And A Dispensed Medication For Dementia During The Measurement Period O","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G2114","description":"Patients 66-80 Years Of Age With At Least One Claim/Encounter For Frailty During The Measurement Period And A Dispensed Medication For Dementia During The Measurement Period O","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BDUF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"LDOC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RVA5A","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RVA5A","description":"HIPPS-RVA5A","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Extraoral posterior image","billing_code_type":"CDT","billing_code_type_version":"2024","billing_code":"D0251","description":"Extraoral posterior image","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Repair ortho appliance","billing_code_type":"CDT","billing_code_type_version":"2024","billing_code":"D8691","description":"Repair ortho appliance","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KBQC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OJKF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Insert uteri tandem/ovoids","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"57155","description":"Insert uteri tandem/ovoids","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BECA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Lens sphcy bifo 7.25-12/.25-","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"V2211","description":"Lens sphcy bifo 7.25-12/.25-","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Care of miscarriage","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"59820","description":"Care of miscarriage","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MCBC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"MRI joint of lwr extr w/dye","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"73722","description":"MRI joint of lwr extr w/dye","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MFID0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Remove tonsils and adenoids","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"42821","description":"Remove tonsils and adenoids","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CDYF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Chest wall manipulation","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"94667","description":"Chest wall manipulation","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-BB134","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"BB134","description":"HIPPS-BB134","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"EEHC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Alpha-1-antitrypsin total","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"82103","description":"Alpha-1-antitrypsin total","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NEDB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GHPC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JAEF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FDXB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NCEF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OBJE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-HD213","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"HD213","description":"HIPPS-HD213","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Pik3Ca (Phosphatidylinositol-4_ 5-Biphosphate 3-Kinase_ Catalytic Subunit Alpha) (Eg_ Colorectal And Breast Cancer) Gene Analysis_ Targeted Sequence Analysis (Eg_ Exons 7_ 9_","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"81309","description":"Pik3Ca (Phosphatidylinositol-4_ 5-Biphosphate 3-Kinase_ Catalytic Subunit Alpha) (Eg_ Colorectal And Breast Cancer) Gene Analysis_ Targeted Sequence Analysis (Eg_ Exons 7_ 9_","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RML17","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RML17","description":"HIPPS-RML17","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JBMA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Lipoprotein bld hr fraction","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"83701","description":"Lipoprotein bld hr fraction","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"IGLA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MAMB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FGXD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BHLC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MHCE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BHMD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-LC18E","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"LC18E","description":"HIPPS-LC18E","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GFDE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Incis spine 3 column lumbar","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"22207","description":"Incis spine 3 column lumbar","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-LE244","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"LE244","description":"HIPPS-LE244","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GGXC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RUL25","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RUL25","description":"HIPPS-RUL25","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"ODJD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BAMA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Platelets leukocytes reduced","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"P9031","description":"Platelets leukocytes reduced","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"MRI lower extremity w/o dye","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"73718","description":"MRI lower extremity w/o dye","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JDTB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CHFF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-1AHLW","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"1AHLW","description":"HIPPS-1AHLW","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-3CHK3","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"3CHK3","description":"HIPPS-3CHK3","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OKFB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Pulpal therapy posterior pri","billing_code_type":"CDT","billing_code_type_version":"2024","billing_code":"D3240","description":"Pulpal therapy posterior pri","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"CPT-00796","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"00796","description":"CPT-00796","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KBWD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Hosp bed total elec w/o matt","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"E0266","description":"Hosp bed total elec w/o matt","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KIGA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"FUT2 GNOTYP FUT2 EXON 2","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0186U","description":"FUT2 GNOTYP FUT2 EXON 2","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-5BHK4","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"5BHK4","description":"HIPPS-5BHK4","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GAAE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OCVA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Administration of respiratory syncytial virus_ monoclonal antibody_ seasonal dose by intramuscular injection_ with counseling by physician or other qualified health care profe","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"96380","description":"Administration of respiratory syncytial virus_ monoclonal antibody_ seasonal dose by intramuscular injection_ with counseling by physician or other qualified health care profe","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"DAQE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KCED0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BHJD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Vein x-ray chest","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"75827","description":"Vein x-ray chest","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Ptfalls assess-docd ge2>/yr","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"1100F","description":"Ptfalls assess-docd ge2>/yr","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Repair webbed toe(s)","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"28345","description":"Repair webbed toe(s)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Anesth chest drainage","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"52451","description":"Anesth chest drainage","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Gjb2 gene known fam variants","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"81253","description":"Gjb2 gene known fam variants","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CHLD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BACB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-1BHNS","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"1BHNS","description":"HIPPS-1BHNS","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KEDE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CDVF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Reticulated platelet assay","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"85055","description":"Reticulated platelet assay","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Fine needle aspiration biopsy_ including CT guidance; each additional lesion (List separately in addition to code for primary procedure)","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"10010","description":"Fine needle aspiration biopsy_ including CT guidance; each additional lesion (List separately in addition to code for primary procedure)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Knee-shin exo mech stance ph","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"L5716","description":"Knee-shin exo mech stance ph","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"HIOA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OACB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KHYC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GFID0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CBAD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"American amnion ac_ per square centimeter","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"Q4306","description":"American amnion ac_ per square centimeter","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"CPT-0975T","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"0975T","description":"CPT-0975T","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MCTD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"DHYE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KFQD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CGLE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FDTE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Fracture frame attachmnts ce","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"E0948","description":"Fracture frame attachmnts ce","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OLME0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"External Electrocardiographic Recording For More Than 7 Days Up To 15 Days By Continuous Rhythm Recording And Storage; Recording (Includes Connection And Initial Recording)","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"93246","description":"External Electrocardiographic Recording For More Than 7 Days Up To 15 Days By Continuous Rhythm Recording And Storage; Recording (Includes Connection And Initial Recording)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GALB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Catheter w/o bag 2-way latex","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"A4311","description":"Catheter w/o bag 2-way latex","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BFBB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"DGOD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Pwc gp 2 std cap chair","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"K0823","description":"Pwc gp 2 std cap chair","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"HAQA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RMB20","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RMB20","description":"HIPPS-RMB20","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Small bowel endoscopy","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"44378","description":"Small bowel endoscopy","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CGOB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SMN1 (survival of motor neuron 1_ telomeric) (eg_ spinal muscular atrophy) gene analysis; full gene sequence","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"81336","description":"SMN1 (survival of motor neuron 1_ telomeric) (eg_ spinal muscular atrophy) gene analysis; full gene sequence","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KECA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Autopsy (necropsy) complete","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"88028","description":"Autopsy (necropsy) complete","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Hand restoration replacmnt g","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"L6915","description":"Hand restoration replacmnt g","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Amines vaginal fluid qual","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"82120","description":"Amines vaginal fluid qual","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Culture typing glc/hplc","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"87143","description":"Culture typing glc/hplc","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-J1271","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"J1271","description":"HCPCS-J1271","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KCUC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GDUF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FBEC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JIVE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JEGB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-LC151","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"LC151","description":"HIPPS-LC151","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Sterile cefuroxime injection","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"J0697","description":"Sterile cefuroxime injection","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Laparoscope proc spleen","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"38129","description":"Laparoscope proc spleen","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Home health aide or certifie","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"S9122","description":"Home health aide or certifie","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"LISE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-J1289","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"J1289","description":"HCPCS-J1289","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Functional electric stim nos","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"E0770","description":"Functional electric stim nos","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-LC14A","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"LC14A","description":"HIPPS-LC14A","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MFBC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Injection_ fluocinolone acetonide_ intravitreal implant (Yutiq)_ 0.01 mg","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"J7314","description":"Injection_ fluocinolone acetonide_ intravitreal implant (Yutiq)_ 0.01 mg","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"AIHB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JDBC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Removal neck/armpit lesion","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"38550","description":"Removal neck/armpit lesion","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Ligate/staple esophagus","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"43405","description":"Ligate/staple esophagus","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OGWB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"LISC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"IBBE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"AHHD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OFLF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"IBBD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"X-ray exam hip uni 4/> views","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"73503","description":"X-ray exam hip uni 4/> views","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Esrd home pt serv p day <2","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"90967","description":"Esrd home pt serv p day <2","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"EHMC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NKKD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"EFAD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GCHD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OKHB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NDUD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-PB136","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"PB136","description":"HIPPS-PB136","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"EBEC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Replacement of a subcutaneous peritoneal ascites pump_ including reconnection between pump and indwelling bladder and peritoneal catheters_ including initial programming and i","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0871T","description":"Replacement of a subcutaneous peritoneal ascites pump_ including reconnection between pump and indwelling bladder and peritoneal catheters_ including initial programming and i","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Factor ix recombinant nos","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"J7195","description":"Factor ix recombinant nos","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KIYD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"LIOF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GEUD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GHNC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Two Medica re Diabetes Prevention Program (MDPP) ongoing maintenance se ss ions (MS) were attended by an MDPP beneficiary in months (mo) 13-15 under the MDPP","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G9882","description":"Two Medica re Diabetes Prevention Program (MDPP) ongoing maintenance se ss ions (MS) were attended by an MDPP beneficiary in months (mo) 13-15 under the MDPP","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GDXE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JBAC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OFED0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Msh2 gene full seq","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"81295","description":"Msh2 gene full seq","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) (coronavirus disease [COVID-19]) vaccine_ mRNA-LNP_ spike protein_ 3 mcg/0.3 mL dosage_ tris-sucrose formulation_","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"91318","description":"Severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) (coronavirus disease [COVID-19]) vaccine_ mRNA-LNP_ spike protein_ 3 mcg/0.3 mL dosage_ tris-sucrose formulation_","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-AAA12","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"AAA12","description":"HIPPS-AAA12","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"AGLB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"EGMD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FFKA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JFFA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RHC8C","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RHC8C","description":"HIPPS-RHC8C","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Unplnd hosp readm in 30d","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G9310","description":"Unplnd hosp readm in 30d","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"HBYC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Assay of carotene","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"82380","description":"Assay of carotene","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"IALE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KGCB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OJKB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-J0681","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"J0681","description":"HCPCS-J0681","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Exploration of frontal sinus","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"31070","description":"Exploration of frontal sinus","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Radiation Therapy For Upper Gi Cancer Under The Radiation Oncology Model_ 90 Day Episode_ Technical Component","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"M1103","description":"Radiation Therapy For Upper Gi Cancer Under The Radiation Oncology Model_ 90 Day Episode_ Technical Component","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Oncology (urothelial)_ mRNA_ gene expression profiling by real-time quantit","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0119U","description":"Oncology (urothelial)_ mRNA_ gene expression profiling by real-time quantit","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"EAAA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Vessel mapping hemo access","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G0365","description":"Vessel mapping hemo access","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"IFHE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GAYF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"IIEB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FILD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GFVE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GCMF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Removal of kidney","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"50340","description":"Removal of kidney","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"AGLF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BIGC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Neuroendoscopy add-on","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"62160","description":"Neuroendoscopy add-on","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FETE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"CPT-0966T","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"0966T","description":"CPT-0966T","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"EILD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FCDF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Cmplx rpr f/c/c/m/n/ax/g/h/f","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"13133","description":"Cmplx rpr f/c/c/m/n/ax/g/h/f","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NFNB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NJHE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Esophagoscp rig trnso inject","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"43192","description":"Esophagoscp rig trnso inject","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NIDF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-4CFLT","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"4CFLT","description":"HIPPS-4CFLT","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"HFWA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"CPT-0988T","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"0988T","description":"CPT-0988T","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-BA240","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"BA240","description":"HIPPS-BA240","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MGCF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Hospice services provided to patient any time during the measurement period","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"M1303","description":"Hospice services provided to patient any time during the measurement period","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-LE13C","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"LE13C","description":"HIPPS-LE13C","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RLA21","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RLA21","description":"HIPPS-RLA21","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"DGRC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Interphalangeal joint spacer","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"L8658","description":"Interphalangeal joint spacer","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FGXF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Comprehensive (60 minutes) care management home visit for a new patient. for use only in a medicare-approved cmmi model. (services must be furnished within a beneficiary_s hom","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G0079","description":"Comprehensive (60 minutes) care management home visit for a new patient. for use only in a medicare-approved cmmi model. (services must be furnished within a beneficiary_s hom","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"CPT-0494U","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"0494U","description":"CPT-0494U","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Inj menotropins 75 iu","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"S0122","description":"Inj menotropins 75 iu","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NHKD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FEJD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Bilat dil retinal exam","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"S3000","description":"Bilat dil retinal exam","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Drainage of mouth lesion","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"40800","description":"Drainage of mouth lesion","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OBCF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-BB255","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"BB255","description":"HIPPS-BB255","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GDKD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RVX15","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RVX15","description":"HIPPS-RVX15","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Rad w backup invasive intrfc","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"E0472","description":"Rad w backup invasive intrfc","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Ef ped caloric dense>/=0.7kc","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"B4160","description":"Ef ped caloric dense>/=0.7kc","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Outrigger bil w/ vert extens","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"L1085","description":"Outrigger bil w/ vert extens","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Coroners autopsy (necropsy)","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"88045","description":"Coroners autopsy (necropsy)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-LD10C","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"LD10C","description":"HIPPS-LD10C","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"LAQF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Analyze pacemaker system","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"93724","description":"Analyze pacemaker system","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FIUD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Menacwy vaccine im","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"90734","description":"Menacwy vaccine im","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OHWA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OEDB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Srs linear based","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"77372","description":"Srs linear based","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Hospitalists Mips Specialty Set","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G4009","description":"Hospitalists Mips Specialty Set","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Magnetically controlled capsule endoscopy_ esophagus through stomach_ including intraprocedural positioning of capsule_ with interpretation and report","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0651T","description":"Magnetically controlled capsule endoscopy_ esophagus through stomach_ including intraprocedural positioning of capsule_ with interpretation and report","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GBTE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KFXB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"EHTD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Incise bladder/drain ureter","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"51045","description":"Incise bladder/drain ureter","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Radiation Therapy For Bladder Cancer Under The Radiation Oncology Model_ 90 Day Episode_ Professional Component","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"M1074","description":"Radiation Therapy For Bladder Cancer Under The Radiation Oncology Model_ 90 Day Episode_ Professional Component","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Removal of bladder","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"51570","description":"Removal of bladder","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Cephalin floculation test","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"P2028","description":"Cephalin floculation test","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KDLA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-HD204","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"HD204","description":"HIPPS-HD204","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Place endorectal app","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"C9725","description":"Place endorectal app","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-PE217","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"PE217","description":"HIPPS-PE217","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Breast prosthesis w adhesive","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"L8031","description":"Breast prosthesis w adhesive","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CIOD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RHB05","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RHB05","description":"HIPPS-RHB05","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-4BHMS","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"4BHMS","description":"HIPPS-4BHMS","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NFGE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OJDE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Lang express goal status","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G9163","description":"Lang express goal status","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CCCC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Extensive hysterectomy","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"58210","description":"Extensive hysterectomy","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Serv part of phase i trial","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"S9988","description":"Serv part of phase i trial","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-4BFMX","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"4BFMX","description":"HIPPS-4BFMX","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Minimally invasive direct co","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"S2208","description":"Minimally invasive direct co","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"PIOA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Endo_ colon_ retro imaging","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"C1749","description":"Endo_ colon_ retro imaging","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Lateral trochanteric pad","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"L1290","description":"Lateral trochanteric pad","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Fetal non-stress test","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"59025","description":"Fetal non-stress test","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Patient Has Any Emergency Department Encounter During The Performance Period With Place Of Service Indicator 23","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G0035","description":"Patient Has Any Emergency Department Encounter During The Performance Period With Place Of Service Indicator 23","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FCBF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"CPT-0968T","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"0968T","description":"CPT-0968T","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BDTB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Repair salivary duct","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"42500","description":"Repair salivary duct","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-2BHKX","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"2BHKX","description":"HIPPS-2BHKX","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MCTB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Non-Invasive Calculation And Analysis Of Central Arterial Pressure Waveforms With Interpretation And Report","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0311T","description":"Non-Invasive Calculation And Analysis Of Central Arterial Pressure Waveforms With Interpretation And Report","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Exploration of kidney","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"50135","description":"Exploration of kidney","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RMC2D","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RMC2D","description":"HIPPS-RMC2D","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Covid-19 vaccine admin inside a patient_s home; reported only once per individual home per date of service when only covid-19 vaccine admin is performed at the patients home","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"M0201","description":"Covid-19 vaccine admin inside a patient_s home; reported only once per individual home per date of service when only covid-19 vaccine admin is performed at the patients home","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Complement total (ch50)","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"86162","description":"Complement total (ch50)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RUC1A","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RUC1A","description":"HIPPS-RUC1A","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GCQA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Cygnus Matrix_ Per Square Centimeter","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"Q4199","description":"Cygnus Matrix_ Per Square Centimeter","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Comprehensive (60 minutes) in-home visit for an existing patient post-discharge. For use only in a Medicare-approved CMMI model. (Services must be furnished within a beneficia","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G2009","description":"Comprehensive (60 minutes) in-home visit for an existing patient post-discharge. For use only in a Medicare-approved CMMI model. (Services must be furnished within a beneficia","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OJSC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"LBWD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"No unheal etoh user","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G9622","description":"No unheal etoh user","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"EALB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Hematology_ Red Blood Cell (Rbc) Adhesion To Endothelial/Subendothelial Adhesion Molecules_ Functional Assessment_ Whole Blood_ With Algorithmic Analysis And Result Reported A","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0304U","description":"Hematology_ Red Blood Cell (Rbc) Adhesion To Endothelial/Subendothelial Adhesion Molecules_ Functional Assessment_ Whole Blood_ With Algorithmic Analysis And Result Reported A","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"EIHA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Throat surgery procedure","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"42999","description":"Throat surgery procedure","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GBFA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Medical conference by physic","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"S0220","description":"Medical conference by physic","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Combo pegintf/rib rx","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"4153F","description":"Combo pegintf/rib rx","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KDIC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-3CHM5","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"3CHM5","description":"HIPPS-3CHM5","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OJFE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Socket insert w lock mech","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"L5673","description":"Socket insert w lock mech","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GGUC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Remove intra-aortic balloon","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"33974","description":"Remove intra-aortic balloon","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Removal of implanted vestibular device_ unilateral","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0726T","description":"Removal of implanted vestibular device_ unilateral","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KFUE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-CC116","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"CC116","description":"HIPPS-CC116","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Interstitial radiation source application; intermediate","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"77777","description":"Interstitial radiation source application; intermediate","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BBGA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Biopsy arm/elbow soft tissue","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"24065","description":"Biopsy arm/elbow soft tissue","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MGEF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CDBF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-M1452","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"M1452","description":"HCPCS-M1452","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FCPF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Humidifier nonheated w pap","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"E0561","description":"Humidifier nonheated w pap","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Infectious agent detection by nucleic acid (DNA or RNA); severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) (Coronavirus disease [COVID-19])_ amplified probe techniq","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"87635","description":"Infectious agent detection by nucleic acid (DNA or RNA); severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) (Coronavirus disease [COVID-19])_ amplified probe techniq","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BCNE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Reconstruction of windpipe","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"31766","description":"Reconstruction of windpipe","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FCUF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Ct upper extremity w/o dye","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"73200","description":"Ct upper extremity w/o dye","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-CD220","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"CD220","description":"HIPPS-CD220","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Ankle arthroscopy/surgery","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"29895","description":"Ankle arthroscopy/surgery","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"X-ray exam of lower leg","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"73590","description":"X-ray exam of lower leg","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-LE112","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"LE112","description":"HIPPS-LE112","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Injection_ pemetrexed (pemfexy)_ 10 mg","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"J9304","description":"Injection_ pemetrexed (pemfexy)_ 10 mg","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Intend rpt card prev msr grp","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G9673","description":"Intend rpt card prev msr grp","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Repair of anterior abdominal hernia(s) (ie_ epigastric_ incisional_ ventral_ umbilical_ spigelian)_ any approach (ie_ open_ laparoscopic_ robotic)_ recurrent_ including implan","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"49617","description":"Repair of anterior abdominal hernia(s) (ie_ epigastric_ incisional_ ventral_ umbilical_ spigelian)_ any approach (ie_ open_ laparoscopic_ robotic)_ recurrent_ including implan","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OAMC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Ost pouch drain high output","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"A4412","description":"Ost pouch drain high output","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GEDE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-M1503","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"M1503","description":"HCPCS-M1503","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Rn home care per diem","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"T1030","description":"Rn home care per diem","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Treat finger fracture each","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"26742","description":"Treat finger fracture each","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BEKF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-CE104","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"CE104","description":"HIPPS-CE104","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GBCF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-CA154","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"CA154","description":"HIPPS-CA154","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NDUB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BFGE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Retrograde ejaculation anal","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"89331","description":"Retrograde ejaculation anal","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BFUB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KCDF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"CPT-1086T","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"1086T","description":"CPT-1086T","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Janssen Covid-19 Vaccine","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"91303","description":"Janssen Covid-19 Vaccine","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JCDA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Oxford w/ supinator/pronator","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"L3203","description":"Oxford w/ supinator/pronator","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CDFB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OCKC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GILD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Phototherapy light w/ photom","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"E0202","description":"Phototherapy light w/ photom","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NEGA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JFAC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"CPT-00530","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"00530","description":"CPT-00530","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BICF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Shoe molded plastazote cust","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"L3252","description":"Shoe molded plastazote cust","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Apnea monitor w recorder","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"E0619","description":"Apnea monitor w recorder","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RVC4A","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RVC4A","description":"HIPPS-RVC4A","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BBND0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BBXE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"HHWB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-LC11B","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"LC11B","description":"HIPPS-LC11B","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RHC25","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RHC25","description":"HIPPS-RHC25","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-CC201","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"CC201","description":"HIPPS-CC201","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OEJC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-A2046","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"A2046","description":"HCPCS-A2046","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BENE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GHIB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"LBQF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NBGC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MJBB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Lungcx bx rpt docs class","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G9418","description":"Lungcx bx rpt docs class","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RVC15","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RVC15","description":"HIPPS-RVC15","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Perq&ic allg test drugs/biol","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"95018","description":"Perq&ic allg test drugs/biol","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Medroxyprogesterone acetate","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"J1050","description":"Medroxyprogesterone acetate","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Remove rectal obstruction","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"45915","description":"Remove rectal obstruction","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Ocular reconst transplant","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"65781","description":"Ocular reconst transplant","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JAPA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Heparin-protamine tolerance","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"85530","description":"Heparin-protamine tolerance","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Factor ix recombinan rixubis","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"J7200","description":"Factor ix recombinan rixubis","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-4AHMX","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"4AHMX","description":"HIPPS-4AHMX","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Als 2","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"A0433","description":"Als 2","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HH PDGM","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"3AB31","description":"HH PDGM","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Replace/irrigate catheter","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"62194","description":"Replace/irrigate catheter","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CALD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Removal of frontal sinus","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"31086","description":"Removal of frontal sinus","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Zneuroendoscopy w/fb removal","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"62163","description":"Zneuroendoscopy w/fb removal","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NGEC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NGEF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-2BFK2","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"2BFK2","description":"HIPPS-2BFK2","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KFBB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JILC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Supplies for maintenance of insulin infusion catheter_ per week","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"A4224","description":"Supplies for maintenance of insulin infusion catheter_ per week","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GGVE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NIVD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FGTC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Immunization administration by intramuscular injection of severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) (coronavirus disease [COVID-19]) vaccine_ mRNA-LNP_ biva","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0174A","description":"Immunization administration by intramuscular injection of severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) (coronavirus disease [COVID-19]) vaccine_ mRNA-LNP_ biva","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Rare diseases (constitutional/heritable disorders)_ whole genome sequence analysis_ including small sequence changes_ copy number variants_ deletions_ duplications_ mobile e","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0336U","description":"Rare diseases (constitutional/heritable disorders)_ whole genome sequence analysis_ including small sequence changes_ copy number variants_ deletions_ duplications_ mobile e","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"ODTC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Induction of vomiting","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"99175","description":"Induction of vomiting","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"HEOB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Correction_ hallux valgus (bunionectomy)_ with sesamoidectomy_ when performed; with proximal metatarsal osteotomy_ any method","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"28295","description":"Correction_ hallux valgus (bunionectomy)_ with sesamoidectomy_ when performed; with proximal metatarsal osteotomy_ any method","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HH PDGM","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"1IC21","description":"HH PDGM","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JFJB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"ECCC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GCRA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"IGED1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JAVE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Injection_ nitroglycerin_ 5 mg","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"J2305","description":"Injection_ nitroglycerin_ 5 mg","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Chemo intralesional up to 7","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"96405","description":"Chemo intralesional up to 7","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RHB55","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RHB55","description":"HIPPS-RHB55","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Lengthen radius or ulna","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"25391","description":"Lengthen radius or ulna","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CEUE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GDGC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Revision of nose","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"30450","description":"Revision of nose","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FEHB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Drainage of hematoma/fluid","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"10140","description":"Drainage of hematoma/fluid","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Oncology (prostate)_ mRNA_ gene expression profiling of 18 genes_ first-catch post-digital rectal examination urine (or processed first-catch urine)_ algorithm reported as per","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0403U","description":"Oncology (prostate)_ mRNA_ gene expression profiling of 18 genes_ first-catch post-digital rectal examination urine (or processed first-catch urine)_ algorithm reported as per","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KDFF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Treatment of tibia fracture","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"27758","description":"Treatment of tibia fracture","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Adhesive bandage_ first-aid","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"A6413","description":"Adhesive bandage_ first-aid","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"EDME1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Clot factor xi pta","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"85270","description":"Clot factor xi pta","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JHBE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FEPD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-PB15A","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"PB15A","description":"HIPPS-PB15A","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"LEQA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Medicaid certified community behavioral health clinic services_ per month","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"T1041","description":"Medicaid certified community behavioral health clinic services_ per month","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GCQB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"LESD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"HBRB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FIDC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-3AFM4","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"3AFM4","description":"HIPPS-3AFM4","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CCYA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"DDWE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OJBC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KESC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Endo ak/hip alignable system","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"L5920","description":"Endo ak/hip alignable system","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BABF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BHFA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MHUB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RLX8X","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RLX8X","description":"HIPPS-RLX8X","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-CC160","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"CC160","description":"HIPPS-CC160","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Treat clavicle dislocation","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"23540","description":"Treat clavicle dislocation","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Repair sternum/nuss w/scope","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"21743","description":"Repair sternum/nuss w/scope","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OEMB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"DGWF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Revise spinal cord ligaments","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"63180","description":"Revise spinal cord ligaments","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CFEE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Hemodialysis one evaluation","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"90935","description":"Hemodialysis one evaluation","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RLA24","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RLA24","description":"HIPPS-RLA24","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"AAEA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Injection Factor V111 FC Fusion Protein (Recombinant) Per IU","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"Q9975","description":"Injection Factor V111 FC Fusion Protein (Recombinant) Per IU","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-PB226","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"PB226","description":"HIPPS-PB226","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Elec knee-shin swing only","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"L5857","description":"Elec knee-shin swing only","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"HAQF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FENA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Bmi not calculated","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G8421","description":"Bmi not calculated","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CINB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"LDSC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KDDB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Remove cadaver donor kidney","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"50300","description":"Remove cadaver donor kidney","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Mcp joint arthroscopy surg","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"29902","description":"Mcp joint arthroscopy surg","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"ADM SARSCOV2 25MCG/0.25ML2ND","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0112A","description":"ADM SARSCOV2 25MCG/0.25ML2ND","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-BA216","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"BA216","description":"HIPPS-BA216","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GHFA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"IFAE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"IFUC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MFTD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Pooling blood platelets","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"86965","description":"Pooling blood platelets","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-CE22D","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"CE22D","description":"HIPPS-CE22D","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Insertion of bioprosthetic valve_ open_ femoral vein_ including duplex ultrasound imaging guidance_ when performed_ including autogenous or nonautogenous patch graft (eg_ poly","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0744T","description":"Insertion of bioprosthetic valve_ open_ femoral vein_ including duplex ultrasound imaging guidance_ when performed_ including autogenous or nonautogenous patch graft (eg_ poly","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NCBC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Elec lock on manual pw elbow","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"L6638","description":"Elec lock on manual pw elbow","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Pre-tibial shell molded to p","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"L2340","description":"Pre-tibial shell molded to p","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BHHC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BBDF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CBOA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BDPF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"EFEF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Excision of penis lesion(s)","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"54060","description":"Excision of penis lesion(s)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GHCA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OIKE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Onc dx prostate w/rise psa","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G9080","description":"Onc dx prostate w/rise psa","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Injectable poly-l-lactic acid_ restorative implant_ 1 ml_ face (deep dermis_ subcutaneous layers)","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"S0196","description":"Injectable poly-l-lactic acid_ restorative implant_ 1 ml_ face (deep dermis_ subcutaneous layers)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Repair brain fluid leakage","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"62100","description":"Repair brain fluid leakage","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HH PDGM","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"1AC11","description":"HH PDGM","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RUX36","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RUX36","description":"HIPPS-RUX36","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Alkalin batt for glucose mon","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"A4233","description":"Alkalin batt for glucose mon","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Anes mediascpy & dx thorscpy","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"52851","description":"Anes mediascpy & dx thorscpy","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FGNA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"LGYD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"IHLA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-CD18B","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"CD18B","description":"HIPPS-CD18B","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FCIE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FGIF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KEOF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NEKA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RMC32","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RMC32","description":"HIPPS-RMC32","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RUB44","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RUB44","description":"HIPPS-RUB44","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"ADDB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-4AHK5","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"4AHK5","description":"HIPPS-4AHK5","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KATE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Anesth w/o gen/neurax anesth","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"4560F","description":"Anesth w/o gen/neurax anesth","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Automated Analysis Of An Existing Computed Tomography Study For Vertebral Fracture(S)_ Including Assessment Of Bone Density When Performed_ Data Preparation_ Interpretation_ A","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0691T","description":"Automated Analysis Of An Existing Computed Tomography Study For Vertebral Fracture(S)_ Including Assessment Of Bone Density When Performed_ Data Preparation_ Interpretation_ A","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"CPT-37269","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"37269","description":"CPT-37269","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Pt re-evaluation","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"97002","description":"Pt re-evaluation","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MLHA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Repair rectum-vagina fistula","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"57305","description":"Repair rectum-vagina fistula","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"LEOB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OACE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"ACBC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JGLB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-HC18E","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"HC18E","description":"HIPPS-HC18E","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KGQE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Pt scrn dysphag/wt loss/nutr","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"3759F","description":"Pt scrn dysphag/wt loss/nutr","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"CPT-0618U","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"0618U","description":"CPT-0618U","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Revision (eg_ augmentation_ division of tether)_ replacement_ or removal of thoracolumbar or lumbar vertebral body tethering_ including thoracoscopy_ when performed","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0790T","description":"Revision (eg_ augmentation_ division of tether)_ replacement_ or removal of thoracolumbar or lumbar vertebral body tethering_ including thoracoscopy_ when performed","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Treat humerus fracture","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"23616","description":"Treat humerus fracture","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KITB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Assay of transcortin","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"84449","description":"Assay of transcortin","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Hearing aid_ contralateral routing system_ binaural_ BTE/BTE","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"V5221","description":"Hearing aid_ contralateral routing system_ binaural_ BTE/BTE","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NBJC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MHCF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GCEC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Microprcsr cu elec vad_ rep","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"Q0481","description":"Microprcsr cu elec vad_ rep","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GEMB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Chemodenerv eccrine glands","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"64650","description":"Chemodenerv eccrine glands","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"CPT-0514U","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"0514U","description":"CPT-0514U","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NHTB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-PC213","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"PC213","description":"HIPPS-PC213","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-LB212","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"LB212","description":"HIPPS-LB212","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-PE13D","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"PE13D","description":"HIPPS-PE13D","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OELA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Centerbased day care perdiem","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"S5105","description":"Centerbased day care perdiem","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Nerve repair w/allograft","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"64910","description":"Nerve repair w/allograft","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OIRB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Replantation thumb complete","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"20827","description":"Replantation thumb complete","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RUL4D","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RUL4D","description":"HIPPS-RUL4D","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Removal of frontal sinus","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"31080","description":"Removal of frontal sinus","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Repair of anterior abdominal hernia(s) (ie_ epigastric_ incisional_ ventral_ umbilical_ spigelian)_ any approach (ie_ open_ laparoscopic_ robotic)_ initial_ including implanta","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"49595","description":"Repair of anterior abdominal hernia(s) (ie_ epigastric_ incisional_ ventral_ umbilical_ spigelian)_ any approach (ie_ open_ laparoscopic_ robotic)_ initial_ including implanta","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KDGC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KENB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-LC18G","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"LC18G","description":"HIPPS-LC18G","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Patient had anaphylaxis due to the pneumococcal vaccine any time during or before the measurement period","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"M1306","description":"Patient had anaphylaxis due to the pneumococcal vaccine any time during or before the measurement period","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"IHME0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Revise hand/foot nerve","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"64704","description":"Revise hand/foot nerve","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-HD215","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"HD215","description":"HIPPS-HD215","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OLDB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NFDE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KBFD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MJTB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Remove shoulder fb deep","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"23333","description":"Remove shoulder fb deep","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"LCSB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Diagnostic colonoscopy","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G9937","description":"Diagnostic colonoscopy","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"AFLF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"ACTE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NCMA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CFMF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"ODIA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-4AHLU","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"4AHLU","description":"HIPPS-4AHLU","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Prep donor intestine/venous","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"44720","description":"Prep donor intestine/venous","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GIPE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"LFSC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Leukacyte transfusion","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"86950","description":"Leukacyte transfusion","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FEVD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"intraoral tomosynthesis - bitewing radiographic image","billing_code_type":"CDT","billing_code_type_version":"2024","billing_code":"D0373","description":"intraoral tomosynthesis - bitewing radiographic image","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Installation_ ciprofloxacin otic suspension_ 6mg (Otiprio)","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"C9479","description":"Installation_ ciprofloxacin otic suspension_ 6mg (Otiprio)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"IALB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JCFA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-A0503","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"A0503","description":"HCPCS-A0503","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HH PDGM","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"2JB21","description":"HH PDGM","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Decompress forearm 2 spaces","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"25024","description":"Decompress forearm 2 spaces","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Hip flex inner socket ext fr","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"L5643","description":"Hip flex inner socket ext fr","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JHAB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Replacement interface spsd","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"E1821","description":"Replacement interface spsd","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Dilation of cervical canal","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"57800","description":"Dilation of cervical canal","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Remove vert body dcmprn lmbr","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"63090","description":"Remove vert body dcmprn lmbr","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KALC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Tisagenlecleucel_ up to 250 million CAR-positive viable T cells_ including leukapheresis and dose preparation procedures_ per i","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"Q2040","description":"Tisagenlecleucel_ up to 250 million CAR-positive viable T cells_ including leukapheresis and dose preparation procedures_ per i","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"LBRB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"AEIC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BEFE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Family adaptive behavior treatment guidance_ administered by physician or other qualified health care professional (without the patient present)","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0370T","description":"Family adaptive behavior treatment guidance_ administered by physician or other qualified health care professional (without the patient present)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BFCB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-LD135","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"LD135","description":"HIPPS-LD135","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-C0404","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"C0404","description":"HCPCS-C0404","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-3CGL5","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"3CGL5","description":"HIPPS-3CGL5","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Hit picc insert no supp","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"S5522","description":"Hit picc insert no supp","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"CPT-00918","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"00918","description":"CPT-00918","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-5CFKX","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"5CFKX","description":"HIPPS-5CFKX","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BICD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NHBD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BIEC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OJGE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OISD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Remove renal tube w/fluoro","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"50389","description":"Remove renal tube w/fluoro","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-ES38D","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"ES38D","description":"HIPPS-ES38D","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-BB25D","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"BB25D","description":"HIPPS-BB25D","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"IABE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KGME0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Repair liver wound","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"47360","description":"Repair liver wound","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Biopsy of shoulder joint","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"23100","description":"Biopsy of shoulder joint","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Skin pro/pos wc cus wd>=22in","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"E2608","description":"Skin pro/pos wc cus wd>=22in","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"IBMC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Preventive counseling indiv","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"99401","description":"Preventive counseling indiv","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Biopsy of foot joint lining","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"28052","description":"Biopsy of foot joint lining","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KDSC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FECB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CAHF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OEIB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RLA0B","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RLA0B","description":"HIPPS-RLA0B","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"EDCE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OGLF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Repair of rectocele","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"45560","description":"Repair of rectocele","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Fine needle aspiration biopsy_ including ultrasound guidance; first lesion","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"10005","description":"Fine needle aspiration biopsy_ including ultrasound guidance; first lesion","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Lung transplant with bypass","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"32854","description":"Lung transplant with bypass","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-2CHMU","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"2CHMU","description":"HIPPS-2CHMU","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-3CHPS","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"3CHPS","description":"HIPPS-3CHPS","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Implant neuroelectrodes","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"64580","description":"Implant neuroelectrodes","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NGHF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KGJB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Biopsy lower leg soft tissue","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"27614","description":"Biopsy lower leg soft tissue","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Pwr wc dr wh motor/gear comb","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"E2370","description":"Pwr wc dr wh motor/gear comb","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HH PDGM","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"3GC31","description":"HH PDGM","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CGGF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BITC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FCJA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JGBD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KITA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MJMC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NJVB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"PHSB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Chemodenerv 1 extrem 5/> ea","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"64645","description":"Chemodenerv 1 extrem 5/> ea","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BDAE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JEKA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Repair of rectum","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"45505","description":"Repair of rectum","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MCUC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Biopsy of ovary(s)","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"58900","description":"Biopsy of ovary(s)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-BB24D","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"BB24D","description":"HIPPS-BB24D","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Repair eyelid defect","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"67908","description":"Repair eyelid defect","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BBFA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Patient had encephalitis due to the tetanus_ diphtheria or pertussis vaccine any time on or before the patient_s 13th birthday","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"M1162","description":"Patient had encephalitis due to the tetanus_ diphtheria or pertussis vaccine any time on or before the patient_s 13th birthday","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Noninvasive estimated coronary fractional flow reserve (FFR) derived from coronary computed tomography angiography data using computation fluid dynamics physiologic simulation","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0504T","description":"Noninvasive estimated coronary fractional flow reserve (FFR) derived from coronary computed tomography angiography data using computation fluid dynamics physiologic simulation","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GDAA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Remove cranial cavity fluid","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"61000","description":"Remove cranial cavity fluid","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JIGC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KCCA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-3CHL1","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"3CHL1","description":"HIPPS-3CHL1","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Repair wrist joints","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"25447","description":"Repair wrist joints","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NEFC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KISD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-HC10B","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"HC10B","description":"HIPPS-HC10B","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RMB8D","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RMB8D","description":"HIPPS-RMB8D","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Fimbrioplasty","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"58760","description":"Fimbrioplasty","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GHDB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NADF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CEVA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Splint - intra-coronal; natural teeth or prosthetic crowns","billing_code_type":"CDT","billing_code_type_version":"2024","billing_code":"D4322","description":"Splint - intra-coronal; natural teeth or prosthetic crowns","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"LDWB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Generator_ neurostimulator (implantable)_ includes closed feedback loop leads and all implantable components_ with rechargeable battery and charging system","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"C1826","description":"Generator_ neurostimulator (implantable)_ includes closed feedback loop leads and all implantable components_ with rechargeable battery and charging system","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KFPF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Egd w/transmural drain cyst","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"43240","description":"Egd w/transmural drain cyst","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NJPD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Ligation hemorrhoid w/us","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0249T","description":"Ligation hemorrhoid w/us","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"IBTB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"AHID0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GEYB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Nrv cndj test 7-8 studies","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"95910","description":"Nrv cndj test 7-8 studies","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Ambulatory eeg monitoring","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"95950","description":"Ambulatory eeg monitoring","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Treat ankle dislocation","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"27842","description":"Treat ankle dislocation","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"ODRE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MBTF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Fetal hemoglobin chemical","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"83030","description":"Fetal hemoglobin chemical","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"History cd4+ cell count <350","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"3492F","description":"History cd4+ cell count <350","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Immntx 5 sting insects","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"95134","description":"Immntx 5 sting insects","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"PJSF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Remove eyelid lining lesion","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"68110","description":"Remove eyelid lining lesion","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"LCQB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-1BGMW","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"1BGMW","description":"HIPPS-1BGMW","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Next Gen aco model>20min","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G9870","description":"Next Gen aco model>20min","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KHLC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CBHD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-1AGK2","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"1AGK2","description":"HIPPS-1AGK2","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Aminolevulinic acid hcl top","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"J7308","description":"Aminolevulinic acid hcl top","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Pt no tx sys bio rx 6 mths","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G9653","description":"Pt no tx sys bio rx 6 mths","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-J1299","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"J1299","description":"HCPCS-J1299","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OFXB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GFOC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HH PDGM","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"2JC11","description":"HH PDGM","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CEND0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OFIE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Remove part of temporal bone","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"69535","description":"Remove part of temporal bone","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Standard size footplate each","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"K0042","description":"Standard size footplate each","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"LHQF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Agriflu vaccine","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"Q2034","description":"Agriflu vaccine","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RVB14","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RVB14","description":"HIPPS-RVB14","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NAJE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Laparoscopy fimbrioplasty","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"58672","description":"Laparoscopy fimbrioplasty","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Removal Of Fixed Bilateral Space Maintainer - Maxillary","billing_code_type":"CDT","billing_code_type_version":"2024","billing_code":"D1557","description":"Removal Of Fixed Bilateral Space Maintainer - Maxillary","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Repair of diaphragm hernia","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"39540","description":"Repair of diaphragm hernia","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-3BHP2","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"3BHP2","description":"HIPPS-3BHP2","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NDUD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Pm device interrogate remote","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"93294","description":"Pm device interrogate remote","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FFAE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Documentation Stating Patient Has A Diagnosis Of A Degenerative Neurological Condition Such As Als_ Ms_ Or Parkinson_S Diagnosed At Any Time Before Or During The Episode Of Ca","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"M1137","description":"Documentation Stating Patient Has A Diagnosis Of A Degenerative Neurological Condition Such As Als_ Ms_ Or Parkinson_S Diagnosed At Any Time Before Or During The Episode Of Ca","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NBFE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"IIMA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"EHLF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BIAD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Laminotomy single cervical","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"63040","description":"Laminotomy single cervical","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RLB3B","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RLB3B","description":"HIPPS-RLB3B","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"CYTOG CONST ALYS INTERROG","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0209U","description":"CYTOG CONST ALYS INTERROG","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"EHDF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MKEF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Repair umbilical lesion","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"49610","description":"Repair umbilical lesion","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Therapy activation of implanted phrenic nerve stimulator system_ including all interrogation and programming","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"93150","description":"Therapy activation of implanted phrenic nerve stimulator system_ including all interrogation and programming","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NHNF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KBSA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Topotecan injection","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"J9351","description":"Topotecan injection","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JHTF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Penile vascular study","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"93980","description":"Penile vascular study","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"HAQD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Repair defect of artery","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"35141","description":"Repair defect of artery","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"PLYF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OIOC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Physical therapy evaluation: low complexity_ requiring these components: A history with no personal factors and/or comorbidities that impact the plan of care; An examination o","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"97161","description":"Physical therapy evaluation: low complexity_ requiring these components: A history with no personal factors and/or comorbidities that impact the plan of care; An examination o","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OHPA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KFSC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CGIA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"CPT-01942","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"01942","description":"CPT-01942","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CGEE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"EGID0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FFGA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"LIWA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"ABBE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GHHB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BBHE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HER2-targeted therapies not administered during the initial course of treatment","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G9827","description":"HER2-targeted therapies not administered during the initial course of treatment","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CAAD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RMC5C","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RMC5C","description":"HIPPS-RMC5C","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NBKC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Injection_ glucarpidase","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"C9293","description":"Injection_ glucarpidase","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GGOE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NBHD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Amino acids single quant","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"82131","description":"Amino acids single quant","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"CPT-81515","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"81515","description":"CPT-81515","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Exploration of foot joint","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"28022","description":"Exploration of foot joint","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Transcutaneous tibial nerve stimulator","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"E0736","description":"Transcutaneous tibial nerve stimulator","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GCKD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Patient did not receive anti-EGFR monoclonal antibody therapy","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G9844","description":"Patient did not receive anti-EGFR monoclonal antibody therapy","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-ES10D","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"ES10D","description":"HIPPS-ES10D","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Autoimmune diseases (systemic lupus erythematosus [SLE])_ analysis of 10 cytokine soluble mediator biomarkers by immunoassay_ plasma_ individual components reported with an al","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0446U","description":"Autoimmune diseases (systemic lupus erythematosus [SLE])_ analysis of 10 cytokine soluble mediator biomarkers by immunoassay_ plasma_ individual components reported with an al","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NFUB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"EICD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RMX36","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RMX36","description":"HIPPS-RMX36","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NDLE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"DDSF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KGGB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Sympathectomy supfc palmar","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"64823","description":"Sympathectomy supfc palmar","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JFDC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KFNC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Percutaneous diskectomy","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"62287","description":"Percutaneous diskectomy","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OCNF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Thyroid imaging w/blood flow","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"78014","description":"Thyroid imaging w/blood flow","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Incision of hip bone","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"27146","description":"Incision of hip bone","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Fun stat score shdl < 0","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G8664","description":"Fun stat score shdl < 0","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FHVF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Reinforce hip bones","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"27187","description":"Reinforce hip bones","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NIAF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Interprof phone/online 5-10","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"99446","description":"Interprof phone/online 5-10","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"EHHD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BEHE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KAGF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RLA2C","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RLA2C","description":"HIPPS-RLA2C","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"ICAA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-CD18D","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"CD18D","description":"HIPPS-CD18D","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KFNE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OHYF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CGKD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BIPB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Biopsy of cervix","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"57500","description":"Biopsy of cervix","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JDDD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Fistula repair & colostomy","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"57307","description":"Fistula repair & colostomy","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NLLE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-LD211","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"LD211","description":"HIPPS-LD211","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Digitization of glass microscope slides for pathology consultation during surgery; cytologic examination (eg_ touch preparation_ squash preparation)_ each additional site (Lis","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0844T","description":"Digitization of glass microscope slides for pathology consultation during surgery; cytologic examination (eg_ touch preparation_ squash preparation)_ each additional site (Lis","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"ICUA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Pancreas surgery procedure","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"48999","description":"Pancreas surgery procedure","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"HHYA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-2CHK2","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"2CHK2","description":"HIPPS-2CHK2","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"NFCT DS RNA 4 TARGETS UPPER RESPIRATORY SPECIMEN","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0241U","description":"NFCT DS RNA 4 TARGETS UPPER RESPIRATORY SPECIMEN","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MEAF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"LDSA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NIGF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JGIB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CIEC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Percutaneous Transcatheter Ultrasound Ablation Of Nerves Innervating The Pulmonary Arteries_ Including Right Heart Catheterization_ Pulmonary Artery Angiography_ And All Imagi","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0632T","description":"Percutaneous Transcatheter Ultrasound Ablation Of Nerves Innervating The Pulmonary Arteries_ Including Right Heart Catheterization_ Pulmonary Artery Angiography_ And All Imagi","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GFHE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CIXF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Personalized target development for accelerated_ repetitive high-dose functional connectivity MRI-guided theta-burst stimulation derived from a structural and resting-state fu","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0889T","description":"Personalized target development for accelerated_ repetitive high-dose functional connectivity MRI-guided theta-burst stimulation derived from a structural and resting-state fu","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KICB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OKKC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"PJWD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Intmd rpr n-hf/genit2.6-7.5","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"12042","description":"Intmd rpr n-hf/genit2.6-7.5","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CEYF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KCDD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-HB25B","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"HB25B","description":"HIPPS-HB25B","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GICE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CEME0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Hemodialysis access study","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"90940","description":"Hemodialysis access study","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JIBA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Abltj Perc Cryoabltj Img Gdn Uxtr/Perph Nerve","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0440T","description":"Abltj Perc Cryoabltj Img Gdn Uxtr/Perph Nerve","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"EBTC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KHOE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-A4544","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"A4544","description":"HCPCS-A4544","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MATD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HH PDGM","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"3DA11","description":"HH PDGM","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Octreotide injection_ depot","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"J2353","description":"Octreotide injection_ depot","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-1BFN6","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"1BFN6","description":"HIPPS-1BFN6","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Incise inner eye adhesions","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"65865","description":"Incise inner eye adhesions","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Drain breast lesion add-on","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"19001","description":"Drain breast lesion add-on","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Quantitative assay drug","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"80299","description":"Quantitative assay drug","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Follow-up/reassessment","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"S0316","description":"Follow-up/reassessment","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Continent stoma catheter","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"A5082","description":"Continent stoma catheter","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"AFHB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BCLD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JIMF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JHXB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Nebulizer dome & mouthpiece","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"A7016","description":"Nebulizer dome & mouthpiece","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Drain to peritoneal cavity","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"49062","description":"Drain to peritoneal cavity","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"HERF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"PDWD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Lead wires_ pair","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"A4557","description":"Lead wires_ pair","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RHL1C","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RHL1C","description":"HIPPS-RHL1C","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Infusion supplies with pump","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"A4222","description":"Infusion supplies with pump","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Drug screening methadone","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"80358","description":"Drug screening methadone","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"AFCD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GACA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MGIE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CETC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-PD25D","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"PD25D","description":"HIPPS-PD25D","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Elbow socket ins use w/lock","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"L6694","description":"Elbow socket ins use w/lock","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RVL60","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RVL60","description":"HIPPS-RVL60","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"LGQA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Treat foot dislocation","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"28570","description":"Treat foot dislocation","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Adult size pull-on lg","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"T4527","description":"Adult size pull-on lg","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RLB03","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RLB03","description":"HIPPS-RLB03","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NGHB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OIIF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-B0103","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"B0103","description":"HCPCS-B0103","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Hg a1c level lt 7.0%","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"3044F","description":"Hg a1c level lt 7.0%","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CHXC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Pin finger dislocation","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"26776","description":"Pin finger dislocation","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Cmplx rpr e/n/e/l addl 5cm/<","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"13153","description":"Cmplx rpr e/n/e/l addl 5cm/<","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"AECC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Rpr ing hern premie blocked","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"49492","description":"Rpr ing hern premie blocked","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"HEQE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Repair of anal sphincter","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"46761","description":"Repair of anal sphincter","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BALF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FGJB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-Q4429","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"Q4429","description":"HCPCS-Q4429","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NLPD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FDXC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-ES235","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"ES235","description":"HIPPS-ES235","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Removal of skull lesion","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"61500","description":"Removal of skull lesion","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Removal of kneecap bursa","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"27340","description":"Removal of kneecap bursa","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Removal kidney open complex","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"50225","description":"Removal kidney open complex","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HH PDGM","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"2BC21","description":"HH PDGM","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Lung transplant with bypass","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"32852","description":"Lung transplant with bypass","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Place catheter in aorta","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"36200","description":"Place catheter in aorta","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OFDA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"IDBC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GEQB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Revise knuckle joint","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"26530","description":"Revise knuckle joint","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"CPT-1061T","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"1061T","description":"CPT-1061T","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GBTA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Prosthetic(s) training_ upper and/or lower extremity(ies)_ initial prosthetic(s) encounter_ each 15 minutes","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"97761","description":"Prosthetic(s) training_ upper and/or lower extremity(ies)_ initial prosthetic(s) encounter_ each 15 minutes","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"IAHD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OCNB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KIAF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"PDYD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"ABHF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Lidocaine injection","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"J2001","description":"Lidocaine injection","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Onc dx colon metas evid dx","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G9087","description":"Onc dx colon metas evid dx","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"EGTE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Contact layer <= 16 sq in","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"A6206","description":"Contact layer <= 16 sq in","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FCLE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Ret dev_ insertable","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"C1773","description":"Ret dev_ insertable","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OEPD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OJBF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RMX5B","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RMX5B","description":"HIPPS-RMX5B","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FILA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-E0683","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"E0683","description":"HCPCS-E0683","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FBPF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NLJA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Removal of pelvic structures","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"51597","description":"Removal of pelvic structures","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CBEA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RHB4B","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RHB4B","description":"HIPPS-RHB4B","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BGJE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Hhs/hospice of rn ea 15 min","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G0299","description":"Hhs/hospice of rn ea 15 min","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NIND0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FBFF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HH PDGM","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"1HA21","description":"HH PDGM","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Wrist arthroscopy/surgery","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"29845","description":"Wrist arthroscopy/surgery","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MELD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OLEE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MGUE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FFMB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KHTD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"LEYC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-5CFK4","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"5CFK4","description":"HIPPS-5CFK4","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"DFWC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"LDYB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OKBC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-CB230","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"CB230","description":"HIPPS-CB230","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"CPT-90483","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"90483","description":"CPT-90483","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CEWC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Iop down <15% of pre-svc lvl","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"3285F","description":"Iop down <15% of pre-svc lvl","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-3BHPV","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"3BHPV","description":"HIPPS-3BHPV","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"IIUA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RMB2B","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RMB2B","description":"HIPPS-RMB2B","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"EEAE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KFCB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OGWD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Ring flange plas/leather mol","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"L1110","description":"Ring flange plas/leather mol","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"CPT-98010","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"98010","description":"CPT-98010","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JEIC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KAUA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KHVC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Patients 81 Years And Older With A Diagnosis Of Frailty","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G2131","description":"Patients 81 Years And Older With A Diagnosis Of Frailty","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KFSD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RUB8E","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RUB8E","description":"HIPPS-RUB8E","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Home visit postnatal","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"99501","description":"Home visit postnatal","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Prep donor pancreas","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"48551","description":"Prep donor pancreas","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"PDRE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JBPF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Clsd reduct compd maxilla fx","billing_code_type":"CDT","billing_code_type_version":"2024","billing_code":"D7720","description":"Clsd reduct compd maxilla fx","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HH PDGM","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"4CB31","description":"HH PDGM","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GALC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OEHF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NEBF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Anti-inflm/anlgsc otc assess","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"1007F","description":"Anti-inflm/anlgsc otc assess","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Hkafo torsion bil rot straps","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"L2040","description":"Hkafo torsion bil rot straps","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Htlv-i antibody","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"86687","description":"Htlv-i antibody","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Pt not rcvng esa thxpy","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"4172F","description":"Pt not rcvng esa thxpy","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MJCB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GITD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MKHE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-J9282","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"J9282","description":"HCPCS-J9282","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BDAC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Shldr disar prosth tiss shap","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"L6550","description":"Shldr disar prosth tiss shap","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Laparoscopy pyeloplasty","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"50544","description":"Laparoscopy pyeloplasty","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Kanamycin sulfate 75 mg inj","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"J1850","description":"Kanamycin sulfate 75 mg inj","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KBTC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Treat craniofacial fracture","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"21432","description":"Treat craniofacial fracture","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OKED1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RLB2D","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RLB2D","description":"HIPPS-RLB2D","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OIOF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-PC18I","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"PC18I","description":"HIPPS-PC18I","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-BB210","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"BB210","description":"HIPPS-BB210","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"EBLF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"IAAF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Gene test beta-thalassemia","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"S3846","description":"Gene test beta-thalassemia","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CDGA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NCPD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NCDD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Woundplus membrane or e-graft_ per square centimeter","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"Q4277","description":"Woundplus membrane or e-graft_ per square centimeter","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GAWF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NKVD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"CPT-00906","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"00906","description":"CPT-00906","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Removal of an implantable_ patient-activated cardiac event recorder","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"33284","description":"Removal of an implantable_ patient-activated cardiac event recorder","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Art byp aortofemoral","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"35647","description":"Art byp aortofemoral","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-E1023","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"E1023","description":"HCPCS-E1023","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CBHC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Remove eye lesion","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"66130","description":"Remove eye lesion","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NELE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GBCB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CGXF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Patient did not respond to the question of patient felt this provider and team put my best interests first when making recommendations about my care","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"M1240","description":"Patient did not respond to the question of patient felt this provider and team put my best interests first when making recommendations about my care","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"HCOD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GDVF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"LEWA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Hip disartic sach thermopls","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"L5595","description":"Hip disartic sach thermopls","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"HEOA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Prochlorperazine 5 mg","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"S0183","description":"Prochlorperazine 5 mg","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Comm psy face-face per 15min","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"H0036","description":"Comm psy face-face per 15min","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NGVA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NKXF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JAFA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CEMC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"DCSE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-J9289","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"J9289","description":"HCPCS-J9289","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OIBD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-C1740","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"C1740","description":"HCPCS-C1740","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GIOA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"CPT-00548","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"00548","description":"CPT-00548","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CDNA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Assay of copper","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"82525","description":"Assay of copper","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Treat penis lesion graft","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"54111","description":"Treat penis lesion graft","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CITE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RUX2B","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RUX2B","description":"HIPPS-RUX2B","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Endovas iliac a device addon","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"34808","description":"Endovas iliac a device addon","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NAUC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"IFUE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Assay of nucleotidase","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"83915","description":"Assay of nucleotidase","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JDBB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"PKQD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-CA125","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"CA125","description":"HIPPS-CA125","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"PGQD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FFVF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NAAD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OCSF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-HC135","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"HC135","description":"HIPPS-HC135","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"CPT-37289","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"37289","description":"CPT-37289","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Cabg artery-vein single","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"33517","description":"Cabg artery-vein single","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Anesth pelvic organ surg","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"84851","description":"Anesth pelvic organ surg","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Patients 66 years of age and older with at least one claim/encounter for frailty during the measurement period and either one acute inpatient encounter with a diagnosis of adv","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"M1292","description":"Patients 66 years of age and older with at least one claim/encounter for frailty during the measurement period and either one acute inpatient encounter with a diagnosis of adv","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-M0232","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"M0232","description":"HCPCS-M0232","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"AEBE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Hyperthermia treatment","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"77605","description":"Hyperthermia treatment","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CIXA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MBHB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RHA10","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RHA10","description":"HIPPS-RHA10","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KCPF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Head control nonproportional","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"E2329","description":"Head control nonproportional","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Pt ref pulm fx test/peakflow","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"3758F","description":"Pt ref pulm fx test/peakflow","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MCCE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Partial removal of tibia","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"27640","description":"Partial removal of tibia","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"DDWA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BAXC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KEBD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"EDTC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Establish brain cavity shunt","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"62192","description":"Establish brain cavity shunt","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MJHF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Chemo ia infusion up to 1 hr","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"96422","description":"Chemo ia infusion up to 1 hr","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"MRI chest spine w/o dye","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"72146","description":"MRI chest spine w/o dye","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Injection_ cefoperazone sod","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"S0021","description":"Injection_ cefoperazone sod","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Lpn home care per diem","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"T1031","description":"Lpn home care per diem","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GHGB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Hysterectomy/bladder repair","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"51925","description":"Hysterectomy/bladder repair","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Trans shoe solid stirrup exi","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"L3620","description":"Trans shoe solid stirrup exi","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Pt tx sys bio med psori 6mth","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G9652","description":"Pt tx sys bio med psori 6mth","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KEPA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Assay of fluoride","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"82735","description":"Assay of fluoride","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Pierce skull & remove clot","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"61154","description":"Pierce skull & remove clot","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MLHE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Patient had anaphylaxis due to the meningococcal vaccine any time on or before the patient_s 13th birthday","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"M1160","description":"Patient had anaphylaxis due to the meningococcal vaccine any time on or before the patient_s 13th birthday","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GESF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JFAF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OHVA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-3AHN1","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"3AHN1","description":"HIPPS-3AHN1","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-CE12C","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"CE12C","description":"HIPPS-CE12C","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Fusion radioulnar jnt/ulna","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"25830","description":"Fusion radioulnar jnt/ulna","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NIBC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Revision of leg vein","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"37780","description":"Revision of leg vein","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FGTF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-CB121","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"CB121","description":"HIPPS-CB121","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GBAA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FBXC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Removal and reinsertion of sinus tarsi implant","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0511T","description":"Removal and reinsertion of sinus tarsi implant","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Pt w iv ab not given on time","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G8917","description":"Pt w iv ab not given on time","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"CPT-0629U","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"0629U","description":"CPT-0629U","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NKLC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HH PDGM","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"1HA31","description":"HH PDGM","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Insert aqueous drain device","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0253T","description":"Insert aqueous drain device","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CGHA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GETE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NFDC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Architect ecm px fx 1 sq cm","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"Q4147","description":"Architect ecm px fx 1 sq cm","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GBXC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NLUB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Furnsh initial orthosis only","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"L1200","description":"Furnsh initial orthosis only","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Bed pan standard","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"E0275","description":"Bed pan standard","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Blood pressure measure","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"2000F","description":"Blood pressure measure","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Excise max/zygoma b9 tumor","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"21030","description":"Excise max/zygoma b9 tumor","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"EBIF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"HDOA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Aud rehab postling hear loss","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"92633","description":"Aud rehab postling hear loss","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Injection_ tagraxofusp-erzs_ 10mcg","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"C9049","description":"Injection_ tagraxofusp-erzs_ 10mcg","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-PB18H","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"PB18H","description":"HIPPS-PB18H","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Transportation costs to and","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"S9992","description":"Transportation costs to and","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Treat ankle dislocation","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"27848","description":"Treat ankle dislocation","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NCMD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Perq dev breast add strtctc","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"19284","description":"Perq dev breast add strtctc","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"LHSD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Manual reticulocyte count","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"85044","description":"Manual reticulocyte count","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RUL11","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RUL11","description":"HIPPS-RUL11","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KETB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Prolonged inpatient or observation evaluation and management service(s) time with or without direct patient contact beyond the required time of the primary service when the pr","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"99418","description":"Prolonged inpatient or observation evaluation and management service(s) time with or without direct patient contact beyond the required time of the primary service when the pr","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"No hist type doc on report","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G9284","description":"No hist type doc on report","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JGFB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Drug test def 22+ classes","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G0483","description":"Drug test def 22+ classes","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"PIRD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BDXB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CAIE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JFPD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GBTD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"PCRE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JGBF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Custom shape cvr hip disart","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"L5707","description":"Custom shape cvr hip disart","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MBTB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Decompression of lower leg","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"27600","description":"Decompression of lower leg","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Vim_ per sq cm","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"Q4251","description":"Vim_ per sq cm","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"N block other peripheral","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"64450","description":"N block other peripheral","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Replacement pulmonary valve","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"33475","description":"Replacement pulmonary valve","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-PA126","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"PA126","description":"HIPPS-PA126","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Immunology procedure","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"86849","description":"Immunology procedure","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JCFB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Nebulizer w/ compressor & he","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"E0585","description":"Nebulizer w/ compressor & he","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MJEE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Biopsy/removal lymph nodes","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"38530","description":"Biopsy/removal lymph nodes","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BHBD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BHTA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Photopheresis","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"36522","description":"Photopheresis","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"IGDA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Donor hysterectomy (including cold preservation); recipient uterus allograft transplantation from cadaver or living donor","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0667T","description":"Donor hysterectomy (including cold preservation); recipient uterus allograft transplantation from cadaver or living donor","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"IEIA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Disposable nebulizer sml vol","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"A7004","description":"Disposable nebulizer sml vol","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JDEF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Removal of ovary/tube(s)","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"58720","description":"Removal of ovary/tube(s)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-2BGKS","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"2BGKS","description":"HIPPS-2BGKS","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"External urinary catheter; non-disposable_ for use with suction pump_ per month","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"A6591","description":"External urinary catheter; non-disposable_ for use with suction pump_ per month","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-CD246","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"CD246","description":"HIPPS-CD246","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Injection_ margetuximab-cmkb_ 5 mg","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"J9353","description":"Injection_ margetuximab-cmkb_ 5 mg","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"HAQA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Anoscopy remove lesion","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"46610","description":"Anoscopy remove lesion","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Intravenous infusion or subcutaneous injection_ casirivimaband imdevimab_ includes infusion or injection and post administration monitoring_ subsequent repeat doses","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"M0240","description":"Intravenous infusion or subcutaneous injection_ casirivimaband imdevimab_ includes infusion or injection and post administration monitoring_ subsequent repeat doses","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NFKD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RVX24","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RVX24","description":"HIPPS-RVX24","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"PAYD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CHRA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Skin substitute_ synthetic_ resorbable_ per sq cm","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"C1849","description":"Skin substitute_ synthetic_ resorbable_ per sq cm","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Neutralizing antibody_ severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2)(Coronavirus disease[COVID-19]);titer","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"86409","description":"Neutralizing antibody_ severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2)(Coronavirus disease[COVID-19]);titer","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Employment Benefits Counseling","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"W1740","description":"Employment Benefits Counseling","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RUA14","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RUA14","description":"HIPPS-RUA14","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MJEA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Air pressure mattress","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"E0186","description":"Air pressure mattress","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Melatonin levels test_ sleep study_ 7 or 9 sample melatonin profile (cortisol optional)_ enzyme-linked immunosorbent assay (ELISA)_ saliva_ screening/preliminary","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0462U","description":"Melatonin levels test_ sleep study_ 7 or 9 sample melatonin profile (cortisol optional)_ enzyme-linked immunosorbent assay (ELISA)_ saliva_ screening/preliminary","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Imaging Of Retina For Detection Or Monitoring Of Disease; Point-Of-Care Automated Analysis And Report_ Unilateral Or Bilateral","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"92229","description":"Imaging Of Retina For Detection Or Monitoring Of Disease; Point-Of-Care Automated Analysis And Report_ Unilateral Or Bilateral","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-4CHKS","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"4CHKS","description":"HIPPS-4CHKS","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Mild-mod dep symp by deptool","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"3353F","description":"Mild-mod dep symp by deptool","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Repl batt lithium 3.6 v","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"K0604","description":"Repl batt lithium 3.6 v","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-CB11A","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"CB11A","description":"HIPPS-CB11A","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"IFUF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CCFD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OFGE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BEBC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JCMD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Digitization of glass microscope slides for bone marrow_ smear interpretation (List separately in addition to code for primary procedure)","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0855T","description":"Digitization of glass microscope slides for bone marrow_ smear interpretation (List separately in addition to code for primary procedure)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Growth hormone panel","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"80430","description":"Growth hormone panel","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OGOF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Resect prox humerus tumor","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"23220","description":"Resect prox humerus tumor","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"ATXN8OS (ATXN8 opposite strand [non-protein coding]) (eg_ spinocerebellar ataxia) gene analysis_ evaluation to detect abnormal (eg_ expanded) alleles","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"81182","description":"ATXN8OS (ATXN8 opposite strand [non-protein coding]) (eg_ spinocerebellar ataxia) gene analysis_ evaluation to detect abnormal (eg_ expanded) alleles","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Hit routine device maint","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"S5035","description":"Hit routine device maint","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CHKD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-PC211","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"PC211","description":"HIPPS-PC211","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"IILC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OAIA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KFIF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Lambswool sheepskin pad","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"E0189","description":"Lambswool sheepskin pad","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"PHYD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"EBHA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Fludarabine phosphate inj","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"J9185","description":"Fludarabine phosphate inj","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GAGA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"HDOC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OGEB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NEXF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Foam drg >16<=48 sq in w/o b","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"A6210","description":"Foam drg >16<=48 sq in w/o b","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Treat kneecap dislocation","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"27566","description":"Treat kneecap dislocation","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"CDT-D0201","billing_code_type":"CDT","billing_code_type_version":"2026","billing_code":"D0201","description":"CDT-D0201","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Wrist arthroscopy/surgery","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"29843","description":"Wrist arthroscopy/surgery","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Radiologic examination_ chest; 2 views","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"71046","description":"Radiologic examination_ chest; 2 views","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CFFB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OEVE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Med reas antibiotic pres","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G8709","description":"Med reas antibiotic pres","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Genital surgery procedure","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"55899","description":"Genital surgery procedure","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-C1736","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"C1736","description":"HCPCS-C1736","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"CPT-66683","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"66683","description":"CPT-66683","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Repair finger tendon","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"26432","description":"Repair finger tendon","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JAEC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RHL4B","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RHL4B","description":"HIPPS-RHL4B","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Injection of contrast for knee arthrography","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"27370","description":"Injection of contrast for knee arthrography","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Insert ocular implant","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"65130","description":"Insert ocular implant","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Ct abd & pelvis w/o contrast","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"74176","description":"Ct abd & pelvis w/o contrast","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Bundled Payments for Care Improvement Advanced (BPCI Advanced) model home visit for patient assessment performed by clinical staff for an individual not considered homebound","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G9987","description":"Bundled Payments for Care Improvement Advanced (BPCI Advanced) model home visit for patient assessment performed by clinical staff for an individual not considered homebound","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Eval risk vte card 30d prior","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G9298","description":"Eval risk vte card 30d prior","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Reconstruct cranial bone","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"21183","description":"Reconstruct cranial bone","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OKRD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FDAB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FHAE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"PKRE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"ABTB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OBCB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Evoked auditory test qual","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"92558","description":"Evoked auditory test qual","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Repair maxillofacial prosth","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"L8049","description":"Repair maxillofacial prosth","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"HFSC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-3AGPS","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"3AGPS","description":"HIPPS-3AGPS","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Acupunct w/o stimul 15 min","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"97810","description":"Acupunct w/o stimul 15 min","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"PBSD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-PB18X","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"PB18X","description":"HIPPS-PB18X","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BGAC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Allograft_ includes templating_ cutting_ placement and internal fixation_ when performed; osteoarticular_ including articular surface and contiguous bone (List separately in a","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"20932","description":"Allograft_ includes templating_ cutting_ placement and internal fixation_ when performed; osteoarticular_ including articular surface and contiguous bone (List separately in a","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-HD18F","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"HD18F","description":"HIPPS-HD18F","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-Q4375","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"Q4375","description":"HCPCS-Q4375","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"ADIF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-4BGM4","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"4BGM4","description":"HIPPS-4BGM4","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BBEC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CHNB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Wheelchair no. 2 footplates","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"E0970","description":"Wheelchair no. 2 footplates","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GHED1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HH PDGM","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"2LB11","description":"HH PDGM","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Disease activity not assessed_ reason not given","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"M1006","description":"Disease activity not assessed_ reason not given","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GIPF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Eval self-assess depression","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"S3005","description":"Eval self-assess depression","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JBMF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Replantation digit complete","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"20816","description":"Replantation digit complete","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Attempted vbac after care","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"59622","description":"Attempted vbac after care","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Lengthening of thigh tendons","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"27395","description":"Lengthening of thigh tendons","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RUA8F","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RUA8F","description":"HIPPS-RUA8F","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"ECBD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"DHWC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KGLB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"DHQB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FGDA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CEVB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MJBD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GCGB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RMB2C","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RMB2C","description":"HIPPS-RMB2C","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Chimerism anal no cell selec","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"81267","description":"Chimerism anal no cell selec","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RUC17","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RUC17","description":"HIPPS-RUC17","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BBEF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CELB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"IEHE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CCMB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Shoulder harness","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"L5699","description":"Shoulder harness","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NHHF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Repair blood vessel lesion","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"35221","description":"Repair blood vessel lesion","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Patients who use hospice services any time during the measurement period","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G9761","description":"Patients who use hospice services any time during the measurement period","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GFYF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OAKA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BFFC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-PC234","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"PC234","description":"HIPPS-PC234","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"N-et; patient attend/escort","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"T2001","description":"N-et; patient attend/escort","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Insert epicard eltrd open","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"33202","description":"Insert epicard eltrd open","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-G0566","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"G0566","description":"HCPCS-G0566","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Partial removal finger bone","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"26235","description":"Partial removal finger bone","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NHCA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OHXC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Repl electrode for aed","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"K0609","description":"Repl electrode for aed","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MIAD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Release of foot tendon","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"28220","description":"Release of foot tendon","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Assay of acth","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"82024","description":"Assay of acth","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OKEE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Digoxin injection","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"J1160","description":"Digoxin injection","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Electrophysiology evaluation","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"93620","description":"Electrophysiology evaluation","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KCDB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Excision constricting tissue","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"26596","description":"Excision constricting tissue","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Revision of upper eyelid","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"15823","description":"Revision of upper eyelid","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Treatment of rib fracture","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"21812","description":"Treatment of rib fracture","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Assay secretory type ii pla2","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0423T","description":"Assay secretory type ii pla2","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Term dev modifier wrist unit","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"L6805","description":"Term dev modifier wrist unit","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KFSA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OGDB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KGEC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Non-pneum walk boot pre ots","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"L4387","description":"Non-pneum walk boot pre ots","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"AEUE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Revision of iris","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"66762","description":"Revision of iris","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"DISA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-ES351","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"ES351","description":"HIPPS-ES351","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Office Or Other Outpatient Visit For The Evaluation And Management Of An Established Patient That Requires The Supervision Of A Physician Or Other Qualified Health Care Profes","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G2083","description":"Office Or Other Outpatient Visit For The Evaluation And Management Of An Established Patient That Requires The Supervision Of A Physician Or Other Qualified Health Care Profes","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Prosth retina receive&gen","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0100T","description":"Prosth retina receive&gen","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NECC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"CPT-0989T","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"0989T","description":"CPT-0989T","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Hhv-6 dna quant","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"87533","description":"Hhv-6 dna quant","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Tp53 (Tumor Protein 53) (Eg_ Li-Fraumeni Syndrome) Gene Analysis; Targeted Sequence Analysis (Eg_ 4 Oncology)","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"81352","description":"Tp53 (Tumor Protein 53) (Eg_ Li-Fraumeni Syndrome) Gene Analysis; Targeted Sequence Analysis (Eg_ 4 Oncology)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CIID0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RUA1C","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RUA1C","description":"HIPPS-RUA1C","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Halo cervical into body jack","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"L0820","description":"Halo cervical into body jack","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KHPF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"PHYB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KCOA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JFKC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JBAF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Re-Cement Or Re-Bond Bilateral Space Maintainer - Mandibular","billing_code_type":"CDT","billing_code_type_version":"2024","billing_code":"D1552","description":"Re-Cement Or Re-Bond Bilateral Space Maintainer - Mandibular","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"ACEA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Documentation of medical reason(s) for prescribing systemic antimicrobials","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G9960","description":"Documentation of medical reason(s) for prescribing systemic antimicrobials","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-HC214","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"HC214","description":"HIPPS-HC214","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Levofloxacin injection","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"J1956","description":"Levofloxacin injection","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-PC254","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"PC254","description":"HIPPS-PC254","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Removal of bladder & nodes","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"51575","description":"Removal of bladder & nodes","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-Q4432","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"Q4432","description":"HCPCS-Q4432","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OLKF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Leuprolide acetate implant","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"J9219","description":"Leuprolide acetate implant","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JAND0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"LERE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-B1403","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"B1403","description":"HCPCS-B1403","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Newborn metabolic screening","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"S3620","description":"Newborn metabolic screening","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FDGD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Free skin flap microvasc","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"15757","description":"Free skin flap microvasc","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"PLRB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Catheter placement in coronary artery(ies) for coronary angiography_ including intraprocedural injection(s) for coronary angiography_ imaging supervision and interpretation_ w","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"C7520","description":"Catheter placement in coronary artery(ies) for coronary angiography_ including intraprocedural injection(s) for coronary angiography_ imaging supervision and interpretation_ w","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Dark field examination","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"87166","description":"Dark field examination","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-CD106","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"CD106","description":"HIPPS-CD106","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GGCE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Drainage of urinary leakage","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"53085","description":"Drainage of urinary leakage","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GCAC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KHRB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Oncology (pan-tumor)_ genetic profiling of 8 DNA-regulatory (epigenetic) markers by quantitative polymerase chain reaction (qPCR)_ whole blood_ reported as a high or low proba","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0332U","description":"Oncology (pan-tumor)_ genetic profiling of 8 DNA-regulatory (epigenetic) markers by quantitative polymerase chain reaction (qPCR)_ whole blood_ reported as a high or low proba","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"DBOA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-ES216","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"ES216","description":"HIPPS-ES216","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"HIWD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Computed Tomography_ Breast_ Including 3D Rendering_ When Performed_ Bilateral; Without Contrast Material(S)","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0636T","description":"Computed Tomography_ Breast_ Including 3D Rendering_ When Performed_ Bilateral; Without Contrast Material(S)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KBWF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NLDA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GITF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Hosp bed hvy dty xtra wide","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"E0303","description":"Hosp bed hvy dty xtra wide","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MIMF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"DCYE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FAMF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MDHA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Adj shoulder ext/flex device","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"E1840","description":"Adj shoulder ext/flex device","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BEFC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HH PDGM","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"1LB11","description":"HH PDGM","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"PAQC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MKAF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CBHE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Gallium ga-68 psma-11_ diagnostic_ (ucla)_ 1 millicurie","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"A9594","description":"Gallium ga-68 psma-11_ diagnostic_ (ucla)_ 1 millicurie","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-3AGPT","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"3AGPT","description":"HIPPS-3AGPT","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CDNF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Mcp joint repl 2 pc or more","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"L8631","description":"Mcp joint repl 2 pc or more","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Hit tpn 2 liter diem","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"S9366","description":"Hit tpn 2 liter diem","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Trh stimulation panel","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"80439","description":"Trh stimulation panel","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Catheter placement in coronary artery(ies) for coronary angiography_ including intraprocedural injection(s) for coronary angiography_ imaging supervision and interpretation_ w","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"C7523","description":"Catheter placement in coronary artery(ies) for coronary angiography_ including intraprocedural injection(s) for coronary angiography_ imaging supervision and interpretation_ w","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Infectious disease (bacterial)_ strain typing by whole genome sequencing_ phylogenetic-based report of strain relatedness_ per submitted isolate","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0010U","description":"Infectious disease (bacterial)_ strain typing by whole genome sequencing_ phylogenetic-based report of strain relatedness_ per submitted isolate","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Ligation of abdomen artery","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"37617","description":"Ligation of abdomen artery","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Division of fallopian tube","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"58600","description":"Division of fallopian tube","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CFSA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GISB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NGNB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"IBLA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NADE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GBPB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NIVC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"DDQF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BFKB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Removal of phrenic nerve stimulator_ including vessel catheterization_ all imaging guidance_ and interrogation and programming_ when performed; system_ including pulse generat","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"33278","description":"Removal of phrenic nerve stimulator_ including vessel catheterization_ all imaging guidance_ and interrogation and programming_ when performed; system_ including pulse generat","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NGMC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Wrist replacement","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"25446","description":"Wrist replacement","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Paranasal sinus ultrasound","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"S9024","description":"Paranasal sinus ultrasound","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-CE13D","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"CE13D","description":"HIPPS-CE13D","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Phentolaine mesylate inj","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"J2760","description":"Phentolaine mesylate inj","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Anesth sitting procedure","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"60451","description":"Anesth sitting procedure","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CHUD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KDBD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Doc pt not on statin","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G9508","description":"Doc pt not on statin","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Injection_ carmustine (accord)_ not therapeutically equivalent to j9050_ 100 mg","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"J9052","description":"Injection_ carmustine (accord)_ not therapeutically equivalent to j9050_ 100 mg","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NKUE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Glucose monitor platforms","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"A4255","description":"Glucose monitor platforms","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MHTA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-3AFL4","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"3AFL4","description":"HIPPS-3AFL4","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BBLD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Physician Or Other Qualified Health Care Professional Services For Outpatient Pulmonary Rehabilitation; Without Continuous Oximetry Monitoring (Per Session)","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"94625","description":"Physician Or Other Qualified Health Care Professional Services For Outpatient Pulmonary Rehabilitation; Without Continuous Oximetry Monitoring (Per Session)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Linezolid injection","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"J2020","description":"Linezolid injection","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Coch imp ext proc/contr rplc","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"L8619","description":"Coch imp ext proc/contr rplc","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-J1164","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"J1164","description":"HCPCS-J1164","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Decompress spinal cord thrc","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"63055","description":"Decompress spinal cord thrc","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"EDIE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Pulse gen sys tx endolymp fl","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"E2120","description":"Pulse gen sys tx endolymp fl","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Chem/antisept solution_ 8oz","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"A4674","description":"Chem/antisept solution_ 8oz","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Derma-Gide_ per sq cm","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"Q4203","description":"Derma-Gide_ per sq cm","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GIQE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"AHTB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-1AHNV","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"1AHNV","description":"HIPPS-1AHNV","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MJUE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Laparo-vag hyst incl t/o","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"58552","description":"Laparo-vag hyst incl t/o","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OHDB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"New eye exam & treatment","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"92018","description":"New eye exam & treatment","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MDUD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Removal of brain lesion","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"61521","description":"Removal of brain lesion","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KADC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MGBF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-LC211","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"LC211","description":"HIPPS-LC211","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FACD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GGTD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-CC213","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"CC213","description":"HIPPS-CC213","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BGAC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KHUD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Inj metaraminol bitartrate","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"J0380","description":"Inj metaraminol bitartrate","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Insertion or replacement of percutaneous electrode array_ peripheral nerve_ with integrated neurostimulator_ including imaging guidance_ when performed; each additional electr","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"64597","description":"Insertion or replacement of percutaneous electrode array_ peripheral nerve_ with integrated neurostimulator_ including imaging guidance_ when performed; each additional electr","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"LASE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Lingual frenectomy (frenulectomy)","billing_code_type":"CDT","billing_code_type_version":"2024","billing_code":"D7962","description":"Lingual frenectomy (frenulectomy)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"HEOE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Exploration for testis","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"54560","description":"Exploration for testis","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-1AHPU","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"1AHPU","description":"HIPPS-1AHPU","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GDFD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FALB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CFWC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SkinTE_ per sq cm","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"Q4200","description":"SkinTE_ per sq cm","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MFCC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Lube sterile packet","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"A4332","description":"Lube sterile packet","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OIOE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MBHE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HH PDGM","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"2GC21","description":"HH PDGM","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Denileukin diftitox inj","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"J9160","description":"Denileukin diftitox inj","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NJBE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Removal of tissue for graft","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"20926","description":"Removal of tissue for graft","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-PA18F","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"PA18F","description":"HIPPS-PA18F","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CADA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Contrast x-ray of shoulder","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"73040","description":"Contrast x-ray of shoulder","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Small bowel endoscopy","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"44382","description":"Small bowel endoscopy","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-Q4388","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"Q4388","description":"HCPCS-Q4388","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BEGF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"AHUE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Insertion or replacement of percutaneous electrode array_ sacral_ with integrated neurostimulator_ including imaging guidance_ when performed","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0786T","description":"Insertion or replacement of percutaneous electrode array_ sacral_ with integrated neurostimulator_ including imaging guidance_ when performed","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KBSE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"LBOA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Electron elbow child switch","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"L7186","description":"Electron elbow child switch","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Incision of spinal nerve","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"64772","description":"Incision of spinal nerve","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Cephapirin sodium injection","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"J0710","description":"Cephapirin sodium injection","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OJCE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Cath indw foley 2 way silicn","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"A4344","description":"Cath indw foley 2 way silicn","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Transcatheter Atrial Septostomy (Tas) For Congenital Cardiac Anomalies To Create Effective Atrial Flow_ Including All Imaging Guidance By The Proceduralist_ When Performed_ An","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"33741","description":"Transcatheter Atrial Septostomy (Tas) For Congenital Cardiac Anomalies To Create Effective Atrial Flow_ Including All Imaging Guidance By The Proceduralist_ When Performed_ An","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CIDA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-1BHN2","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"1BHN2","description":"HIPPS-1BHN2","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Lso sc r ant/pos pnl pre cst","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"L0637","description":"Lso sc r ant/pos pnl pre cst","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CGJC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"CPT-37286","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"37286","description":"CPT-37286","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CHKD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Remove maxilla cyst complex","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"21048","description":"Remove maxilla cyst complex","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-HB217","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"HB217","description":"HIPPS-HB217","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KCOE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Allergy patch tests","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"95044","description":"Allergy patch tests","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GFGA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"LAYC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GHXA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Oncology (colorectal)_ microRNA_ RT-PCR expression profiling of miR-31-3p_ formalin-fixed paraffin-embedded tissue_ algorithm reported as an expression score","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0069U","description":"Oncology (colorectal)_ microRNA_ RT-PCR expression profiling of miR-31-3p_ formalin-fixed paraffin-embedded tissue_ algorithm reported as an expression score","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"IIBC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OEKD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JAPE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Hearing aid exam one ear","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"92590","description":"Hearing aid exam one ear","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Patients with pregnancy during adjuvant treatment course","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G2205","description":"Patients with pregnancy during adjuvant treatment course","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MIHD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"EGME1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Dentures adjust cmplt mand","billing_code_type":"CDT","billing_code_type_version":"2024","billing_code":"D5411","description":"Dentures adjust cmplt mand","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KGPD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"DBSA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NDCA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Patient screened for future fall risk","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"M1069","description":"Patient screened for future fall risk","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Dermabrasion suprfl any site","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"15783","description":"Dermabrasion suprfl any site","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"LGSA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"PBRE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FFEB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Minimally invasive direct co","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"S2207","description":"Minimally invasive direct co","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Drain open lung lesion","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"32200","description":"Drain open lung lesion","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RUL21","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RUL21","description":"HIPPS-RUL21","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"EIBB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Patient had at least two HPV vaccines (with at least 146 days between the two) or three HPV vaccines on or between the patient_s 9th and 13th birthdays","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G9762","description":"Patient had at least two HPV vaccines (with at least 146 days between the two) or three HPV vaccines on or between the patient_s 9th and 13th birthdays","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KCQD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NHME1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JHVE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GEQD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CAHB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CERD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"RUNX1 (runt related transcription factor 1) (eg_ acute myeloid leukemia_ familial platelet disorder with associated myeloid malignancy)_ gene analysis_ targeted sequence analy","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"81334","description":"RUNX1 (runt related transcription factor 1) (eg_ acute myeloid leukemia_ familial platelet disorder with associated myeloid malignancy)_ gene analysis_ targeted sequence analy","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"CPT-00216","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"00216","description":"CPT-00216","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OBPD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NHEF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"CDT-D0703","billing_code_type":"CDT","billing_code_type_version":"2026","billing_code":"D0703","description":"CDT-D0703","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Tumor imaging whole body","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"78804","description":"Tumor imaging whole body","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MLUA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OEND1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GDNC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RUA52","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RUA52","description":"HIPPS-RUA52","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Mohs addl stage t/a/l","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"17314","description":"Mohs addl stage t/a/l","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-HB14B","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"HB14B","description":"HIPPS-HB14B","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Injection_ naxitamab-gqgk_ 1 mg","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"J9348","description":"Injection_ naxitamab-gqgk_ 1 mg","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"EITB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"External Electrocardiographic Recording For More Than 7 Days Up To 15 Days By Continuous Rhythm Recording And Storage; Review And Interpretation","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"93248","description":"External Electrocardiographic Recording For More Than 7 Days Up To 15 Days By Continuous Rhythm Recording And Storage; Review And Interpretation","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CFTF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KEME1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Vag hyst w/urinary repair","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"58267","description":"Vag hyst w/urinary repair","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"HBSC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OKHB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Repl leath cuff kafo-afo cal","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"L4110","description":"Repl leath cuff kafo-afo cal","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"EHLB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Remove knee joint lining","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"27335","description":"Remove knee joint lining","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Implt nrostm pls gen dua rec","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"L8687","description":"Implt nrostm pls gen dua rec","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CARC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Nasal septal prosthesis","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"L8047","description":"Nasal septal prosthesis","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Spin/brain pump refil & main","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"95990","description":"Spin/brain pump refil & main","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"EATF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Dentures rebase part maxill","billing_code_type":"CDT","billing_code_type_version":"2024","billing_code":"D5720","description":"Dentures rebase part maxill","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NDEC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"HBOD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MBCE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Sphyg/bp app w cuff and stet","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"A4660","description":"Sphyg/bp app w cuff and stet","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Kidney endoscopy & treatment","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"50580","description":"Kidney endoscopy & treatment","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NICB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KBRF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"EATA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CDCE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FBIE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CEAA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JCVF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Resin one surface-anterior","billing_code_type":"CDT","billing_code_type_version":"2024","billing_code":"D2330","description":"Resin one surface-anterior","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BEDD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GHUD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OIXE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FFCB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"IFMB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Percutaneous Injection Of Allogeneic Cellular And/Or Tissue-Based Product_ Intervertebral Disc_ Unilateral Or Bilateral Injection_ With Ct Guidance_ Lumbar; Each Additional Le","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0630T","description":"Percutaneous Injection Of Allogeneic Cellular And/Or Tissue-Based Product_ Intervertebral Disc_ Unilateral Or Bilateral Injection_ With Ct Guidance_ Lumbar; Each Additional Le","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JBBA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Gradient compression bandaging supply_ conforming gauze_ per linear yard_ any width_ each","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"A6596","description":"Gradient compression bandaging supply_ conforming gauze_ per linear yard_ any width_ each","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"MRI joint upr extrem w/dye","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"73222","description":"MRI joint upr extrem w/dye","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JHCD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KHFB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Hereditary colon cancer (Lynch syndrome)_ targeted mRNA sequence analysis panel (MLH1_ MSH2_ MSH6_ PMS2)","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0162U","description":"Hereditary colon cancer (Lynch syndrome)_ targeted mRNA sequence analysis panel (MLH1_ MSH2_ MSH6_ PMS2)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Muscle-skin graft head/neck","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"15732","description":"Muscle-skin graft head/neck","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Wound prep trk/arm/leg","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"15002","description":"Wound prep trk/arm/leg","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Hemodialysis via av graft","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"4053F","description":"Hemodialysis via av graft","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JEEB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KCJD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Oral aprepitant","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"J8501","description":"Oral aprepitant","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GCNA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-2CHM1","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"2CHM1","description":"HIPPS-2CHM1","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KBLD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RMA8D","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RMA8D","description":"HIPPS-RMA8D","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"CPT-00350","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"00350","description":"CPT-00350","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FFLA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Afo molded plas rig ant tib","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"L1945","description":"Afo molded plas rig ant tib","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Repair finger/hand tendon","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"26426","description":"Repair finger/hand tendon","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CCSE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Analyze sp inf pump w/reprog","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"62368","description":"Analyze sp inf pump w/reprog","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Home episodic case 30 days","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"S0272","description":"Home episodic case 30 days","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BDGA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Chemo iv infus each addl seq","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"96417","description":"Chemo iv infus each addl seq","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KHEB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-CD20C","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"CD20C","description":"HIPPS-CD20C","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JGGC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Repair artery rupture arm","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"35013","description":"Repair artery rupture arm","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GIHA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"HEWD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"AGHE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CGJA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FCID0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MHEC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OKOD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-3BGMX","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"3BGMX","description":"HIPPS-3BGMX","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BDVC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Transect artery sinus","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"61611","description":"Transect artery sinus","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BEDF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Ko w adj flex/ext rotat mold","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"L1846","description":"Ko w adj flex/ext rotat mold","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"AFTC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-3BHL2","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"3BHL2","description":"HIPPS-3BHL2","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-HE14B","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"HE14B","description":"HIPPS-HE14B","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NFHB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OEKF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JAXF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NHFC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Glucagon tolerance test","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"82946","description":"Glucagon tolerance test","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Radiation treatment delivery","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"77407","description":"Radiation treatment delivery","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MJCE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KIXA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"CPT-87513","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"87513","description":"CPT-87513","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BDNF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"DCRF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CGTA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Reinforce radius and ulna","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"25492","description":"Reinforce radius and ulna","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Hep b vac series prev recvd","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"4157F","description":"Hep b vac series prev recvd","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Factor viii (porcine)","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"J7191","description":"Factor viii (porcine)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Reason for not administering trastuzumab documented (e.g._ patient declined_ patient died_ patient transferred_ contraindication or other clinical exclusion_ neoadjuvant chemo","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G9836","description":"Reason for not administering trastuzumab documented (e.g._ patient declined_ patient died_ patient transferred_ contraindication or other clinical exclusion_ neoadjuvant chemo","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NBTE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"ACBF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MFUA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"HFQE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KCPC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CFVD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Injection_ Polatuzumab Vedotin-Piiq_ 1 Mg","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"J9309","description":"Injection_ Polatuzumab Vedotin-Piiq_ 1 Mg","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Rev/remvl crtd sns dev lead","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0270T","description":"Rev/remvl crtd sns dev lead","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CDUD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Ald fm/dm adapt/boot couplin","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"V5289","description":"Ald fm/dm adapt/boot couplin","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NKCC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CDDE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Percutaneous islet celltrans","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G0341","description":"Percutaneous islet celltrans","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OCIC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RUA41","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RUA41","description":"HIPPS-RUA41","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Biopsy of nerve","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"64795","description":"Biopsy of nerve","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Spinal Puncture_ Therapeutic_ For Drainage Of Cerebrospinal Fluid (By Needle Or Catheter); With Fluoroscopic Or Ct Guidance","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"62329","description":"Spinal Puncture_ Therapeutic_ For Drainage Of Cerebrospinal Fluid (By Needle Or Catheter); With Fluoroscopic Or Ct Guidance","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"HIQB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-C1502","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"C1502","description":"HCPCS-C1502","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Repair of bowel bulge","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"57268","description":"Repair of bowel bulge","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OLIB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-PA20C","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"PA20C","description":"HIPPS-PA20C","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Resect apical lung tum/chest","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"32504","description":"Resect apical lung tum/chest","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"CDT-D2004","billing_code_type":"CDT","billing_code_type_version":"2026","billing_code":"D2004","description":"CDT-D2004","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MDAA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Inj calcitriol per 0.1 mcg","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"J0636","description":"Inj calcitriol per 0.1 mcg","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Anesth skull drainage","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"21451","description":"Anesth skull drainage","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FCFC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GFPF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Targeted genomic sequence analysis panel_ non-small cell lung neoplasia_ DN","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0136U","description":"Targeted genomic sequence analysis panel_ non-small cell lung neoplasia_ DN","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OFND1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NCTD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Eeg all night recording","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"95827","description":"Eeg all night recording","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"DASE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Cytomeg dna dir probe","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"87495","description":"Cytomeg dna dir probe","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Patient had any additional spine procedures performed on the same date as the lumbar discectomy/laminotomy","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G9942","description":"Patient had any additional spine procedures performed on the same date as the lumbar discectomy/laminotomy","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OEBF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Tlso 3mod sacro-scap pre","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"L0462","description":"Tlso 3mod sacro-scap pre","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CAPB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NBLD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Derm autograft face/nck/hf/g","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"15135","description":"Derm autograft face/nck/hf/g","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Development of cognitive skills to improve attention_ memory_ problem solving (includes compensatory training)_ direct (one-on-one) patient contact_ each 15 minutes","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G0515","description":"Development of cognitive skills to improve attention_ memory_ problem solving (includes compensatory training)_ direct (one-on-one) patient contact_ each 15 minutes","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Normal saline solution infus","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"J7050","description":"Normal saline solution infus","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FEPC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Repair cleft lip/nasal","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"40720","description":"Repair cleft lip/nasal","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-4AHL3","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"4AHL3","description":"HIPPS-4AHL3","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NHBC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Therapeutic lightbox tabletp","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"E0203","description":"Therapeutic lightbox tabletp","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BELA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"LEQF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Injection_ Oritavancin_ 10 Mg","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"C9444","description":"Injection_ Oritavancin_ 10 Mg","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"DEQE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-HC212","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"HC212","description":"HIPPS-HC212","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BCED1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Instillation of antineoplastic pharmacologic/biologic agent into renal pelvis_ any method_ including all imaging guidance_including volumetric measurement if performed","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"C9789","description":"Instillation of antineoplastic pharmacologic/biologic agent into renal pelvis_ any method_ including all imaging guidance_including volumetric measurement if performed","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NCCF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-HB21A","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"HB21A","description":"HIPPS-HB21A","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OBMA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Pwc gp 3 hd seat/back","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"K0850","description":"Pwc gp 3 hd seat/back","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Waterproof tape","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"A4452","description":"Waterproof tape","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Breast diep or siea flap","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"S2068","description":"Breast diep or siea flap","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Part removal of metatarsal","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"28111","description":"Part removal of metatarsal","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FIVF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Occlusion analysis","billing_code_type":"CDT","billing_code_type_version":"2024","billing_code":"D9950","description":"Occlusion analysis","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-PB125","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"PB125","description":"HIPPS-PB125","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-LD150","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"LD150","description":"HIPPS-LD150","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"AAUC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"CPT-01680","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"01680","description":"CPT-01680","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KHUF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NHVA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JFNC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Portable peak flow meter","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"S8096","description":"Portable peak flow meter","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Injection_ trastuzumab-qyyp_ biosimilar_ (trazimera)_ 10 mg","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"Q5116","description":"Injection_ trastuzumab-qyyp_ biosimilar_ (trazimera)_ 10 mg","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RMA8G","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RMA8G","description":"HIPPS-RMA8G","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Mod sed diff phys/qhp 5/>yrs","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"99149","description":"Mod sed diff phys/qhp 5/>yrs","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Uppr gi scope w/submuc inj","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"43236","description":"Uppr gi scope w/submuc inj","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"AILB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OKPE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HH PDGM","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"4HB11","description":"HH PDGM","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-HC28I","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"HC28I","description":"HIPPS-HC28I","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Cefoxitin sodium injection","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"J0694","description":"Cefoxitin sodium injection","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"ACTF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"IFHC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Elevating whlchair leg rests","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"K0195","description":"Elevating whlchair leg rests","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CDOF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Infrared ht sys replcmnt pad","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"A4639","description":"Infrared ht sys replcmnt pad","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FFVF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Exc hand les sc 1.5 cm/>","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"26111","description":"Exc hand les sc 1.5 cm/>","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FHEE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HH PDGM","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"2GA11","description":"HH PDGM","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-CB214","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"CB214","description":"HIPPS-CB214","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KHCE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MHAE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Repair detached retina","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"67108","description":"Repair detached retina","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OALB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"LGRF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MIDA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"IEUB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Inj naloxone hydrochloride","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"J2310","description":"Inj naloxone hydrochloride","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Camp day waiver/session","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"T2037","description":"Camp day waiver/session","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KBXB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-E1808","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"E1808","description":"HCPCS-E1808","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"ICLC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-CB221","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"CB221","description":"HIPPS-CB221","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NKCF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Infectious agent antigen detection by bulk acoustic wave biosensor immunoassay_ severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) (coronavirus disease [COVID-19])","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0408U","description":"Infectious agent antigen detection by bulk acoustic wave biosensor immunoassay_ severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) (coronavirus disease [COVID-19])","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Heterophile antibody absrbj","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"86310","description":"Heterophile antibody absrbj","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OIQF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"EBDA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Fertility cycle (contraception & conception) tracking software application_ fda cleared_ per month_ includes accessories (e.g._ thermometer)","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"A9293","description":"Fertility cycle (contraception & conception) tracking software application_ fda cleared_ per month_ includes accessories (e.g._ thermometer)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OCAD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"DCYB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Normal saline solution infus","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"J7040","description":"Normal saline solution infus","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GCIB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GARD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OKJB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Treat hyoid bone fracture","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"21495","description":"Treat hyoid bone fracture","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Polysom 6/> yrs 4/> param","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"95810","description":"Polysom 6/> yrs 4/> param","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"X-ray exam of pelvis","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"72190","description":"X-ray exam of pelvis","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BDLF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Test feces for trypsin","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"84488","description":"Test feces for trypsin","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Gradient compression garment_ torso/shoulder_ custom_ each","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"A6569","description":"Gradient compression garment_ torso/shoulder_ custom_ each","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KBCF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Custom shape cover bk","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"L5704","description":"Custom shape cover bk","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-A4295","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"A4295","description":"HCPCS-A4295","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JILA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Ef ped specmetabolic inherit","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"B4162","description":"Ef ped specmetabolic inherit","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"EHDF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Icd counseling provided","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"4470F","description":"Icd counseling provided","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NGDA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"DFYA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-3CFN3","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"3CFN3","description":"HIPPS-3CFN3","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OCGC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FEAD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CGKF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Finger tendon transfer","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"26497","description":"Finger tendon transfer","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Kafo fem fx cast semi-rigid","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"L2134","description":"Kafo fem fx cast semi-rigid","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-3AFK1","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"3AFK1","description":"HIPPS-3AFK1","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Art trnsposj carotid subclav","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"35695","description":"Art trnsposj carotid subclav","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NAUD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OLVE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JIIA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GHVC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GFWE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OHFD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KBQC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KBQA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"HFQC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JHGA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Calc bmi out nrm param nof/u","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G8419","description":"Calc bmi out nrm param nof/u","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Injection_ rezafungin_ 1 mg","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"J0349","description":"Injection_ rezafungin_ 1 mg","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Neg scrn dep symp by deptool","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"3351F","description":"Neg scrn dep symp by deptool","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FGNA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Tc99m tetrofosmin","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"A9502","description":"Tc99m tetrofosmin","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-B0802","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"B0802","description":"HCPCS-B0802","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Anastrozole 1 mg","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"S0170","description":"Anastrozole 1 mg","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CIWD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"DBQD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CFIA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HH PDGM","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"4JA11","description":"HH PDGM","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"ACUC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FEUF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Noninvasive estimated coronary fractional flow reserve (FFR) derived from coronary computed tomography angiography data using computation fluid dynamics physiologic simulation","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0502T","description":"Noninvasive estimated coronary fractional flow reserve (FFR) derived from coronary computed tomography angiography data using computation fluid dynamics physiologic simulation","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"EAEB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"No brst cncr dx min invasive","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G8877","description":"No brst cncr dx min invasive","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KIJF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Phenothiazine","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G6057","description":"Phenothiazine","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-Q5152","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"Q5152","description":"HCPCS-Q5152","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OISE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Remove uterus after cesarean","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"59525","description":"Remove uterus after cesarean","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-PE256","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"PE256","description":"HIPPS-PE256","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"EBMD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BAKB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NKFA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Brentuximab vedotin inj","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"J9042","description":"Brentuximab vedotin inj","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Repair of diaphragm hernia","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"39503","description":"Repair of diaphragm hernia","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NCFF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NACE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"CPT-00904","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"00904","description":"CPT-00904","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"ODHD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RHC8B","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RHC8B","description":"HIPPS-RHC8B","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NBDF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Born 1945-1965","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G9448","description":"Born 1945-1965","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BDGF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Genetic testing als","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"S3800","description":"Genetic testing als","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"CPT-0579U","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"0579U","description":"CPT-0579U","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"DCSF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-4CFKW","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"4CFKW","description":"HIPPS-4CFKW","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Cysto w/renal stricture tx","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"52343","description":"Cysto w/renal stricture tx","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-4CFM3","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"4CFM3","description":"HIPPS-4CFM3","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Incise inner eye adhesions","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"65875","description":"Incise inner eye adhesions","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MKBC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Skin barrier_ wipe or swab","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"A5120","description":"Skin barrier_ wipe or swab","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Thiotepa injection","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"J9340","description":"Thiotepa injection","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-E0716","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"E0716","description":"HCPCS-E0716","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CEGC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Anterior thoracic derotation","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"L1260","description":"Anterior thoracic derotation","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"IIAB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-HD18X","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"HD18X","description":"HIPPS-HD18X","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"ABAA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FGUF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NELE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Surgicord_ per square centimeter","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"Q4218","description":"Surgicord_ per square centimeter","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Partial removal of colon","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"44146","description":"Partial removal of colon","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Diagnostic analysis of cochlear implant_ patient younger than 7 years of age; subsequent reprogramming","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"92602","description":"Diagnostic analysis of cochlear implant_ patient younger than 7 years of age; subsequent reprogramming","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RLA1A","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RLA1A","description":"HIPPS-RLA1A","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BAME1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Incision and drainage of soft tissue abscess_ subfascial (ie_ involves the soft tissue below the deep fascia)","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"20005","description":"Incision and drainage of soft tissue abscess_ subfascial (ie_ involves the soft tissue below the deep fascia)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CEQB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Ft insert ucb berkeley shell","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"L3000","description":"Ft insert ucb berkeley shell","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"IFTF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CINC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OHQF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Repair of ankle ligaments","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"27696","description":"Repair of ankle ligaments","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RVL34","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RVL34","description":"HIPPS-RVL34","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Re-evaluation of athletic training established plan of care requiring these components: An assessment of patient_s current functional status when there is a documented change;","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"97172","description":"Re-evaluation of athletic training established plan of care requiring these components: An assessment of patient_s current functional status when there is a documented change;","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-BB204","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"BB204","description":"HIPPS-BB204","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MAMC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Tcran magn stim redetemine","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"90869","description":"Tcran magn stim redetemine","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-LB28I","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"LB28I","description":"HIPPS-LB28I","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Elb mold sock flex hinge pad","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"L6100","description":"Elb mold sock flex hinge pad","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GDOE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HH PDGM","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"2EA31","description":"HH PDGM","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NBKF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RLX43","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RLX43","description":"HIPPS-RLX43","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Ald fm/dm ear level receiver","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"V5284","description":"Ald fm/dm ear level receiver","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"IFCE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"HHOE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Explore/drain eye socket","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"67440","description":"Explore/drain eye socket","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"DARC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OJOE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"HIWF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Rechanneling of artery","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"35355","description":"Rechanneling of artery","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Bcg vaccine percut","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"90585","description":"Bcg vaccine percut","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Blood_ l/r_ irradiated","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"P9056","description":"Blood_ l/r_ irradiated","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CIVE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"HEYC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BGCF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CISE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Pt w/o pseudobulbaffect/als","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"3757F","description":"Pt w/o pseudobulbaffect/als","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"PJRC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-1AGPX","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"1AGPX","description":"HIPPS-1AGPX","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NKHE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CHWB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GBXE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Hm preeclamp per diem","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"S9213","description":"Hm preeclamp per diem","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NJNA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Hepa vacc ped/adol 2 dose im","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"90633","description":"Hepa vacc ped/adol 2 dose im","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Injection_ nafcillin sodium","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"S0032","description":"Injection_ nafcillin sodium","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"CPT-37288","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"37288","description":"CPT-37288","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CDIE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Tib/per revasc w/tla","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"37228","description":"Tib/per revasc w/tla","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Introduction of intracatheter or catheter into renal pelvis for drainage and/or injection_ percutaneous_ radiological supervision and interpretation","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"74475","description":"Introduction of intracatheter or catheter into renal pelvis for drainage and/or injection_ percutaneous_ radiological supervision and interpretation","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CFMB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-2BFM3","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"2BFM3","description":"HIPPS-2BFM3","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FDBF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CCRE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-AAA16","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"AAA16","description":"HIPPS-AAA16","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Addition to lower extremity prosthesis_ endoskeletal_ knee disarticulation_ above knee_ hip disarticulation_ positional rotation unit_ any type","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"L5926","description":"Addition to lower extremity prosthesis_ endoskeletal_ knee disarticulation_ above knee_ hip disarticulation_ positional rotation unit_ any type","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-ES18I","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"ES18I","description":"HIPPS-ES18I","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Revise cerv artific disc","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"22861","description":"Revise cerv artific disc","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Granisetron hcl injection","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"J1626","description":"Granisetron hcl injection","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NBEE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"IAAA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Coronary artery bypass/reop","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"33530","description":"Coronary artery bypass/reop","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Bath tub wall rail","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"E0241","description":"Bath tub wall rail","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-BA13A","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"BA13A","description":"HIPPS-BA13A","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NBHD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BDJC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GBOF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Exsufflation belt_ includes all supplies and accessories","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"K1021","description":"Exsufflation belt_ includes all supplies and accessories","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Visit complexity inherent to evaluation and management associated with medical care services that serve as the continuing focal point for all needed health care services and/o","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G2211","description":"Visit complexity inherent to evaluation and management associated with medical care services that serve as the continuing focal point for all needed health care services and/o","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Pt instr nrml activities","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"4245F","description":"Pt instr nrml activities","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OKRD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RML8E","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RML8E","description":"HIPPS-RML8E","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Free omental flap microvasc","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"49906","description":"Free omental flap microvasc","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FFDE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Cast sup hip spica ped plstr","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"Q4027","description":"Cast sup hip spica ped plstr","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OEFE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GCOB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BIGB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-PB23C","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"PB23C","description":"HIPPS-PB23C","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Radiologic examination_ hip_ during operative procedure","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"73530","description":"Radiologic examination_ hip_ during operative procedure","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Neuromuscular electrical stimulator (nmes)_ disposable_ replacement only","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"A4560","description":"Neuromuscular electrical stimulator (nmes)_ disposable_ replacement only","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"NFCT DS RNA 3 TARGETS UPPER RESPIRATORY SPECIMEN","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0240U","description":"NFCT DS RNA 3 TARGETS UPPER RESPIRATORY SPECIMEN","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CBHB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Pulmonary rehab w exer","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G0424","description":"Pulmonary rehab w exer","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OABA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Laparoscopy_ surgical prostatectomy_ simple subtotal (including control of postoperative bleeding_ vasectomy_ meatotomy_ urethral calibration and/or dilation_ and internal ure","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"55867","description":"Laparoscopy_ surgical prostatectomy_ simple subtotal (including control of postoperative bleeding_ vasectomy_ meatotomy_ urethral calibration and/or dilation_ and internal ure","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OBQD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Conization of cervix","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"57522","description":"Conization of cervix","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Exc abdl tum deep < 5 cm","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"22900","description":"Exc abdl tum deep < 5 cm","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Ant fusion 2-3 vert seg","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"22808","description":"Ant fusion 2-3 vert seg","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NBIA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Patient had only urgent care visits during the performance period","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"M1021","description":"Patient had only urgent care visits during the performance period","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Wrist arthroscopy/surgery","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"29846","description":"Wrist arthroscopy/surgery","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Dm meas qual act perform","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G8494","description":"Dm meas qual act perform","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OCFE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NAFD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Cross-over vein graft","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"34520","description":"Cross-over vein graft","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-J1577","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"J1577","description":"HCPCS-J1577","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-ES30B","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"ES30B","description":"HIPPS-ES30B","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"AEDC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"ECDC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Red cell survival kinetics","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"78135","description":"Red cell survival kinetics","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FBFF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KCDE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JHXA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"DHRC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"JK GNOTYP SLC14A1 EXON 9","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0192U","description":"JK GNOTYP SLC14A1 EXON 9","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Muscle test thor paraspinal","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"95869","description":"Muscle test thor paraspinal","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Spu Or Asc Patient Transferred To The Hospital Or Discharged From The Sp","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"X0595","description":"Spu Or Asc Patient Transferred To The Hospital Or Discharged From The Sp","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Onc dx nsclc stgi no progres","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G9063","description":"Onc dx nsclc stgi no progres","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GFAE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Treat wrist fracture","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"25685","description":"Treat wrist fracture","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GGOA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Hereditary breast cancer-related disorders (eg_ hereditary breast cancer_ hereditary ovarian cancer_ hereditary endometrial cancer); genomic sequence analysis panel_ must incl","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"81432","description":"Hereditary breast cancer-related disorders (eg_ hereditary breast cancer_ hereditary ovarian cancer_ hereditary endometrial cancer); genomic sequence analysis panel_ must incl","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Plan of care to address moderate to severe pain documented on or before the date of the second visit with a clinician","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"M1001","description":"Plan of care to address moderate to severe pain documented on or before the date of the second visit with a clinician","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"IHDC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FIED1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Us guide tissue ablation","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"76940","description":"Us guide tissue ablation","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Assay of insulin","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"83525","description":"Assay of insulin","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Aoe comp","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G9466","description":"Aoe comp","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NAJA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MCHC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"CPT-1028T","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"1028T","description":"CPT-1028T","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CHJC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Revision of colostomy","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"44346","description":"Revision of colostomy","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Inj_ sculptra_ 0.5mg","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"Q2028","description":"Inj_ sculptra_ 0.5mg","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KFXD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Insert picc cath","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"36569","description":"Insert picc cath","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-CC12A","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"CC12A","description":"HIPPS-CC12A","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FBMA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FAGC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-2BFKX","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"2BFKX","description":"HIPPS-2BFKX","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Home visit day life activity","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"99509","description":"Home visit day life activity","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Gc stocking thighlngth 40-50","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"A6535","description":"Gc stocking thighlngth 40-50","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Removal of sesamoid bone","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"28315","description":"Removal of sesamoid bone","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OENA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BAGB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RHB5D","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RHB5D","description":"HIPPS-RHB5D","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-PD10B","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"PD10B","description":"HIPPS-PD10B","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KDWF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-1BFKS","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"1BFKS","description":"HIPPS-1BFKS","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FHFA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BICE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BCCC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-PA28G","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"PA28G","description":"HIPPS-PA28G","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GABD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CDTB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"LFYE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KFGA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GGUF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"EHHE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Repair esophagus wound","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"43410","description":"Repair esophagus wound","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Injection_ sirolimus protein-bound particles_ 1 mg","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"C9091","description":"Injection_ sirolimus protein-bound particles_ 1 mg","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GGLA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Urine ost pch bar w lock fln","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"A4433","description":"Urine ost pch bar w lock fln","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MBBF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Thrombin time titer","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"85675","description":"Thrombin time titer","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Platelets Pathogen Reduced Ea Unit","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"Q9988","description":"Platelets Pathogen Reduced Ea Unit","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Stroke with Motor <22.35 & Age <84.5_ comorbidity in tier 2","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"C0110","description":"Stroke with Motor <22.35 & Age <84.5_ comorbidity in tier 2","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JCIB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Drug assay caffeine","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"80155","description":"Drug assay caffeine","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-LE24A","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"LE24A","description":"HIPPS-LE24A","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Golimumab for iv use 1mg","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"J1602","description":"Golimumab for iv use 1mg","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MLEA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-4BHL4","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"4BHL4","description":"HIPPS-4BHL4","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"EGUF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HH PDGM","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"2IA11","description":"HH PDGM","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Lodging per diem","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"S9976","description":"Lodging per diem","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"ECAF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JEVF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OJOB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Repair nasal defect","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"30540","description":"Repair nasal defect","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JBND0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Indiv pdc > 0.8","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G9512","description":"Indiv pdc > 0.8","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Chemotaxis assay","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"86155","description":"Chemotaxis assay","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GFLE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"IBEE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Injection_ bortezomib (MAIA)_ not therapeutically equivalent to J9041_ 0.1 mg","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"J9051","description":"Injection_ bortezomib (MAIA)_ not therapeutically equivalent to J9041_ 0.1 mg","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Injection_ pegfilgrastim-pbbk (fylnetra)_ biosimilar_ 0.5 mg","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"Q5130","description":"Injection_ pegfilgrastim-pbbk (fylnetra)_ biosimilar_ 0.5 mg","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-1BHN3","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"1BHN3","description":"HIPPS-1BHN3","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GANC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"ODYD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Ep & ablate supravent arrhyt","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"93653","description":"Ep & ablate supravent arrhyt","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JCIE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CCUD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MJID0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Intraoperative hyperthermic intraperitoneal chemotherapy (HIPEC) procedure_ including separate incision(s) and closure_ when performed; each additional 30 minutes (List separa","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"96548","description":"Intraoperative hyperthermic intraperitoneal chemotherapy (HIPEC) procedure_ including separate incision(s) and closure_ when performed; each additional 30 minutes (List separa","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OKDD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BIEF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KHJD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Gastric motility studies","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"91020","description":"Gastric motility studies","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RVB13","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RVB13","description":"HIPPS-RVB13","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"LISF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GFMC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"LASB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NLED0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Forearm/arm cuffs ext/flex a","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"L3730","description":"Forearm/arm cuffs ext/flex a","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Removal of hip prosthesis","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"27090","description":"Removal of hip prosthesis","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-3CHMU","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"3CHMU","description":"HIPPS-3CHMU","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Onc dx cml chronic phase","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G9123","description":"Onc dx cml chronic phase","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Chemo by other than infusion","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"Q0083","description":"Chemo by other than infusion","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Treatment of retinal lesion","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"67210","description":"Treatment of retinal lesion","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-Q4404","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"Q4404","description":"HCPCS-Q4404","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Removal of iris","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"66630","description":"Removal of iris","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JIIB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FIID1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RVB40","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RVB40","description":"HIPPS-RVB40","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Pt not disch home day#2 evar","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G8833","description":"Pt not disch home day#2 evar","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BDKA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"IFDA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MBCB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Drainable pch ex wear convex","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"A4390","description":"Drainable pch ex wear convex","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GBNF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KISB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OIOA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Release shoulder joint","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"23020","description":"Release shoulder joint","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-4CFLX","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"4CFLX","description":"HIPPS-4CFLX","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-HC114","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"HC114","description":"HIPPS-HC114","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"ODAA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-LD212","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"LD212","description":"HIPPS-LD212","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MCHE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GAQE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KIUC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"VEKLURY - Injection_ remdesivir_ 1mg","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"J0248","description":"VEKLURY - Injection_ remdesivir_ 1mg","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KBEB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Mr angiography head w/o dye","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"70544","description":"Mr angiography head w/o dye","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Apexification/recalc final","billing_code_type":"CDT","billing_code_type_version":"2024","billing_code":"D3353","description":"Apexification/recalc final","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GGVE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RUA11","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RUA11","description":"HIPPS-RUA11","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Removal of lung lesion(s)","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"32150","description":"Removal of lung lesion(s)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Documentation of system reason(s) for not prescribing warfarin or another FDA-approved anticoagulation due to patient being currently enrolled in a clinical trial related to A","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G9927","description":"Documentation of system reason(s) for not prescribing warfarin or another FDA-approved anticoagulation due to patient being currently enrolled in a clinical trial related to A","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Endodontic procedure","billing_code_type":"CDT","billing_code_type_version":"2024","billing_code":"D3999","description":"Endodontic procedure","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-3AGP2","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"3AGP2","description":"HIPPS-3AGP2","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GBAF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CGTE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Remove/graft foot lesion","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"28106","description":"Remove/graft foot lesion","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"AHBD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CFWA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Venography for congenital heart defect(s)_ including catheter placement_ and radiological supervision and interpretation; anomalous or persistent superior vena cava when it ex","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"93584","description":"Venography for congenital heart defect(s)_ including catheter placement_ and radiological supervision and interpretation; anomalous or persistent superior vena cava when it ex","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KHVE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GCDC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Removal of bone for graft","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"20900","description":"Removal of bone for graft","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Colistimethate inh sol mg","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"S0142","description":"Colistimethate inh sol mg","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KGND0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Removal of esophagus","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"43108","description":"Removal of esophagus","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"EFCE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-5AGKS","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"5AGKS","description":"HIPPS-5AGKS","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Path consult introp","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"88329","description":"Path consult introp","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"AFBA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"ABAB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OEGE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Intro/sheath_fixed_peel-away","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"C1892","description":"Intro/sheath_fixed_peel-away","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Removal of breast lesion","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"19120","description":"Removal of breast lesion","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-G0550","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"G0550","description":"HCPCS-G0550","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Incision of eardrum","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"69420","description":"Incision of eardrum","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CBRC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KASD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FCVA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Term dev mech hand vol open","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"L6708","description":"Term dev mech hand vol open","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Shoe heel pad & depress for","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"L3480","description":"Shoe heel pad & depress for","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-2BGMV","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"2BGMV","description":"HIPPS-2BGMV","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GFLB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HH PDGM","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"1KA21","description":"HH PDGM","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Infectious agent antigen detection by immunoassay with direct optical (ie_ visual) observation; respiratory syncytial virus","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"87807","description":"Infectious agent antigen detection by immunoassay with direct optical (ie_ visual) observation; respiratory syncytial virus","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"DBOE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-CE28B","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"CE28B","description":"HIPPS-CE28B","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"PIRC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FDBC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NEAB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-HE12D","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"HE12D","description":"HIPPS-HE12D","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Us exam k transpl w/doppler","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"76776","description":"Us exam k transpl w/doppler","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Ultrafiltration monitor","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"S9007","description":"Ultrafiltration monitor","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"CPT-0907T","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"0907T","description":"CPT-0907T","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Factor ix complex","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"J7194","description":"Factor ix complex","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KEDC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-LB120","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"LB120","description":"HIPPS-LB120","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FGXC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"PBYD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OEPA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Prefab glove for term device","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"L6890","description":"Prefab glove for term device","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"LEOB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BGNC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Functional Status Measured By The Oswestry Disability Index (Odi Version 2.1A) At Three Months (6 ? 20 Weeks) Postoperatively Was Greater Than 22 And Functional Status Measure","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G2145","description":"Functional Status Measured By The Oswestry Disability Index (Odi Version 2.1A) At Three Months (6 ? 20 Weeks) Postoperatively Was Greater Than 22 And Functional Status Measure","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Peg interferon alfa-2b/10","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"S0148","description":"Peg interferon alfa-2b/10","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Irrigation Supply; Sleeve_ Reusable_ Per Month","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"A4436","description":"Irrigation Supply; Sleeve_ Reusable_ Per Month","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Laparoscopic Repositioning Of Diaphragmatic Lead(S)_ Permanent Implantable Synchronized Diaphragmatic Stimulation System For Augmentation Of Cardiac Function_ Including Connec","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0678T","description":"Laparoscopic Repositioning Of Diaphragmatic Lead(S)_ Permanent Implantable Synchronized Diaphragmatic Stimulation System For Augmentation Of Cardiac Function_ Including Connec","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"PHSE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NAXB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Bronch w/balloon occlusion","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"31634","description":"Bronch w/balloon occlusion","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Second stage implant surgery","billing_code_type":"CDT","billing_code_type_version":"2024","billing_code":"D6011","description":"Second stage implant surgery","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KATE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-3AHL4","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"3AHL4","description":"HIPPS-3AHL4","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"X-ray exam thorac spine 3vws","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"72072","description":"X-ray exam thorac spine 3vws","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NCXC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OKJC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Suture large intestine","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"44604","description":"Suture large intestine","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GIEC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-Q4347","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"Q4347","description":"HCPCS-Q4347","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"IGLE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Oncology (thyroid)_ DNA and mRNA of 112 genes_ next-generation sequencing_","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0138U","description":"Oncology (thyroid)_ DNA and mRNA of 112 genes_ next-generation sequencing_","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Ostomy filter","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"A4368","description":"Ostomy filter","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"EHME0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NACD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CFME0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Aurothioglucose injeciton","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"J2910","description":"Aurothioglucose injeciton","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CGKE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FGGC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Zoster (shingles) vaccine (HZV)_ recombinant_ sub-unit_ adjuvanted_ for intramuscular injection","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"90750","description":"Zoster (shingles) vaccine (HZV)_ recombinant_ sub-unit_ adjuvanted_ for intramuscular injection","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RVL3B","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RVL3B","description":"HIPPS-RVL3B","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Adjust wrist ext/flex device","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"E1805","description":"Adjust wrist ext/flex device","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CGIC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NJPC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Repair windpipe opening","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"31614","description":"Repair windpipe opening","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"AATC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Soft liner for complete or partial removable denture - indirect","billing_code_type":"CDT","billing_code_type_version":"2024","billing_code":"D5765","description":"Soft liner for complete or partial removable denture - indirect","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FAIA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-LB211","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"LB211","description":"HIPPS-LB211","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OHKF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Fit aphakia spectcl monofocl","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"92352","description":"Fit aphakia spectcl monofocl","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"DBOE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JGHB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OLGD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"AHED1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-C9610","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"C9610","description":"HCPCS-C9610","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NGPA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Nose allergy test","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"95065","description":"Nose allergy test","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Psychiatry (Stress Disorders)_ Mrna_ Gene Expression Profiling By Rna Sequencing Of 72 Genes_ Whole Blood_ Algorithm Reported As Predictive Risk Score","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0292U","description":"Psychiatry (Stress Disorders)_ Mrna_ Gene Expression Profiling By Rna Sequencing Of 72 Genes_ Whole Blood_ Algorithm Reported As Predictive Risk Score","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HH PDGM","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"1CC21","description":"HH PDGM","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Csf leakage imaging","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"78650","description":"Csf leakage imaging","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KAIE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BABD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-CC28A","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"CC28A","description":"HIPPS-CC28A","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Removal of nail plate","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"11730","description":"Removal of nail plate","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OCFE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Skin full graft sclp/arm/leg","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"15220","description":"Skin full graft sclp/arm/leg","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GAFE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OLKD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Supported employ_ per 15 min","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"H2023","description":"Supported employ_ per 15 min","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KDGA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HBB (hemoglobin_ subunit beta) (eg_ sickle cell anemia_ beta thalassemia_ hemoglobinopathy); known familial variant(s)","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"81362","description":"HBB (hemoglobin_ subunit beta) (eg_ sickle cell anemia_ beta thalassemia_ hemoglobinopathy); known familial variant(s)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JEPB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NBUD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"CPT-00352","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"00352","description":"CPT-00352","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Cardiac focal ablation utilizing radiation therapy for arrhythmia; conversion of arrhythmia localization and mapping of arrhythmia site (nidus) into a multidimensional radiati","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0746T","description":"Cardiac focal ablation utilizing radiation therapy for arrhythmia; conversion of arrhythmia localization and mapping of arrhythmia site (nidus) into a multidimensional radiati","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Cone beam ct interprete tmj","billing_code_type":"CDT","billing_code_type_version":"2024","billing_code":"D0368","description":"Cone beam ct interprete tmj","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-C1738","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"C1738","description":"HCPCS-C1738","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OAWC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JHKE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Opn tx nasomax fx w/graft","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"21348","description":"Opn tx nasomax fx w/graft","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OBWE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KAQD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JEKD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MFDA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GCYC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OAQB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KGEF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GCCF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"H2o stat docd normal","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"2030F","description":"H2o stat docd normal","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Treat midfoot fracture each","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"28455","description":"Treat midfoot fracture each","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GDLC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Fine needle aspiration biopsy_ including fluoroscopic guidance; each additional lesion (List separately in addition to code for primary procedure)","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"10008","description":"Fine needle aspiration biopsy_ including fluoroscopic guidance; each additional lesion (List separately in addition to code for primary procedure)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GFYD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"AICA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Treat finger dislocation","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"26785","description":"Treat finger dislocation","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CHHC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"AGCD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Pelvic control pelvic sling","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"L2580","description":"Pelvic control pelvic sling","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GAAF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Repair of aortic valve","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"33414","description":"Repair of aortic valve","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KBKE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"AIEA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"IGLF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Alcohol and/or drug preventi","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"H0029","description":"Alcohol and/or drug preventi","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CEWC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KARB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JHCD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BEND0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Injection_ bupivicaine_ not otherwise specified_ 0.5 mg","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"J0665","description":"Injection_ bupivicaine_ not otherwise specified_ 0.5 mg","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Cardiology (cardiovascular disease)_ analysis of 4 proteins (NT-proBNP_ osteopontin_ tissue inhibitor of metalloproteinase-1 [TIMP-1]_ and kidney injury molecule-1 [KIM-1])_ p","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0309U","description":"Cardiology (cardiovascular disease)_ analysis of 4 proteins (NT-proBNP_ osteopontin_ tissue inhibitor of metalloproteinase-1 [TIMP-1]_ and kidney injury molecule-1 [KIM-1])_ p","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HH PDGM","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"2DB11","description":"HH PDGM","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Advnc care plan in rcrd","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"1157F","description":"Advnc care plan in rcrd","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Patients between 50 and 85 years of age who received a screening colonoscopy during the performance period","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G2204","description":"Patients between 50 and 85 years of age who received a screening colonoscopy during the performance period","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Hit tpn total diem","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"S9364","description":"Hit tpn total diem","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-BB18B","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"BB18B","description":"HIPPS-BB18B","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"CPT-01634","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"01634","description":"CPT-01634","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BIEC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JDHE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Afo sing solid stirrup calf","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"L1980","description":"Afo sing solid stirrup calf","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GCXB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CBLB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Section recurrent laryngeal nerve_ therapeutic (separate procedure)_ unilateral","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"31595","description":"Section recurrent laryngeal nerve_ therapeutic (separate procedure)_ unilateral","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-LE18F","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"LE18F","description":"HIPPS-LE18F","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Stoma plug or seal_ any type","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"A5081","description":"Stoma plug or seal_ any type","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"EHCF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"ABCE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Radiation treatment delivery","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G6003","description":"Radiation treatment delivery","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-1CGKS","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"1CGKS","description":"HIPPS-1CGKS","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Remove gastric port open","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"43887","description":"Remove gastric port open","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-CC156","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"CC156","description":"HIPPS-CC156","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Epoetin beta_ non-esrd","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"Q9973","description":"Epoetin beta_ non-esrd","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MALF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RUX8F","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RUX8F","description":"HIPPS-RUX8F","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OKKB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RVL3A","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RVL3A","description":"HIPPS-RVL3A","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"AmnioTX_ per sq cm","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"Q4324","description":"AmnioTX_ per sq cm","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CACF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"IHED1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JHGB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FENF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Autopsy (necropsy) gross","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"88012","description":"Autopsy (necropsy) gross","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FHTF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GGWF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JFUD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"IHAF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KFUD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JHIC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Remove inner ear & mastoid","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"69910","description":"Remove inner ear & mastoid","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NKCA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RVB8D","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RVB8D","description":"HIPPS-RVB8D","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BATB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Oral speech device eval","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"92597","description":"Oral speech device eval","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"CPT-0692U","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"0692U","description":"CPT-0692U","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OIFB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Injection_ paclitaxel protein-bound particles (teva) not therapeutically equivalent to j9264_ 1 mg","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"J9258","description":"Injection_ paclitaxel protein-bound particles (teva) not therapeutically equivalent to j9264_ 1 mg","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Larynscop remve cart + scop","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"31561","description":"Larynscop remve cart + scop","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"HBQD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RMB0B","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RMB0B","description":"HIPPS-RMB0B","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Injection into vocal cord","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"31513","description":"Injection into vocal cord","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OEWB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GIAF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Solid seat support base","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"E2231","description":"Solid seat support base","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MAIE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"AGEB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Hospital bed var ht w/o matt","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"E0256","description":"Hospital bed var ht w/o matt","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"PBWB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"CPT-01170","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"01170","description":"CPT-01170","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HH PDGM","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"1HB11","description":"HH PDGM","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GAOA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Flex/ext wrist w/wo friction","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"L6621","description":"Flex/ext wrist w/wo friction","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OKWB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Esketamine_ nasal spray_ 1 mg","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"S0013","description":"Esketamine_ nasal spray_ 1 mg","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Drive wheel excludes tire","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"E2394","description":"Drive wheel excludes tire","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OCPF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"CPT-01716","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"01716","description":"CPT-01716","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CFXA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Hemostatic agent_ gastrointestinal_ topical","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"C1052","description":"Hemostatic agent_ gastrointestinal_ topical","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"CPT-01392","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"01392","description":"CPT-01392","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MELC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KARE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Remove vagina wall complete","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"57110","description":"Remove vagina wall complete","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Desoxycorticosterone","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"82633","description":"Desoxycorticosterone","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"X-ray exam of shoulders","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"73050","description":"X-ray exam of shoulders","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KIJB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"CPT-38226","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"38226","description":"CPT-38226","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Implant spinal canal cath","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"62350","description":"Implant spinal canal cath","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Repair venous blockage","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"35476","description":"Repair venous blockage","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BIPF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KEHF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Ntsty modul rad tx dlvr cplx","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"77386","description":"Ntsty modul rad tx dlvr cplx","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Integra matrix","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"Q4108","description":"Integra matrix","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Bone biopsy trocar/needle","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"20225","description":"Bone biopsy trocar/needle","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Ct lumbar spine w/dye","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"72132","description":"Ct lumbar spine w/dye","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OJVD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Sho heel count plast reinfor","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"L3430","description":"Sho heel count plast reinfor","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Seat lift for pt furn-electr","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"E0628","description":"Seat lift for pt furn-electr","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"PKQD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"PEWD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Treat finger fracture each","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"26746","description":"Treat finger fracture each","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JHIE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OEED1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"CT scan of the paranasal sinuses ordered at the time of diagnosis for documented reasons","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G9348","description":"CT scan of the paranasal sinuses ordered at the time of diagnosis for documented reasons","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-A2037","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"A2037","description":"HCPCS-A2037","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FAME1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KIJD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"HCSA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Forearm/arm cuffs free motio","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"L3720","description":"Forearm/arm cuffs free motio","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NBJB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CHOF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Removal sweat gland lesion","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"11451","description":"Removal sweat gland lesion","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KGVE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"EBLC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GAWB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-BA126","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"BA126","description":"HIPPS-BA126","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Clinical Follow-Up And Mrs Score Not Assessed At 90 Days Following Endovascular Stroke Intervention","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G0046","description":"Clinical Follow-Up And Mrs Score Not Assessed At 90 Days Following Endovascular Stroke Intervention","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Metaproterenol comp con","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"J7667","description":"Metaproterenol comp con","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KCXE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Transport chair pt wt<=300lb","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"E1038","description":"Transport chair pt wt<=300lb","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"ICAE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JGPD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GEFA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KDFE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-2AHL5","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"2AHL5","description":"HIPPS-2AHL5","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Omegaven_ 10 Grams Lipids","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"B4187","description":"Omegaven_ 10 Grams Lipids","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-3AFL5","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"3AFL5","description":"HIPPS-3AFL5","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BGGE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OLED0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Stroke with Motor >26.15 & Motor <30.05._comorbidity in tier 1","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"B0107","description":"Stroke with Motor >26.15 & Motor <30.05._comorbidity in tier 1","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Electronic analysis of implanted neurostimulator pulse generator system (eg_ rate_ pulse amplitude_ pulse duration_ configuration of wave form_ battery status_ electrode selec","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"95974","description":"Electronic analysis of implanted neurostimulator pulse generator system (eg_ rate_ pulse amplitude_ pulse duration_ configuration of wave form_ battery status_ electrode selec","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GDBC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OKPA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FACB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NJAC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-4AFLW","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"4AFLW","description":"HIPPS-4AFLW","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CBGC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"ICBF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Prosthetic device repair rep","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"L7510","description":"Prosthetic device repair rep","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Catheter placement in coronary artery(ies) for coronary angiography_ including intraprocedural injection(s) for coronary angiography_ imaging supervision and interpretation wi","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"C7522","description":"Catheter placement in coronary artery(ies) for coronary angiography_ including intraprocedural injection(s) for coronary angiography_ imaging supervision and interpretation wi","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CBSD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Clsd reduct simpl maxilla fx","billing_code_type":"CDT","billing_code_type_version":"2024","billing_code":"D7620","description":"Clsd reduct simpl maxilla fx","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FALC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CBMC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KHNA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GBVE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Art byp grft hepatorenal","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"35535","description":"Art byp grft hepatorenal","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"PGYF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FGED1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Med reason for no ceph","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G9196","description":"Med reason for no ceph","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"DGQC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BELF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Revise penis/urethra","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"54336","description":"Revise penis/urethra","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"EGBA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Endoscope_ single-use (i.e. disposable)_ urinary tract_ imaging/illumination device (insertable)","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"C1747","description":"Endoscope_ single-use (i.e. disposable)_ urinary tract_ imaging/illumination device (insertable)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Respiratory syncytial virus_ monoclonal antibody_ seasonal dose; 1 mL dosage_ for intramuscular use","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"90381","description":"Respiratory syncytial virus_ monoclonal antibody_ seasonal dose; 1 mL dosage_ for intramuscular use","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KHJD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Repair elbow deb/attch open","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"24359","description":"Repair elbow deb/attch open","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Office/outpatient visit new","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"99202","description":"Office/outpatient visit new","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Glucagon tolerance panel","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"80424","description":"Glucagon tolerance panel","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NFMC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FBND0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BAMD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GCVE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Revision of colostomy","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"44340","description":"Revision of colostomy","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Infusion supplies w/o pump","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"A4223","description":"Infusion supplies w/o pump","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MILA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KDCF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"AELD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Thoracoscopy resect bullae","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"32655","description":"Thoracoscopy resect bullae","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JCPF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GDWE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KHLD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Drug screening fentanyl","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"80354","description":"Drug screening fentanyl","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"EAAD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Repair lower leg tendons","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"27675","description":"Repair lower leg tendons","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Xcell amnio matrix_ per square centimeter","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"Q4280","description":"Xcell amnio matrix_ per square centimeter","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CBME1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Cmplx rpr e/n/e/l 2.6-7.5 cm","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"13152","description":"Cmplx rpr e/n/e/l 2.6-7.5 cm","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-HC101","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"HC101","description":"HIPPS-HC101","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Repair venous anomaly","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"33724","description":"Repair venous anomaly","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Repair double ventricle","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"33611","description":"Repair double ventricle","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Whlchr stand fxd arm ft rest","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"E1130","description":"Whlchr stand fxd arm ft rest","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OIKB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NAMA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"LFYA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Ligation of neck artery","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"37605","description":"Ligation of neck artery","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JEDA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NLUB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OCDE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MHMA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GDIF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KFOD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GBCE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-AAA42","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"AAA42","description":"HIPPS-AAA42","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Stress mgmt class","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"S9454","description":"Stress mgmt class","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NIKB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Eeg digital analysis","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"95957","description":"Eeg digital analysis","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RLA1C","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RLA1C","description":"HIPPS-RLA1C","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Injection_ bebtelovimab_ 175 mg","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"Q0222","description":"Injection_ bebtelovimab_ 175 mg","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Implant ventricular device","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"33976","description":"Implant ventricular device","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GHNC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OABF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FIVD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Documentation of medical reason(s) for not administering pneumococcal vaccine (e.g._ prior anaphylaxis due to the pneumococcal vaccine)","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"M1178","description":"Documentation of medical reason(s) for not administering pneumococcal vaccine (e.g._ prior anaphylaxis due to the pneumococcal vaccine)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GAYB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"AEHA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"PBWB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Functional brain mapping","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"96020","description":"Functional brain mapping","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-1CGPV","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"1CGPV","description":"HIPPS-1CGPV","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Antiepileptics nos 7/more","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"80341","description":"Antiepileptics nos 7/more","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Repair major blood vessel(s)","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"33322","description":"Repair major blood vessel(s)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KBSD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GGDF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OGFD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-4AGKT","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"4AGKT","description":"HIPPS-4AGKT","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GESF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Stroke with Motor >26.15 & Motor <30.05._without comorbidities","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"A0107","description":"Stroke with Motor >26.15 & Motor <30.05._without comorbidities","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CCYD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OFWE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Repair defect of artery","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"35111","description":"Repair defect of artery","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Insertion or replacement of a permanently implantable aortic counterpulsation ventricular assist system_ endovascular approach_ and programming of sensing and therapeutic para","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0451T","description":"Insertion or replacement of a permanently implantable aortic counterpulsation ventricular assist system_ endovascular approach_ and programming of sensing and therapeutic para","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OHMB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Nuclear exam of tear flow","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"78660","description":"Nuclear exam of tear flow","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Virus inoculate tissue addl","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"87253","description":"Virus inoculate tissue addl","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GISA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MJMF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JGPF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"PIQA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FBGB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Anesth cran surg hemotoma","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"21151","description":"Anesth cran surg hemotoma","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NLID0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Assay of parathormone","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"83970","description":"Assay of parathormone","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CGCA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Moderate (45 minutes) care management home visit for an existing patient. for use only in a medicare-approved cmmi model. (services must be furnished w/in a bene home)","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G0083","description":"Moderate (45 minutes) care management home visit for an existing patient. for use only in a medicare-approved cmmi model. (services must be furnished w/in a bene home)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Tlso rigid plastic cust fab","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"L0484","description":"Tlso rigid plastic cust fab","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NJEE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Incision of chin nerve","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"64736","description":"Incision of chin nerve","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NJMB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BCVB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Psytx pt&/family 30 minutes","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"90832","description":"Psytx pt&/family 30 minutes","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Behind ear binaur hearing ai","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"V5140","description":"Behind ear binaur hearing ai","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Olanzapine long-acting inj","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"J2358","description":"Olanzapine long-acting inj","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BFVC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NJTA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Release foot/toe nerve","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"64726","description":"Release foot/toe nerve","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OJHC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Sbrt delivery","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"77373","description":"Sbrt delivery","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NIGC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Decompress disc rf lumbar","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"S2348","description":"Decompress disc rf lumbar","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Oncology (Brain)_ Spheroid Cell Culture In A 3D Microenvironment_ 12 Drug Panel_ Tumor-Response Prediction For Each Drug","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0248U","description":"Oncology (Brain)_ Spheroid Cell Culture In A 3D Microenvironment_ 12 Drug Panel_ Tumor-Response Prediction For Each Drug","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OFUB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Mycobacteria culture","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"87116","description":"Mycobacteria culture","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GAOC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KFQC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"EFAE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"ACIB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"PEQF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CCKD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Node neg inv brst cncr","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G8879","description":"Node neg inv brst cncr","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"EGMF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Lvef <40% or dep lv sys fcn","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G8934","description":"Lvef <40% or dep lv sys fcn","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Con tissue w dble ped graft","billing_code_type":"CDT","billing_code_type_version":"2024","billing_code":"D4276","description":"Con tissue w dble ped graft","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Injection_ meloxicam_ 1mg","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"C9059","description":"Injection_ meloxicam_ 1mg","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"EEAA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"PCOF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-3CHM3","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"3CHM3","description":"HIPPS-3CHM3","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-BA10A","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"BA10A","description":"HIPPS-BA10A","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BDHE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GAFC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JIFC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Biopsy hand joint lining","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"26100","description":"Biopsy hand joint lining","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HH PDGM","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"3DA21","description":"HH PDGM","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Rec cortico>60d or 1rx 600mg","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G9469","description":"Rec cortico>60d or 1rx 600mg","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RUX5B","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RUX5B","description":"HIPPS-RUX5B","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KGYB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CFGF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OCTF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Methotrexate (Xatmep)_ oral_ 2.5 mg","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"J8612","description":"Methotrexate (Xatmep)_ oral_ 2.5 mg","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OHIA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GCHA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OCPC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RMA22","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RMA22","description":"HIPPS-RMA22","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-HE28F","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"HE28F","description":"HIPPS-HE28F","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Pain neg no plan","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G8731","description":"Pain neg no plan","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OICB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MECC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Ped home apnea rec compl","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"94774","description":"Ped home apnea rec compl","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Non-sterile gauze > 48 sq in","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"A6218","description":"Non-sterile gauze > 48 sq in","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"EHUB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-J9076","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"J9076","description":"HCPCS-J9076","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BIBD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Gamunex-c/gammaked","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"J1561","description":"Gamunex-c/gammaked","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RML0C","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RML0C","description":"HIPPS-RML0C","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BAVF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"IFHB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"CPT-15011","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"15011","description":"CPT-15011","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Ground mileage","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"A0425","description":"Ground mileage","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FBAE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OFDF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BDFB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Patient was not admitted to hospice","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G9856","description":"Patient was not admitted to hospice","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MJLA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MAHC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GFEB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CHYB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NGXD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Intratubal occlusion device","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"A4264","description":"Intratubal occlusion device","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JDPA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Repair penis","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"54380","description":"Repair penis","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Long tongue stirrup","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"L2265","description":"Long tongue stirrup","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Hd shck absrber for hd powwc","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"E1018","description":"Hd shck absrber for hd powwc","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Drain spinal cord cyst","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"62268","description":"Drain spinal cord cyst","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KIWF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CBSB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OGGC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Revision of urethra","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"57220","description":"Revision of urethra","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Cardiokymography","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"Q0035","description":"Cardiokymography","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NEJD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BDMC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HH PDGM","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"1LB21","description":"HH PDGM","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RUB25","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RUB25","description":"HIPPS-RUB25","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"CPT-0679U","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"0679U","description":"CPT-0679U","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HH PDGM","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"4LC31","description":"HH PDGM","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Repair cleft lip/nasal","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"40702","description":"Repair cleft lip/nasal","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-3BFL3","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"3BFL3","description":"HIPPS-3BFL3","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Placement Of Intra-Socket Biological Dressing To Aid In Hemostasis Or Clot Stabiliization_ Per Site","billing_code_type":"CDT","billing_code_type_version":"2024","billing_code":"D7922","description":"Placement Of Intra-Socket Biological Dressing To Aid In Hemostasis Or Clot Stabiliization_ Per Site","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Truss add to std pad scrotal","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"L8330","description":"Truss add to std pad scrotal","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-PA221","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"PA221","description":"HIPPS-PA221","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"METB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CGYD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NFXB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OBVD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BBBE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-CD151","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"CD151","description":"HIPPS-CD151","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-4BHM4","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"4BHM4","description":"HIPPS-4BHM4","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Brief communication technology-based service_ e.g. virtual check-in_ by a physician or other qualified health care professional who can report evaluation and management servic","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G2252","description":"Brief communication technology-based service_ e.g. virtual check-in_ by a physician or other qualified health care professional who can report evaluation and management servic","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Root canal therapy 3 canals","billing_code_type":"CDT","billing_code_type_version":"2024","billing_code":"D3330","description":"Root canal therapy 3 canals","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"EHBA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Vis inj at surg/1mos post","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G9628","description":"Vis inj at surg/1mos post","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GEOA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KBIE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RLA5C","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RLA5C","description":"HIPPS-RLA5C","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Resect talus/calcaneus tum","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"27647","description":"Resect talus/calcaneus tum","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GHKD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Oncology (lung cancer)_ four-probe FISH (3q29_ 3p22.1_ 10q22.3_ 10cen) assay_ whole blood_ predictive algorithm-generated evaluation reported as decreased or increased risk fo","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0317U","description":"Oncology (lung cancer)_ four-probe FISH (3q29_ 3p22.1_ 10q22.3_ 10cen) assay_ whole blood_ predictive algorithm-generated evaluation reported as decreased or increased risk fo","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KFLF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Power source and control electronics unit for oral device/appliance for neuromuscular electrical stimulation of the tongue muscle_ controlled by phone application","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"E0492","description":"Power source and control electronics unit for oral device/appliance for neuromuscular electrical stimulation of the tongue muscle_ controlled by phone application","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"X-ray urethra/bladder","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"74450","description":"X-ray urethra/bladder","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JIGD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"3D Echocardiographic Imaging And Postprocessing During Transesophageal Echocardiography_ Or During Transthoracic Echocardiography For Congenital Cardiac Anomalies_ For The Ass","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"93319","description":"3D Echocardiographic Imaging And Postprocessing During Transesophageal Echocardiography_ Or During Transthoracic Echocardiography For Congenital Cardiac Anomalies_ For The Ass","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GGAF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-CA201","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"CA201","description":"HIPPS-CA201","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CALC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RHC36","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RHC36","description":"HIPPS-RHC36","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"IGUE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OJDC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FGKB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Radiofrequency spectroscopy_ real time_ intraoperative margin assessment_ at the time of partial mastectomy_ with report","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0546T","description":"Radiofrequency spectroscopy_ real time_ intraoperative margin assessment_ at the time of partial mastectomy_ with report","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OAVC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Removal of humeral externally controlled intramedullary device","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0595T","description":"Removal of humeral externally controlled intramedullary device","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Wheelchair amputee w/ foot r","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"E1180","description":"Wheelchair amputee w/ foot r","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JGPF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"HCRF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OJQF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GIRD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Complex lymphedema therapy_","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"S8950","description":"Complex lymphedema therapy_","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"EDDC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Health Behavior Intervention_ Group (2 Or More Patients)_ Face-To-Face; Initial 30 Minutes","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"96164","description":"Health Behavior Intervention_ Group (2 Or More Patients)_ Face-To-Face; Initial 30 Minutes","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Supply allowance for therapeutic continuous glucose monitor (CGM)_ includes all supples and accessories_ 1 unit = 1 mo. supply","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"K0553","description":"Supply allowance for therapeutic continuous glucose monitor (CGM)_ includes all supples and accessories_ 1 unit = 1 mo. supply","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Install spinal shunt","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"63741","description":"Install spinal shunt","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Family/couple counseling","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"T1006","description":"Family/couple counseling","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Md inr test revie inter mgmt","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G0250","description":"Md inr test revie inter mgmt","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"IDAE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Specialty care transport","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"A0434","description":"Specialty care transport","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GDBB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"HGWD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"LAYF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Laparoscopy orchiopexy","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"54692","description":"Laparoscopy orchiopexy","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CEJA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Mometasone sinus implant","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"S1090","description":"Mometasone sinus implant","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RMC45","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RMC45","description":"HIPPS-RMC45","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"EGMD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Dilate urethra stricture","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"53605","description":"Dilate urethra stricture","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"AIAF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"ODCC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KBPC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Pt no elg phar ther osteo","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G8634","description":"Pt no elg phar ther osteo","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-BB151","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"BB151","description":"HIPPS-BB151","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Insj/rplc cardiac modulj pls","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0409T","description":"Insj/rplc cardiac modulj pls","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-1CHK5","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"1CHK5","description":"HIPPS-1CHK5","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Assay of aldosterone","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"82088","description":"Assay of aldosterone","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JFXE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"IIDB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"CPT-00873","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"00873","description":"CPT-00873","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Echo transesophageal","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"93316","description":"Echo transesophageal","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BCAA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Hyaluronan or derivative_ triluron_ for intra-articular injection_ 1 mg","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"J7332","description":"Hyaluronan or derivative_ triluron_ for intra-articular injection_ 1 mg","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RVL1A","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RVL1A","description":"HIPPS-RVL1A","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KBVF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BGEF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Oral surgery procedure","billing_code_type":"CDT","billing_code_type_version":"2024","billing_code":"D7999","description":"Oral surgery procedure","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GCSA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GDQF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Qualified Nonphysician Qualified Healthcare Professional Assessment Service_ For An Established Patient_ For Up To Seven Days_ Cumulative Time During The 7 Days; 21 Or More Mi","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G2063","description":"Qualified Nonphysician Qualified Healthcare Professional Assessment Service_ For An Established Patient_ For Up To Seven Days_ Cumulative Time During The 7 Days; 21 Or More Mi","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CEJF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Assay of protein serum","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"84155","description":"Assay of protein serum","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GCME1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Replacement of aortic valve","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"33405","description":"Replacement of aortic valve","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"I&d abscess p-spine l/s/ls","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"22015","description":"I&d abscess p-spine l/s/ls","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OINE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"LGRC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-PA215","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"PA215","description":"HIPPS-PA215","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CEEA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"External Electrocardiographic Recording For More Than 7 Days Up To 15 Days By Continuous Rhythm Recording And Storage; Includes Recording_ Scanning Analysis With Report_ Revie","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"93245","description":"External Electrocardiographic Recording For More Than 7 Days Up To 15 Days By Continuous Rhythm Recording And Storage; Includes Recording_ Scanning Analysis With Report_ Revie","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NLJE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Extensive hand surgery","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"26250","description":"Extensive hand surgery","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Hla class i phenotype qual","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"86830","description":"Hla class i phenotype qual","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CCME0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Blinded procedure for transcatheter implantation of coronary sinus reduction device or placebo control_ including vascular access and closure_ right heart catherization_ venou","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"C9783","description":"Blinded procedure for transcatheter implantation of coronary sinus reduction device or placebo control_ including vascular access and closure_ right heart catherization_ venou","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NEEF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Crown full high noble metal","billing_code_type":"CDT","billing_code_type_version":"2024","billing_code":"D6790","description":"Crown full high noble metal","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Quantitative magnetic resonance image (MRI) analysis of the brain with comparison to prior magnetic resonance (MR) study(ies)_ including lesion detection_ characterization_ an","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0866T","description":"Quantitative magnetic resonance image (MRI) analysis of the brain with comparison to prior magnetic resonance (MR) study(ies)_ including lesion detection_ characterization_ an","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JFTC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-PA28H","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"PA28H","description":"HIPPS-PA28H","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"LDOB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Anesthesia for procedures on nose and accessory sinuses; biopsy_ soft tissu","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0124U","description":"Anesthesia for procedures on nose and accessory sinuses; biopsy_ soft tissu","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"DFWB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NJVF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"AEMC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Injection_ prothrombin complex concentrate (human)_ balfaxar_ per i.u. of factor ix activity","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"C9159","description":"Injection_ prothrombin complex concentrate (human)_ balfaxar_ per i.u. of factor ix activity","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NCVB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Esophgl motil w/stim/perfus","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"91013","description":"Esophgl motil w/stim/perfus","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Microbiology procedure","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"87999","description":"Microbiology procedure","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"IDIA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RHC31","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RHC31","description":"HIPPS-RHC31","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JCJC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Neurectomy popliteal","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"27326","description":"Neurectomy popliteal","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Vein byp grft fem-popliteal","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"35583","description":"Vein byp grft fem-popliteal","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RMB5B","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RMB5B","description":"HIPPS-RMB5B","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KEJE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Fusion of wrist joint","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"25800","description":"Fusion of wrist joint","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Human Papillomavirus vaccine types 6_ 11_ 16_ 18_ 31_ 33_ 45_ 52_ 58_ nonavalent (9vHPV)_ 2 or 3 dose schedule_ for intramuscular use","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"90651","description":"Human Papillomavirus vaccine types 6_ 11_ 16_ 18_ 31_ 33_ 45_ 52_ 58_ nonavalent (9vHPV)_ 2 or 3 dose schedule_ for intramuscular use","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BGVE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KDVD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MGDC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"AFHD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NGXB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Reconstruction of jaw joint","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"21240","description":"Reconstruction of jaw joint","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CBHD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NGVF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Caries preventive medicament application - per tooth","billing_code_type":"CDT","billing_code_type_version":"2024","billing_code":"D1355","description":"Caries preventive medicament application - per tooth","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Psychiatry (eg_ depression_ anxiety)_ genomic analysis panel_ including variant analysis of 26 genes_ buccal swab_ report including metabolizer status and risk of drug toxicit","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0423U","description":"Psychiatry (eg_ depression_ anxiety)_ genomic analysis panel_ including variant analysis of 26 genes_ buccal swab_ report including metabolizer status and risk of drug toxicit","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"IHTE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CCXB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Backbench reconstruction of cadaver or living donor uterus allograft prior to transplantation; venous anastomosis_ each","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0669T","description":"Backbench reconstruction of cadaver or living donor uterus allograft prior to transplantation; venous anastomosis_ each","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GIWC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Incise skull for surgery","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"61460","description":"Incise skull for surgery","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GFKA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GEJB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KGOA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"IHMA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Galsulfase injection","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"J1458","description":"Galsulfase injection","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GHCC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BIMC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OASC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"HIRE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"EGEA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KDQC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Radiologic examination_ hips_ bilateral_ minimum of two views of each hip_ including anteroposterior view of pelvis","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"73520","description":"Radiologic examination_ hips_ bilateral_ minimum of two views of each hip_ including anteroposterior view of pelvis","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BHUA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Pt w/abn lvef inelig b-bloc","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G8451","description":"Pt w/abn lvef inelig b-bloc","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FDVC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MCBE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OGAB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-HC156","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"HC156","description":"HIPPS-HC156","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-BA230","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"BA230","description":"HIPPS-BA230","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-CB117","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"CB117","description":"HIPPS-CB117","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OFAD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Adjunctive continuous glucose monitor or receiver","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"E2102","description":"Adjunctive continuous glucose monitor or receiver","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GGCB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Esrd home pt srv p day 2-11","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"90968","description":"Esrd home pt srv p day 2-11","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Miro3D_ per cu cm","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"A2025","description":"Miro3D_ per cu cm","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"IAAD IA SHIGA-LIKE TOXIN","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"87427","description":"IAAD IA SHIGA-LIKE TOXIN","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-HD241","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"HD241","description":"HIPPS-HD241","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-LE24B","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"LE24B","description":"HIPPS-LE24B","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"HIRF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Thaw cryoprsvrd reprod tiss","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"89354","description":"Thaw cryoprsvrd reprod tiss","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BDGC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Space maintainer_ removable bilateral_ maxillary","billing_code_type":"CDT","billing_code_type_version":"2024","billing_code":"D1526","description":"Space maintainer_ removable bilateral_ maxillary","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RHC8G","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RHC8G","description":"HIPPS-RHC8G","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OFNA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"ICIF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Infectious agent detection by nucleic acid (DNA or RNA); Babesia microti_ amplified probe technique","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"87469","description":"Infectious agent detection by nucleic acid (DNA or RNA); Babesia microti_ amplified probe technique","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Enema tube_ with or without adapter_ any type_ replacement only_ each","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"A4457","description":"Enema tube_ with or without adapter_ any type_ replacement only_ each","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RLB45","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RLB45","description":"HIPPS-RLB45","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GIJF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-4AGLU","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"4AGLU","description":"HIPPS-4AGLU","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Dental inlay metallic 2 surf","billing_code_type":"CDT","billing_code_type_version":"2024","billing_code":"D2520","description":"Dental inlay metallic 2 surf","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CHNF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"implant/abutment supported interim fixed denture for edentulous arch – maxillary","billing_code_type":"CDT","billing_code_type_version":"2024","billing_code":"D6119","description":"implant/abutment supported interim fixed denture for edentulous arch – maxillary","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Pp eval/edu not perf","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G9358","description":"Pp eval/edu not perf","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GCSE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Youth size brief/diaper","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"T4533","description":"Youth size brief/diaper","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KHUF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KHBE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GICE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Lactoferrin fecal (qual)","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"83630","description":"Lactoferrin fecal (qual)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KINB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GEEF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"EIHD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"PHRE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CDJD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Attempted vbac delivery","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"59618","description":"Attempted vbac delivery","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BGTE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Surg reduct osseoustuberosit","billing_code_type":"CDT","billing_code_type_version":"2024","billing_code":"D7485","description":"Surg reduct osseoustuberosit","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OJVC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Suspension sleeve lower ext","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"L2397","description":"Suspension sleeve lower ext","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GGHE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JGTB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Root amputation","billing_code_type":"CDT","billing_code_type_version":"2024","billing_code":"D3450","description":"Root amputation","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"CPT-90482","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"90482","description":"CPT-90482","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Brachytx_ non-str_yttrium-90","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"C2616","description":"Brachytx_ non-str_yttrium-90","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BEID1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"CDT-D0805","billing_code_type":"CDT","billing_code_type_version":"2026","billing_code":"D0805","description":"CDT-D0805","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"CPT-93898","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"93898","description":"CPT-93898","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Test sock elbw disart/above","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"L6682","description":"Test sock elbw disart/above","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GCYF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JABA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RHC0C","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RHC0C","description":"HIPPS-RHC0C","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Remove brain canal fluid","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"61050","description":"Remove brain canal fluid","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Injection_ trastuzumab_ excludes biosimilar_ 10mg (Herceptin)","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"J9355","description":"Injection_ trastuzumab_ excludes biosimilar_ 10mg (Herceptin)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Home visit cath maintain","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"99507","description":"Home visit cath maintain","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HH PDGM","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"4DC11","description":"HH PDGM","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"PGRB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MHCD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OIHF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OFBA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NHCE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Hand restorat thumb/1 finger","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"L6900","description":"Hand restorat thumb/1 finger","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Amiodarone hcl","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"J0282","description":"Amiodarone hcl","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JABC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RHX54","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RHX54","description":"HIPPS-RHX54","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RHB23","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RHB23","description":"HIPPS-RHB23","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MBLC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Treat elbow fracture","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"24586","description":"Treat elbow fracture","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CGQC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GAWF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BFDA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Excavation of a tooth resulting in the determination of non-restorability","billing_code_type":"CDT","billing_code_type_version":"2024","billing_code":"D2989","description":"Excavation of a tooth resulting in the determination of non-restorability","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Revise eyelid lining","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"68362","description":"Revise eyelid lining","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"(Blincyto)Injection_ Blinatumomab_ 1mcg","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"C9449","description":"(Blincyto)Injection_ Blinatumomab_ 1mcg","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Accelerated_ repetitive high-dose functional connectivity MRI-guided theta-burst stimulation_ including neuronavigation_ delivery and management_ subsequent treatment day","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0891T","description":"Accelerated_ repetitive high-dose functional connectivity MRI-guided theta-burst stimulation_ including neuronavigation_ delivery and management_ subsequent treatment day","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NBUD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"No 7d f/u","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G9407","description":"No 7d f/u","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-PD22C","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"PD22C","description":"HIPPS-PD22C","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Partial removal of ulna","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"25150","description":"Partial removal of ulna","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KGXC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"AmnioBand_ 1 mg","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"Q4168","description":"AmnioBand_ 1 mg","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Reconstruct orbit/forehead","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"21172","description":"Reconstruct orbit/forehead","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BGLF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Injection_ pentamidine iseth","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"S0080","description":"Injection_ pentamidine iseth","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-PA28D","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"PA28D","description":"HIPPS-PA28D","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"PCOF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RHB46","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RHB46","description":"HIPPS-RHB46","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JHCA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Electronic sgd interface","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"E2351","description":"Electronic sgd interface","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KGTE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"PEQF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"HGYC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OJKA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Docetaxel injection","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"J9171","description":"Docetaxel injection","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JFCA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NJTF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Amalgam two surfaces permane","billing_code_type":"CDT","billing_code_type_version":"2024","billing_code":"D2150","description":"Amalgam two surfaces permane","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Therapeutic Ultrafiltration","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0692T","description":"Therapeutic Ultrafiltration","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-C9312","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"C9312","description":"HCPCS-C9312","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-CC106","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"CC106","description":"HIPPS-CC106","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CIEF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"AHEE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NBJE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CBPD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"AGUF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Platelets_ pheresis_ pathogen-reduced_ each unit","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"P9073","description":"Platelets_ pheresis_ pathogen-reduced_ each unit","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KBOF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Remove knee cyst","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"27347","description":"Remove knee cyst","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Pneumatic propulsion tire","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"E2211","description":"Pneumatic propulsion tire","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-CC135","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"CC135","description":"HIPPS-CC135","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-M1443","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"M1443","description":"HCPCS-M1443","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BACE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Av fistula revision open","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"36832","description":"Av fistula revision open","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Ablate atria w/bypass exten","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"33256","description":"Ablate atria w/bypass exten","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Revision of humerus","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"24400","description":"Revision of humerus","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-HC11A","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"HC11A","description":"HIPPS-HC11A","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"CPT-98006","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"98006","description":"CPT-98006","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CDXE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Gauze > 48 in no w/sal w/o b","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"A6224","description":"Gauze > 48 in no w/sal w/o b","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Ligation of sperm duct","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"55450","description":"Ligation of sperm duct","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Insj/rplc car modulj vnt elt","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0411T","description":"Insj/rplc car modulj vnt elt","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Augmentation lower jaw bone","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"21125","description":"Augmentation lower jaw bone","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-J0163","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"J0163","description":"HCPCS-J0163","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KIMC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Donor lobectomy (lung)","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"S2061","description":"Donor lobectomy (lung)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-C1604","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"C1604","description":"HCPCS-C1604","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Patient received at least one well-child visit with a PCP during the performance period","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G9964","description":"Patient received at least one well-child visit with a PCP during the performance period","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BFDF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JEAF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Glaucoma surgery","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"66150","description":"Glaucoma surgery","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FEXF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Injection_ buprenorphine extended-release (brixadi)_ less than or equal to 7 days of therapy","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"J0577","description":"Injection_ buprenorphine extended-release (brixadi)_ less than or equal to 7 days of therapy","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Pwc gp 4 vhd seat/back","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"K0871","description":"Pwc gp 4 vhd seat/back","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"PFYD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"No ster wd ifx","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G8572","description":"No ster wd ifx","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GFVC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Egd diagnostic brush wash","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"43235","description":"Egd diagnostic brush wash","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JDED1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Home vent non-invasive inter","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"E0466","description":"Home vent non-invasive inter","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Trabecular Bone Score (Tbs)_ Structural Condition Of The Bone Microarchitecture; Interpretation And Report On Fracture-Risk Only By Other Qualified Health Care Professional","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"77092","description":"Trabecular Bone Score (Tbs)_ Structural Condition Of The Bone Microarchitecture; Interpretation And Report On Fracture-Risk Only By Other Qualified Health Care Professional","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Remove wrist joint implant","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"25449","description":"Remove wrist joint implant","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"ICBC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NIIF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Pt w/dxa results document","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G8399","description":"Pt w/dxa results document","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GGQE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"CPT-98012","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"98012","description":"CPT-98012","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Custom shape cvr knee disart","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"L5706","description":"Custom shape cvr knee disart","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RHB22","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RHB22","description":"HIPPS-RHB22","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NFCB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NJJA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Thyroid met imaging","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"78015","description":"Thyroid met imaging","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Cabg vein six or more","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"33516","description":"Cabg vein six or more","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NGBD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JHUB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"CPT-1073T","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"1073T","description":"CPT-1073T","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MIIB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Brain cavity shunt w/scope","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"62201","description":"Brain cavity shunt w/scope","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Alcohol and/or drug outreach","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"H0023","description":"Alcohol and/or drug outreach","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OFAD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Liver disease_ 10 biochemical assays (a2-macroglobulin_ haptoglobin_ apolipoprotein A1_ bilirubin_ GGT_ ALT_ AST_ triglycerides_ cholesterol_ fasting glucose) and biometric an","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0166U","description":"Liver disease_ 10 biochemical assays (a2-macroglobulin_ haptoglobin_ apolipoprotein A1_ bilirubin_ GGT_ ALT_ AST_ triglycerides_ cholesterol_ fasting glucose) and biometric an","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OGMF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BBVC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MGLD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Revise temple bone implant","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"69718","description":"Revise temple bone implant","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GICC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Liver and spleen imaging","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"78215","description":"Liver and spleen imaging","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KEFD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Hhs/hospice of lpn ea 15 min","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G0300","description":"Hhs/hospice of lpn ea 15 min","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CCWD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OJKE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MFBA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"External upper limb tremor stimulator of the peripheral nerves of the wrist","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"K1018","description":"External upper limb tremor stimulator of the peripheral nerves of the wrist","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Clinical Decision Support Mechanism Sage Health Management Solutions_ As Defined By The Medicare Appropriate Use Criteria Program","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G1009","description":"Clinical Decision Support Mechanism Sage Health Management Solutions_ As Defined By The Medicare Appropriate Use Criteria Program","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CCEB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BHLB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Comprehensive Care Management Services For A Single High-Risk Disease_ E.G._ Principal Care Management_ At Least 30 Minutes Of Physician  Or Other Qualified Health Care Profes","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G2064","description":"Comprehensive Care Management Services For A Single High-Risk Disease_ E.G._ Principal Care Management_ At Least 30 Minutes Of Physician  Or Other Qualified Health Care Profes","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Andrology (infertility)_ sperm-capacitation assessment of ganglioside GM1 distribution patterns_ fluorescence microscopy_ fresh/ frozen specimen_ reported as % of capacitated","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0255U","description":"Andrology (infertility)_ sperm-capacitation assessment of ganglioside GM1 distribution patterns_ fluorescence microscopy_ fresh/ frozen specimen_ reported as % of capacitated","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Hospice services provided to patient any time during the measurement period","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"M1191","description":"Hospice services provided to patient any time during the measurement period","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Repair arm tendon/muscle","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"24341","description":"Repair arm tendon/muscle","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Exc shoulder les sc 3 cm/>","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"23071","description":"Exc shoulder les sc 3 cm/>","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"EGMC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Transplantation medicine (kidney allograft rejection)_ microarray gene expression profiling of 1494 genes_ utilizing transplant biopsy tissue_ algorithm reported as a probabil","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0088U","description":"Transplantation medicine (kidney allograft rejection)_ microarray gene expression profiling of 1494 genes_ utilizing transplant biopsy tissue_ algorithm reported as a probabil","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BAHB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Interdiscal perq aspir dx","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"62267","description":"Interdiscal perq aspir dx","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Blood pressure reading not documented_ reason not given","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"M1281","description":"Blood pressure reading not documented_ reason not given","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"ODPE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Harvest art for cabg add-on","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"35600","description":"Harvest art for cabg add-on","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-CA124","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"CA124","description":"HIPPS-CA124","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-3BHMU","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"3BHMU","description":"HIPPS-3BHMU","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CCOB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Guided tissue regeneration","billing_code_type":"CDT","billing_code_type_version":"2024","billing_code":"D3432","description":"Guided tissue regeneration","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"OPH AMD ALYS 3 GENE VARIANTS","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0205U","description":"OPH AMD ALYS 3 GENE VARIANTS","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Postop app non-wgt bear dsg","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"L5460","description":"Postop app non-wgt bear dsg","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Release of nasal adhesions","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"30560","description":"Release of nasal adhesions","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"DFRA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JEIB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Repair of eye wound","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"65286","description":"Repair of eye wound","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"ICMB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-1AHKU","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"1AHKU","description":"HIPPS-1AHKU","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Oncology (Pan Tumor)_ Whole Genome Sequencing Of Paired Malignant And Normal Dna Specimens_ Fresh Or Formalin-Fixed Paraffin-Embedded (Ffpe) Tissue_ Blood Or Bone Marrow_ Comp","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0297U","description":"Oncology (Pan Tumor)_ Whole Genome Sequencing Of Paired Malignant And Normal Dna Specimens_ Fresh Or Formalin-Fixed Paraffin-Embedded (Ffpe) Tissue_ Blood Or Bone Marrow_ Comp","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OEGF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Fusion/graft of wrist joint","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"25810","description":"Fusion/graft of wrist joint","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NCHA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"AELB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"PelloGraft_ per sq cm","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"Q4320","description":"PelloGraft_ per sq cm","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"LBQD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Hep c quant rna tstng docd","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"3220F","description":"Hep c quant rna tstng docd","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Hearing aid_ contralateral routing device_ monaural_ behind the ear (BTE)","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"V5181","description":"Hearing aid_ contralateral routing device_ monaural_ behind the ear (BTE)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Pancreas removal/transplant","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"48160","description":"Pancreas removal/transplant","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"DASB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Ost clsd pouch w att st barr","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"A4387","description":"Ost clsd pouch w att st barr","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"AACE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KCQE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OAFC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-BA13D","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"BA13D","description":"HIPPS-BA13D","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-CE131","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"CE131","description":"HIPPS-CE131","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FAID0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"DBOC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BDAD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-J1163","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"J1163","description":"HCPCS-J1163","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NDFD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"X-ray exam of abdomen","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"74010","description":"X-ray exam of abdomen","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"NEURO ALZHEIMER CELL AGGREGJ","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0206U","description":"NEURO ALZHEIMER CELL AGGREGJ","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Injection for ankle x-ray","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"27648","description":"Injection for ankle x-ray","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-HE145","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"HE145","description":"HIPPS-HE145","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Vag hyst t/o & repair compl","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"58292","description":"Vag hyst t/o & repair compl","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"CPT-00214","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"00214","description":"CPT-00214","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"AGCB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FGMC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NILF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FABE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-4BFM2","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"4BFM2","description":"HIPPS-4BFM2","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NCIB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OFJB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Bx/exc idrl spine lesn scrl","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"63283","description":"Bx/exc idrl spine lesn scrl","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Hkafo torsion unilat rot str","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"L2070","description":"Hkafo torsion unilat rot str","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Hh respiratory thrpy in eval","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"S5180","description":"Hh respiratory thrpy in eval","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MBTF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Onsite Ac C Tx Nsg Fac Res Uti  Bill Sid-Benef","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G9684","description":"Onsite Ac C Tx Nsg Fac Res Uti  Bill Sid-Benef","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CDLF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Patient admitted to a SPU or an ASC for monitoring and observation","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"X0597","description":"Patient admitted to a SPU or an ASC for monitoring and observation","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Back pain was measured by the visual analog scale (VAS) within three months preoperatively and at three months (6 - 20 weeks) postoperatively","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G9941","description":"Back pain was measured by the visual analog scale (VAS) within three months preoperatively and at three months (6 - 20 weeks) postoperatively","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-1AHM1","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"1AHM1","description":"HIPPS-1AHM1","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"EADD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Ra disease activity high","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"3472F","description":"Ra disease activity high","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Removal of skull-mounted cranial neurostimulator pulse generator or receiver with cranioplasty_ when performed","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"61892","description":"Removal of skull-mounted cranial neurostimulator pulse generator or receiver with cranioplasty_ when performed","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RVX4D","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RVX4D","description":"HIPPS-RVX4D","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Plasma fresh frozen","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"86927","description":"Plasma fresh frozen","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FCPC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KIVF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CDYF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-PC140","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"PC140","description":"HIPPS-PC140","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Hospice care supervision","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G0182","description":"Hospice care supervision","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CCGE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Glucose tolerance test (gtt)","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"82951","description":"Glucose tolerance test (gtt)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"PESA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Lat thorax spine fusion","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"22532","description":"Lat thorax spine fusion","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Trastuzumab not administered within 12 months of diagnosis","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G9837","description":"Trastuzumab not administered within 12 months of diagnosis","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MFIB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BCAB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-LC10A","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"LC10A","description":"HIPPS-LC10A","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"IDLE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-A2045","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"A2045","description":"HCPCS-A2045","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OICB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-1BFN2","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"1BFN2","description":"HIPPS-1BFN2","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Ccp antibody","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"86200","description":"Ccp antibody","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KBTC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"CDT-D0701","billing_code_type":"CDT","billing_code_type_version":"2026","billing_code":"D0701","description":"CDT-D0701","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-HC24D","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"HC24D","description":"HIPPS-HC24D","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"EDUF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"EDIE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NJXC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KDBD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KAFD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RLA46","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RLA46","description":"HIPPS-RLA46","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-Q9999","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"Q9999","description":"HCPCS-Q9999","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Phenobarbital sodium inj","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"J2560","description":"Phenobarbital sodium inj","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GHKF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Htlv-ii antibody","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"86688","description":"Htlv-ii antibody","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Thoracic aortic graft","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"33875","description":"Thoracic aortic graft","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Endo knee-shin fluid swing p","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"L5824","description":"Endo knee-shin fluid swing p","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Clinical Decision Support Mechanism Medicalis_ As Defined By The Medicare Appropriate Use Criteria Program","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G1003","description":"Clinical Decision Support Mechanism Medicalis_ As Defined By The Medicare Appropriate Use Criteria Program","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-1BFPU","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"1BFPU","description":"HIPPS-1BFPU","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"CDT-D2005","billing_code_type":"CDT","billing_code_type_version":"2026","billing_code":"D2005","description":"CDT-D2005","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Drug screening propoxyphene","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"80367","description":"Drug screening propoxyphene","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CELB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"CPT-37262","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"37262","description":"CPT-37262","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Fuse esophagus & intestine","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"43340","description":"Fuse esophagus & intestine","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Insertion of iris prosthesis","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0616T","description":"Insertion of iris prosthesis","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KFYA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OEYA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"HDYC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Ambulance waiting 1/2 hr","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"A0420","description":"Ambulance waiting 1/2 hr","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Photorefractive keratectomy","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"S0810","description":"Photorefractive keratectomy","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Stomach surgery procedure","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"43999","description":"Stomach surgery procedure","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GCFC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JFDB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"5% dextrose in lac ringers","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"J7121","description":"5% dextrose in lac ringers","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Treat lower jaw fracture","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"21462","description":"Treat lower jaw fracture","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HH PDGM","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"4GA31","description":"HH PDGM","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Partial removal of larynx","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"31370","description":"Partial removal of larynx","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CEOB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-1CHPS","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"1CHPS","description":"HIPPS-1CHPS","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CAGC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JDCF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"CPT-0521U","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"0521U","description":"CPT-0521U","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-CC121","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"CC121","description":"HIPPS-CC121","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Ercp sphincter pressure meas","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"43263","description":"Ercp sphincter pressure meas","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Injection_ Posterior Chamber Of Eye_ Medication","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0699T","description":"Injection_ Posterior Chamber Of Eye_ Medication","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OEFF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Insert pessary/other device","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"57160","description":"Insert pessary/other device","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MEUD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Cognitive skills development","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"97532","description":"Cognitive skills development","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GCRF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NGKC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MKDD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OHLA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"In hospice or using hospice services during the measurement period","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"M1167","description":"In hospice or using hospice services during the measurement period","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Oral device/appliance for neuromuscular electrical stimulation of the tongue muscle_ used in conjunction with the power source and control electronics unit_ controlled by phon","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"K1029","description":"Oral device/appliance for neuromuscular electrical stimulation of the tongue muscle_ used in conjunction with the power source and control electronics unit_ controlled by phon","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-1BFL1","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"1BFL1","description":"HIPPS-1BFL1","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"IIAA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Repair of bladder wound","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"51865","description":"Repair of bladder wound","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-M1427","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"M1427","description":"HCPCS-M1427","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-AAA0A","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"AAA0A","description":"HIPPS-AAA0A","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FDMC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Exc tr-ext mal+marg >4 cm","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"11606","description":"Exc tr-ext mal+marg >4 cm","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-PE116","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"PE116","description":"HIPPS-PE116","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Artery x-rays lung","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"75741","description":"Artery x-rays lung","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"AHBB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Oncology (ovarian) biochemical assays of five proteins (apolipoprotein A-1","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0108U","description":"Oncology (ovarian) biochemical assays of five proteins (apolipoprotein A-1","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Lift assist for elbow","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"L6635","description":"Lift assist for elbow","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-LE15D","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"LE15D","description":"HIPPS-LE15D","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-3CHK5","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"3CHK5","description":"HIPPS-3CHK5","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"ICBA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NEFF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CHIE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BGEB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Next gen aco model<10min","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G9868","description":"Next gen aco model<10min","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Hip arthroscopy dx","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"29860","description":"Hip arthroscopy dx","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NAPE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"CPT-01852","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"01852","description":"CPT-01852","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BBTF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-1CHKU","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"1CHKU","description":"HIPPS-1CHKU","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OKTE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BIBE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Dna analysis apoe alzheimer","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"S3852","description":"Dna analysis apoe alzheimer","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Ko derot ant cruciate custom","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"L1840","description":"Ko derot ant cruciate custom","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Cerv sr wire occ/man pre ots","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"L0160","description":"Cerv sr wire occ/man pre ots","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Rhythm ecg tracing","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"93041","description":"Rhythm ecg tracing","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Office/outpatient visit new","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"99204","description":"Office/outpatient visit new","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Rotavirus antibody","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"86759","description":"Rotavirus antibody","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JHBC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FBFA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Elbow socket ins use w/o lck","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"L6695","description":"Elbow socket ins use w/o lck","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OKGB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OJFF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KGIC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Vent mgmt inpat subq day","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"94003","description":"Vent mgmt inpat subq day","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Tb ag response t-cell susp","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"86481","description":"Tb ag response t-cell susp","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"ACAB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Ftl cgen abnor five anal","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"81512","description":"Ftl cgen abnor five anal","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-1AFL1","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"1AFL1","description":"HIPPS-1AFL1","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-A0303","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"A0303","description":"HCPCS-A0303","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"CDT-D9914","billing_code_type":"CDT","billing_code_type_version":"2026","billing_code":"D9914","description":"CDT-D9914","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"CDT-D0601","billing_code_type":"CDT","billing_code_type_version":"2026","billing_code":"D0601","description":"CDT-D0601","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Suture complicate wnd > 5 cm","billing_code_type":"CDT","billing_code_type_version":"2024","billing_code":"D7912","description":"Suture complicate wnd > 5 cm","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FCHD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KICB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Leucovorin calcium injection","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"J0640","description":"Leucovorin calcium injection","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OHKF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"HBRF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JHKC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"DHQB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-A0204","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"A0204","description":"HCPCS-A0204","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Hepatobil syst image w/drug","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"78227","description":"Hepatobil syst image w/drug","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Magnetic resonance imaging_ breast_ without and with contrast material(s)_ including computer-aided detection (CAD real-time lesion detection_ characterization and pharmacokin","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"77049","description":"Magnetic resonance imaging_ breast_ without and with contrast material(s)_ including computer-aided detection (CAD real-time lesion detection_ characterization and pharmacokin","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-2BGKU","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"2BGKU","description":"HIPPS-2BGKU","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"CPT-00794","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"00794","description":"CPT-00794","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JDVA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FCIE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Egd us fine needle bx/aspir","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"43242","description":"Egd us fine needle bx/aspir","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KGFE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Change of percutaneous biliary drainage catheter","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"47525","description":"Change of percutaneous biliary drainage catheter","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"HCWF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"IEAB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Hip clevis/thrust bearing lo","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"L2610","description":"Hip clevis/thrust bearing lo","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Bmi is documented within normal parameters and no follow-up plan is required","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"M1296","description":"Bmi is documented within normal parameters and no follow-up plan is required","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"PSYC GEN ALYS PANEL 15 GENES","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0175U","description":"PSYC GEN ALYS PANEL 15 GENES","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"IICD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Repair/graft hand tendon","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"26372","description":"Repair/graft hand tendon","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RHX14","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RHX14","description":"HIPPS-RHX14","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-4AGKW","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"4AGKW","description":"HIPPS-4AGKW","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NHTB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Laparoscope proc rectum","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"45499","description":"Laparoscope proc rectum","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Foot arch supp longitud/meta","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"L3060","description":"Foot arch supp longitud/meta","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NAGA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NAMB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Lithium ion battery for use with cochlear implant or auditory osseointegrated device speech processor_ ear level_ replacement_ each","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"L8624","description":"Lithium ion battery for use with cochlear implant or auditory osseointegrated device speech processor_ ear level_ replacement_ each","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KHFB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KAKC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RLX0D","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RLX0D","description":"HIPPS-RLX0D","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Revise/graft eyelid lining","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"68320","description":"Revise/graft eyelid lining","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NBEA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OGSA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FANA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BBMA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OCYE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FAKE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Duplicate/copy patient_s records","billing_code_type":"CDT","billing_code_type_version":"2024","billing_code":"D9961","description":"Duplicate/copy patient_s records","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"EDIB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KAHF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-PD24D","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"PD24D","description":"HIPPS-PD24D","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Extensive sternum surgery","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"21632","description":"Extensive sternum surgery","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Dx laryngoscopy w/oper scope","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"31526","description":"Dx laryngoscopy w/oper scope","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-1BGP3","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"1BGP3","description":"HIPPS-1BGP3","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NKDB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Brachytx_ non-str_ ha_ i-125","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"C2634","description":"Brachytx_ non-str_ ha_ i-125","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Adult size pull-on xl","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"T4528","description":"Adult size pull-on xl","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Implant total heart system","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0051T","description":"Implant total heart system","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"No follow up pulm nod norsn","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G9347","description":"No follow up pulm nod norsn","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"R hrt coronary artery angio","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"93456","description":"R hrt coronary artery angio","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OAUC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"LARA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-PE28B","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"PE28B","description":"HIPPS-PE28B","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-1CHNS","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"1CHNS","description":"HIPPS-1CHNS","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RMA11","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RMA11","description":"HIPPS-RMA11","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OKKC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Tl201 thallium","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"A9505","description":"Tl201 thallium","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"EFCF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GHJD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-J1171","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"J1171","description":"HCPCS-J1171","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"CoreText or ProText_ per cc","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"Q4246","description":"CoreText or ProText_ per cc","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NIIB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OIIB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Bl exchange/transfuse non-nb","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"36455","description":"Bl exchange/transfuse non-nb","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Muscle_ myocutaneous_ or fasciocutaneous flap; head and neck with named vascular pedicle (ie_ buccinators_ genioglossus_ temporalis_ masseter_ sternocleidomastoid_ levator sca","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"15733","description":"Muscle_ myocutaneous_ or fasciocutaneous flap; head and neck with named vascular pedicle (ie_ buccinators_ genioglossus_ temporalis_ masseter_ sternocleidomastoid_ levator sca","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Root surgery bicuspid","billing_code_type":"CDT","billing_code_type_version":"2024","billing_code":"D3421","description":"Root surgery bicuspid","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Oncology (Lynch syndrome)_ genomic DNA sequence analysis of MLH1_ MSH2_ MSH6_ PMS2_ and EPCAM_ including small sequence changes in exonic and intronic regions_ deletions_ dupl","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0238U","description":"Oncology (Lynch syndrome)_ genomic DNA sequence analysis of MLH1_ MSH2_ MSH6_ PMS2_ and EPCAM_ including small sequence changes in exonic and intronic regions_ deletions_ dupl","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Implant temple bone w/stimul","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"69714","description":"Implant temple bone w/stimul","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CGKD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JIIB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Partial removal of larynx","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"31368","description":"Partial removal of larynx","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Anesthe <60 min as docd","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"4256F","description":"Anesthe <60 min as docd","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Supportive care for neurodegenerative conditions mips value pathways","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"M0004","description":"Supportive care for neurodegenerative conditions mips value pathways","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BGEC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OCBE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GIPD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Urokinase 5000 iu injection","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"J3364","description":"Urokinase 5000 iu injection","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FADC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Lap gastric bypass/roux-en-y","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"43644","description":"Lap gastric bypass/roux-en-y","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Biopsy arm/elbow soft tissue","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"24066","description":"Biopsy arm/elbow soft tissue","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KGWD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"DGRA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GAAF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JEGE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Special childcare waiver/d","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"T2026","description":"Special childcare waiver/d","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HH PDGM","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"1EB21","description":"HH PDGM","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JHBF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"CPT-1108T","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"1108T","description":"CPT-1108T","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RHL8C","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RHL8C","description":"HIPPS-RHL8C","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Injection_ linezolid (hospira) not therapeutically equivalent to j2020_ 200 mg","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"J2021","description":"Injection_ linezolid (hospira) not therapeutically equivalent to j2020_ 200 mg","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RVA8E","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RVA8E","description":"HIPPS-RVA8E","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HH PDGM","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"3EB31","description":"HH PDGM","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"ACAD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Interprof phone/online 31/>","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"99449","description":"Interprof phone/online 31/>","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Cath_ intra echocardiography","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"C1759","description":"Cath_ intra echocardiography","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CBWD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Professional services_ initial visit_ for the administration of subcutaneous immunotherapy or other subcutaneous infusion drug or biological for each infusion drug administrat","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G0089","description":"Professional services_ initial visit_ for the administration of subcutaneous immunotherapy or other subcutaneous infusion drug or biological for each infusion drug administrat","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BEKE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NDTE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GIBF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GGDD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FHPE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KAXF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Infectious agent detection by nucleic acid (dna or rna); severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19])_ amplified probe techniq","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"U0005","description":"Infectious agent detection by nucleic acid (dna or rna); severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19])_ amplified probe techniq","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NHIA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"AHUC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"LBQB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BCVA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KEED1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NBEF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-3CFPX","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"3CFPX","description":"HIPPS-3CFPX","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Misc dialysis supplies noc","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"A4913","description":"Misc dialysis supplies noc","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"X-ray exam entire spi 6/> vw","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"72084","description":"X-ray exam entire spi 6/> vw","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"LGRE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-1BGMV","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"1BGMV","description":"HIPPS-1BGMV","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"CPT-98005","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"98005","description":"CPT-98005","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KGNA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"EDEB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MADC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MEME0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GAUA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"IEUE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KCJA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Insertion or removal and replacement of intracardiac ischemia monitoring system including imaging supervision and interpretatio","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"C9750","description":"Insertion or removal and replacement of intracardiac ischemia monitoring system including imaging supervision and interpretatio","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Repair nonunion carpal bone","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"25431","description":"Repair nonunion carpal bone","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OLMC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JBMC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NJLC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Remove sacrum pressure sore","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"15935","description":"Remove sacrum pressure sore","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BCPF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Onc surveillance for disease","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G9052","description":"Onc surveillance for disease","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"AAHE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Infect agent det by nucleic acid (DNA or RNA); severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) (Coronavirus disease [COVID-19])_ amplified probe technique","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"U0003","description":"Infect agent det by nucleic acid (DNA or RNA); severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) (Coronavirus disease [COVID-19])_ amplified probe technique","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RHA05","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RHA05","description":"HIPPS-RHA05","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"AIBF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BDBE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Hd trapeze bar free standing","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"E0912","description":"Hd trapeze bar free standing","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"EFUD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Chiropract manj xtrspinl 1/>","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"98943","description":"Chiropract manj xtrspinl 1/>","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-PC112","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"PC112","description":"HIPPS-PC112","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BCGE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Digitization of glass microscope slides for level II_ surgical pathology_ gross and microscopic examination (List separately in addition to code for primary procedure)","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0751T","description":"Digitization of glass microscope slides for level II_ surgical pathology_ gross and microscopic examination (List separately in addition to code for primary procedure)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JHHE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GCFA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BDXD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NIVD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"HCYD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Incontinence garment anytype","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"A4520","description":"Incontinence garment anytype","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CIGD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MIBB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Colonoscopy w/stent plcmt","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"45389","description":"Colonoscopy w/stent plcmt","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KIDF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Shorten radius or ulna","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"25390","description":"Shorten radius or ulna","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Remove vert xdrl body crvcl","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"63300","description":"Remove vert xdrl body crvcl","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Assay of blood chloride","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"82435","description":"Assay of blood chloride","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Stroke with Motor <26.15 & Age >84.5_ comorbidity in tier 3","billing_code_type":"CDT","billing_code_type_version":"2024","billing_code":"D0108","description":"Stroke with Motor <26.15 & Age >84.5_ comorbidity in tier 3","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-HE28X","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"HE28X","description":"HIPPS-HE28X","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OKSF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JDUD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"HCOE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Injection_ buprenorphine extended-release (Sublocade)_ greater than 100 mg","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"Q9992","description":"Injection_ buprenorphine extended-release (Sublocade)_ greater than 100 mg","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"CPT-1040T","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"1040T","description":"CPT-1040T","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CDBC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MIUD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OGYC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"HEYD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CFMC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-HC116","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"HC116","description":"HIPPS-HC116","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Hhc rn e&m plan svs_ 15 min","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G0162","description":"Hhc rn e&m plan svs_ 15 min","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KBOA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"PEYF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CISF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-CC206","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"CC206","description":"HIPPS-CC206","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Intraventricular pacing","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"93612","description":"Intraventricular pacing","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"EGME0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Ntrk1 (Neurotrophic Receptor Tyrosine Kinase 1) (Eg_ Solid Tumors) Translocation Analysis","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"81191","description":"Ntrk1 (Neurotrophic Receptor Tyrosine Kinase 1) (Eg_ Solid Tumors) Translocation Analysis","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Fine needle aspiration biopsy_ including CT guidance; first lesion","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"10009","description":"Fine needle aspiration biopsy_ including CT guidance; first lesion","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MFEE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"AHBE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-1CGNX","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"1CGNX","description":"HIPPS-1CGNX","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Injection_ retifanlimab-dlwr_ 1 mg","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"J9345","description":"Injection_ retifanlimab-dlwr_ 1 mg","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Injection for cholangiogram","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"47532","description":"Injection for cholangiogram","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CFXB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OLUA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"CPT-1096T","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"1096T","description":"CPT-1096T","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"HIRA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"AHTE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CBUA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-3CGNV","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"3CGNV","description":"HIPPS-3CGNV","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MJUE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Delay flap trunk","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"15600","description":"Delay flap trunk","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RUA4B","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RUA4B","description":"HIPPS-RUA4B","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BDPB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OFLA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NBGE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RMB5C","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RMB5C","description":"HIPPS-RMB5C","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Hosp grade elec breast pump","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"E0604","description":"Hosp grade elec breast pump","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"ACBE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"CPT-16374","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"16374","description":"CPT-16374","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-HE23B","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"HE23B","description":"HIPPS-HE23B","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Incise sperm duct pouch","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"55605","description":"Incise sperm duct pouch","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OILF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FAPE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NBIA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"PIQB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Infectious disease_ chronic hepatitis C virus (HCV) infection_ six biochemical assays (ALT_ A2-macroglobulin_ apolipoprotein A-1_ total bilirubin_ GGT_ and haptoglobin) utiliz","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0001M","description":"Infectious disease_ chronic hepatitis C virus (HCV) infection_ six biochemical assays (ALT_ A2-macroglobulin_ apolipoprotein A-1_ total bilirubin_ GGT_ and haptoglobin) utiliz","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Mod solid food suppl","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"S9434","description":"Mod solid food suppl","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Unlisted molecular pathology","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"81479","description":"Unlisted molecular pathology","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BEMD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MCCC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KDQC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Fine needle aspiration biopsy_ without imaging guidance; each additional lesion (List separately in addition to code for primary procedure)","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"10004","description":"Fine needle aspiration biopsy_ without imaging guidance; each additional lesion (List separately in addition to code for primary procedure)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FBBF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-2AFMV","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"2AFMV","description":"HIPPS-2AFMV","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CGWC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"X-ray exam of perineum","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"74775","description":"X-ray exam of perineum","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Rpr s/n/ax/gen/trnk 2.5cm/<","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"12001","description":"Rpr s/n/ax/gen/trnk 2.5cm/<","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Repair brow defect","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"67900","description":"Repair brow defect","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"CPT-00790","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"00790","description":"CPT-00790","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FHBF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OCCA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Subsequent hospital care","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"99233","description":"Subsequent hospital care","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Ho frejka cov only pre cst","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"L1610","description":"Ho frejka cov only pre cst","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Death occurring after discharge from the hospital but within 30 days post procedure","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G9816","description":"Death occurring after discharge from the hospital but within 30 days post procedure","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Repair of hammertoe","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"28286","description":"Repair of hammertoe","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Open iliac artery exposure for delivery of endovascular prosthesis or iliac occlusion during endovascular therapy_ by abdominal or retroperitoneal incision_ unilateral (List s","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"34820","description":"Open iliac artery exposure for delivery of endovascular prosthesis or iliac occlusion during endovascular therapy_ by abdominal or retroperitoneal incision_ unilateral (List s","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MHCE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Shoulder arthroscopy dx","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"29805","description":"Shoulder arthroscopy dx","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Explore inner ear","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"69805","description":"Explore inner ear","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Mycoplasma","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"87109","description":"Mycoplasma","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NGND1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"ECBF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"CPT-90593","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"90593","description":"CPT-90593","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-BA12C","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"BA12C","description":"HIPPS-BA12C","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NHUE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Injection_ luspatercept-aamt_ 0.25 mg","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"J0896","description":"Injection_ luspatercept-aamt_ 0.25 mg","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Clsd red simpl mandible fx","billing_code_type":"CDT","billing_code_type_version":"2024","billing_code":"D7640","description":"Clsd red simpl mandible fx","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Radiation Therapy For Cervical Cancer Under The Radiation Oncology Model_ 90 Day Episode_ Professional Component","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"M1082","description":"Radiation Therapy For Cervical Cancer Under The Radiation Oncology Model_ 90 Day Episode_ Professional Component","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CBWF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Treat skull fracture","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"62000","description":"Treat skull fracture","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OBVE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OJBB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-HC20B","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"HC20B","description":"HIPPS-HC20B","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BDFE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"EFDD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Phys blood bank serv reactj","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"86078","description":"Phys blood bank serv reactj","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KDJC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GHJB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Needle biopsy of liver","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"47000","description":"Needle biopsy of liver","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Neuropsychiatric symp absent","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"1183F","description":"Neuropsychiatric symp absent","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"CPT-01210","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"01210","description":"CPT-01210","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KBFD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-2CHK5","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"2CHK5","description":"HIPPS-2CHK5","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Assay of lap enzyme","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"83670","description":"Assay of lap enzyme","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"EGHD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NFGB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Allergen specific igg","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"86001","description":"Allergen specific igg","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NHHE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Esophagectomy_ total or near total_ with thoracoscopic mobilization of the upper_ middle_ and lower mediastinal esophagus_ with separate laparoscopic proximal gastrectomy_ wit","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"43288","description":"Esophagectomy_ total or near total_ with thoracoscopic mobilization of the upper_ middle_ and lower mediastinal esophagus_ with separate laparoscopic proximal gastrectomy_ wit","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CINA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JDHF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Repl garment for aed","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"K0608","description":"Repl garment for aed","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Droperidol/fentanyl inj","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"J1810","description":"Droperidol/fentanyl inj","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JEGB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"ONC BRST CA DNA PIK3CA 11","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0177U","description":"ONC BRST CA DNA PIK3CA 11","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GBWF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Progenamatrix_ per square centimeter","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"Q4222","description":"Progenamatrix_ per square centimeter","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"AFLC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Treat ectopic pregnancy","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"59135","description":"Treat ectopic pregnancy","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Comp periodontal evaluation","billing_code_type":"CDT","billing_code_type_version":"2024","billing_code":"D0180","description":"Comp periodontal evaluation","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CELE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HH PDGM","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"4BB21","description":"HH PDGM","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MIMC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KEMC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"CPT-1015T","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"1015T","description":"CPT-1015T","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Incision of metatarsal","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"28306","description":"Incision of metatarsal","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Percut ablate liver rf","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"47382","description":"Percut ablate liver rf","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MJCF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-M1468","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"M1468","description":"HCPCS-M1468","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"CPT-00921","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"00921","description":"CPT-00921","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JALC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OESE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Patient receiving hospice services any time during the measurement period","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G9690","description":"Patient receiving hospice services any time during the measurement period","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-BA28G","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"BA28G","description":"HIPPS-BA28G","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"CT/MRI brain done 24 hrs","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"3112F","description":"CT/MRI brain done 24 hrs","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Remote 30 day ecg rev/report","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"93228","description":"Remote 30 day ecg rev/report","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GEMA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KCSF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Repair of leg tendon each","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"27659","description":"Repair of leg tendon each","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MFMB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BDFB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Eye surgery procedure","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"67299","description":"Eye surgery procedure","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Repair eyelid wound","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"67935","description":"Repair eyelid wound","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Contrast x-ray gallbladder","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"74290","description":"Contrast x-ray gallbladder","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RUC33","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RUC33","description":"HIPPS-RUC33","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NIHA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"CPT-00830","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"00830","description":"CPT-00830","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CAXA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Documentation Of Medical Reason(S) For Not Prescribing Ace Inhibitor Or Arb Or Arni Therapy (E.G._ Hypotensive Patients Who Are At Immediate Risk Of Cardiogenic Shock_ Hospita","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G2093","description":"Documentation Of Medical Reason(S) For Not Prescribing Ace Inhibitor Or Arb Or Arni Therapy (E.G._ Hypotensive Patients Who Are At Immediate Risk Of Cardiogenic Shock_ Hospita","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KFYB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Cmplx rpr f/c/c/m/n/ax/g/h/f","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"13132","description":"Cmplx rpr f/c/c/m/n/ax/g/h/f","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"PIQD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BGXE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"HEOB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GADB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HH PDGM","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"4FB21","description":"HH PDGM","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Fem focal defic constant fri","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"L5230","description":"Fem focal defic constant fri","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Excision graft neck","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"35901","description":"Excision graft neck","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"ECCF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Endovenous rf 1st vein","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"36475","description":"Endovenous rf 1st vein","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Heart pacing mapping","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"93631","description":"Heart pacing mapping","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CAVC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"ABHF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MFAC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Inj magnesium sulfate","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"J3475","description":"Inj magnesium sulfate","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Repair of anal stricture","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"46705","description":"Repair of anal stricture","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Cnslng epi spec sfty issues","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"4330F","description":"Cnslng epi spec sfty issues","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"DBQB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-3BHP1","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"3BHP1","description":"HIPPS-3BHP1","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"X-ray exam ribs/chest4/> vws","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"71111","description":"X-ray exam ribs/chest4/> vws","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NATF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NINF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OGJE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MELB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-3AHP1","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"3AHP1","description":"HIPPS-3AHP1","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RUC0B","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RUC0B","description":"HIPPS-RUC0B","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-2AHKX","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"2AHKX","description":"HIPPS-2AHKX","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RUB45","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RUB45","description":"HIPPS-RUB45","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NDEB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"ECCC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-4AHK6","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"4AHK6","description":"HIPPS-4AHK6","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Bk knee joints polycentric p","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"L5677","description":"Bk knee joints polycentric p","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BGKB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-4CGMX","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"4CGMX","description":"HIPPS-4CGMX","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"IFAB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JDKE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"X-ray exam of leg infant","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"73592","description":"X-ray exam of leg infant","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Hearing aid_ prog_ bin_ cic","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"V5250","description":"Hearing aid_ prog_ bin_ cic","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"LGWC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JCVC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Attendant Care Services_ per 15 minutes","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"W1793","description":"Attendant Care Services_ per 15 minutes","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GAOF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Non-sterile gauze>16<=48 sq","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"A6217","description":"Non-sterile gauze>16<=48 sq","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Asthma discharge plan presnt","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"5250F","description":"Asthma discharge plan presnt","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Repair by enlargement","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"33610","description":"Repair by enlargement","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MJEC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JELD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Aud brainstem implt programg","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"92640","description":"Aud brainstem implt programg","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Injection_ C-1 esterase inhibitor (human)_ (Haegarda)_ 10 units","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"J0599","description":"Injection_ C-1 esterase inhibitor (human)_ (Haegarda)_ 10 units","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Oncology (urothelial cancer)_ RNA_ analysis by real-time RT-PCR of the FGFR3 (fibroblast growth factor receptor 3) gene analysis (ie_ p.R248C [c.742C>T]_ p.S249C [c.746C>G]_ p","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0154U","description":"Oncology (urothelial cancer)_ RNA_ analysis by real-time RT-PCR of the FGFR3 (fibroblast growth factor receptor 3) gene analysis (ie_ p.R248C [c.742C>T]_ p.S249C [c.746C>G]_ p","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OCDF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-G0183","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"G0183","description":"HCPCS-G0183","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Impact tooth remov comp bony","billing_code_type":"CDT","billing_code_type_version":"2024","billing_code":"D7240","description":"Impact tooth remov comp bony","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Therapeutic Interventions That Focus On Cognitive Function (Eg_ Attention_ Memory_ Reasoning_ Executive Function_ Problem Solving_ And/Or Pragmatic Functioning) And Compensato","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"97129","description":"Therapeutic Interventions That Focus On Cognitive Function (Eg_ Attention_ Memory_ Reasoning_ Executive Function_ Problem Solving_ And/Or Pragmatic Functioning) And Compensato","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KGWA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Psychoanalysis","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"90845","description":"Psychoanalysis","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Neck spine fusion","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"22548","description":"Neck spine fusion","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Trabeculostomy Ab Interno By Laser;","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0621T","description":"Trabeculostomy Ab Interno By Laser;","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BCIF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Footrest complete assembly","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"K0045","description":"Footrest complete assembly","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-3AFL1","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"3AFL1","description":"HIPPS-3AFL1","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GGDF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"X-ray exam of jaw 4/> views","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"70110","description":"X-ray exam of jaw 4/> views","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CGLF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"AGTF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"CPT-0684U","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"0684U","description":"CPT-0684U","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"DERC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Sterile gauze <= 16 sq in","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"A6402","description":"Sterile gauze <= 16 sq in","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OKXB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OAVA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"ODSC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NIGE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Oncology (multiple myeloma)_ LC-MS/MS_ peptide ion quantification_ serum_ results compared with baseline to determine monoclonal paraprotein abundance","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0451U","description":"Oncology (multiple myeloma)_ LC-MS/MS_ peptide ion quantification_ serum_ results compared with baseline to determine monoclonal paraprotein abundance","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KCEF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"AFMC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Conversion ext bil drg cath","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"47535","description":"Conversion ext bil drg cath","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JGED1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GBPF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CBJD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-1AGMW","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"1AGMW","description":"HIPPS-1AGMW","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HH PDGM","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"3GA21","description":"HH PDGM","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OJEA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NCGC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-BB20D","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"BB20D","description":"HIPPS-BB20D","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HH PDGM","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"2DA21","description":"HH PDGM","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Documentation of medical reason(s) for not prescribing warfarin or another FDA-approved anticoagulant (e.g._ atrial appendage device in place)","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G8968","description":"Documentation of medical reason(s) for not prescribing warfarin or another FDA-approved anticoagulant (e.g._ atrial appendage device in place)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KEDA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"DGWF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KBDC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-B0202","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"B0202","description":"HCPCS-B0202","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Reconst lwr jaw w/fixation","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"21196","description":"Reconst lwr jaw w/fixation","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-LC236","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"LC236","description":"HIPPS-LC236","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OFAF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JHHA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MBUF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FFEB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Admit w/in 180d req surg rev","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G9412","description":"Admit w/in 180d req surg rev","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CEIE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Incontinence supply","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"A4335","description":"Incontinence supply","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RVL12","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RVL12","description":"HIPPS-RVL12","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"CPT-0903T","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"0903T","description":"CPT-0903T","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Nondisposable nebulizer set","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"A7005","description":"Nondisposable nebulizer set","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OEEB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-PB11C","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"PB11C","description":"HIPPS-PB11C","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Iliac revasc","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"37220","description":"Iliac revasc","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Eeg during surgery","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"95955","description":"Eeg during surgery","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OKRA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"AEUB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"EFLE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Mlh1 gene full seq","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"81292","description":"Mlh1 gene full seq","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Repair artery rupture aorta","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"35103","description":"Repair artery rupture aorta","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Reconstruct vena cava","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"34502","description":"Reconstruct vena cava","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-1AGNV","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"1AGNV","description":"HIPPS-1AGNV","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"CPT-0534U","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"0534U","description":"CPT-0534U","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-PC23B","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"PC23B","description":"HIPPS-PC23B","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Enhancing oncology model (eom) monthly enhanced oncology services (meos) payment for eom enhanced services","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"M0010","description":"Enhancing oncology model (eom) monthly enhanced oncology services (meos) payment for eom enhanced services","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Disp home glucose monitor","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"A9275","description":"Disp home glucose monitor","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Lat thor/lumb addl seg","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"22534","description":"Lat thor/lumb addl seg","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FCFF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"PCRB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HH PDGM","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"3CB11","description":"HH PDGM","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NDKD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Cltx post ankle fx w/mnpj","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"27768","description":"Cltx post ankle fx w/mnpj","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"CPT-0517U","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"0517U","description":"CPT-0517U","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GIVC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NHFC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FHGC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KCOF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Gastro/jejuno tube_ std","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"B4087","description":"Gastro/jejuno tube_ std","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"PCOE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RVC31","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RVC31","description":"HIPPS-RVC31","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Gr27 sealed leadacid battery","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"E2371","description":"Gr27 sealed leadacid battery","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Statin med pres at disch","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G8816","description":"Statin med pres at disch","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RHA5D","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RHA5D","description":"HIPPS-RHA5D","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Factor xiii recomb a-subunit","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"J7181","description":"Factor xiii recomb a-subunit","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Injection of non-compounded foam sclerosant with ultrasound compression maneuvers to guide dispersion of the injectate_ inclusive of all imaging guidance and monitoring; singl","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"36465","description":"Injection of non-compounded foam sclerosant with ultrasound compression maneuvers to guide dispersion of the injectate_ inclusive of all imaging guidance and monitoring; singl","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"IITB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Endo ak ultra-light material","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"L5950","description":"Endo ak ultra-light material","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CFRE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JFJE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Documentation Of Medical Reason(S) For An Interval Of Less Than 3 Years Since The Last Colonoscopy (E.G._ Last Colonoscopy Incomplete_ Last Colonoscopy Had Inadequate Prep_ Pi","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G9998","description":"Documentation Of Medical Reason(S) For An Interval Of Less Than 3 Years Since The Last Colonoscopy (E.G._ Last Colonoscopy Incomplete_ Last Colonoscopy Had Inadequate Prep_ Pi","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OBNC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KBBB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"ECCA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FCKB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Tc99m mebrofenin","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"A9537","description":"Tc99m mebrofenin","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"IFBF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Ag detection polyval if","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"87300","description":"Ag detection polyval if","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"IECD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KEJF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KFIA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Revision of heart chamber","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"33737","description":"Revision of heart chamber","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"LGYE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MLCA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BFTA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FBVC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-1AGMU","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"1AGMU","description":"HIPPS-1AGMU","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KFRE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-AAA0B","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"AAA0B","description":"HIPPS-AAA0B","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"AETE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MFHB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Ob us detailed sngl fetus","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"76811","description":"Ob us detailed sngl fetus","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CFKF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GHVB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Infectious disease (bacterial and fungal)_ organism identification_ blood culture_ using rRNA FISH_ 6 or more organism targets_ reported as positive or negative with phenotypi","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0086U","description":"Infectious disease (bacterial and fungal)_ organism identification_ blood culture_ using rRNA FISH_ 6 or more organism targets_ reported as positive or negative with phenotypi","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Fine needle aspiration biopsy_ including fluoroscopic guidance; first lesion","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"10007","description":"Fine needle aspiration biopsy_ including fluoroscopic guidance; first lesion","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GABE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OHHC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Whole mitochondrial genome","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"81465","description":"Whole mitochondrial genome","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Pet image w/ct skull-thigh","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"78815","description":"Pet image w/ct skull-thigh","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BHJF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Injection_ onasemnogene abeparvovec-xioi_ per treatment_ up to 5x10^15 vector genomes","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"J3399","description":"Injection_ onasemnogene abeparvovec-xioi_ per treatment_ up to 5x10^15 vector genomes","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-PD11B","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"PD11B","description":"HIPPS-PD11B","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"AITD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JDFC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RUL55","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RUL55","description":"HIPPS-RUL55","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GIBD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OJRF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Assist oocyte fertilization","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"89281","description":"Assist oocyte fertilization","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RHA06","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RHA06","description":"HIPPS-RHA06","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"HCOC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-1CGLW","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"1CGLW","description":"HIPPS-1CGLW","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RMB16","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RMB16","description":"HIPPS-RMB16","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"PEYD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JBCC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Rocker bottom_ contact afo","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"L2232","description":"Rocker bottom_ contact afo","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-BB156","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"BB156","description":"HIPPS-BB156","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CIUF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"IDHB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Tumor imaging whole body","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"78802","description":"Tumor imaging whole body","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Fuse gallbladder & bowel","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"47740","description":"Fuse gallbladder & bowel","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GIYF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JHHD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BHDB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Closure of windpipe lesion","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"31820","description":"Closure of windpipe lesion","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"External beam to prost only","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"4200F","description":"External beam to prost only","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OBQA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FGNF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"DCWA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RHB41","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RHB41","description":"HIPPS-RHB41","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Removal of scrotum","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"55150","description":"Removal of scrotum","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Bone-material quality testing by microindentation(s) of the tibia(s)_ with results reported as a score","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0547T","description":"Bone-material quality testing by microindentation(s) of the tibia(s)_ with results reported as a score","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Leg Pain Measured By The Visual Analog Scale (Vas) At Three Months (6 ? 20 Weeks) Postoperatively Was Less Than Or Equal To 3.0 Or Leg Pain Measured By The Visual Analog Scale","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G2140","description":"Leg Pain Measured By The Visual Analog Scale (Vas) At Three Months (6 ? 20 Weeks) Postoperatively Was Less Than Or Equal To 3.0 Or Leg Pain Measured By The Visual Analog Scale","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"CPT-63032","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"63032","description":"CPT-63032","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HH PDGM","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"3LB21","description":"HH PDGM","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Treat elbow dislocation","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"24600","description":"Treat elbow dislocation","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"PLQF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CHLA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"LBYA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Anabolic steroid 3 or more","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"80328","description":"Anabolic steroid 3 or more","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NHEC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Initial or subsequent psychiatric collaborative care management_ each additional 30 minutes in a calendar month of behavioral health care manager activities_ in consultation w","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G0504","description":"Initial or subsequent psychiatric collaborative care management_ each additional 30 minutes in a calendar month of behavioral health care manager activities_ in consultation w","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NBBE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NANE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CCWB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Home vent invasive interface","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"E0465","description":"Home vent invasive interface","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BIGF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NIME0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OCCC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Endo bk ultra-light material","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"L5940","description":"Endo bk ultra-light material","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"HDSD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"MOLECULAR PATHOLOGY PROCEDURE LEVEL 4","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"81403","description":"MOLECULAR PATHOLOGY PROCEDURE LEVEL 4","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RMA1A","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RMA1A","description":"HIPPS-RMA1A","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Remove part of neck vertebra","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"22110","description":"Remove part of neck vertebra","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Prq card stent w/angio 1 vsl","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"92928","description":"Prq card stent w/angio 1 vsl","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CHYF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FHAD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Anterior gait trainer","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"E8002","description":"Anterior gait trainer","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Intmd rpr s/a/t/ext 12.6-20","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"12035","description":"Intmd rpr s/a/t/ext 12.6-20","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NLBA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JICA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GFIA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KGXB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Rechanneling of artery","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"35301","description":"Rechanneling of artery","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"IALC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"IHEA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-M1380","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"M1380","description":"HCPCS-M1380","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Removal of collar bone","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"23125","description":"Removal of collar bone","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NFBA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-HD28C","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"HD28C","description":"HIPPS-HD28C","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Brachytx_ non-str_ ha_ p-103","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"C2635","description":"Brachytx_ non-str_ ha_ p-103","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JBGB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OCBC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MCHC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OBDD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Transcatheter biopsy","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"37200","description":"Transcatheter biopsy","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Below knee total contact","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"L5637","description":"Below knee total contact","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Ecmo/ecls repos perph cnula","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"33963","description":"Ecmo/ecls repos perph cnula","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NFKF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OJAA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-B1701","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"B1701","description":"HCPCS-B1701","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CBAA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Medical home_ maintenance","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"S0281","description":"Medical home_ maintenance","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Midfacial prosthesis","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"L8041","description":"Midfacial prosthesis","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-M1416","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"M1416","description":"HCPCS-M1416","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JCHD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Removal of gallbladder","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"47600","description":"Removal of gallbladder","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GHTB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"PAOA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GFOA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"DIYD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GDWC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Ct angio lwr extr w/o&w/dye","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"73706","description":"Ct angio lwr extr w/o&w/dye","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"EDHD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NFIC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GGXD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Eeg cerebral death only","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"95824","description":"Eeg cerebral death only","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GBDF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-HB21B","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"HB21B","description":"HIPPS-HB21B","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BFAF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Porcelain/ceramic inlay 2srf","billing_code_type":"CDT","billing_code_type_version":"2024","billing_code":"D6600","description":"Porcelain/ceramic inlay 2srf","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FDAE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"EDAA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GIDE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-1CHMU","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"1CHMU","description":"HIPPS-1CHMU","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JEAD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HH PDGM","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"1AA31","description":"HH PDGM","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Retreat root canal bicuspid","billing_code_type":"CDT","billing_code_type_version":"2024","billing_code":"D3347","description":"Retreat root canal bicuspid","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"PGWB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CDRA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GGWE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KIKB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RMA8E","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RMA8E","description":"HIPPS-RMA8E","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NFLB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-A1302","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"A1302","description":"HCPCS-A1302","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"LAOB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NCBF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CCTA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-E0658","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"E0658","description":"HCPCS-E0658","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CAAE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-3AHMT","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"3AHMT","description":"HIPPS-3AHMT","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Tympanostomy (Requiring Insertion Of Ventilating Tube)_ Using An Automated Tube Delivery System_ Iontophoresis Local Anesthesia","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0583T","description":"Tympanostomy (Requiring Insertion Of Ventilating Tube)_ Using An Automated Tube Delivery System_ Iontophoresis Local Anesthesia","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"ABMF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GILD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OIVD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CDVD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Ald fm/dm system binaural","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"V5282","description":"Ald fm/dm system binaural","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"ECLB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Injection_ faricimab-svoa_ 0.1 mg","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"J2777","description":"Injection_ faricimab-svoa_ 0.1 mg","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RUC13","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RUC13","description":"HIPPS-RUC13","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CBCC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NEUE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GEXD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BFTF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Central dexa results docd","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"3095F","description":"Central dexa results docd","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-PA22C","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"PA22C","description":"HIPPS-PA22C","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"PIYA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Biliary endoscopy thru skin","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"47556","description":"Biliary endoscopy thru skin","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Injection_ Factor VIII (antihemophiliac factor_ recombinant) (Nuwiq)_ 1 I.U.","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"C9138","description":"Injection_ Factor VIII (antihemophiliac factor_ recombinant) (Nuwiq)_ 1 I.U.","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RVX12","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RVX12","description":"HIPPS-RVX12","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"LCQF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OGJD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-CE146","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"CE146","description":"HIPPS-CE146","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Wheelchair special seat dept","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"E1297","description":"Wheelchair special seat dept","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"EHIF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BHED1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GIPB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KCRF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CBLD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Ligate leg veins open","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"37761","description":"Ligate leg veins open","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Tis trnfr trunk 10 sq cm/<","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"14000","description":"Tis trnfr trunk 10 sq cm/<","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JEXC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Injection treatment of nerve","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"64681","description":"Injection treatment of nerve","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Chemotherapy injection","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"96542","description":"Chemotherapy injection","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GGHD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"AGHB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-Q4377","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"Q4377","description":"HCPCS-Q4377","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Optimal care for patients with episodic neurological conditions mips value pathways","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"M0003","description":"Optimal care for patients with episodic neurological conditions mips value pathways","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NETA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NAFF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Ladies shoes hightop depth i","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"L3217","description":"Ladies shoes hightop depth i","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Gc stocking full lngth 40-50","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"A6538","description":"Gc stocking full lngth 40-50","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RVL07","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RVL07","description":"HIPPS-RVL07","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HH PDGM","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"1GB31","description":"HH PDGM","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BEFD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-HC130","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"HC130","description":"HIPPS-HC130","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NEFE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Rpr epigastric hern blocked","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"49572","description":"Rpr epigastric hern blocked","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Resect ovarian malignancy","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"58950","description":"Resect ovarian malignancy","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NFDA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Focusing on women_s health mips value pathway","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"M1366","description":"Focusing on women_s health mips value pathway","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OKJC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RMX5C","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RMX5C","description":"HIPPS-RMX5C","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GBSC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OHCF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-HC117","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"HC117","description":"HIPPS-HC117","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Minocycline hydrochloride","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"J2265","description":"Minocycline hydrochloride","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Lithium batt for glucose mon","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"A4235","description":"Lithium batt for glucose mon","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OJHA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"PLYB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OHDD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Assay of pregnanediol","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"84135","description":"Assay of pregnanediol","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Leveen/shunt patency exam","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"78291","description":"Leveen/shunt patency exam","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"DIQD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Repair Of Nasal Valve Collapse With Subcutaneous/Submucosal Lateral Wall Implant(S)","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"30468","description":"Repair Of Nasal Valve Collapse With Subcutaneous/Submucosal Lateral Wall Implant(S)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NFUB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RHC2B","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RHC2B","description":"HIPPS-RHC2B","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JGTD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Egd us exam duodenum/jejunum","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"43259","description":"Egd us exam duodenum/jejunum","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"AHBE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"No satisfy with care","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G0918","description":"No satisfy with care","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BFGD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"HIWE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OHSC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Partial removal of scapula","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"23190","description":"Partial removal of scapula","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NBGA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KAMB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OLDF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-2AFMS","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"2AFMS","description":"HIPPS-2AFMS","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"CPT-1011T","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"1011T","description":"CPT-1011T","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GGEC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-PA14B","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"PA14B","description":"HIPPS-PA14B","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GBSD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GHTC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"HAOD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OHLF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"ABEE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"H pylori (c-13) blood","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"83009","description":"H pylori (c-13) blood","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Ped size pull-on sm/med","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"T4531","description":"Ped size pull-on sm/med","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Srn clin dep doc no f/u pln","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G8940","description":"Srn clin dep doc no f/u pln","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Hit diuretic infus diem","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"S9361","description":"Hit diuretic infus diem","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BDKE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GILF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KBDD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OJLA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Acp discuss/dscn mkr docd","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"1123F","description":"Acp discuss/dscn mkr docd","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OHWB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Patients who are at pam level 4 at baseline or patients who are flagged with extreme straight line response sets on the pam","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"M1343","description":"Patients who are at pam level 4 at baseline or patients who are flagged with extreme straight line response sets on the pam","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NGTF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KCTD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Sps wrist device","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"E1806","description":"Sps wrist device","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OFRC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Lifestyle mod 2 or 3 stage","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"S0341","description":"Lifestyle mod 2 or 3 stage","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CGTD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Home modifications per serv","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"S5165","description":"Home modifications per serv","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-HE21B","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"HE21B","description":"HIPPS-HE21B","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Oncology (acute myelogenous leukemia)_ DNA_ genotyping of internal tandem d","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0137U","description":"Oncology (acute myelogenous leukemia)_ DNA_ genotyping of internal tandem d","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-3AHPW","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"3AHPW","description":"HIPPS-3AHPW","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"IECB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FFLB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FGEB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FEUB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Amniocentesis diagnostic","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"59000","description":"Amniocentesis diagnostic","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"CPT-00811","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"00811","description":"CPT-00811","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Reconstruction of hip socket","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"27122","description":"Reconstruction of hip socket","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"PDOB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Hydrogel drg <=16 in w/o bdr","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"A6242","description":"Hydrogel drg <=16 in w/o bdr","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"EFAF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-HC125","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"HC125","description":"HIPPS-HC125","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MACB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Transplant forearm tendon","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"25310","description":"Transplant forearm tendon","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OAEA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CGDF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Cervical collar molded to pt","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"L0170","description":"Cervical collar molded to pt","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Remove elbow joint lining","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"24102","description":"Remove elbow joint lining","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-1BFM2","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"1BFM2","description":"HIPPS-1BFM2","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BFFC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Radiation Therapy For Uterine Cancer Under The Radiation Oncology Model_ 90 Day Episode_ Professional Component","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"M1104","description":"Radiation Therapy For Uterine Cancer Under The Radiation Oncology Model_ 90 Day Episode_ Professional Component","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Injection estrone per 1 mg","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"J1435","description":"Injection estrone per 1 mg","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MBCA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Remove thoracic lymph nodes","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"38746","description":"Remove thoracic lymph nodes","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Core build-up incl any pins","billing_code_type":"CDT","billing_code_type_version":"2024","billing_code":"D2950","description":"Core build-up incl any pins","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JINF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"ODPF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OKLB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NLLC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"EEIB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Implt nrostm pls gen sng rec","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"L8685","description":"Implt nrostm pls gen sng rec","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-AAA13","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"AAA13","description":"HIPPS-AAA13","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Abx pres w/in 10 dys of symp","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G9505","description":"Abx pres w/in 10 dys of symp","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NLDA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OHOF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BAAC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CDCE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-L1952","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"L1952","description":"HCPCS-L1952","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"AFIF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CFWE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-HD115","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"HD115","description":"HIPPS-HD115","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FGAC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Filtered speech hearing test","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"92571","description":"Filtered speech hearing test","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-C0202","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"C0202","description":"HCPCS-C0202","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Thoracostomy w/flap drainage","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"32036","description":"Thoracostomy w/flap drainage","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Lipid panel","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"80061","description":"Lipid panel","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"LIYD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FFPA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-HD105","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"HD105","description":"HIPPS-HD105","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-3AGLX","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"3AGLX","description":"HIPPS-3AGLX","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Injection_ nivolumab","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"J9299","description":"Injection_ nivolumab","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BAUC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Thiamine hcl 100 mg","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"J3411","description":"Thiamine hcl 100 mg","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Inj beta interferon im 1 mcg","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"Q3027","description":"Inj beta interferon im 1 mcg","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OCJF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"DAWC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Echosclerotherapy","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"S2202","description":"Echosclerotherapy","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NAJD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JATD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CIBC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Injection treatment of eye","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"66030","description":"Injection treatment of eye","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BFJC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"EFIE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KAFF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FHPE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Enteral feeding supply kit; elastomeric control fed_ per day_ includes but not limited to feeding/flushing syringe_ administration set tubing_ dressings_ tape","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"B4148","description":"Enteral feeding supply kit; elastomeric control fed_ per day_ includes but not limited to feeding/flushing syringe_ administration set tubing_ dressings_ tape","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CBFF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"CPT-98984","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"98984","description":"CPT-98984","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"No unplnd hosp readm in 30d","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G9309","description":"No unplnd hosp readm in 30d","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-LD24B","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"LD24B","description":"HIPPS-LD24B","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Battery charger_ port conc","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"E1357","description":"Battery charger_ port conc","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NCJB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Place catheter in vein","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"36010","description":"Place catheter in vein","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"CPT-00404","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"00404","description":"CPT-00404","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Extracapsular Cataract Removal With Insertion Of Intraocular Lens Prosthesis (1 Stage Procedure)_ Manual Or Mechanical Technique (Eg_ Irrigation And Aspiration Or Phacoemulsif","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"66988","description":"Extracapsular Cataract Removal With Insertion Of Intraocular Lens Prosthesis (1 Stage Procedure)_ Manual Or Mechanical Technique (Eg_ Irrigation And Aspiration Or Phacoemulsif","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Breath test analysis c-14","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"78268","description":"Breath test analysis c-14","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CCHB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OCBA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Audiometry air only","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0208T","description":"Audiometry air only","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Transport portable ekg","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"R0076","description":"Transport portable ekg","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NFXC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NDNE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"DMPK (DM1 protein kinase) (eg_ myotonic dystrophy type 1) gene analysis; characterization of alleles (eg_ expanded size)","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"81239","description":"DMPK (DM1 protein kinase) (eg_ myotonic dystrophy type 1) gene analysis; characterization of alleles (eg_ expanded size)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JAEA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-CA21C","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"CA21C","description":"HIPPS-CA21C","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-1BHLX","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"1BHLX","description":"HIPPS-1BHLX","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JCDB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Transcatheter superior and inferior vena cava prosthetic valve implantation (ie_ caval valve implantation [CAVI]); percutaneous femoral vein approach","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0805T","description":"Transcatheter superior and inferior vena cava prosthetic valve implantation (ie_ caval valve implantation [CAVI]); percutaneous femoral vein approach","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-CE160","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"CE160","description":"HIPPS-CE160","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MAEF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CDNF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JFIB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Incision of bile duct","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"47425","description":"Incision of bile duct","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GAYA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"AGHA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GFQB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Reconstruct finger joint","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"26548","description":"Reconstruct finger joint","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BBLF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BGUA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Hospital bed var ht w/ mattr","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"E0255","description":"Hospital bed var ht w/ mattr","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Patients who have a diagnosis of rhabdomyolysis","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G9780","description":"Patients who have a diagnosis of rhabdomyolysis","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"CPT-01992","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"01992","description":"CPT-01992","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Thorac cont paraspinal uprig","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"L2670","description":"Thorac cont paraspinal uprig","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Excise foot tendon sheath","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"28088","description":"Excise foot tendon sheath","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Hocm 250-299mg/ml iodine_1ml","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"Q9961","description":"Hocm 250-299mg/ml iodine_1ml","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"LHWD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Introduction Of Mixture Of Saline And Air For Sonosalpingography To Confirm Occlusion Of Fallopian Tubes_ Transcervical Approach_ Including Transvaginal Ultrasound And Pelvic","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0568T","description":"Introduction Of Mixture Of Saline And Air For Sonosalpingography To Confirm Occlusion Of Fallopian Tubes_ Transcervical Approach_ Including Transvaginal Ultrasound And Pelvic","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KIRE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BFAD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Coronary artery angio s&i","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"93454","description":"Coronary artery angio s&i","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"DISE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OFEA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Endo hip ultra-light materia","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"L5960","description":"Endo hip ultra-light materia","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"CPT-0623U","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"0623U","description":"CPT-0623U","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Anticonv thxpy for 6 mos/>","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"4230F","description":"Anticonv thxpy for 6 mos/>","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"IHEC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JEBA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"ADTC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Ald fm/dm receiver_ nos","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"V5287","description":"Ald fm/dm receiver_ nos","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Copper cu-64_ dotatate_ diagnostic_ 1 millicurie","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"C9068","description":"Copper cu-64_ dotatate_ diagnostic_ 1 millicurie","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"ODPC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CDSD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Methylprednisolone 40 mg inj","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"J1030","description":"Methylprednisolone 40 mg inj","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CCEF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OEDF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Frozen blood freeze/thaw","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"86932","description":"Frozen blood freeze/thaw","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Resin-based composite - four or more surfaces (anterior)","billing_code_type":"CDT","billing_code_type_version":"2024","billing_code":"D2335","description":"Resin-based composite - four or more surfaces (anterior)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"PASA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Injection_ oritavancin (Kimyrsa)_ 10 mg","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"J2406","description":"Injection_ oritavancin (Kimyrsa)_ 10 mg","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Removal of esophagus pouch","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"43130","description":"Removal of esophagus pouch","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"DHQD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JCFD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"DBWA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"CPT-0998T","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"0998T","description":"CPT-0998T","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-LC13A","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"LC13A","description":"HIPPS-LC13A","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Remove vert body dcmprn crvl","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"63081","description":"Remove vert body dcmprn crvl","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Office visit during hours","billing_code_type":"CDT","billing_code_type_version":"2024","billing_code":"D9430","description":"Office visit during hours","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CFUE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-LC156","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"LC156","description":"HIPPS-LC156","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"EBBA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FBKD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FIKF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"EICF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Flexible keel foot","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"L5972","description":"Flexible keel foot","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Partial removal of bladder","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"51550","description":"Partial removal of bladder","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"CPT-00620","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"00620","description":"CPT-00620","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Leishmania antibody","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"86717","description":"Leishmania antibody","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NIVA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-PB22B","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"PB22B","description":"HIPPS-PB22B","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"IDDC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"IBUF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CHBB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Nipple Prosthesis_ Custom Fabricated_ Reusable_ Any Material_ Any Type_ Each","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"L8033","description":"Nipple Prosthesis_ Custom Fabricated_ Reusable_ Any Material_ Any Type_ Each","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KETF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"EEBC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Implantation of anterior segment intraocular nonbiodegradable drug-eluting system_ internal approach","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0660T","description":"Implantation of anterior segment intraocular nonbiodegradable drug-eluting system_ internal approach","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JGKB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GFXA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Lorazepam injection","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"J2060","description":"Lorazepam injection","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Hand tendon reconstruction","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"26502","description":"Hand tendon reconstruction","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"CPT-01270","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"01270","description":"CPT-01270","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OIDE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JBNA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"HEYE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Ht inj hormone diem","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"S9560","description":"Ht inj hormone diem","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OIEB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-2CGM6","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"2CGM6","description":"HIPPS-2CGM6","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JAHB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Hiv-2 dna dir probe","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"87537","description":"Hiv-2 dna dir probe","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-HD114","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"HD114","description":"HIPPS-HD114","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"CPT-1090T","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"1090T","description":"CPT-1090T","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Wheelchair amputee fixed arm","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"E1200","description":"Wheelchair amputee fixed arm","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CCUB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-ES11C","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"ES11C","description":"HIPPS-ES11C","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Heavy duty wheeled walker","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"E0149","description":"Heavy duty wheeled walker","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FDGD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JECF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Pharm ther osteo rx","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G8633","description":"Pharm ther osteo rx","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GABB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"IFLA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OKMB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CAJF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NFIA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JCJE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-2AFK5","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"2AFK5","description":"HIPPS-2AFK5","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FGXE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"PAYF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GATC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RMA3C","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RMA3C","description":"HIPPS-RMA3C","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BINB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Revision of nose","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"30435","description":"Revision of nose","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-4AHKV","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"4AHKV","description":"HIPPS-4AHKV","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Control unit bowel system","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"E0350","description":"Control unit bowel system","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Injection_ cangrelor","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"C9460","description":"Injection_ cangrelor","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Lens sphere trifocal 4.12-7.","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"V2301","description":"Lens sphere trifocal 4.12-7.","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MHHC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CHXB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"HGSD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FCND0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Early ind/delivery","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G9356","description":"Early ind/delivery","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NHCF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Remove sutures same surgeon","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"15850","description":"Remove sutures same surgeon","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"LDOE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Total hysterectomy","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"58150","description":"Total hysterectomy","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Md home visit outside cap","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"S0273","description":"Md home visit outside cap","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"DFRF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"IIAD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-PA125","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"PA125","description":"HIPPS-PA125","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FHEA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RMX40","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RMX40","description":"HIPPS-RMX40","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-HD255","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"HD255","description":"HIPPS-HD255","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-3CGLW","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"3CGLW","description":"HIPPS-3CGLW","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"PHQD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Treat lower leg fracture","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"27826","description":"Treat lower leg fracture","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-Q4389","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"Q4389","description":"HCPCS-Q4389","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CHLA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Partial removal of pancreas","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"48150","description":"Partial removal of pancreas","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KCVC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-LD18X","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"LD18X","description":"HIPPS-LD18X","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KBAD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NIVF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GCJE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"2vhpv vaccine 3 dose im","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"90650","description":"2vhpv vaccine 3 dose im","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FDEA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"CPT-38227","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"38227","description":"CPT-38227","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OLIE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CBQD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Pegaptanib sodium injection","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"J2503","description":"Pegaptanib sodium injection","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-1AFL6","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"1AFL6","description":"HIPPS-1AFL6","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Chemotherapy drug","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"J9999","description":"Chemotherapy drug","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CICC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Orion_ per square centimeter","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"Q4276","description":"Orion_ per square centimeter","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Analgesics non-opioid 1 or 2","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"80329","description":"Analgesics non-opioid 1 or 2","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OGVC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Patients 66-80 Years Of Age With At Least One Claim/Encounter For Frailty During The Measurement Period And Either One Acute Inpatient Encounter With A Diagnosis Of Advanced I","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G2133","description":"Patients 66-80 Years Of Age With At Least One Claim/Encounter For Frailty During The Measurement Period And Either One Acute Inpatient Encounter With A Diagnosis Of Advanced I","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CCKB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RLA22","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RLA22","description":"HIPPS-RLA22","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KELE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JIPB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Treatment of thigh fracture","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"27511","description":"Treatment of thigh fracture","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Incision of hip tendons","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"27006","description":"Incision of hip tendons","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JGLD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RHB30","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RHB30","description":"HIPPS-RHB30","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Unclassified drug or biological used for ESRD on dialysis","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"J3591","description":"Unclassified drug or biological used for ESRD on dialysis","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NKMA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FBEC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FFHF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NFMB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"HAYD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KCWC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Management of established patient-caregiver dyad with dementia_ high complexity_ for use in CMMI model","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G0526","description":"Management of established patient-caregiver dyad with dementia_ high complexity_ for use in CMMI model","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Interv hlth/behav fam no pt","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"96155","description":"Interv hlth/behav fam no pt","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"HIOE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OEDF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"EHED0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GHOB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-LC210","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"LC210","description":"HIPPS-LC210","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Reconstruction of urethra","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"53410","description":"Reconstruction of urethra","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GHCE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Fem/popl revasc stnt & ather","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"37227","description":"Fem/popl revasc stnt & ather","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NJXD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Rmvl nstim apnea sen ld","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0429T","description":"Rmvl nstim apnea sen ld","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Bone biopsy trocar/needle","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"20220","description":"Bone biopsy trocar/needle","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Treat lower leg fracture","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"27827","description":"Treat lower leg fracture","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"EDBA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-3AHMW","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"3AHMW","description":"HIPPS-3AHMW","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MGID0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JFMD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-3AFP4","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"3AFP4","description":"HIPPS-3AFP4","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"LIQA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OHFE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Remote monitoring of physiologic parameter(s) (eg_ weight_ blood pressure_ pulse oximetry_ respiratory flow rate)_ initial; device(s) supply with daily recording(s) or program","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"99454","description":"Remote monitoring of physiologic parameter(s) (eg_ weight_ blood pressure_ pulse oximetry_ respiratory flow rate)_ initial; device(s) supply with daily recording(s) or program","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Doc system reas adv imaging","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G9537","description":"Doc system reas adv imaging","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CBVF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-1AGP4","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"1AGP4","description":"HIPPS-1AGP4","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BDLB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Fuse gallbladder & bowel","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"47720","description":"Fuse gallbladder & bowel","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BBFF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"CPT-55868","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"55868","description":"CPT-55868","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BBKD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"EIEF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-CC15D","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"CC15D","description":"HIPPS-CC15D","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-2BHMS","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"2BHMS","description":"HIPPS-2BHMS","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"AIMA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Pwc gp 2 std port cap chair","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"K0821","description":"Pwc gp 2 std port cap chair","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Immunization administration by intramuscular injection of severeacute respiratory syndrome coronavirus 2 (SARS\u0002CoV-2) (coronavirus disease [COVID-19]) vaccine_ mRNA\u0002LNP_ spike","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0113A","description":"Immunization administration by intramuscular injection of severeacute respiratory syndrome coronavirus 2 (SARS\u0002CoV-2) (coronavirus disease [COVID-19]) vaccine_ mRNA\u0002LNP_ spike","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Gradient compression bandaging supply_ tubular protective absorption padded layer_ per linear yard_ any width_ each","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"A6608","description":"Gradient compression bandaging supply_ tubular protective absorption padded layer_ per linear yard_ any width_ each","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-HB136","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"HB136","description":"HIPPS-HB136","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OGKC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MCTB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FBID0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RML15","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RML15","description":"HIPPS-RML15","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FDKD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"CDT-D1803","billing_code_type":"CDT","billing_code_type_version":"2026","billing_code":"D1803","description":"CDT-D1803","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Subsequent observation care","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"99226","description":"Subsequent observation care","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-A1304","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"A1304","description":"HCPCS-A1304","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"PCYB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BBED1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Assay iga/igd/igg/igm each","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"82784","description":"Assay iga/igd/igg/igm each","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"ODUF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"IFEC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"AHLE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NAHF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Wrst mld sck flx hng tri pad","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"L6050","description":"Wrst mld sck flx hng tri pad","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Removal of permanent pacemaker pulse generator with replacement of pacemaker pulse generator_ dual lead system_ with insertion of pacing electrode_ cardiac venous system_ for","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"C7540","description":"Removal of permanent pacemaker pulse generator with replacement of pacemaker pulse generator_ dual lead system_ with insertion of pacing electrode_ cardiac venous system_ for","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Digitization of glass microscope slides for cytopathology_ fluids_ washings_ or brushings_ except cervical or vaginal; simple filter method with interpretation (List separatel","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0828T","description":"Digitization of glass microscope slides for cytopathology_ fluids_ washings_ or brushings_ except cervical or vaginal; simple filter method with interpretation (List separatel","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GEDB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Hepatitis B screening in non-pregnant_ high risk individual includes hepatitis B surface antigen (HBSAG) followed by a neutralizing confirmatory test for initially reactive re","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G0499","description":"Hepatitis B screening in non-pregnant_ high risk individual includes hepatitis B surface antigen (HBSAG) followed by a neutralizing confirmatory test for initially reactive re","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JEAB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Injection_ aripiprazole lauroxil_ (aristada initio)_ 1 mg","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"J1943","description":"Injection_ aripiprazole lauroxil_ (aristada initio)_ 1 mg","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Utility services waiver","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"T2035","description":"Utility services waiver","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-Q4415","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"Q4415","description":"HCPCS-Q4415","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"EBME0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Bp sys>=140 and/or dias >=90","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G8477","description":"Bp sys>=140 and/or dias >=90","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FCPB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Remote in-home visit for the evaluation and management of a new patient for use only in a Medicare-approved Bundled Payments for Care Improvement Advanced (BPCI Advanced) mode","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G9982","description":"Remote in-home visit for the evaluation and management of a new patient for use only in a Medicare-approved Bundled Payments for Care Improvement Advanced (BPCI Advanced) mode","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Sewho airplan desig abdu pos","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"L3960","description":"Sewho airplan desig abdu pos","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NDXC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MCAA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Treat thigh fx growth plate","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"27516","description":"Treat thigh fx growth plate","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GBHD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OGDD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"EFDC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Ongoing Care Not Indicated_ Patient Discharged After Only 1-2 Visits Due To Specific Medical Events_ Documented In The Medical Record That Make The Treatment Episode Impossibl","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"M1140","description":"Ongoing Care Not Indicated_ Patient Discharged After Only 1-2 Visits Due To Specific Medical Events_ Documented In The Medical Record That Make The Treatment Episode Impossibl","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BAVE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Haloperidol decanoate inj","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"J1631","description":"Haloperidol decanoate inj","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RLA15","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RLA15","description":"HIPPS-RLA15","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Implantation of a total replacement heart system (artificial heart) with recipient cardiectomy","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"33927","description":"Implantation of a total replacement heart system (artificial heart) with recipient cardiectomy","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Ustekinumab injection","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"J3357","description":"Ustekinumab injection","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Tobacco Screening Not Performed Or Tobacco Cessation Intervention Not Provided On The Date Of The Encounter Or Within The Previous 12 Months_ Reason Not Otherwise Specified","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G0029","description":"Tobacco Screening Not Performed Or Tobacco Cessation Intervention Not Provided On The Date Of The Encounter Or Within The Previous 12 Months_ Reason Not Otherwise Specified","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Doc med reas no scrn hcv","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G9452","description":"Doc med reas no scrn hcv","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KFTF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CCHE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OBHB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Hospice in hospice facility","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"Q5006","description":"Hospice in hospice facility","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MGBF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"EBAE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RMX45","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RMX45","description":"HIPPS-RMX45","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"EHLA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RMX20","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RMX20","description":"HIPPS-RMX20","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-CE216","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"CE216","description":"HIPPS-CE216","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Injection_ fulvestrant","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"J9395","description":"Injection_ fulvestrant","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Injection_ etelcalcetide_ 0.1 mg","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"J0606","description":"Injection_ etelcalcetide_ 0.1 mg","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OFCA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Realignment of thigh bone","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"27454","description":"Realignment of thigh bone","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Hhc ot assistant ea 15","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G0158","description":"Hhc ot assistant ea 15","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"CPT-0693U","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"0693U","description":"CPT-0693U","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Repair umbilical lesion","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"49605","description":"Repair umbilical lesion","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Apply short leg cast","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"29425","description":"Apply short leg cast","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"LFWF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GISC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"ADUF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Hit int pain per diem","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"S9327","description":"Hit int pain per diem","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-HE28I","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"HE28I","description":"HIPPS-HE28I","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CBPF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JBDA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BAAB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NEMD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NGJA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Treat kneecap dislocation","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"27560","description":"Treat kneecap dislocation","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-BA226","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"BA226","description":"HIPPS-BA226","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"DHOE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"EAUD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CIAD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-J9276","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"J9276","description":"HCPCS-J9276","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FIPF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Hereditary pan cancer (eg_ hereditary breast and ovarian cancer_ hereditary endometrial cancer_ hereditary colorectal cancer)_ genomic sequence analysis panel utilizing a comb","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0104U","description":"Hereditary pan cancer (eg_ hereditary breast and ovarian cancer_ hereditary endometrial cancer_ hereditary colorectal cancer)_ genomic sequence analysis panel utilizing a comb","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"AABB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FEDC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Replacement of aortic valve","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"33412","description":"Replacement of aortic valve","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GEOD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Dx duod intub w/asp spec","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"43756","description":"Dx duod intub w/asp spec","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Inj theophylline per 40 mg","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"J2810","description":"Inj theophylline per 40 mg","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Fusion/graft of finger joint","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"26862","description":"Fusion/graft of finger joint","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CBIE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-HE215","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"HE215","description":"HIPPS-HE215","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JFLA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-CA225","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"CA225","description":"HIPPS-CA225","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Pneumatic prop tire tube","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"E2212","description":"Pneumatic prop tire tube","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MAIA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-G0676","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"G0676","description":"HCPCS-G0676","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RHB2D","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RHB2D","description":"HIPPS-RHB2D","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Th/wght bear quad-lat brim c","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"L2520","description":"Th/wght bear quad-lat brim c","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-Q4439","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"Q4439","description":"HCPCS-Q4439","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-LB221","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"LB221","description":"HIPPS-LB221","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"ECLC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OAJF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Assay lipoprotein pla2","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"83698","description":"Assay lipoprotein pla2","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"IATC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-LB205","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"LB205","description":"HIPPS-LB205","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Spine fusion extra segment","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"22632","description":"Spine fusion extra segment","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Removal of heart lesion","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"33120","description":"Removal of heart lesion","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FBXB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-HD226","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"HD226","description":"HIPPS-HD226","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OCPD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RUX21","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RUX21","description":"HIPPS-RUX21","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Temozolomide injection","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"J9328","description":"Temozolomide injection","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Repair of bladder opening","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"51880","description":"Repair of bladder opening","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"AHTE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"IBTB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Removal of shunt","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"49429","description":"Removal of shunt","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Remove mastoid structures","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"69505","description":"Remove mastoid structures","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NHPE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MFLE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-3BFKW","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"3BFKW","description":"HIPPS-3BFKW","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Amniotext patch_ per sq cm","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"Q4247","description":"Amniotext patch_ per sq cm","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"LIRE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OLOD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Esophagoscopy rigid trnso","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"43180","description":"Esophagoscopy rigid trnso","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Hospice in snf","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"Q5004","description":"Hospice in snf","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-BB10C","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"BB10C","description":"HIPPS-BB10C","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Insert tunneled cv cath","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"36561","description":"Insert tunneled cv cath","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"EGTB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Intravenous infusion or subcutaneous injection_ casirivimaband imdevimab_ includes infusion or injection_ and post administration monitoring in the home or residence","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"M0241","description":"Intravenous infusion or subcutaneous injection_ casirivimaband imdevimab_ includes infusion or injection_ and post administration monitoring in the home or residence","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"PGSD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Biomechanical mapping_ transvaginal_ with report","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0487T","description":"Biomechanical mapping_ transvaginal_ with report","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-ES25B","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"ES25B","description":"HIPPS-ES25B","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-3CFNV","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"3CFNV","description":"HIPPS-3CFNV","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"CDT-D1304","billing_code_type":"CDT","billing_code_type_version":"2026","billing_code":"D1304","description":"CDT-D1304","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Foam drsg <=16 sq in w/o bdr","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"A6209","description":"Foam drsg <=16 sq in w/o bdr","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Injection_ cefiderocol_ 5 mg","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"J0693","description":"Injection_ cefiderocol_ 5 mg","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Patient unable to complete the FOTO shoulder intake PROM at admission and discharge due to blindness_ illiteracy_ severe mental incapacity or language incompatibility and an a","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G9735","description":"Patient unable to complete the FOTO shoulder intake PROM at admission and discharge due to blindness_ illiteracy_ severe mental incapacity or language incompatibility and an a","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Anesth upper gi visualize","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"74051","description":"Anesth upper gi visualize","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Type location activityassess","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"1052F","description":"Type location activityassess","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"CPT-0593U","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"0593U","description":"CPT-0593U","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Transcath stent cca w/o eps","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"37216","description":"Transcath stent cca w/o eps","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Remove external ear partial","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"69110","description":"Remove external ear partial","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Repair artery w/tunnel","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"33505","description":"Repair artery w/tunnel","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OAXE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Transplant femur ridge","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"27140","description":"Transplant femur ridge","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BFDE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Swallow goal status","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G8997","description":"Swallow goal status","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BBIF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Bioimpedance cv analysis","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"93701","description":"Bioimpedance cv analysis","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GDIC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"CPT-00813","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"00813","description":"CPT-00813","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GBGD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Anesth vaginal hysterectomy","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"94451","description":"Anesth vaginal hysterectomy","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NHLD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"EDDE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Esophagoscopy snare les remv","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"43217","description":"Esophagoscopy snare les remv","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KCND0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CCDC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"EDMA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Sterile gauze > 48 sq in","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"A6404","description":"Sterile gauze > 48 sq in","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"PalinGen or ProMatrX_ 0.36 mg per 0.25 cc","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"Q4174","description":"PalinGen or ProMatrX_ 0.36 mg per 0.25 cc","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"HFOF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Skin advanced glycation endproducts (AGE) measurement by multi-wavelength fluorescent spectroscopy","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0233T","description":"Skin advanced glycation endproducts (AGE) measurement by multi-wavelength fluorescent spectroscopy","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"EGAC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OCCD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"X-ray exam of body section","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"76100","description":"X-ray exam of body section","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Aneurysm pressure sens study","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"93982","description":"Aneurysm pressure sens study","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KEYB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-PD18G","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"PD18G","description":"HIPPS-PD18G","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KFNE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Clinician documented that patient had medical reason for not performing lower extremity neurological exam","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G2179","description":"Clinician documented that patient had medical reason for not performing lower extremity neurological exam","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OBLF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"X-ray stress view","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"77071","description":"X-ray stress view","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OGQA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Drainage of spinal cyst","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"63173","description":"Drainage of spinal cyst","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"IEBC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BHVC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Bupren/nal 3.1 to 6mg bupren","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"J0573","description":"Bupren/nal 3.1 to 6mg bupren","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NCCC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Assay for phencyclidine","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"83992","description":"Assay for phencyclidine","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-J0901","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"J0901","description":"HCPCS-J0901","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Speech lang d/c status","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G9176","description":"Speech lang d/c status","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"EITC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Health Behavior Assessment_ Or Re-Assessment (Ie_ Health-Focused Clinical Interview_ Behavioral Observations_ Clinical Decision Making)","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"96156","description":"Health Behavior Assessment_ Or Re-Assessment (Ie_ Health-Focused Clinical Interview_ Behavioral Observations_ Clinical Decision Making)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"DDQD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"LASA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KGEA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"AHAF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JAED1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OGSF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Closure of split wound","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"12020","description":"Closure of split wound","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JEJA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Orthopedic/Device/Drug Matrix For Opposing Bone-To-Bone Or Soft Tissue-To Bone (Implantable)","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"C1734","description":"Orthopedic/Device/Drug Matrix For Opposing Bone-To-Bone Or Soft Tissue-To Bone (Implantable)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-2CHKW","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"2CHKW","description":"HIPPS-2CHKW","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Manual fully reclining back","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"E1226","description":"Manual fully reclining back","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NLTA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Mammo assess negative docd","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"3341F","description":"Mammo assess negative docd","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Salicylate","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G6038","description":"Salicylate","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"DHOA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KBFB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GIOD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OGHC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"IGTA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Spirmtry w/brnchdil inf-2 yr","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"94012","description":"Spirmtry w/brnchdil inf-2 yr","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Remove vaginal foreign body","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"57415","description":"Remove vaginal foreign body","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"AGUC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Adrenal cortical tumor_ biochemical assay of 25 steroid markers_ utilizing 24-hour urine specimen and clinical parameters_ prognostic algorithm reported as a clinical risk and","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0015M","description":"Adrenal cortical tumor_ biochemical assay of 25 steroid markers_ utilizing 24-hour urine specimen and clinical parameters_ prognostic algorithm reported as a clinical risk and","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Colon ca scrn; barium enema","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G0122","description":"Colon ca scrn; barium enema","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MIUB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HH PDGM","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"4JC21","description":"HH PDGM","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Systemic antimicrobials prescribed","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G9961","description":"Systemic antimicrobials prescribed","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HH PDGM","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"3HB11","description":"HH PDGM","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Diab manage trn  per indiv","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G0108","description":"Diab manage trn  per indiv","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Alcohol and/or drug assess","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"H0001","description":"Alcohol and/or drug assess","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"ODFB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GIND1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Shoulder arthroscopy/surgery","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"29807","description":"Shoulder arthroscopy/surgery","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NIHD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Promazine hcl injection","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"J2950","description":"Promazine hcl injection","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MKUA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CEXC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"No low pecarn ped head traum","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G9597","description":"No low pecarn ped head traum","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GCTA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Revision of larynx","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"31587","description":"Revision of larynx","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OFCE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"ADIA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Pt rcvng ace/arb blker <3mos","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"4481F","description":"Pt rcvng ace/arb blker <3mos","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Ashkenazi jewish assoc dis","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"81412","description":"Ashkenazi jewish assoc dis","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RMB2A","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RMB2A","description":"HIPPS-RMB2A","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JCEF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CBQF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Insertion of interlaminar/interspinous process stabilization/distraction device_ without open decompression or fusion_ including image guidance when performed_ lumbar; single","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"22869","description":"Insertion of interlaminar/interspinous process stabilization/distraction device_ without open decompression or fusion_ including image guidance when performed_ lumbar; single","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NFUE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"PTEN (phosphatase and tensin homolog) (eg_ Cowden syndrome_ PTEN hamartoma tumor syndrome)_ full gene analysis_ including small sequence changes in exonic and intronic regions","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0235U","description":"PTEN (phosphatase and tensin homolog) (eg_ Cowden syndrome_ PTEN hamartoma tumor syndrome)_ full gene analysis_ including small sequence changes in exonic and intronic regions","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Mans shoe oxford brace","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"L3225","description":"Mans shoe oxford brace","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"No med visit in 24mo","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G9246","description":"No med visit in 24mo","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KECE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RUA13","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RUA13","description":"HIPPS-RUA13","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KIKD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"EEMF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NCGA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JCDF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-2CGM5","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"2CGM5","description":"HIPPS-2CGM5","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-1AFN5","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"1AFN5","description":"HIPPS-1AFN5","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JFCB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"2d tee w or w/o fol w/con_in","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"C8925","description":"2d tee w or w/o fol w/con_in","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JGIB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JCPC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Stationary o2 contents_ gas","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"E0441","description":"Stationary o2 contents_ gas","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GGWA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FGFB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BAFD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Mitomycin pyelocalyceal instillation_ 1 mg","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"J9281","description":"Mitomycin pyelocalyceal instillation_ 1 mg","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KEXE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JCXE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Incision of thigh tendons","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"27392","description":"Incision of thigh tendons","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Select picture audiometry","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"92583","description":"Select picture audiometry","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CHCE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BGTA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"X-ray exam of knee 3","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"73562","description":"X-ray exam of knee 3","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"ICLE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-3CFPU","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"3CFPU","description":"HIPPS-3CFPU","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JCJC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"AACA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MBBD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OBFA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Injection_ pegfilgrastim-bmez_ biosimilar_ (ziextenzo)_ 0.5 mg","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"Q5120","description":"Injection_ pegfilgrastim-bmez_ biosimilar_ (ziextenzo)_ 0.5 mg","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NAGF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NDIB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NAPF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BETE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NLKB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"J-cell batt for glucose mon","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"A4234","description":"J-cell batt for glucose mon","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BDBD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Brexucabtagene autoleucel_ up to 200 million autologous anti-cd19 car positive viable t cells_ including leukapheresis and dose preparation procedures_ per therapeutic dose","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"Q2053","description":"Brexucabtagene autoleucel_ up to 200 million autologous anti-cd19 car positive viable t cells_ including leukapheresis and dose preparation procedures_ per therapeutic dose","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Varicella zoster ag if","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"87290","description":"Varicella zoster ag if","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Eye surgery procedure","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"66999","description":"Eye surgery procedure","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-3AHM5","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"3AHM5","description":"HIPPS-3AHM5","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Biopsy of vulva/perineum","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"56606","description":"Biopsy of vulva/perineum","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NBNE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Tract equip cervical tract","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"E0860","description":"Tract equip cervical tract","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"IIHD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FGAF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MLID1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GCQF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MIID0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GAKE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-Q4417","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"Q4417","description":"HCPCS-Q4417","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JBDC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-PC12D","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"PC12D","description":"HIPPS-PC12D","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Drainage of prostate abscess","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"55725","description":"Drainage of prostate abscess","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Hearing aid_ binaural_ cic","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"V5248","description":"Hearing aid_ binaural_ cic","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"AGLF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"EEEF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Resect ovarian malignancy","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"58951","description":"Resect ovarian malignancy","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BFLB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Counterimmunoelectrophoresis","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"86185","description":"Counterimmunoelectrophoresis","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-PA256","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"PA256","description":"HIPPS-PA256","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Transurethral Ablation Of Malignant Prostate Tissue By High-Energy Water Vapor Thermotherapy_ Including Intraoperative Imaging And Needle Guidance","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0582T","description":"Transurethral Ablation Of Malignant Prostate Tissue By High-Energy Water Vapor Thermotherapy_ Including Intraoperative Imaging And Needle Guidance","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Nebulizer not used w oxygen","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"A7017","description":"Nebulizer not used w oxygen","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NDEF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NGGF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Fxnl status assessed","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"1170F","description":"Fxnl status assessed","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CBQA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Treat clavicle dislocation","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"23545","description":"Treat clavicle dislocation","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-J9191","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"J9191","description":"HCPCS-J9191","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OIQD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-1BGMT","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"1BGMT","description":"HIPPS-1BGMT","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CAOA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CGNE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JFLD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FHBD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Replace cvad cath","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"36580","description":"Replace cvad cath","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OJFA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NJAF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KACA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GGNE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JFPD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GIRA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Provision splnt intracoronal","billing_code_type":"CDT","billing_code_type_version":"2024","billing_code":"D4320","description":"Provision splnt intracoronal","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OASA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OJNE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NHCA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CFXF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KBSC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"IBUE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Assay of psa free","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"84154","description":"Assay of psa free","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"intraoral tomosynthesis - bitewing radiographic image - image capture only","billing_code_type":"CDT","billing_code_type_version":"2024","billing_code":"D0388","description":"intraoral tomosynthesis - bitewing radiographic image - image capture only","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Anterior thoracic vertebral body tethering_ including thoracoscopy_ when performed; up to 7 vertebral segments","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"22836","description":"Anterior thoracic vertebral body tethering_ including thoracoscopy_ when performed; up to 7 vertebral segments","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"LIYA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"IEIE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CFVE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Analgesia","billing_code_type":"CDT","billing_code_type_version":"2024","billing_code":"D9230","description":"Analgesia","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Exc abd les sc < 3 cm","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"22902","description":"Exc abd les sc < 3 cm","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CDUC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Topotecan oral","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"J8705","description":"Topotecan oral","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BHPD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HH PDGM","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"3EC31","description":"HH PDGM","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Compres burn garment leotard","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"A6510","description":"Compres burn garment leotard","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"External Electrocardiographic Recording For More Than 48 Hours Up To 7 Days By Continuous Rhythm Recording And Storage; Review And Interpretation","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"93244","description":"External Electrocardiographic Recording For More Than 48 Hours Up To 7 Days By Continuous Rhythm Recording And Storage; Review And Interpretation","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Moderate sedation services provided by a physician or other qualified health care professional other than the physician or other qualified health care professional performing","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"99155","description":"Moderate sedation services provided by a physician or other qualified health care professional other than the physician or other qualified health care professional performing","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HH PDGM","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"1BC21","description":"HH PDGM","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"EITA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Aac non-electronic board","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"E1902","description":"Aac non-electronic board","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HH PDGM","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"1HC31","description":"HH PDGM","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GAFD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"AILA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MLMB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Excise intestine lesion(s)","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"44110","description":"Excise intestine lesion(s)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Doc med rsn scope pt >85y","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G9660","description":"Doc med rsn scope pt >85y","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CBMB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"PKYC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MEEF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OGFF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RUA8G","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RUA8G","description":"HIPPS-RUA8G","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Insert pleural cath","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"32550","description":"Insert pleural cath","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"DCSF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Anesth kidney stone destruct","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"87351","description":"Anesth kidney stone destruct","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CBED1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Kidney endoscopy","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"50551","description":"Kidney endoscopy","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NEKA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JFKB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JEKD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KEDE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"HDQE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OCCB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KEHB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FAVC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-ES330","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"ES330","description":"HIPPS-ES330","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GDXB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CINE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-CA28B","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"CA28B","description":"HIPPS-CA28B","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-2BGKT","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"2BGKT","description":"HIPPS-2BGKT","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Revise kidney blood vessels","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"50100","description":"Revise kidney blood vessels","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Scr c/v cyto_thinlayer_rescr","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G0144","description":"Scr c/v cyto_thinlayer_rescr","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KIOA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-HC204","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"HC204","description":"HIPPS-HC204","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KABA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-LE216","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"LE216","description":"HIPPS-LE216","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GFBD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Psychological or neuropsychological test administration_ with single automated_ standardized instrument via electronic platform_ with automated result only","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"96146","description":"Psychological or neuropsychological test administration_ with single automated_ standardized instrument via electronic platform_ with automated result only","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-HD125","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"HD125","description":"HIPPS-HD125","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GEJE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OBBC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RMB35","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RMB35","description":"HIPPS-RMB35","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BFEF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-J0462","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"J0462","description":"HCPCS-J0462","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"PFQF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GCAD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Cystourethroscopy_ with biopsy(ies) with adjuctive blue light cystoscopy with fluorescent imaging agent","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"C7550","description":"Cystourethroscopy_ with biopsy(ies) with adjuctive blue light cystoscopy with fluorescent imaging agent","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BBDE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KFHE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BEHA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RHL8G","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RHL8G","description":"HIPPS-RHL8G","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RUX5C","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RUX5C","description":"HIPPS-RUX5C","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RUX4B","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RUX4B","description":"HIPPS-RUX4B","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GGIA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Photochemotherapy with uv-b","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"96910","description":"Photochemotherapy with uv-b","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OKCA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-5AHK2","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"5AHK2","description":"HIPPS-5AHK2","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JDUC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FHUA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"HAWF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Incision of tongue fold","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"41010","description":"Incision of tongue fold","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OAPC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BGIF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OGJC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Commode chair non-electric","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"E0171","description":"Commode chair non-electric","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FHCC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"EDLE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"PIYF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OCDA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Patient did not receive brief counseling if identified as an unhealthy alcohol user_ reason not given","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G2202","description":"Patient did not receive brief counseling if identified as an unhealthy alcohol user_ reason not given","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NFKB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"CPT-1081T","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"1081T","description":"CPT-1081T","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OKKD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Pvb thoracic 2nd+ inj site","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"64462","description":"Pvb thoracic 2nd+ inj site","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OKSF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Immunization administration by intramuscular injection of severe acute respiratory syndrome coronavirus 2 (SARS\u0002CoV-2) (coronavirus disease [COVID-19]) vaccine_ mRNA-LNP_ spi","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0092A","description":"Immunization administration by intramuscular injection of severe acute respiratory syndrome coronavirus 2 (SARS\u0002CoV-2) (coronavirus disease [COVID-19]) vaccine_ mRNA-LNP_ spi","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Interim implant crown","billing_code_type":"CDT","billing_code_type_version":"2024","billing_code":"D6085","description":"Interim implant crown","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OFRD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Traction frame attach pelvic","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"E0890","description":"Traction frame attach pelvic","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-ES324","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"ES324","description":"HIPPS-ES324","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"IFBB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FFXA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Tear duct system surgery","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"68899","description":"Tear duct system surgery","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"AIIC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MIBC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Pt education noc group","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"S9446","description":"Pt education noc group","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"PDWE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Principal illness navigation services by certified or trained auxiliary personnel under the direction of a physician or other practitioner_ including a patient navigator; 60 m","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G0023","description":"Principal illness navigation services by certified or trained auxiliary personnel under the direction of a physician or other practitioner_ including a patient navigator; 60 m","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Insert pelv fixation device","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"22848","description":"Insert pelv fixation device","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CEFD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Injection_ melphalan flufenamide_ 1 mg","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"J9247","description":"Injection_ melphalan flufenamide_ 1 mg","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-4AGL6","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"4AGL6","description":"HIPPS-4AGL6","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Two Or More Antipsychotic Prescriptions Ordered For Patients Who Had A Diagnosis Of Schizophrenia_ Schizoaffective Disorder_ Or Bipolar Disorder On Or Between January 1 Of The","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G0032","description":"Two Or More Antipsychotic Prescriptions Ordered For Patients Who Had A Diagnosis Of Schizophrenia_ Schizoaffective Disorder_ Or Bipolar Disorder On Or Between January 1 Of The","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Release of skull seams","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"61550","description":"Release of skull seams","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"HCWA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KAGD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Remove brain tumor w/scope","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"62164","description":"Remove brain tumor w/scope","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KETC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Corneal smear","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"65430","description":"Corneal smear","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NAFE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Conform band n/s w<3in/yd","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"A6442","description":"Conform band n/s w<3in/yd","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-2AFL5","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"2AFL5","description":"HIPPS-2AFL5","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Patients with a diagnosis of acute vitreous hemorrhage","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"M1328","description":"Patients with a diagnosis of acute vitreous hemorrhage","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OBEF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"ICDB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"EETB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Nasal/sinus endoscopy_ surgical with ethmoidectomy; total (anterior and posterior)","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"31255","description":"Nasal/sinus endoscopy_ surgical with ethmoidectomy; total (anterior and posterior)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Pt no hx act drain 90 d","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G8562","description":"Pt no hx act drain 90 d","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Patient had cancer_ fracture or infection related to the lumbar spine or patient had idiopathic or congenital scoliosis","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"M1051","description":"Patient had cancer_ fracture or infection related to the lumbar spine or patient had idiopathic or congenital scoliosis","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Antinuclear antibodies","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"86038","description":"Antinuclear antibodies","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FDTC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Excision of stomach lesion","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"43610","description":"Excision of stomach lesion","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HH PDGM","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"3JB11","description":"HH PDGM","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NGAF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"PLWC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Alveoplasty w/ extraction","billing_code_type":"CDT","billing_code_type_version":"2024","billing_code":"D7310","description":"Alveoplasty w/ extraction","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Treat fracture of ulna","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"25535","description":"Treat fracture of ulna","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Pt ref for speech lang path","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"4552F","description":"Pt ref for speech lang path","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"AFHA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Injection for spleen x-ray","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"38200","description":"Injection for spleen x-ray","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CDKF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"1 med visit in 24mo","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G9247","description":"1 med visit in 24mo","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Variable concentration mask","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"A4620","description":"Variable concentration mask","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Treat ectopic pregnancy","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"59140","description":"Treat ectopic pregnancy","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GGID1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Methotrexate","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"80204","description":"Methotrexate","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JAHB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HH PDGM","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"4AB21","description":"HH PDGM","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"CPT-00528","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"00528","description":"CPT-00528","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Hepc gn tstng docd b/4txmnt","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"3266F","description":"Hepc gn tstng docd b/4txmnt","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) (coronavirus disease [COVID-19]) vaccine_ recombinant spike protein nanoparticle_ saponin-based adjuvant_5mcg/0.5m","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"91304","description":"Severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) (coronavirus disease [COVID-19]) vaccine_ recombinant spike protein nanoparticle_ saponin-based adjuvant_5mcg/0.5m","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"LAQA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Inj protamine sulfate/10 mg","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"J2720","description":"Inj protamine sulfate/10 mg","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JHCE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"ACDA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Assay of methemalbumin","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"83857","description":"Assay of methemalbumin","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Anesth spine cord surgery","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"63051","description":"Anesth spine cord surgery","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"IGDC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Injection_ aducanumab-avwa_ 2 mg","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"J0172","description":"Injection_ aducanumab-avwa_ 2 mg","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JFBE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RVL45","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RVL45","description":"HIPPS-RVL45","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-1CHPV","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"1CHPV","description":"HIPPS-1CHPV","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GHFE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Tetanus immune globulin inj","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"J1670","description":"Tetanus immune globulin inj","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FCXB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Function stat assessed rvwd","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"1175F","description":"Function stat assessed rvwd","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"IFIB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KBQD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CFXC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GDID1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Lisocabtagene maraleucel_ up to 110 million autologous anti-cd19 car-positive viable t cells_ including leukapheresis and dose preparation procedures_ per therapeutic dose","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"C9076","description":"Lisocabtagene maraleucel_ up to 110 million autologous anti-cd19 car-positive viable t cells_ including leukapheresis and dose preparation procedures_ per therapeutic dose","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MEBB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RMB34","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RMB34","description":"HIPPS-RMB34","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-PD25B","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"PD25B","description":"HIPPS-PD25B","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"ICEE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-M1371","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"M1371","description":"HCPCS-M1371","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FDFF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Occupational multifocal lens","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"V2786","description":"Occupational multifocal lens","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HH PDGM","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"1DC11","description":"HH PDGM","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Anesth chest wall repair","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"47251","description":"Anesth chest wall repair","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) (coronavirus disease [COVID-19]) vaccine_ mRNA-LNP_ spike protein_ 10 mcg/0.3 mL dosage_ tris-sucrose formulation_","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"91319","description":"Severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) (coronavirus disease [COVID-19]) vaccine_ mRNA-LNP_ spike protein_ 10 mcg/0.3 mL dosage_ tris-sucrose formulation_","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"ONC MTC MRNA XPRSN ALYS 108","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0208U","description":"ONC MTC MRNA XPRSN ALYS 108","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CGSB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KEUE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Remove skin nerve lesion","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"64774","description":"Remove skin nerve lesion","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RHL5D","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RHL5D","description":"HIPPS-RHL5D","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NDNB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FDUC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"CPT-98000","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"98000","description":"CPT-98000","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CAQD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Ocular function screen","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"99172","description":"Ocular function screen","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-C0402","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"C0402","description":"HCPCS-C0402","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MGDB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"DEQB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"AGTC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Treat thumb fracture","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"26645","description":"Treat thumb fracture","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"AILC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GGAA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HBA1/HBA2 (alpha globin 1 and alpha globin 2) (eg_ alpha thalassemia_ Hb Bart hydrops fetalis syndrome_ HbH disease)_ gene analysis; full gene sequence","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"81259","description":"HBA1/HBA2 (alpha globin 1 and alpha globin 2) (eg_ alpha thalassemia_ Hb Bart hydrops fetalis syndrome_ HbH disease)_ gene analysis; full gene sequence","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Palb2 (Partner And Localizer Of Brca2) (Eg_ Breast And Pancreatic Cancer) Gene Analysis; Full Gene Sequence","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"81307","description":"Palb2 (Partner And Localizer Of Brca2) (Eg_ Breast And Pancreatic Cancer) Gene Analysis; Full Gene Sequence","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Reconstruct cleft palate","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"42225","description":"Reconstruct cleft palate","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KIAE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Russell viper venom diluted","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"85613","description":"Russell viper venom diluted","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Bone marrow imaging body","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"78104","description":"Bone marrow imaging body","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KBWA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OBBB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Urine ost pouch w faucet/tap","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"A4428","description":"Urine ost pouch w faucet/tap","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OLGB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"LEQC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Participant-Directed Community Supports","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"W1900","description":"Participant-Directed Community Supports","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Explore/treat ankle joint","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"27620","description":"Explore/treat ankle joint","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Patient unable to complete the FOTO knee intake PROM at admission and discharge due to blindness_ illiteracy_ severe mental incapacity or language incompatibility and an adequ","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G9727","description":"Patient unable to complete the FOTO knee intake PROM at admission and discharge due to blindness_ illiteracy_ severe mental incapacity or language incompatibility and an adequ","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Wheelchair heavy duty fixed","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"E1295","description":"Wheelchair heavy duty fixed","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Removal Of Fixed Unilateral Space Maintainer - Per Quadrant","billing_code_type":"CDT","billing_code_type_version":"2024","billing_code":"D1556","description":"Removal Of Fixed Unilateral Space Maintainer - Per Quadrant","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-CC236","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"CC236","description":"HIPPS-CC236","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"PBOF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FFIA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"X-ray exam of jaw joint","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"70328","description":"X-ray exam of jaw joint","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-A2040","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"A2040","description":"HCPCS-A2040","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NJCF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Excise intrspinl lesion lmbr","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"63272","description":"Excise intrspinl lesion lmbr","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Tint photochromatic lens/es","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"V2744","description":"Tint photochromatic lens/es","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RVC8C","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RVC8C","description":"HIPPS-RVC8C","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"EBBB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Care management services for behavioral health conditions_ at least 20 minutes of clinical staff time_ directed by a physician or other qualified health care professional_ per","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G0507","description":"Care management services for behavioral health conditions_ at least 20 minutes of clinical staff time_ directed by a physician or other qualified health care professional_ per","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GFNE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Temperature gradient studies","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"93740","description":"Temperature gradient studies","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BHHB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Insertion of phrenic nerve stimulator system (pulse generator and stimulating lead[s])_ including vessel catheterization_ all imaging guidance_ and pulse generator initial ana","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"33276","description":"Insertion of phrenic nerve stimulator system (pulse generator and stimulating lead[s])_ including vessel catheterization_ all imaging guidance_ and pulse generator initial ana","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JFCE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CFVB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"AIEE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-PD14C","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"PD14C","description":"HIPPS-PD14C","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GCMC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Electrode stimulation brain","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"95961","description":"Electrode stimulation brain","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OFKE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-PA255","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"PA255","description":"HIPPS-PA255","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FBTA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NLIB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JFJD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RHL02","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RHL02","description":"HIPPS-RHL02","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"X-ray exam neck spine 4/5vws","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"72050","description":"X-ray exam neck spine 4/5vws","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CHXF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"DCYF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GAQA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Sphenoid sinus surgery","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"31051","description":"Sphenoid sinus surgery","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NBIF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"DDOB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-3BGPU","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"3BGPU","description":"HIPPS-3BGPU","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Rerepair ing hernia blocked","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"49521","description":"Rerepair ing hernia blocked","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Dental saliography","billing_code_type":"CDT","billing_code_type_version":"2024","billing_code":"D0310","description":"Dental saliography","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JDJA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KCUC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OEQD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"The MDPP b eneficiary achieved at least 5% weight loss (WL) from his/he r baseline weight in months 1-12 of the MDPP services period under the MDPP Expanded Model (EM).","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G9880","description":"The MDPP b eneficiary achieved at least 5% weight loss (WL) from his/he r baseline weight in months 1-12 of the MDPP services period under the MDPP Expanded Model (EM).","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Injections of stem cell product into perianal perifistular soft tissue_ including fistula preparation (eg_ removal of setons_ fistula curettage_ closure of internal openings)","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0748T","description":"Injections of stem cell product into perianal perifistular soft tissue_ including fistula preparation (eg_ removal of setons_ fistula curettage_ closure of internal openings)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Laparo cholecystectomy/explr","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"47564","description":"Laparo cholecystectomy/explr","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CGSD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MEUD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Remove/graft bone lesion","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"24115","description":"Remove/graft bone lesion","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Therapeutic radiology simulation-aided field setting; complex_ including acquisition of pet and ct imaging data required for radiopharmaceutical-directed radiation therapy tre","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"C9794","description":"Therapeutic radiology simulation-aided field setting; complex_ including acquisition of pet and ct imaging data required for radiopharmaceutical-directed radiation therapy tre","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Tobacco counseling","billing_code_type":"CDT","billing_code_type_version":"2024","billing_code":"D1320","description":"Tobacco counseling","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CCTA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CCPB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Kt/v <1.2","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"3082F","description":"Kt/v <1.2","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"ECMA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RVL11","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RVL11","description":"HIPPS-RVL11","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"IHDE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Bath conductivity meter","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"E1550","description":"Bath conductivity meter","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NLFB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CIQE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-2AFLW","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"2AFLW","description":"HIPPS-2AFLW","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"TDD","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"V5272","description":"TDD","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Replace aortic valve w/byp","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"33368","description":"Replace aortic valve w/byp","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Delivery/set up/dispensing","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"A9901","description":"Delivery/set up/dispensing","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BFKF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-C0102","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"C0102","description":"HCPCS-C0102","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"IIHC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Tc99m succimer","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"A9551","description":"Tc99m succimer","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Acellular derm matrix implt","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"15777","description":"Acellular derm matrix implt","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Injection_ eptinezumab-jjmr_ 1 mg","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"J3032","description":"Injection_ eptinezumab-jjmr_ 1 mg","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KGCE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Histrelin acetate","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"J1675","description":"Histrelin acetate","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"HGSA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Prior thyroid dise dx","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G9553","description":"Prior thyroid dise dx","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-CD105","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"CD105","description":"HIPPS-CD105","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Tib/per revasc add-on","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"37232","description":"Tib/per revasc add-on","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"AIMD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"IEMA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Who w/nontorsion jnt(s) cf","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"L3905","description":"Who w/nontorsion jnt(s) cf","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"AIID1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MKCF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-PA24B","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"PA24B","description":"HIPPS-PA24B","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KHBA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"HASA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-M1402","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"M1402","description":"HCPCS-M1402","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Metered dose inhaler drug","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"J3535","description":"Metered dose inhaler drug","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Special teletx port plan","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"77321","description":"Special teletx port plan","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GCEC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Treat hand bone lesion","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"26034","description":"Treat hand bone lesion","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RUB33","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RUB33","description":"HIPPS-RUB33","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Smear gram stain","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"87205","description":"Smear gram stain","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Scap thorac prosth tiss shap","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"L6570","description":"Scap thorac prosth tiss shap","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Lutetium Lu 177_ dotatate_ therapeutic_ 1 mCi","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"C9031","description":"Lutetium Lu 177_ dotatate_ therapeutic_ 1 mCi","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CATA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"DGOF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"ABLB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KCRD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Biopsy/removal lymph nodes","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"38520","description":"Biopsy/removal lymph nodes","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Simple cystometrogram","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"51725","description":"Simple cystometrogram","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MDBB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FDLD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Destroy internal hemorrhoids","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"46930","description":"Destroy internal hemorrhoids","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-CD22C","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"CD22C","description":"HIPPS-CD22C","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KGFD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-5CFKU","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"5CFKU","description":"HIPPS-5CFKU","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FBHB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"DHSF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CETD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Laboratory processing of microbial specimen to include culture and sensitivity studies_ preparation and transmission of written report","billing_code_type":"CDT","billing_code_type_version":"2024","billing_code":"D0414","description":"Laboratory processing of microbial specimen to include culture and sensitivity studies_ preparation and transmission of written report","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RMB8E","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RMB8E","description":"HIPPS-RMB8E","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HH PDGM","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"3FB31","description":"HH PDGM","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-PD106","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"PD106","description":"HIPPS-PD106","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-4AHLS","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"4AHLS","description":"HIPPS-4AHLS","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Tamoxifen 10 mg","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"S0187","description":"Tamoxifen 10 mg","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Digitization of glass microscope slides for examination and selection of retrieved archival (ie_ previously diagnosed) tissue(s) for molecular analysis (eg_ KRAS mutational an","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0847T","description":"Digitization of glass microscope slides for examination and selection of retrieved archival (ie_ previously diagnosed) tissue(s) for molecular analysis (eg_ KRAS mutational an","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BFKC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Parathyroid planar imaging","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"78070","description":"Parathyroid planar imaging","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Ga67 gallium","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"A9556","description":"Ga67 gallium","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JEEB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BGNF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"EGLA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Revise ulnar nerve at elbow","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"64718","description":"Revise ulnar nerve at elbow","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NIDF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SARSCOV2 VAC 50NCG/0.25ML IM","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"91306","description":"SARSCOV2 VAC 50NCG/0.25ML IM","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Composite drsg >16<=48 sq in","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"A6204","description":"Composite drsg >16<=48 sq in","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Injection_ melphalan flufenamide hydrochloride_ 1 mg","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"C9080","description":"Injection_ melphalan flufenamide hydrochloride_ 1 mg","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KIQB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Reconstruct urethra stage 2","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"53425","description":"Reconstruct urethra stage 2","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RMA50","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RMA50","description":"HIPPS-RMA50","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Crown porcelain w/ h noble m","billing_code_type":"CDT","billing_code_type_version":"2024","billing_code":"D2750","description":"Crown porcelain w/ h noble m","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Enteral supp not otherwise c","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"B9998","description":"Enteral supp not otherwise c","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"CPT-0929T","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"0929T","description":"CPT-0929T","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Dipyridamole injection","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"J1245","description":"Dipyridamole injection","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HH PDGM","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"4AC11","description":"HH PDGM","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BACF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Cannula declotting","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"36861","description":"Cannula declotting","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FHHB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BIVF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FBJD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"ODQE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CAWB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KCNE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"EHCB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CDCA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Tenofovir_ by liquid chromatography with tandem mass spectrometry (LC-MS/MS)_ urine_ quantitative","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0025U","description":"Tenofovir_ by liquid chromatography with tandem mass spectrometry (LC-MS/MS)_ urine_ quantitative","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Levamisole 50 mg","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"S0177","description":"Levamisole 50 mg","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-1BFN1","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"1BFN1","description":"HIPPS-1BFN1","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-HC240","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"HC240","description":"HIPPS-HC240","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"EBID1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GEHD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GBVC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Drainage of bone lesion","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"27303","description":"Drainage of bone lesion","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GEHC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-M1405","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"M1405","description":"HCPCS-M1405","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Initial prenatal care visit","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0500F","description":"Initial prenatal care visit","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"DHQF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NHFB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BFEC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NKMD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Treatment of anal fissure","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"46942","description":"Treatment of anal fissure","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OLCF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"IEAA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JBHE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BHTC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"HAWB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Documentation Of Patient Pregnancy Anytime During The Measurement Period Prior To And Including The Current Encounter","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G9997","description":"Documentation Of Patient Pregnancy Anytime During The Measurement Period Prior To And Including The Current Encounter","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-M1381","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"M1381","description":"HCPCS-M1381","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-M1417","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"M1417","description":"HCPCS-M1417","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Psychotherapy for crisis furnished in an applicable site of service (any place of service at which the non-facility rate for psychotherapy for crisis services applies_ other t","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G0018","description":"Psychotherapy for crisis furnished in an applicable site of service (any place of service at which the non-facility rate for psychotherapy for crisis services applies_ other t","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GDLD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CGCC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Below knee leather socket","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"L5638","description":"Below knee leather socket","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MJUA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KECA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-LC112","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"LC112","description":"HIPPS-LC112","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-Q5156","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"Q5156","description":"HCPCS-Q5156","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"PGRE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JHXB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CEDE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"HBWE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Below/above elbow lock mech","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"L6698","description":"Below/above elbow lock mech","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GELF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Heavyduty/wide commode chair","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"E0168","description":"Heavyduty/wide commode chair","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Hereditary retinal disorders","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"81434","description":"Hereditary retinal disorders","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MBCA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Gc stocking full lngth 30-40","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"A6537","description":"Gc stocking full lngth 30-40","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Pca3 testing","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"S3721","description":"Pca3 testing","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"No doc share dec prior proc","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G9297","description":"No doc share dec prior proc","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"EHBA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-HD104","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"HD104","description":"HIPPS-HD104","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Treat toe fracture","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"28525","description":"Treat toe fracture","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JEAD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Mra w/o cont_ chest","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"C8910","description":"Mra w/o cont_ chest","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"LDSE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GFOC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"LERA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Ost pch urine w barrier/tapv","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"A4431","description":"Ost pch urine w barrier/tapv","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"LIQD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GHAF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-1CGPX","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"1CGPX","description":"HIPPS-1CGPX","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OFUA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Department of Veterans Affairs Whole Health Partner Services","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"Q9004","description":"Department of Veterans Affairs Whole Health Partner Services","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-3AHP5","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"3AHP5","description":"HIPPS-3AHP5","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MLEB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GHUF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FFLC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CASF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RUL06","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RUL06","description":"HIPPS-RUL06","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"DHRD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CFLA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-CD15D","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"CD15D","description":"HIPPS-CD15D","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Insertion catheter artery","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"36620","description":"Insertion catheter artery","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Assay of bradykinin","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"82286","description":"Assay of bradykinin","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Blood glucose level test","billing_code_type":"CDT","billing_code_type_version":"2024","billing_code":"D0412","description":"Blood glucose level test","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"IGMC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NIDA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CHOB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Percutaneous transcatheter thermal ablation of nerves innervating the pulmonary arteries_ including right heart catheterization_ pulmonary artery angiography_ and all imaging","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0793T","description":"Percutaneous transcatheter thermal ablation of nerves innervating the pulmonary arteries_ including right heart catheterization_ pulmonary artery angiography_ and all imaging","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Hematopoietic nuclear tx","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"79403","description":"Hematopoietic nuclear tx","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BATA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BAMF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RHB17","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RHB17","description":"HIPPS-RHB17","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OLUE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"IGLD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-PD104","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"PD104","description":"HIPPS-PD104","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RMB15","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RMB15","description":"HIPPS-RMB15","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FCCD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"AIEF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RVL33","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RVL33","description":"HIPPS-RVL33","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JBJB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NCUF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Fusion of sacroiliac joint","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"27280","description":"Fusion of sacroiliac joint","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OIKD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Cryoablate prostate","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"55873","description":"Cryoablate prostate","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NKDD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Inj beta interferon sq 1 mcg","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"Q3028","description":"Inj beta interferon sq 1 mcg","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JDIA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-3AFNU","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"3AFNU","description":"HIPPS-3AFNU","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Meckels divert exam","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"78290","description":"Meckels divert exam","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NJJC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"IABD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GEJF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Term dev auto grasp feature","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"L6881","description":"Term dev auto grasp feature","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"EGBE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GGKA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Reconstruct midface w/graft","billing_code_type":"CDT","billing_code_type_version":"2024","billing_code":"D7949","description":"Reconstruct midface w/graft","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OGGF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"AHUA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"AEAA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FFPB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GFMB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GHTC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KFNA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Remove vagina tissue part","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"57107","description":"Remove vagina tissue part","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Rechanneling of artery","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"35304","description":"Rechanneling of artery","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-M1490","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"M1490","description":"HCPCS-M1490","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-Q4354","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"Q4354","description":"HCPCS-Q4354","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"MRI joint lwr extr w/o&w/dye","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"73723","description":"MRI joint lwr extr w/o&w/dye","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Treatment Of Amblyopia Using An Online Digital Program; Device Supply_ Educational Set-Up_ And Initial Session","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0687T","description":"Treatment Of Amblyopia Using An Online Digital Program; Device Supply_ Educational Set-Up_ And Initial Session","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-HE18I","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"HE18I","description":"HIPPS-HE18I","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JIXF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Doc order cefazolin/cefurox","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"4041F","description":"Doc order cefazolin/cefurox","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"HDSD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-5CGKU","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"5CGKU","description":"HIPPS-5CGKU","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Repair lumbar hernia","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"49540","description":"Repair lumbar hernia","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NGUA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Repair of anal sphincter","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"46760","description":"Repair of anal sphincter","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Injection_ sebelipase alfa_ 1mg (Kanuma)","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"C9478","description":"Injection_ sebelipase alfa_ 1mg (Kanuma)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"InnovaBurn or InnovaMatrix XL_ per sq cm","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"A2022","description":"InnovaBurn or InnovaMatrix XL_ per sq cm","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Certified translation or sign-language services per visit.","billing_code_type":"CDT","billing_code_type_version":"2024","billing_code":"D9990","description":"Certified translation or sign-language services per visit.","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"External cannula declotting","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"36860","description":"External cannula declotting","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RHA8G","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RHA8G","description":"HIPPS-RHA8G","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FFAB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Chimeric antigen receptor T-cell (CAR-T) therapy; harvesting of blood-derived T lymphocytes for development of genetically modified autologous CAR-T cells_ per day","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0537T","description":"Chimeric antigen receptor T-cell (CAR-T) therapy; harvesting of blood-derived T lymphocytes for development of genetically modified autologous CAR-T cells_ per day","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Abobotulinumtoxina","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"J0586","description":"Abobotulinumtoxina","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Repair defect of artery","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"35011","description":"Repair defect of artery","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Computed Tomography_ Breast_ Including 3D Rendering_ When Performed_ Unilateral; With Contrast Material(S)","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0634T","description":"Computed Tomography_ Breast_ Including 3D Rendering_ When Performed_ Unilateral; With Contrast Material(S)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Hit tocolysis diem","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"S9349","description":"Hit tocolysis diem","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Insert spine fixation device","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"22840","description":"Insert spine fixation device","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"PBRE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JATC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FFKC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OIFA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Tumor imaging (3d)","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"78803","description":"Tumor imaging (3d)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SUPRATHEL_ per sq cm","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"A2012","description":"SUPRATHEL_ per sq cm","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"CDT-D1103","billing_code_type":"CDT","billing_code_type_version":"2026","billing_code":"D1103","description":"CDT-D1103","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Replace socket above knee","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"L5701","description":"Replace socket above knee","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JBPF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-HE225","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"HE225","description":"HIPPS-HE225","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BFPE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-LD20B","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"LD20B","description":"HIPPS-LD20B","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FAKD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BBFA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-CC15A","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"CC15A","description":"HIPPS-CC15A","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RMA8H","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RMA8H","description":"HIPPS-RMA8H","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-4CGL3","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"4CGL3","description":"HIPPS-4CGL3","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FHPC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Advanced brain imaging (CTA_ CT_ MRA or MRI) was ordered","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G9538","description":"Advanced brain imaging (CTA_ CT_ MRA or MRI) was ordered","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Inj trigger point 1/2 muscl","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"20552","description":"Inj trigger point 1/2 muscl","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"HDOF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Onc dx pancreatic unknwn nos","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G9108","description":"Onc dx pancreatic unknwn nos","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OCYC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-3CFKS","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"3CFKS","description":"HIPPS-3CFKS","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FAMF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Biopsy of testis","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"54505","description":"Biopsy of testis","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JELF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GFAC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-1BHMX","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"1BHMX","description":"HIPPS-1BHMX","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BGPB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MEUE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Onc prac cond noadd by guide","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G9061","description":"Onc prac cond noadd by guide","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BBMD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Injection_ rituximab-abbs_ biosimilar_ 10 mg","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"Q5115","description":"Injection_ rituximab-abbs_ biosimilar_ 10 mg","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OATC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GHJA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Pos macroalbuminuria rev","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"3062F","description":"Pos macroalbuminuria rev","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Injection_ acetaminophen (fresenius kabi) not therapeutically equivalent to j0131_ 10 mg","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"J0134","description":"Injection_ acetaminophen (fresenius kabi) not therapeutically equivalent to j0131_ 10 mg","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CHKC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Vital signs recorded","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"2010F","description":"Vital signs recorded","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Seat lift mechanism toilet","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"E0172","description":"Seat lift mechanism toilet","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Terbutaline sulfate inj","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"J3105","description":"Terbutaline sulfate inj","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Team conf w/o pat by phys","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"99367","description":"Team conf w/o pat by phys","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-4CFK5","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"4CFK5","description":"HIPPS-4CFK5","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NBDB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Injection_ metronidazole","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"S0030","description":"Injection_ metronidazole","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Repair of spinal herniation","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"63700","description":"Repair of spinal herniation","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-C9817","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"C9817","description":"HCPCS-C9817","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"AHCA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NFKA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GGPC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-3CHMV","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"3CHMV","description":"HIPPS-3CHMV","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MGHD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Cromolyn sodium noncomp unit","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"J7631","description":"Cromolyn sodium noncomp unit","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Injection_ labetalol hydrochloride_ 5 mg","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"J1920","description":"Injection_ labetalol hydrochloride_ 5 mg","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OIAD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Clonidine hydrochloride","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"J0735","description":"Clonidine hydrochloride","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CHKA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BAKC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Whfo electric custom fitted","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"L3904","description":"Whfo electric custom fitted","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"CPT-0955T","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"0955T","description":"CPT-0955T","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GGGF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"AGBE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FCMC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Influenza a ag if","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"87276","description":"Influenza a ag if","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OFVD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Repair laminectomy defect","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"63295","description":"Repair laminectomy defect","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Leg pain was not measured by the visual analog scale (VAS) within three months preoperatively and at three months (6 to 20 weeks) postoperatively","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G9949","description":"Leg pain was not measured by the visual analog scale (VAS) within three months preoperatively and at three months (6 to 20 weeks) postoperatively","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Tymp memb motion examd","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"2035F","description":"Tymp memb motion examd","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RMC31","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RMC31","description":"HIPPS-RMC31","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Fancc gene","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"81242","description":"Fancc gene","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-4AHKW","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"4AHKW","description":"HIPPS-4AHKW","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Noninterest escort in non er","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"A0080","description":"Noninterest escort in non er","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-3AFL3","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"3AFL3","description":"HIPPS-3AFL3","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Conization of cervix","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"57520","description":"Conization of cervix","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Nvr cndj tst 1-2 studies","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"95907","description":"Nvr cndj tst 1-2 studies","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KGQF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"EAAF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FEPB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Open/perq place stent ea add","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"37237","description":"Open/perq place stent ea add","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Treat elbow fracture","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"24635","description":"Treat elbow fracture","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FCMF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"IACD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"HBSE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Ambulatory traction device","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"E0830","description":"Ambulatory traction device","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OIRB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"ACEE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"ICIC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Cystouretero w/stone remove","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"52352","description":"Cystouretero w/stone remove","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Preventive counseling indiv","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"99404","description":"Preventive counseling indiv","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Ilr device interrogat remote","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"93298","description":"Ilr device interrogat remote","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KDMA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OJUE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Assay of glutathione","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"82978","description":"Assay of glutathione","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-Q4360","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"Q4360","description":"HCPCS-Q4360","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BFKD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"IHAD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-LD101","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"LD101","description":"HIPPS-LD101","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RHL5A","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RHL5A","description":"HIPPS-RHL5A","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Remove sacrum pressure sore","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"15934","description":"Remove sacrum pressure sore","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"HCQA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KHVD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"X-ray guide intestinal tube","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"74355","description":"X-ray guide intestinal tube","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Chorionic gonadotropin test","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"84702","description":"Chorionic gonadotropin test","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JDKD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Specimen handling office-lab","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"99000","description":"Specimen handling office-lab","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BGEF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KDRA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Shoulder arthroscopy/surgery","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"29821","description":"Shoulder arthroscopy/surgery","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Excision Of Chest Wall Tumor Including Rib(S)","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"21601","description":"Excision Of Chest Wall Tumor Including Rib(S)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KDWF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FEUB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JFKB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RVB16","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RVB16","description":"HIPPS-RVB16","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-A0502","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"A0502","description":"HCPCS-A0502","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-3CGL6","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"3CGL6","description":"HIPPS-3CGL6","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-LD12A","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"LD12A","description":"HIPPS-LD12A","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Blinded Procedure For Nyha Class Iii/Iv Heart Failure; Transcatheter Implantation Of Interatrial Shunt Or Placebo Control_ Including Right Heart Catheterization_ Trans-Esophag","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"C9758","description":"Blinded Procedure For Nyha Class Iii/Iv Heart Failure; Transcatheter Implantation Of Interatrial Shunt Or Placebo Control_ Including Right Heart Catheterization_ Trans-Esophag","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"EGUA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CAUB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Interrogation Device Evaluation (In-Person) With Analysis_ Review And Report By A Physician Or Other Qualified Health Care Professional_ Including Connection_ Recording And Di","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0685T","description":"Interrogation Device Evaluation (In-Person) With Analysis_ Review And Report By A Physician Or Other Qualified Health Care Professional_ Including Connection_ Recording And Di","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Heart/lung resuscitation cpr","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"92950","description":"Heart/lung resuscitation cpr","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-CA20D","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"CA20D","description":"HIPPS-CA20D","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CHEF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-2AFM1","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"2AFM1","description":"HIPPS-2AFM1","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-4BHKW","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"4BHKW","description":"HIPPS-4BHKW","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CAUD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NEXD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"ACUE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GHUD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Digitization of glass microscope slides for level III_ surgical pathology_ gross and microscopic examination (List separately in addition to code for primary procedure)","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0752T","description":"Digitization of glass microscope slides for level III_ surgical pathology_ gross and microscopic examination (List separately in addition to code for primary procedure)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OAMB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MHCF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OEAC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"AIMB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JCUF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"EHMB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NFNB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"IBTE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NKED1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JFLD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RHX2D","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RHX2D","description":"HIPPS-RHX2D","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"PLRB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CHPB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Athletic train eval","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"97005","description":"Athletic train eval","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-4BHM6","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"4BHM6","description":"HIPPS-4BHM6","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CFSA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"LEWA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Acth stimulation panel","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"80406","description":"Acth stimulation panel","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Athletic training evaluation_ high complexity_ requiring these components: A medical history and physical activity profile_ with 3 or more comorbidities that affect physical a","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"97171","description":"Athletic training evaluation_ high complexity_ requiring these components: A medical history and physical activity profile_ with 3 or more comorbidities that affect physical a","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-PA115","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"PA115","description":"HIPPS-PA115","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"LDOC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"ABMB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Remove vert body dcmprn thrc","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"63085","description":"Remove vert body dcmprn thrc","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"ODVB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Mannitol injection","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"J2150","description":"Mannitol injection","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"EIAF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-PC28G","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"PC28G","description":"HIPPS-PC28G","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-4BHK6","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"4BHK6","description":"HIPPS-4BHK6","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Enclosed walker w rear seat","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"E0144","description":"Enclosed walker w rear seat","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BHNA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GGMC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KHUA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Fluphenazine decanoate 25 mg","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"J2680","description":"Fluphenazine decanoate 25 mg","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Rpr s/n/ax/gen/trnk2.6-7.5cm","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"12002","description":"Rpr s/n/ax/gen/trnk2.6-7.5cm","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Ald fm/dm system_ monaural","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"V5281","description":"Ald fm/dm system_ monaural","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OKTB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KFSB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CEFC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"EDEC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"EIEE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RHA2B","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RHA2B","description":"HIPPS-RHA2B","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CDRB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Radiation Therapy For Breast Cancer Under The Radiation Oncology Model_ 90 Day Episode_ Professional Component","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"M1080","description":"Radiation Therapy For Breast Cancer Under The Radiation Oncology Model_ 90 Day Episode_ Professional Component","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"EBCE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Injection_ fulvestrant (fresenius kabi) not therapeutically equivalent to j9395_ 25 mg","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"J9394","description":"Injection_ fulvestrant (fresenius kabi) not therapeutically equivalent to j9395_ 25 mg","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Nesiritide injection","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"J2325","description":"Nesiritide injection","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Supplies for external insulin infusion pump_ syringe type cartridge_ sterile_ each","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"A4225","description":"Supplies for external insulin infusion pump_ syringe type cartridge_ sterile_ each","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Transluminal balloon angioplasty (except lower extremity artery(ies) for occlusive disease_ intracranial_ coronary_ pulmonary_ or dialysis circuit)_ open or percutaneous_ incl","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"37246","description":"Transluminal balloon angioplasty (except lower extremity artery(ies) for occlusive disease_ intracranial_ coronary_ pulmonary_ or dialysis circuit)_ open or percutaneous_ incl","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Add to spinal orthosis nos","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"L0999","description":"Add to spinal orthosis nos","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JHEB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Neck spine disk surgery","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"63076","description":"Neck spine disk surgery","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"IEIA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Diagnostic Radiology Mips Specialty Set","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G4001","description":"Diagnostic Radiology Mips Specialty Set","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CAMA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KHTC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Destruction of skin lesions","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"17281","description":"Destruction of skin lesions","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CCUA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-ES346","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"ES346","description":"HIPPS-ES346","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CDIE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"IIEB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-2BHL2","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"2BHL2","description":"HIPPS-2BHL2","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Unclassified drugs or biolog","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"C9399","description":"Unclassified drugs or biolog","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NLLF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-B1402","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"B1402","description":"HCPCS-B1402","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Exploration of knee joint","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"27310","description":"Exploration of knee joint","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MKBA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RUA3B","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RUA3B","description":"HIPPS-RUA3B","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-B0301","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"B0301","description":"HCPCS-B0301","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Injection_ phenylephrine hydrochloride (biorphen)_ 20 micrograms","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"J2372","description":"Injection_ phenylephrine hydrochloride (biorphen)_ 20 micrograms","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FDXB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OFYC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RHC1C","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RHC1C","description":"HIPPS-RHC1C","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BABC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Documentation of medical reason(s) for prescribing or dispensing antibiotic (e.g._ intestinal infection_ pertussis_ bacterial infection_ lyme disease_ otitis media_ acute sinu","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G9712","description":"Documentation of medical reason(s) for prescribing or dispensing antibiotic (e.g._ intestinal infection_ pertussis_ bacterial infection_ lyme disease_ otitis media_ acute sinu","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FDUC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-G0668","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"G0668","description":"HCPCS-G0668","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BHMD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FCLA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Structured Day Habilitation Group","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"W0104","description":"Structured Day Habilitation Group","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CCMB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-CC10B","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"CC10B","description":"HIPPS-CC10B","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"PKYD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GFYA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"MRI neck spine w/dye","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"72142","description":"MRI neck spine w/dye","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Rehabilitative support for musculoskeletal care mips value pathway","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"M1370","description":"Rehabilitative support for musculoskeletal care mips value pathway","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Splint - extra-coronal; natural teeth or prosthetic crowns","billing_code_type":"CDT","billing_code_type_version":"2024","billing_code":"D4323","description":"Splint - extra-coronal; natural teeth or prosthetic crowns","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KHWA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Explore wound neck","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"20100","description":"Explore wound neck","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Skin pedicle flap arms/legs","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"15572","description":"Skin pedicle flap arms/legs","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"AGLD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OGWB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"MRI chest spine w/dye","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"72147","description":"MRI chest spine w/dye","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OGUF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Deionizer h2o puri system","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"E1615","description":"Deionizer h2o puri system","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Patients who were admitted to a skilled nursing facility (snf) during the month of evaluation were excluded from that month","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"M1274","description":"Patients who were admitted to a skilled nursing facility (snf) during the month of evaluation were excluded from that month","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OHJF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MJHF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OKXD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-1BGNX","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"1BGNX","description":"HIPPS-1BGNX","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OFFC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Cardioassist external","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"92971","description":"Cardioassist external","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JGFB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GDXE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CASB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-CE117","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"CE117","description":"HIPPS-CE117","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Implt nrostm pls gen sng non","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"L8686","description":"Implt nrostm pls gen sng non","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GGWA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-M1502","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"M1502","description":"HCPCS-M1502","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CBAA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CGSA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Onc dx ovarian stg1a-b or 2","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G9114","description":"Onc dx ovarian stg1a-b or 2","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NCND0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Insertion or replacement of a permanently implantable aortic counterpulsation ventricular assist system_ endovascular approach_ and programming of sensing and therapeutic para","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0454T","description":"Insertion or replacement of a permanently implantable aortic counterpulsation ventricular assist system_ endovascular approach_ and programming of sensing and therapeutic para","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"ICCA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Alcohol and/or drug services","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"H0015","description":"Alcohol and/or drug services","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"DGQF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JCLA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NHTA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"CPT-0925T","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"0925T","description":"CPT-0925T","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RMC20","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RMC20","description":"HIPPS-RMC20","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OASD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GHTE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Nicotine","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G6055","description":"Nicotine","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Next Generation ACO model_ 10-20min","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G9869","description":"Next Generation ACO model_ 10-20min","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Chylmd pneum dna quant","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"87487","description":"Chylmd pneum dna quant","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KIRE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"IAAD IA ROTAVIRUS","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"87425","description":"IAAD IA ROTAVIRUS","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GBKB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Patient had only urgent care visits during the performance period","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"M1054","description":"Patient had only urgent care visits during the performance period","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-HB244","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"HB244","description":"HIPPS-HB244","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Ranibizumab injection","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"J2778","description":"Ranibizumab injection","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OLYF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KCXA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NDCB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OABF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Xray control catheter change","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"75984","description":"Xray control catheter change","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RUC1C","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RUC1C","description":"HIPPS-RUC1C","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OGKF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NHHD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BHEB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JDVD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Inversion/eversion correction device","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"A9285","description":"Inversion/eversion correction device","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"AIDB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"EIBF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JIHF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"CPT-16074","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"16074","description":"CPT-16074","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Change of gastrostomy tube_ percutaneous_ without imaging or endoscopic guidance","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"43760","description":"Change of gastrostomy tube_ percutaneous_ without imaging or endoscopic guidance","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-1AFM6","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"1AFM6","description":"HIPPS-1AFM6","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RHA24","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RHA24","description":"HIPPS-RHA24","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OIDC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CIQC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KIBD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Red cell survival study","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"78130","description":"Red cell survival study","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"ABCA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Remis 12m phq-9 score <5","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G9509","description":"Remis 12m phq-9 score <5","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CHRB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Reconstruct wrist joint","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"25445","description":"Reconstruct wrist joint","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Dermavest_ plurivest sq cm","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"Q4153","description":"Dermavest_ plurivest sq cm","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CIEC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"IHHB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"IDTB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OHSC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CDRE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OJHA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-LB154","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"LB154","description":"HIPPS-LB154","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Sig w/tndsc balloon dilation","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"45340","description":"Sig w/tndsc balloon dilation","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"ODQE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-1CGNT","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"1CGNT","description":"HIPPS-1CGNT","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Transesoph doppl cardiac mon","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G9157","description":"Transesoph doppl cardiac mon","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"HBYD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Advncd care plan 30 min","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"99497","description":"Advncd care plan 30 min","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NEDA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Manual pump enema_ reusable","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"A4459","description":"Manual pump enema_ reusable","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"EBIA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CFKD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Targeted genomic sequence analysis panel_ cholangiocarcinoma and non-small cell lung neoplasia_ DNA and RNA analysis_ 1-23 genes_ interrogation for sequence variants and rearr","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0022U","description":"Targeted genomic sequence analysis panel_ cholangiocarcinoma and non-small cell lung neoplasia_ DNA and RNA analysis_ 1-23 genes_ interrogation for sequence variants and rearr","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Repair heart septum defect","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"33688","description":"Repair heart septum defect","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RUX20","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RUX20","description":"HIPPS-RUX20","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-J1958","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"J1958","description":"HCPCS-J1958","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Place cath thoracic aorta","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"36221","description":"Place cath thoracic aorta","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"HERD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Assess anginal symptom/level","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"1002F","description":"Assess anginal symptom/level","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NCHA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Mra w/o fol w/cont_ abd","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"C8902","description":"Mra w/o fol w/cont_ abd","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HH PDGM","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"3GB11","description":"HH PDGM","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BAJE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Laryngoscopy w/exc of tumor","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"31540","description":"Laryngoscopy w/exc of tumor","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Cult skin graft t/a/l +%","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"15152","description":"Cult skin graft t/a/l +%","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RMX2C","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RMX2C","description":"HIPPS-RMX2C","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-LC20B","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"LC20B","description":"HIPPS-LC20B","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Revise/graft eyelid lining","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"68325","description":"Revise/graft eyelid lining","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Cerv semi-rig adj molded chn","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"L0150","description":"Cerv semi-rig adj molded chn","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"ODKC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"X-ray exam of elbow","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"73080","description":"X-ray exam of elbow","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Injection_ lacosamide","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"C9254","description":"Injection_ lacosamide","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Repair of urethra injury","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"53505","description":"Repair of urethra injury","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"AAEC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MLTC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BCED0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FEEF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-CA14B","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"CA14B","description":"HIPPS-CA14B","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-PB246","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"PB246","description":"HIPPS-PB246","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Srsf2 (Serine And Arginine-Rich Splicing Factor 2) (Eg_ Myelodysplastic Syndrome_ Acute Myeloid Leukemia) Gene Analysis_ Common Variants (Eg_ P95H_ P95L)","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"81348","description":"Srsf2 (Serine And Arginine-Rich Splicing Factor 2) (Eg_ Myelodysplastic Syndrome_ Acute Myeloid Leukemia) Gene Analysis_ Common Variants (Eg_ P95H_ P95L)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GELC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-HE230","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"HE230","description":"HIPPS-HE230","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KBHC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"PLQD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CIED0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NBAF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-4AFL5","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"4AFL5","description":"HIPPS-4AFL5","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"EIHF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Pt queried pain fxn w/ instr","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"1502F","description":"Pt queried pain fxn w/ instr","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Basic vestibular evaluation","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"92540","description":"Basic vestibular evaluation","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Assay c-d transfer measure","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"82373","description":"Assay c-d transfer measure","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"AETC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"PFYC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NIKD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Revise stomach-bowel fusion","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"43850","description":"Revise stomach-bowel fusion","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NCFB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Transcatheter Intracardiac Shunt (Tis) Creation By Stent Placement For Congenital Cardiac Anomalies To Establish Effective Intracardiac Flow_ Including All Imaging Guidance By","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"33746","description":"Transcatheter Intracardiac Shunt (Tis) Creation By Stent Placement For Congenital Cardiac Anomalies To Establish Effective Intracardiac Flow_ Including All Imaging Guidance By","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-Q4431","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"Q4431","description":"HCPCS-Q4431","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NCCE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Remove hepatic shunt (tips)","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"37183","description":"Remove hepatic shunt (tips)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Bmi is documented above normal parameters and a follow-up plan is documented","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"M1293","description":"Bmi is documented above normal parameters and a follow-up plan is documented","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Endoscopic us exam esoph","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"43237","description":"Endoscopic us exam esoph","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"DDYE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FDIE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"LERE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"CPT-00520","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"00520","description":"CPT-00520","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-BB146","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"BB146","description":"HIPPS-BB146","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Grade 2 or above diarrhea and/or grade 2 or above colitis","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"M1181","description":"Grade 2 or above diarrhea and/or grade 2 or above colitis","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FBCC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GFNF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RUX2A","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RUX2A","description":"HIPPS-RUX2A","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Surgery electrocorticogram","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"95829","description":"Surgery electrocorticogram","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Neuromuscular reeducation","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"97112","description":"Neuromuscular reeducation","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KAMF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-4AGK6","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"4AGK6","description":"HIPPS-4AGK6","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Removal of foot fascia","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"28062","description":"Removal of foot fascia","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CDNB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Laparoscopic Insertion Of New Or Replacement Of Diaphragmatic Lead(S)_ Permanent Implantable Synchronized Diaphragmatic Stimulation System For Augmentation Of Cardiac Function","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0675T","description":"Laparoscopic Insertion Of New Or Replacement Of Diaphragmatic Lead(S)_ Permanent Implantable Synchronized Diaphragmatic Stimulation System For Augmentation Of Cardiac Function","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Surfactant admin thru tube","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"94610","description":"Surfactant admin thru tube","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MHDD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MAHA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Chemical peel nonfacial","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"15793","description":"Chemical peel nonfacial","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Dem severity classified mod","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"1491F","description":"Dem severity classified mod","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KFIB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NLKA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"HESB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BHFE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Alprostadil for injection","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"J0270","description":"Alprostadil for injection","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JEHF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CELD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OEHF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Pow mobil dev no dmepdac","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"K0899","description":"Pow mobil dev no dmepdac","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KFOD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Grp b strep screening docd","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"3294F","description":"Grp b strep screening docd","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Obstetric panel","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"80055","description":"Obstetric panel","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Ob us < 14 wks single fetus","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"76801","description":"Ob us < 14 wks single fetus","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-1AHP4","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"1AHP4","description":"HIPPS-1AHP4","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Tobacco non-user","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"1036F","description":"Tobacco non-user","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FCLE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Thoracic_ pectus carinatum orthosis_ sternal compression_ rigid circumferential frame with anterior and posterior rigid pads_ custom fabricated","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"L1320","description":"Thoracic_ pectus carinatum orthosis_ sternal compression_ rigid circumferential frame with anterior and posterior rigid pads_ custom fabricated","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"IAIA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Replace strap_ any orthosis","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"L4002","description":"Replace strap_ any orthosis","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CFWF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NJJD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Adjust toe ext/flex device","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"E1830","description":"Adjust toe ext/flex device","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-Q4390","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"Q4390","description":"HCPCS-Q4390","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NKIB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Doc scr uter mal or us/samp","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G9618","description":"Doc scr uter mal or us/samp","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OCKE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OKXF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FHJE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FFCA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Patients who screened positive for at least 1 of the 5 hrsns","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"M1320","description":"Patients who screened positive for at least 1 of the 5 hrsns","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RUX13","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RUX13","description":"HIPPS-RUX13","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"ODIE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"HGQC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"AGUC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JBBA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Patient is undergoing palliative dialysis with a catheter","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G9749","description":"Patient is undergoing palliative dialysis with a catheter","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Remove vert body dcmprn thrc","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"63101","description":"Remove vert body dcmprn thrc","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KEWF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MHIA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Contour of face bone lesion","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"21029","description":"Contour of face bone lesion","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Digitization of glass microscope slides for cytopathology_ evaluation of fine needle aspirate; interpretation and report (List separately in addition to code for primary proce","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0837T","description":"Digitization of glass microscope slides for cytopathology_ evaluation of fine needle aspirate; interpretation and report (List separately in addition to code for primary proce","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JEJA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OAQE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Centrifuge","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"E1500","description":"Centrifuge","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Hip midline cath insert kit","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"S5523","description":"Hip midline cath insert kit","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FBEF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CBYA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"EEMD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KCIC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-PC24A","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"PC24A","description":"HIPPS-PC24A","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"X-ray exam of eye sockets","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"70200","description":"X-ray exam of eye sockets","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Keroxx (2.5 g/cc)_ 1 cc","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"Q4202","description":"Keroxx (2.5 g/cc)_ 1 cc","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-PC18H","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"PC18H","description":"HIPPS-PC18H","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"CPT-0482U","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"0482U","description":"CPT-0482U","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Path consult intraop 1 bloc","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"88331","description":"Path consult intraop 1 bloc","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MBAB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Patient lift bathroom or toi","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"E0625","description":"Patient lift bathroom or toi","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-C9176","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"C9176","description":"HCPCS-C9176","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GHUC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Habilitation_ prevocational_ waiver; per 15 minutes","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"T2047","description":"Habilitation_ prevocational_ waiver; per 15 minutes","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Office/outpatient visit est","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"99212","description":"Office/outpatient visit est","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CFMF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Fo w/o joints cf","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"L3933","description":"Fo w/o joints cf","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FCNE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Dialys sol fld vol > 3999cc","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"A4724","description":"Dialys sol fld vol > 3999cc","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-A0407","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"A0407","description":"HCPCS-A0407","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-2CFLT","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"2CFLT","description":"HIPPS-2CFLT","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OLPD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MLUA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FHUB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Doc of neg or man pos tb scn","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G9359","description":"Doc of neg or man pos tb scn","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KDBE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GDSE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"EHMA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-PC18C","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"PC18C","description":"HIPPS-PC18C","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"CDT-D5930","billing_code_type":"CDT","billing_code_type_version":"2026","billing_code":"D5930","description":"CDT-D5930","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Wound filler dry form / gram","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"A6262","description":"Wound filler dry form / gram","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KFUD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-HE151","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"HE151","description":"HIPPS-HE151","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KHLA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BBLF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MDUA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HH PDGM","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"2GA21","description":"HH PDGM","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OBFA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KBCE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-BB230","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"BB230","description":"HIPPS-BB230","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Interro eval npgs sleep apne","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0434T","description":"Interro eval npgs sleep apne","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CAWE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GFEE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Extensive prostate surgery","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"55862","description":"Extensive prostate surgery","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FEVB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CBNE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GFGA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GBRE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-CD125","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"CD125","description":"HIPPS-CD125","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GEQB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NGAF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"ODDC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"P2y inhib not presc","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G9440","description":"P2y inhib not presc","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Triamcinolone comp con","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"J7683","description":"Triamcinolone comp con","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GANA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MAHD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Internal nerve revision","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"64727","description":"Internal nerve revision","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CFHD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"IHHE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JIJC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Injection_ Factor IX_ albumin fusion protein (recombinant)_ Idelvion_ 1 i.u.","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"C9139","description":"Injection_ Factor IX_ albumin fusion protein (recombinant)_ Idelvion_ 1 i.u.","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OKFA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CBPD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-2CFMV","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"2CFMV","description":"HIPPS-2CFMV","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MFLA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Pt rcvng ace/arb b-blockertx","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"4480F","description":"Pt rcvng ace/arb b-blockertx","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Cerv col sr foam 2pc pre ots","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"L0172","description":"Cerv col sr foam 2pc pre ots","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-ES234","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"ES234","description":"HIPPS-ES234","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OEBE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"DIRC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Lung perfusion imaging","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"78580","description":"Lung perfusion imaging","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"EAAD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OHDC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Hospice services for patient provided any time during the measurement period","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"M1067","description":"Hospice services for patient provided any time during the measurement period","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Extraction coronal remnants","billing_code_type":"CDT","billing_code_type_version":"2024","billing_code":"D7111","description":"Extraction coronal remnants","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Leg Pain As Measured By The Visual Analog Scale (Vas) At One Year (9 To 15 Months) Postoperatively Was Less Than Or Equal To 3.0 Or Leg Pain Measured By The Visual Analog Scal","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G2146","description":"Leg Pain As Measured By The Visual Analog Scale (Vas) At One Year (9 To 15 Months) Postoperatively Was Less Than Or Equal To 3.0 Or Leg Pain Measured By The Visual Analog Scal","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Surg redct fibrous tuberosit","billing_code_type":"CDT","billing_code_type_version":"2024","billing_code":"D7972","description":"Surg redct fibrous tuberosit","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OAKA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JCPF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MDUB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GEYB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Radium/radioisotope therapy","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"77799","description":"Radium/radioisotope therapy","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-ES310","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"ES310","description":"HIPPS-ES310","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BAXD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Gradient compression garment_ lower leg and foot_ padded_ for nighttime use_ custom_ each","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"A6525","description":"Gradient compression garment_ lower leg and foot_ padded_ for nighttime use_ custom_ each","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Ocular instrumnt screen bil","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"99174","description":"Ocular instrumnt screen bil","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Revise/remove sling repair","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"57287","description":"Revise/remove sling repair","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Helicobacter pylori detection and antibiotic resistance_ DNA_ 16S and 23S rRNA_ gyrA_ pbp1_ rdxA and rpoB_ next generation sequencing_ formalin-fixed paraffin embedded or fres","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0008U","description":"Helicobacter pylori detection and antibiotic resistance_ DNA_ 16S and 23S rRNA_ gyrA_ pbp1_ rdxA and rpoB_ next generation sequencing_ formalin-fixed paraffin embedded or fres","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RLB26","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RLB26","description":"HIPPS-RLB26","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-PA20D","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"PA20D","description":"HIPPS-PA20D","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Excision lesion mouth roof","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"42107","description":"Excision lesion mouth roof","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Maxilla open reduct simple","billing_code_type":"CDT","billing_code_type_version":"2024","billing_code":"D7610","description":"Maxilla open reduct simple","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Right Heart Catheterization For Congenital Heart Defect(S) Including Imaging Guidance By The Proceduralist To Advance The Catheter To The Target Zone; Abnormal Native Connecti","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"93594","description":"Right Heart Catheterization For Congenital Heart Defect(S) Including Imaging Guidance By The Proceduralist To Advance The Catheter To The Target Zone; Abnormal Native Connecti","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Incise spine & cord cervical","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"63194","description":"Incise spine & cord cervical","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Tongue suspension","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"41512","description":"Tongue suspension","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-LE18G","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"LE18G","description":"HIPPS-LE18G","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FALF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RHA50","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RHA50","description":"HIPPS-RHA50","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KGLE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Assay of myoglobin","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"83874","description":"Assay of myoglobin","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JBNF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GFSE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Art byp grft splenorenal","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"35536","description":"Art byp grft splenorenal","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OEAF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GCJA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Perc cryo ablate renal tum","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"50593","description":"Perc cryo ablate renal tum","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Doc comm risk calc","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G9316","description":"Doc comm risk calc","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-C0502","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"C0502","description":"HCPCS-C0502","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OAQE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NCEB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OCVB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RUA42","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RUA42","description":"HIPPS-RUA42","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JEDE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BGPA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CBVB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RUB53","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RUB53","description":"HIPPS-RUB53","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Non-pneum walk boot pre cst","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"L4386","description":"Non-pneum walk boot pre cst","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"IDLF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Explore neck vessels","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"35800","description":"Explore neck vessels","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OFRC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Anesthesia for intraoral procedures_ including biopsy; not otherwise specif","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0125U","description":"Anesthesia for intraoral procedures_ including biopsy; not otherwise specif","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GDXC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JAUB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NKVA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"AAUA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JCDD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"CPT-0590U","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"0590U","description":"CPT-0590U","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Oncology (Solid Organ Neoplasm)_ Targeted Genomic Sequence Dna Analysis Of 505 Genes_ Interrogation For Somatic Alterations (Snvs [Single Nucleotide Variant]_ Small Insertions","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0250U","description":"Oncology (Solid Organ Neoplasm)_ Targeted Genomic Sequence Dna Analysis Of 505 Genes_ Interrogation For Somatic Alterations (Snvs [Single Nucleotide Variant]_ Small Insertions","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-CC245","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"CC245","description":"HIPPS-CC245","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-ES18G","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"ES18G","description":"HIPPS-ES18G","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-1BGL1","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"1BGL1","description":"HIPPS-1BGL1","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NJNE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KECF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OFVC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Treat thigh fracture","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"27248","description":"Treat thigh fracture","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OJCD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BEMD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"PLYC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-PD12D","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"PD12D","description":"HIPPS-PD12D","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Tte w or w/o fol w/cont_ f/u","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"C8922","description":"Tte w or w/o fol w/cont_ f/u","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Release middle ear bone","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"69650","description":"Release middle ear bone","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Pedicle e/n/e/l/ntroral","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"15576","description":"Pedicle e/n/e/l/ntroral","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"ODPA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FDXA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RHA1C","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RHA1C","description":"HIPPS-RHA1C","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RHX8E","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RHX8E","description":"HIPPS-RHX8E","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"CPT-0548U","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"0548U","description":"CPT-0548U","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"EDHE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-3CGL1","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"3CGL1","description":"HIPPS-3CGL1","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JGGE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Open skull for drainage","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"61312","description":"Open skull for drainage","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Treat humerus fracture","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"23625","description":"Treat humerus fracture","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Repair of tibia epiphysis","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"27730","description":"Repair of tibia epiphysis","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-HD154","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"HD154","description":"HIPPS-HD154","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Post 3 srfc resinbased cmpst","billing_code_type":"CDT","billing_code_type_version":"2024","billing_code":"D2393","description":"Post 3 srfc resinbased cmpst","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Remove groin lymph nodes","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"38765","description":"Remove groin lymph nodes","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MAUE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-HB116","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"HB116","description":"HIPPS-HB116","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MELA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Inject trigger points 3/>","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"20553","description":"Inject trigger points 3/>","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NGPA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Open bone biopsy","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"20250","description":"Open bone biopsy","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Prepare face/oral prosthesis","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"21079","description":"Prepare face/oral prosthesis","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Silvr oxide batt glucose mon","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"A4236","description":"Silvr oxide batt glucose mon","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Gadobutrol injection","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"A9585","description":"Gadobutrol injection","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Potent antivir thxpy rxd","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"4276F","description":"Potent antivir thxpy rxd","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"EGLC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"IGLF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OCVA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NDEA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"AIIA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"HBWC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"ECBA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"HAYC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OAEC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KFJB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"AFID0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GHSF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Destruction of skin lesions","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"17272","description":"Destruction of skin lesions","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Urgent care center global","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"S9083","description":"Urgent care center global","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GEBD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Pelvic exenteration","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"45126","description":"Pelvic exenteration","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NDEE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CFED1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Angiotensin Converting Enzyme (Ace) Inhibitor Or Angiotensin Receptor Blocker (Arb) Or Angiotensin Receptor-Neprilysin Inhibitor (Arni) Therapy Prescribed Or Currently Being T","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G2092","description":"Angiotensin Converting Enzyme (Ace) Inhibitor Or Angiotensin Receptor Blocker (Arb) Or Angiotensin Receptor-Neprilysin Inhibitor (Arni) Therapy Prescribed Or Currently Being T","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CGVC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"CPT-75577","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"75577","description":"CPT-75577","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"IDAE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"IDBC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Programming of subcutaneously implanted peritoneal ascites pump system by physician or other qualified health care professional","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0875T","description":"Programming of subcutaneously implanted peritoneal ascites pump system by physician or other qualified health care professional","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KCAF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-CD215","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"CD215","description":"HIPPS-CD215","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BGLA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Pierce skull & explore","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"61253","description":"Pierce skull & explore","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-4CHMX","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"4CHMX","description":"HIPPS-4CHMX","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KEIA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"CPT-0552U","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"0552U","description":"CPT-0552U","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BIUB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"PJYB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Ped term dev_ hook_ vol open","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"L6711","description":"Ped term dev_ hook_ vol open","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"CPT-0621U","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"0621U","description":"CPT-0621U","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"PAWA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CHYA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OLBE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GHVD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"DFYF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OCHE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RHX1B","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RHX1B","description":"HIPPS-RHX1B","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Pontic titanium","billing_code_type":"CDT","billing_code_type_version":"2024","billing_code":"D6214","description":"Pontic titanium","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"ICLB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Repair of facial nerve","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"64864","description":"Repair of facial nerve","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Repair of enterocutaneous fistula small intestine or colon (excluding anorectal fistula) with plug (e.g._ porcine small intestine submocosa[SIS])","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"C9796","description":"Repair of enterocutaneous fistula small intestine or colon (excluding anorectal fistula) with plug (e.g._ porcine small intestine submocosa[SIS])","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"ACHA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NITA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OKWE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CHKC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Nursing fac discharge day","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"99315","description":"Nursing fac discharge day","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BBGC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MDAA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BDPF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Pt trans to hosp post d/c","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G8914","description":"Pt trans to hosp post d/c","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JIPE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KBPC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Spherocylindr 4.00d/2.12-4d","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"V2104","description":"Spherocylindr 4.00d/2.12-4d","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NLED1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OAXB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GIJF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-M1401","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"M1401","description":"HCPCS-M1401","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JCJF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NGME1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CEFA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KGOA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BGKA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"HGOC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FEFC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Periodontal medicament carrier with peripheral seal - laboratory processed - mandibular","billing_code_type":"CDT","billing_code_type_version":"2024","billing_code":"D5996","description":"Periodontal medicament carrier with peripheral seal - laboratory processed - mandibular","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Seat lift for pt furn-non-el","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"E0629","description":"Seat lift for pt furn-non-el","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-CB21C","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"CB21C","description":"HIPPS-CB21C","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NEVB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NIAE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NGKD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JACF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MGEE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Onc dx nsclc stg3b-4 metasta","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G9066","description":"Onc dx nsclc stg3b-4 metasta","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"IGHA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BGFA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Injection(s)_ including indwelling catheter placement_ continuous infusion or intermittent bolus_ of diagnostic or therapeutic substance(s) (eg_ anesthetic_ antispasmodic_ opi","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"62325","description":"Injection(s)_ including indwelling catheter placement_ continuous infusion or intermittent bolus_ of diagnostic or therapeutic substance(s) (eg_ anesthetic_ antispasmodic_ opi","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GBOA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BDTC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Reloc skin pocket pls gen","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0416T","description":"Reloc skin pocket pls gen","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NABB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"HGSC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Collect & appl blood product","billing_code_type":"CDT","billing_code_type_version":"2024","billing_code":"D7921","description":"Collect & appl blood product","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GICB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Radiofrequency Ablation_ Nerves Innervating The Sacroiliac Joint_ With Image Guidance (Ie_ Fluoroscopy Or Computed Tomography)","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"64625","description":"Radiofrequency Ablation_ Nerves Innervating The Sacroiliac Joint_ With Image Guidance (Ie_ Fluoroscopy Or Computed Tomography)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KAIC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Home Delivered Meals-Special Meal","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"W1764","description":"Home Delivered Meals-Special Meal","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HH PDGM","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"3IB21","description":"HH PDGM","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-1BGK3","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"1BGK3","description":"HIPPS-1BGK3","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"LHOE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Treat fx rad extra-articul","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"25607","description":"Treat fx rad extra-articul","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GBDD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Complex cystometrogram","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"51726","description":"Complex cystometrogram","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-1BFLX","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"1BFLX","description":"HIPPS-1BFLX","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MJUB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OKNB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Derma-fat-fascia graft","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"15770","description":"Derma-fat-fascia graft","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-BB141","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"BB141","description":"HIPPS-BB141","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Pneumoc vac/admin/rcvd","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"4040F","description":"Pneumoc vac/admin/rcvd","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Repair defect of artery","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"35081","description":"Repair defect of artery","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Patient transferred to practice after initiation of chemotherapy","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G9826","description":"Patient transferred to practice after initiation of chemotherapy","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Spinal disk surgery add-on","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"63035","description":"Spinal disk surgery add-on","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Platelet pheresis irradiated","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"P9036","description":"Platelet pheresis irradiated","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OBCE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"HESC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Art pressure waveform analys","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"93050","description":"Art pressure waveform analys","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Resin two surfaces-anterior","billing_code_type":"CDT","billing_code_type_version":"2024","billing_code":"D2331","description":"Resin two surfaces-anterior","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Revision of iris","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"66761","description":"Revision of iris","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KIAE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HH PDGM","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"2IC21","description":"HH PDGM","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GFSB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Repair forearm tendon/muscle","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"25260","description":"Repair forearm tendon/muscle","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Hepcidin-25_ Enzyme-Linked Immunosorbent Assay (Elisa)_ Serum Or Plasma","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0251U","description":"Hepcidin-25_ Enzyme-Linked Immunosorbent Assay (Elisa)_ Serum Or Plasma","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OEYE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Repair umbilical lesion","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"49611","description":"Repair umbilical lesion","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Lso sagittal rigid panel cus","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"L0636","description":"Lso sagittal rigid panel cus","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"PGWD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Flowcytometry/tc add-on","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"88185","description":"Flowcytometry/tc add-on","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BFVE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HH PDGM","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"4HA21","description":"HH PDGM","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MHHD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Pvb thoracic single inj site","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"64461","description":"Pvb thoracic single inj site","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Repair umbilical lesion","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"49606","description":"Repair umbilical lesion","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-3BHKW","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"3BHKW","description":"HIPPS-3BHKW","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FFUD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Opn tx nasomax fx multple","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"21347","description":"Opn tx nasomax fx multple","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CGLD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-HB14A","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"HB14A","description":"HIPPS-HB14A","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Excision of esophagus lesion","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"43100","description":"Excision of esophagus lesion","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Ko adj jnt pos r sup pre ots","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"L1833","description":"Ko adj jnt pos r sup pre ots","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GGAE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Sinusitis comp","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G9464","description":"Sinusitis comp","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Mycophenolate mofetil oral","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"J7517","description":"Mycophenolate mofetil oral","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Immunoglobulin Light Chains (Ie_ Kappa_ Lambda)_ Free_ Each","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"83521","description":"Immunoglobulin Light Chains (Ie_ Kappa_ Lambda)_ Free_ Each","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Art byp grft aor/carot/innom","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"35526","description":"Art byp grft aor/carot/innom","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Noncovered ambulance mileage","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"A0888","description":"Noncovered ambulance mileage","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RMX0A","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RMX0A","description":"HIPPS-RMX0A","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"IFME0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OCVD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OGMC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"ODKC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Insj ocular telescope prosth","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0308T","description":"Insj ocular telescope prosth","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"IFDC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HH PDGM","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"1KB31","description":"HH PDGM","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Complete phys skin exam done","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"2029F","description":"Complete phys skin exam done","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Kafo plas sing free knee mol","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"L2037","description":"Kafo plas sing free knee mol","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OFMF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Coccidioidomycosis skin test","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"86490","description":"Coccidioidomycosis skin test","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Tcd emboli detect w/inj","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"93893","description":"Tcd emboli detect w/inj","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BBKD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Insert eye socket implant","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"67550","description":"Insert eye socket implant","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"HEQB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"DEWE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OBDB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BBIE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Incision of tendon sheath","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"25000","description":"Incision of tendon sheath","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KDED0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"W/in 2yr dxa not order","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G9471","description":"W/in 2yr dxa not order","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Inject pulm art hrt cath","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"93568","description":"Inject pulm art hrt cath","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CESD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Inj pembrolizumab","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"J9271","description":"Inj pembrolizumab","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CAMB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Spherocylindr 7.25d/2.25-4d","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"V2112","description":"Spherocylindr 7.25d/2.25-4d","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"AmnioText_ per cc","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"Q4245","description":"AmnioText_ per cc","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"ODDD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GFDB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Postoperative biliary duct calculus removal_ percutaneous via t-tube tract_ basket_ or snare (eg_ burhenne technique)_ radiological supervision and interpretation","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"74327","description":"Postoperative biliary duct calculus removal_ percutaneous via t-tube tract_ basket_ or snare (eg_ burhenne technique)_ radiological supervision and interpretation","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CCGD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NKVE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GHNE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RUX4A","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RUX4A","description":"HIPPS-RUX4A","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Replace lithium battery 1.5v","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"A4602","description":"Replace lithium battery 1.5v","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Factor viii fc fusion recomb","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"J7205","description":"Factor viii fc fusion recomb","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"CPT-0689U","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"0689U","description":"CPT-0689U","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Optical coherence tomography (OCT) of middle ear_ with interpretation and report; bilateral","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0486T","description":"Optical coherence tomography (OCT) of middle ear_ with interpretation and report; bilateral","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"IICC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-LC145","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"LC145","description":"HIPPS-LC145","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"IGHF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Scr unheal etoh w/counsel","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G9621","description":"Scr unheal etoh w/counsel","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GFGF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Removal of permanently implantable aortic counterpulsation ventricular assist system; subcutaneous electrode","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0458T","description":"Removal of permanently implantable aortic counterpulsation ventricular assist system; subcutaneous electrode","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-HC14A","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"HC14A","description":"HIPPS-HC14A","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FFUE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FDXD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-HB236","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"HB236","description":"HIPPS-HB236","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"No oder pjp for med reason","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G9219","description":"No oder pjp for med reason","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Ligate esophagus veins","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"43400","description":"Ligate esophagus veins","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-1AHL1","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"1AHL1","description":"HIPPS-1AHL1","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FECF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Excision of stomach lesion","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"43611","description":"Excision of stomach lesion","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"PIYF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"HDRC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BHBD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Treat humerus fracture","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"24577","description":"Treat humerus fracture","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JEXC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"CPT-0691U","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"0691U","description":"CPT-0691U","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-G0561","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"G0561","description":"HCPCS-G0561","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Laryngotomy (thyrotomy_ laryngofissure)_ with removal of tumor or laryngocele_ cordectomy","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"31300","description":"Laryngotomy (thyrotomy_ laryngofissure)_ with removal of tumor or laryngocele_ cordectomy","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RUL45","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RUL45","description":"HIPPS-RUL45","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NLGB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Hearing aid_ digit_ mon_ ite","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"V5256","description":"Hearing aid_ digit_ mon_ ite","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NBTA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NLMD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Excise intrspinl lesion thrc","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"63266","description":"Excise intrspinl lesion thrc","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Injection_ phenobarbital sodium (sezaby)_ 1 mg","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"J2561","description":"Injection_ phenobarbital sodium (sezaby)_ 1 mg","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"HCQF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"EHLD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BHXD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"AFEE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NKCE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Revision of foot and ankle","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"28262","description":"Revision of foot and ankle","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Repair dura","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"61618","description":"Repair dura","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Decompress eye socket","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"61330","description":"Decompress eye socket","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NBHB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Revise reconst elbow joint","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"24371","description":"Revise reconst elbow joint","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-4AGMW","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"4AGMW","description":"HIPPS-4AGMW","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Art byp ilioiliac","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"35663","description":"Art byp ilioiliac","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CGCB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"EHHC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"DIOD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Removal of thymus gland","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"60522","description":"Removal of thymus gland","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NEEB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NBJF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KDNA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Mra w/o cont_ pelvis","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"C8919","description":"Mra w/o cont_ pelvis","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BFJD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-4CFK6","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"4CFK6","description":"HIPPS-4CFK6","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CEVA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OJNF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MCBC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BFFB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"HISE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MCCB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CDWB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RML55","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RML55","description":"HIPPS-RML55","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FHHA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GFOD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-HB15B","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"HB15B","description":"HIPPS-HB15B","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MLHD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Chloroquine injection","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"J0390","description":"Chloroquine injection","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Patients with clinical indications for imaging of the head: occipital headache in children","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G2195","description":"Patients with clinical indications for imaging of the head: occipital headache in children","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-HD18D","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"HD18D","description":"HIPPS-HD18D","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MDDE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"EETF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MHMF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FAMA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-1AGK3","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"1AGK3","description":"HIPPS-1AGK3","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BHHB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Repair humerus with graft","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"24435","description":"Repair humerus with graft","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KFND1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Progressive lens per lens","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"V2781","description":"Progressive lens per lens","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"LFOE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JGGD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BIEB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NHJC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GAXB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BDHF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CGHC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"ODDB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FFEC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RMB5D","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RMB5D","description":"HIPPS-RMB5D","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"ODME1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Revision of cornea","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"65765","description":"Revision of cornea","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CBRD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Exc h-f-nk-sp b9+marg 0.6-1","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"11421","description":"Exc h-f-nk-sp b9+marg 0.6-1","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JBAB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KCID1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NFPA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Open brachial artery exposure for delivery of endovascular prosthesis_ unilateral (List separately in addition to code for primary procedure)","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"34834","description":"Open brachial artery exposure for delivery of endovascular prosthesis_ unilateral (List separately in addition to code for primary procedure)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BEHC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"EFCF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MEUC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CEXE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Prolong service w/o contact","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"99358","description":"Prolong service w/o contact","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MFDB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GHIE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Esrd serv 1 vst p mo 12-19","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"90959","description":"Esrd serv 1 vst p mo 12-19","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FELC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OCRC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Bronchial valve init insert","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"31647","description":"Bronchial valve init insert","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-M1445","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"M1445","description":"HCPCS-M1445","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MJLB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GHPD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Typhoid vaccine_ heat- and phenol-inactivated (h-p)_ for subcutaneous orintradermal use","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"90692","description":"Typhoid vaccine_ heat- and phenol-inactivated (h-p)_ for subcutaneous orintradermal use","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Compatibility test antiglob","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"86922","description":"Compatibility test antiglob","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JIDD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RLX01","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RLX01","description":"HIPPS-RLX01","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BBTF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-LB10C","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"LB10C","description":"HIPPS-LB10C","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Infectious agent detection by nucleic acid (DNA and RNA)_ gastrointestinal pathogens_ 31 bacterial_ viral_ and parasitic organisms and identification of 21 associated antibiot","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0369U","description":"Infectious agent detection by nucleic acid (DNA and RNA)_ gastrointestinal pathogens_ 31 bacterial_ viral_ and parasitic organisms and identification of 21 associated antibiot","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Place needles h&n for rt","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"41019","description":"Place needles h&n for rt","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-CB110","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"CB110","description":"HIPPS-CB110","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Arthrodesis_ pre-sacral interbody technique_ disc space preparation_ discectomy_ without instrumentation_ with image guidance_ includes bone graft when performed; L4-L5 inters","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0196T","description":"Arthrodesis_ pre-sacral interbody technique_ disc space preparation_ discectomy_ without instrumentation_ with image guidance_ includes bone graft when performed; L4-L5 inters","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Rebuild outer ear canal","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"69310","description":"Rebuild outer ear canal","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Insulin suppression panel","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"80432","description":"Insulin suppression panel","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"EALC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NBGB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Intraoral place of fix dev","billing_code_type":"CDT","billing_code_type_version":"2024","billing_code":"D7998","description":"Intraoral place of fix dev","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BDIF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GDIE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"IAIB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Injection_onabotulinumtoxina","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"J0585","description":"Injection_onabotulinumtoxina","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Change of bladder tube","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"51710","description":"Change of bladder tube","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RLX45","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RLX45","description":"HIPPS-RLX45","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-BB24A","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"BB24A","description":"HIPPS-BB24A","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FDTA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FBUF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"CPT-98014","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"98014","description":"CPT-98014","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FDIF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Endothelial function assessment_ using peripheral vascular response to reactive hyperemia_ non-invasive (eg_ brachial artery ultrasound_ peripheral artery tonometry)_ unilater","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0337T","description":"Endothelial function assessment_ using peripheral vascular response to reactive hyperemia_ non-invasive (eg_ brachial artery ultrasound_ peripheral artery tonometry)_ unilater","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-HE20A","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"HE20A","description":"HIPPS-HE20A","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FIFC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"ABIA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-4AFMS","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"4AFMS","description":"HIPPS-4AFMS","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FCVE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"AFHA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"ECAC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Remove sympathetic nerves","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"64809","description":"Remove sympathetic nerves","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Neurological procedure","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"95999","description":"Neurological procedure","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OCRD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OENC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KGQD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Reduction of eye prosthesis","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"V2626","description":"Reduction of eye prosthesis","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RVX4A","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RVX4A","description":"HIPPS-RVX4A","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-BB23A","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"BB23A","description":"HIPPS-BB23A","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-CC217","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"CC217","description":"HIPPS-CC217","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"CPT-0935T","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"0935T","description":"CPT-0935T","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FDEE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FADF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CHQD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HH PDGM","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"3AB11","description":"HH PDGM","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OLJD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Amniotic fluid scan","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"82143","description":"Amniotic fluid scan","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Storage/year reprod tissue","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"89344","description":"Storage/year reprod tissue","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Cytogenetics 10-30","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"88273","description":"Cytogenetics 10-30","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CAWC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"LCOF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-3CHNX","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"3CHNX","description":"HIPPS-3CHNX","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"EIHB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MICA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FEUA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Hepb vacc 3 dose ped/adol im","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"90744","description":"Hepb vacc 3 dose ped/adol im","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GBTC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Knee-shin exo mnl lock ultra","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"L5711","description":"Knee-shin exo mnl lock ultra","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FDLA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Radiation therapy planning","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"77299","description":"Radiation therapy planning","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-3CGK2","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"3CGK2","description":"HIPPS-3CGK2","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Pinworm exam","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"87172","description":"Pinworm exam","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Anti-mullerian hormone (AMH)","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"82166","description":"Anti-mullerian hormone (AMH)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KCCA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OLSD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FAMC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Custom fabricate w/c cushion","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"E2609","description":"Custom fabricate w/c cushion","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"IEID0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RVA0A","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RVA0A","description":"HIPPS-RVA0A","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RHX53","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RHX53","description":"HIPPS-RHX53","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Prostatic rf thermotx","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"53852","description":"Prostatic rf thermotx","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Remote monitoring of a wireless pulmonary artery pressure sensor for up to 30 days_ including at least weekly downloads of pulmonary artery pressure recordings_ interpretation","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"93264","description":"Remote monitoring of a wireless pulmonary artery pressure sensor for up to 30 days_ including at least weekly downloads of pulmonary artery pressure recordings_ interpretation","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BITA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Cystoscopy and treatment","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"52300","description":"Cystoscopy and treatment","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OBID0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NEJF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NBBB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-Q5098","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"Q5098","description":"HCPCS-Q5098","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Bridge resin w/noble metal","billing_code_type":"CDT","billing_code_type_version":"2024","billing_code":"D6252","description":"Bridge resin w/noble metal","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JIBD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BHXA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-LB18X","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"LB18X","description":"HIPPS-LB18X","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-CE23B","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"CE23B","description":"HIPPS-CE23B","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Cryosurgery anal lesion(s)","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"46916","description":"Cryosurgery anal lesion(s)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GICC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-Q4384","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"Q4384","description":"HCPCS-Q4384","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OEDD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OBKD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MCTF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OLGE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Intraoral - occlusal radiographic image - image capture only","billing_code_type":"CDT","billing_code_type_version":"2024","billing_code":"D0706","description":"Intraoral - occlusal radiographic image - image capture only","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BCGE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OJAE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FBDB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"MRI pelvis w/o & w/dye","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"72197","description":"MRI pelvis w/o & w/dye","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NCPC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BCFE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CDPB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Pacemaker_ leadless_ dual chamber (right atrial and right ventricular implantable components)_ rate-responsive_ including all necessary components for implantation","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"C1605","description":"Pacemaker_ leadless_ dual chamber (right atrial and right ventricular implantable components)_ rate-responsive_ including all necessary components for implantation","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Mobility cart pneum vad_ rep","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"Q0502","description":"Mobility cart pneum vad_ rep","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CIBF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Acid perfusion of esophagus","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"91030","description":"Acid perfusion of esophagus","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Repair/graft finger tendon","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"26420","description":"Repair/graft finger tendon","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-4BFKX","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"4BFKX","description":"HIPPS-4BFKX","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Functional status performed once in the last 12 months","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G9916","description":"Functional status performed once in the last 12 months","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Removal of brain tissue","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"61543","description":"Removal of brain tissue","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Hgb not doc rns not gvn","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G8974","description":"Hgb not doc rns not gvn","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Onc dx mult myeloma stg2 hig","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G9129","description":"Onc dx mult myeloma stg2 hig","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-Q4427","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"Q4427","description":"HCPCS-Q4427","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Cystourethro cut ejacul duct","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"52402","description":"Cystourethro cut ejacul duct","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"ADBC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Bilirubin direct","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"82248","description":"Bilirubin direct","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KDBA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RHA8E","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RHA8E","description":"HIPPS-RHA8E","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OLAB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"IADF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Patient received at least one dose of the herpes zoster live vaccine or two doses of the herpes zoster recombinant vaccine (at least 28 days apart) anytime on or after the pat","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"M1174","description":"Patient received at least one dose of the herpes zoster live vaccine or two doses of the herpes zoster recombinant vaccine (at least 28 days apart) anytime on or after the pat","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CCJC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OHQB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KFHA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"W/c manual swingaway","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"E1028","description":"W/c manual swingaway","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"PFYA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Pt cat and thck on report","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G9294","description":"Pt cat and thck on report","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NDVC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RMC52","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RMC52","description":"HIPPS-RMC52","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MBIB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Hospital Special Treatment Room Support Component (Hstrsc) Laser Surgical Procedures","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"X0617","description":"Hospital Special Treatment Room Support Component (Hstrsc) Laser Surgical Procedures","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Loxapine_ inhalation powder_ 10 mg","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"C9497","description":"Loxapine_ inhalation powder_ 10 mg","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"CPT-76018","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"76018","description":"CPT-76018","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GHND0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"PJSA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Patient pregnancy","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"M1061","description":"Patient pregnancy","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RMX4B","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RMX4B","description":"HIPPS-RMX4B","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MEUF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"PJSE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"LDOF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Treat humerus fracture","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"24565","description":"Treat humerus fracture","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-ES214","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"ES214","description":"HIPPS-ES214","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RHC34","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RHC34","description":"HIPPS-RHC34","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Urine ost pouch w bltinconv","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"A4429","description":"Urine ost pouch w bltinconv","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Gc stocking full lngth 18-30","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"A6536","description":"Gc stocking full lngth 18-30","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Doc rsn no adeno/neopl detec","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G9496","description":"Doc rsn no adeno/neopl detec","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CHSB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GAYF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"EIUA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"DHYF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FBAD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Comprehensive hearing test","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"92557","description":"Comprehensive hearing test","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NKDA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Mr angiograph neck w/o&w/dye","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"70549","description":"Mr angiograph neck w/o&w/dye","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JGHA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"EGIA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KHGE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Cast sup long arm adult plst","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"Q4005","description":"Cast sup long arm adult plst","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GCPD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"LBRB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Stent_ coated/cov w/o del sy","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"C1875","description":"Stent_ coated/cov w/o del sy","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CGYB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-4CFKT","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"4CFKT","description":"HIPPS-4CFKT","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JAHA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NDPB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-3AHP4","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"3AHP4","description":"HIPPS-3AHP4","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"DARA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BELE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"intraoral tomosynthesis - comprehensive series of radiographic images","billing_code_type":"CDT","billing_code_type_version":"2024","billing_code":"D0372","description":"intraoral tomosynthesis - comprehensive series of radiographic images","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KDLF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NJKD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JAFF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"ODGD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Urinal male jug-type","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"E0325","description":"Urinal male jug-type","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JGTD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GEWC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-3CGP6","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"3CGP6","description":"HIPPS-3CGP6","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Clear eyelid gland w/heat","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0207T","description":"Clear eyelid gland w/heat","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"EABD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OHFF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-2CHM5","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"2CHM5","description":"HIPPS-2CHM5","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OLKB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KEEA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Injection_ avacincaptad pegol_ 0.1 mg","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"C9162","description":"Injection_ avacincaptad pegol_ 0.1 mg","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OCQA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-CE120","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"CE120","description":"HIPPS-CE120","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MHUF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"AHMD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FDDA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Incision of anal septum","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"46070","description":"Incision of anal septum","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Fetal aneuploidy (trisomy 21_ and 18) DNA sequence analysis of selected reg","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0112U","description":"Fetal aneuploidy (trisomy 21_ and 18) DNA sequence analysis of selected reg","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FAFA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FHGA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-CC151","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"CC151","description":"HIPPS-CC151","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-2BHLS","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"2BHLS","description":"HIPPS-2BHLS","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Incision of prostate","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"52450","description":"Incision of prostate","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Ewho w/joint(s) cf","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"L3764","description":"Ewho w/joint(s) cf","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KCTC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Oncology (lung)_ three protein biomarkers_ immunoassay using magnetic nanosensor technology_ plasma_ algorithm reported as risk score for likelihood of malignancy","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0092U","description":"Oncology (lung)_ three protein biomarkers_ immunoassay using magnetic nanosensor technology_ plasma_ algorithm reported as risk score for likelihood of malignancy","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RMX50","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RMX50","description":"HIPPS-RMX50","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Subtemporal decompression","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"61340","description":"Subtemporal decompression","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Treat shoulder dislocation","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"23650","description":"Treat shoulder dislocation","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Prgrmg eval cardiac modulj","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0417T","description":"Prgrmg eval cardiac modulj","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Alcohol and/or drug services","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"H0007","description":"Alcohol and/or drug services","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"IDBE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CHRB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FEPE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"IDMC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Laparoscopy orchiectomy","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"54690","description":"Laparoscopy orchiectomy","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NEPD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Treat kneecap fracture","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"27520","description":"Treat kneecap fracture","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CINF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Oral device/appliance for neuromuscular electrical stimulation of the tongue muscle_ used in conjunction with thepower source and control electronics unit_ controlled by hardw","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"E0491","description":"Oral device/appliance for neuromuscular electrical stimulation of the tongue muscle_ used in conjunction with thepower source and control electronics unit_ controlled by hardw","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GEKF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"PAOC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RUC26","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RUC26","description":"HIPPS-RUC26","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JCGF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-A2038","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"A2038","description":"HCPCS-A2038","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KHOA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-1CGL2","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"1CGL2","description":"HIPPS-1CGL2","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"EFTD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Reconstruction of urethra","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"54326","description":"Reconstruction of urethra","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Temp fml iu vlv-pmp 1st insj","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0596T","description":"Temp fml iu vlv-pmp 1st insj","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Emergency dept visit","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"99281","description":"Emergency dept visit","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KCHC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"DGRD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-1AFN2","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"1AFN2","description":"HIPPS-1AFN2","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Alanine amino (alt) (sgpt)","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"84460","description":"Alanine amino (alt) (sgpt)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RMB21","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RMB21","description":"HIPPS-RMB21","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CBMC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"DGSF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Back Pain Measured By The Visual Analog Scale (Vas) Pain At One Year (9 To 15 Months) Postoperatively Was Greater Than 3.0 And Back Pain Measured By The Visual Analog Scale (V","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G2139","description":"Back Pain Measured By The Visual Analog Scale (Vas) Pain At One Year (9 To 15 Months) Postoperatively Was Greater Than 3.0 And Back Pain Measured By The Visual Analog Scale (V","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"HBSE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"CPT-0485U","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"0485U","description":"CPT-0485U","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NGNC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-CE126","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"CE126","description":"HIPPS-CE126","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-G0545","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"G0545","description":"HCPCS-G0545","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OAID1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KGVE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OEIE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MLAE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NLFB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-Q2057","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"Q2057","description":"HCPCS-Q2057","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MDDC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"PDWE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MHHF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"CPT-01650","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"01650","description":"CPT-01650","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-AAA20","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"AAA20","description":"HIPPS-AAA20","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Lengthening of palate","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"42227","description":"Lengthening of palate","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MCCA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CCME1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Mammo assess inc xray docd","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"3340F","description":"Mammo assess inc xray docd","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Graft_ vascular","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"C1768","description":"Graft_ vascular","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"IDCA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"ABEA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JCTD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NCDC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Ko supracondylar socket mold","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"L1860","description":"Ko supracondylar socket mold","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Streptomycin injection","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"J3000","description":"Streptomycin injection","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Repair of biceps tendon","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"24340","description":"Repair of biceps tendon","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Ins/rep subq defibrillator","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"33270","description":"Ins/rep subq defibrillator","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"CPT-01953","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"01953","description":"CPT-01953","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-CB204","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"CB204","description":"HIPPS-CB204","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CAXB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NEBD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-PB18B","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"PB18B","description":"HIPPS-PB18B","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GISF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Laparoscopy lysis","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"58660","description":"Laparoscopy lysis","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GAWE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FGGA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-LC206","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"LC206","description":"HIPPS-LC206","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NCTC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JBLB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"IBDA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"AIEA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RUA32","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RUA32","description":"HIPPS-RUA32","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"EEBD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Prescrl fuse w/ instr l4/l5","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0309T","description":"Prescrl fuse w/ instr l4/l5","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-PB28B","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"PB28B","description":"HIPPS-PB28B","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FFCC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RLX35","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RLX35","description":"HIPPS-RLX35","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Test socket hemipelvectomy","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"L5628","description":"Test socket hemipelvectomy","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Exercise w/hemodynamic meas","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"93464","description":"Exercise w/hemodynamic meas","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Remove sperm duct pouch","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"55650","description":"Remove sperm duct pouch","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JHIB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Bk pain & fxn assessed","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"1130F","description":"Bk pain & fxn assessed","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MHBD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Patient has metastatic disease at diagnosis","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G9842","description":"Patient has metastatic disease at diagnosis","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KFAC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Remove nail bed/tip","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"11752","description":"Remove nail bed/tip","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GDXA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Trach pros cleaning device","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"L8513","description":"Trach pros cleaning device","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-ES311","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"ES311","description":"HIPPS-ES311","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Surgraft xt_ per square centimeter","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"Q4269","description":"Surgraft xt_ per square centimeter","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CEHB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"PEOA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Coordinated specialty care_ team-based_ for first episode psychosis_ per encounter","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"H2041","description":"Coordinated specialty care_ team-based_ for first episode psychosis_ per encounter","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BFUE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Respiratory pathogen_ multiplex reverse transcription and multiplex amplified probe technique_ multiple types or subtypes_ 20 targets (adenovirus_ coronavirus 229E_ coronaviru","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0099U","description":"Respiratory pathogen_ multiplex reverse transcription and multiplex amplified probe technique_ multiple types or subtypes_ 20 targets (adenovirus_ coronavirus 229E_ coronaviru","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Thoracoscopy w/ th nrv exc","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"32664","description":"Thoracoscopy w/ th nrv exc","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Patients who respond on the patient experience hu survey that they did not receive care by the listed ambulatory palliative care provider in the last 60 days (disavowal)","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"M1253","description":"Patients who respond on the patient experience hu survey that they did not receive care by the listed ambulatory palliative care provider in the last 60 days (disavowal)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-4CFKV","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"4CFKV","description":"HIPPS-4CFKV","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-CC18C","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"CC18C","description":"HIPPS-CC18C","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"HAYE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"LGQF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-3CGKV","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"3CGKV","description":"HIPPS-3CGKV","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-PA234","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"PA234","description":"HIPPS-PA234","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RMB03","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RMB03","description":"HIPPS-RMB03","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Weight mgmt class","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"S9449","description":"Weight mgmt class","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BHFC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Dental onlay porcelin 2 surf","billing_code_type":"CDT","billing_code_type_version":"2024","billing_code":"D2642","description":"Dental onlay porcelin 2 surf","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"EHIC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KCNE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JGED0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"DFRE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"DEWF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"EFEE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OKCE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Abd imag and followup rec","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G9548","description":"Abd imag and followup rec","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Tib/per revasc w/stent","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"37230","description":"Tib/per revasc w/stent","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Porcine implant_ permacol","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"C9364","description":"Porcine implant_ permacol","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Indiv pdc not > 0.8","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G9513","description":"Indiv pdc not > 0.8","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KENF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JAXD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GIAE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Icar ischm mntr interr eval","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0306T","description":"Icar ischm mntr interr eval","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"LBWD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RVL56","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RVL56","description":"HIPPS-RVL56","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Electrical bone stimulation","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"20974","description":"Electrical bone stimulation","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Axolotl ambient or axolotl cryo_ 0.1 mg","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"Q4215","description":"Axolotl ambient or axolotl cryo_ 0.1 mg","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FINA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Amphetamines 5 or more","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"80326","description":"Amphetamines 5 or more","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Disp fee inhal drugs/90 days","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"Q0514","description":"Disp fee inhal drugs/90 days","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Icm device interrogat remote","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"93297","description":"Icm device interrogat remote","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NATC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CFOD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"DGSF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FFJA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Behav hlth day treat_ per hr","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"H2012","description":"Behav hlth day treat_ per hr","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-5AFKS","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"5AFKS","description":"HIPPS-5AFKS","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MJBE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GBWB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BFAC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"PLSB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Repair elbow w/deb open","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"24358","description":"Repair elbow w/deb open","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-PD214","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"PD214","description":"HIPPS-PD214","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-CD254","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"CD254","description":"HIPPS-CD254","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Pelvic examination (List separately in addition to code for primary procedure)","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"99459","description":"Pelvic examination (List separately in addition to code for primary procedure)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"LDQF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BBXE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MACE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KDTE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"EABC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JETC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NLCF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-2BFL6","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"2BFL6","description":"HIPPS-2BFL6","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"I125 iothalamate_ dx","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"A9554","description":"I125 iothalamate_ dx","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NJAA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Special eye evaluation","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"92060","description":"Special eye evaluation","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Dental onlay porcelin 3 surf","billing_code_type":"CDT","billing_code_type_version":"2024","billing_code":"D2643","description":"Dental onlay porcelin 3 surf","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KEMC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OCUF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Injection_ furosemide (furoscix)_ 20 mg","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"J1941","description":"Injection_ furosemide (furoscix)_ 20 mg","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Drainage of pilonidal cyst","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"10081","description":"Drainage of pilonidal cyst","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-1BHL6","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"1BHL6","description":"HIPPS-1BHL6","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Repl exhalation port for pap","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"A7045","description":"Repl exhalation port for pap","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-3CHM1","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"3CHM1","description":"HIPPS-3CHM1","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Brachytherapy radioelements","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"Q3001","description":"Brachytherapy radioelements","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Gradient pressure wrap with adjustable straps_ above knee_ each","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"A6585","description":"Gradient pressure wrap with adjustable straps_ above knee_ each","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HH PDGM","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"3KB21","description":"HH PDGM","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CCXC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CCCC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Outpt iv insulin tx any mea","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G9147","description":"Outpt iv insulin tx any mea","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RVC5C","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RVC5C","description":"HIPPS-RVC5C","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Repair middle ear structures","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"69666","description":"Repair middle ear structures","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-LC28B","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"LC28B","description":"HIPPS-LC28B","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FGPC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CBWD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-CD10B","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"CD10B","description":"HIPPS-CD10B","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Enterovirus antibody dfa","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"87267","description":"Enterovirus antibody dfa","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-BB256","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"BB256","description":"HIPPS-BB256","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NCBE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BFKD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Two Medicare Diabetes Prevention Program (MDPP) core maintenance sessions (MS) were attended by an MDPP beneficiary in months (mo) 7-9 under the MDPP","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G9876","description":"Two Medicare Diabetes Prevention Program (MDPP) core maintenance sessions (MS) were attended by an MDPP beneficiary in months (mo) 7-9 under the MDPP","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"HIWB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"ODMD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Revision of aortic valve","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"92986","description":"Revision of aortic valve","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CFOB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Hit alpha-1-proteinas diem","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"S9346","description":"Hit alpha-1-proteinas diem","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Preventive counseling indiv","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"99402","description":"Preventive counseling indiv","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FEHC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JCVF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RUB8F","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RUB8F","description":"HIPPS-RUB8F","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Cystoscopy and radiotracer","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"52250","description":"Cystoscopy and radiotracer","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NJDF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KHGC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MHDD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"AEBC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-5AFK4","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"5AFK4","description":"HIPPS-5AFK4","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FCTF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FGJA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Doc reas no pos air press","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G8849","description":"Doc reas no pos air press","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"No screening performed_ partial screening performed or positive screen without recommendations and reason is not given or otherwise specified","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G9921","description":"No screening performed_ partial screening performed or positive screen without recommendations and reason is not given or otherwise specified","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Anchor/screw bn/bn_tis/bn","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"C1713","description":"Anchor/screw bn/bn_tis/bn","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FEEE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JFFF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-4CFM2","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"4CFM2","description":"HIPPS-4CFM2","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Crown 3/4 porcelain/ceramic","billing_code_type":"CDT","billing_code_type_version":"2024","billing_code":"D2783","description":"Crown 3/4 porcelain/ceramic","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KIUB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Adrenal tissue transplant","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"S2103","description":"Adrenal tissue transplant","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"EHHE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Magnetic resonance imaging without contrast_ breast; bilateral","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"C8907","description":"Magnetic resonance imaging without contrast_ breast; bilateral","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CCDE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"ODBE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"PBQD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RVX32","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RVX32","description":"HIPPS-RVX32","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"DIOF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-HE10D","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"HE10D","description":"HIPPS-HE10D","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-J9011","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"J9011","description":"HCPCS-J9011","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"ODPC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JCTF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"No pt care icu/vent in 24hrs","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"4169F","description":"No pt care icu/vent in 24hrs","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CIUA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"PIQC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Paclitaxel protein bound","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"J9264","description":"Paclitaxel protein bound","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Removal of arm foreign body","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"24201","description":"Removal of arm foreign body","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CFQE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FDPF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Fusion of ureters","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"50760","description":"Fusion of ureters","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FFJB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"CDT-D1802","billing_code_type":"CDT","billing_code_type_version":"2026","billing_code":"D1802","description":"CDT-D1802","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Wcd device interrogate","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"93292","description":"Wcd device interrogate","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-3AHK4","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"3AHK4","description":"HIPPS-3AHK4","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GCDC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MJCD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Allergy immunology services","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"95199","description":"Allergy immunology services","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BACB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Injection_ cetirizine hydrochloride_ 0.5 mg","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"J1201","description":"Injection_ cetirizine hydrochloride_ 0.5 mg","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KESD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CAVE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GCTC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"AHIC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KCED1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NHXE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Bronchoscopy w/fb removal","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"31635","description":"Bronchoscopy w/fb removal","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Remote Therapeutic Monitoring (Eg_ Respiratory System Status_ Musculoskeletal System Status_ Therapy Adherence_ Therapy Response); Device(S) Supply With Scheduled (Eg_ Daily)","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"98977","description":"Remote Therapeutic Monitoring (Eg_ Respiratory System Status_ Musculoskeletal System Status_ Therapy Adherence_ Therapy Response); Device(S) Supply With Scheduled (Eg_ Daily)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Extensive vulva surgery","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"56630","description":"Extensive vulva surgery","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Optical coherence tomography (OCT) for microstructural and morphological imaging of skin_ image acquisition_ interpretation_ and report; first lesion","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0470T","description":"Optical coherence tomography (OCT) for microstructural and morphological imaging of skin_ image acquisition_ interpretation_ and report; first lesion","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"CPT-87182","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"87182","description":"CPT-87182","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JEUB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-5BHK5","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"5BHK5","description":"HIPPS-5BHK5","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KHLB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"LIQB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-ES212","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"ES212","description":"HIPPS-ES212","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OLDB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KFGB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Visual field assmnt rev/rprt","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0378T","description":"Visual field assmnt rev/rprt","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"EGBF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-AAA5B","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"AAA5B","description":"HIPPS-AAA5B","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Syme typ expandabl wall sckt","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"L5630","description":"Syme typ expandabl wall sckt","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GEBB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BIPD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Sent lymph node biopsy","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G8878","description":"Sent lymph node biopsy","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RVC8G","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RVC8G","description":"HIPPS-RVC8G","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JGNF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RUC2C","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RUC2C","description":"HIPPS-RUC2C","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"PGQC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"AFHC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OBXF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"PuraPly or PuraPly AM_ per sq cm","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"Q4172","description":"PuraPly or PuraPly AM_ per sq cm","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"TGFBI (transforming growth factor beta-induced) (eg_ corneal dystrophy) gene analysis_ common variants (eg_ R124H_ R124C_ R124L_ R555W_ R555Q)","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"81333","description":"TGFBI (transforming growth factor beta-induced) (eg_ corneal dystrophy) gene analysis_ common variants (eg_ R124H_ R124C_ R124L_ R555W_ R555Q)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Test socket shldr disart/tho","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"L6684","description":"Test socket shldr disart/tho","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MCBB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OAYE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GHAA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GELA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-PB145","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"PB145","description":"HIPPS-PB145","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BCXA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-C1739","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"C1739","description":"HCPCS-C1739","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"PHRC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"M.tuberculo dna dir probe","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"87555","description":"M.tuberculo dna dir probe","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Fun stat score ls >= 0","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G8659","description":"Fun stat score ls >= 0","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OGKE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JDNB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OJJF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Oxygen system liquid portabl","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"E0435","description":"Oxygen system liquid portabl","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Cad cxr with interp","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0174T","description":"Cad cxr with interp","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MFMB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MCUE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"EICA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Injection_ granisetron_ extended-release_ 0.1 mg","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"J1627","description":"Injection_ granisetron_ extended-release_ 0.1 mg","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NDTB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Imm counseling by a physician or other qualified health care professional when the vaccine(s) is not admini on the same date of service_ 5 to 15 minutes time Medicaid only.","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G0310","description":"Imm counseling by a physician or other qualified health care professional when the vaccine(s) is not admini on the same date of service_ 5 to 15 minutes time Medicaid only.","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MDDB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"EDBF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NIEF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KEME0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GAKC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"CPT-0908T","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"0908T","description":"CPT-0908T","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Revision Or Removal Of Integrated Single Device Neurostimulation System Including Electrode Array And Receiver Or Pulse Generator_ Including Analysis_ Programming_ And Imaging","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0588T","description":"Revision Or Removal Of Integrated Single Device Neurostimulation System Including Electrode Array And Receiver Or Pulse Generator_ Including Analysis_ Programming_ And Imaging","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GAKE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"CPT-0614U","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"0614U","description":"CPT-0614U","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Excision lesion mouth roof","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"42106","description":"Excision lesion mouth roof","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Ongoing Care Not Indicated_ Patient Seen Only 1-2 Visits (E.G._ Home Program Only_ Referred To Another Provider Or Facility_ Consultation Only)","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"M1138","description":"Ongoing Care Not Indicated_ Patient Seen Only 1-2 Visits (E.G._ Home Program Only_ Referred To Another Provider Or Facility_ Consultation Only)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Release palm contracture","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"26045","description":"Release palm contracture","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Remove cervix repair bowel","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"57556","description":"Remove cervix repair bowel","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JHIC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Complex drainage wound","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"10180","description":"Complex drainage wound","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"CPT-00529","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"00529","description":"CPT-00529","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"AFLE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Cast sup hip spica fiberglas","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"Q4026","description":"Cast sup hip spica fiberglas","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GIQC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GFOF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"IDCB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OFPE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NAJE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JECF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"IDDB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Bartonella antibody","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"86611","description":"Bartonella antibody","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Doc compl inf antibio","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G9301","description":"Doc compl inf antibio","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NLVE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Ank-foot sys dors-plant flex","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"L5973","description":"Ank-foot sys dors-plant flex","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"PIYC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MFTB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Patients with clinical indications for imaging of the head: head trauma","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G2187","description":"Patients with clinical indications for imaging of the head: head trauma","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Red blood cell antigen typing_ DNA_ genotyping of 10 blood groups with phenotype prediction of 37 red blood cell antigens","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0084U","description":"Red blood cell antigen typing_ DNA_ genotyping of 10 blood groups with phenotype prediction of 37 red blood cell antigens","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GFXB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CGFA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Removal of brain lesion","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"61520","description":"Removal of brain lesion","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FCHB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Water distilled w/nebulizer","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"A7018","description":"Water distilled w/nebulizer","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OCCF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GHVA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HH PDGM","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"3KC31","description":"HH PDGM","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"AABE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-PE28H","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"PE28H","description":"HIPPS-PE28H","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Insert spine fixation device","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"22846","description":"Insert spine fixation device","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FGVE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"AGHD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NEIC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Anesth skin ext/per/atrunk","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"40051","description":"Anesth skin ext/per/atrunk","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Virtual reality (VR) procedural dissociation services provided by a physician or other qualified health care professional other than the physician or other qualified health ca","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0773T","description":"Virtual reality (VR) procedural dissociation services provided by a physician or other qualified health care professional other than the physician or other qualified health ca","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CAWE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"CPT-90624","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"90624","description":"CPT-90624","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GGMA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-PA18E","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"PA18E","description":"HIPPS-PA18E","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Palliative Care Services Provided To Patient Any Time During The Measurement Period","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G9988","description":"Palliative Care Services Provided To Patient Any Time During The Measurement Period","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CANA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Endometr ablate thermal","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"58353","description":"Endometr ablate thermal","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Debridement_ bone including epidermis_ dermis_ subcutaneous tissue_ muscle and/or fascia_ if performed_ first 20 sq cm or less with manual preparation and insertion of deep (e","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"C7500","description":"Debridement_ bone including epidermis_ dermis_ subcutaneous tissue_ muscle and/or fascia_ if performed_ first 20 sq cm or less with manual preparation and insertion of deep (e","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"CPT-0946T","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"0946T","description":"CPT-0946T","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NLAB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RUB14","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RUB14","description":"HIPPS-RUB14","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GBIF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GDND1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Replantation arm complete","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"20802","description":"Replantation arm complete","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OGTC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"External recharg sys intern","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"L8689","description":"External recharg sys intern","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Bone strength and fracture risk using finite element analysis of functional data_ and bone-mineral density_ utilizing data from a computed tomography scan; retrieval and trans","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0554T","description":"Bone strength and fracture risk using finite element analysis of functional data_ and bone-mineral density_ utilizing data from a computed tomography scan; retrieval and trans","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Repair artery rupture aorta","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"35092","description":"Repair artery rupture aorta","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CGEE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BDUE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RHX1A","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RHX1A","description":"HIPPS-RHX1A","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OGJE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NABD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-CD231","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"CD231","description":"HIPPS-CD231","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BFKC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"AGCA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MALF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OEKA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RML36","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RML36","description":"HIPPS-RML36","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KIGD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CDTE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-3CHN1","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"3CHN1","description":"HIPPS-3CHN1","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Non-traumatic spinal cord injury with Motor <23.75._comorbidity in tier 3","billing_code_type":"CDT","billing_code_type_version":"2024","billing_code":"D0506","description":"Non-traumatic spinal cord injury with Motor <23.75._comorbidity in tier 3","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Electron elbow adolescent sw","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"L7185","description":"Electron elbow adolescent sw","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OBKF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OARA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Assay serum cholinesterase","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"82480","description":"Assay serum cholinesterase","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KDQF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BBPE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BBPB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Repair heart-vein defect(s)","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"33730","description":"Repair heart-vein defect(s)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NIEC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OCQD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OIHD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Inj_ imm glob bivigam_ 500mg","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"J1556","description":"Inj_ imm glob bivigam_ 500mg","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BBKB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Injection_ casimersen_ 10 mg","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"C9075","description":"Injection_ casimersen_ 10 mg","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"IGMF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OLTE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"ACEA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Clot factor viii reltd antgn","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"85244","description":"Clot factor viii reltd antgn","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BIDC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Adolescent patients 12 to 17 years of age with major depression or dysthymia who reached remission at 12 months as demonstrated","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"M1019","description":"Adolescent patients 12 to 17 years of age with major depression or dysthymia who reached remission at 12 months as demonstrated","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JBAB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CGTF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BITC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Chest x-ray&fluoro 4/> views","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"71034","description":"Chest x-ray&fluoro 4/> views","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"PAYE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Patient/caregiver training for initiation of home international normalized ratio (INR) monitoring under the direction of a physician or other qualified health care professiona","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"93792","description":"Patient/caregiver training for initiation of home international normalized ratio (INR) monitoring under the direction of a physician or other qualified health care professiona","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JHLF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GGWE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Drug screen amphetamines 1/2","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"80324","description":"Drug screen amphetamines 1/2","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Resect shoulder tumor 5 cm/>","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"23078","description":"Resect shoulder tumor 5 cm/>","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"DCWD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"LBSF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Services provided in urgent","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"S9088","description":"Services provided in urgent","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Diathermy eg microwave","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"97024","description":"Diathermy eg microwave","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"PIQF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-CE28A","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"CE28A","description":"HIPPS-CE28A","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RHX55","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RHX55","description":"HIPPS-RHX55","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Drug test def 1-7 classes","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G0480","description":"Drug test def 1-7 classes","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Cast sup gauntlet fiberglass","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"Q4014","description":"Cast sup gauntlet fiberglass","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Rpt doc class histo type","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G9422","description":"Rpt doc class histo type","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-J0602","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"J0602","description":"HCPCS-J0602","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"LEOF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Insulin intermed 5 u","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"S5552","description":"Insulin intermed 5 u","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Psori tool doc/no bnchmk met","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G9651","description":"Psori tool doc/no bnchmk met","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-LB217","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"LB217","description":"HIPPS-LB217","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-BA24A","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"BA24A","description":"HIPPS-BA24A","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"LGYD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"LBSF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BHXE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-C0407","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"C0407","description":"HCPCS-C0407","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BBPE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MKHF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Patients 66-80 Years Of Age With At Least One Claim/Encounter For Frailty During The Measurement Period And A Dispensed Medication For Dementia During The Measurement Period O","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G2132","description":"Patients 66-80 Years Of Age With At Least One Claim/Encounter For Frailty During The Measurement Period And A Dispensed Medication For Dementia During The Measurement Period O","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OGRA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KDNB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MAUD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Replace denture teeth complt","billing_code_type":"CDT","billing_code_type_version":"2024","billing_code":"D5520","description":"Replace denture teeth complt","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-HB205","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"HB205","description":"HIPPS-HB205","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Alcohol and/or drug services","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"H0004","description":"Alcohol and/or drug services","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GGXD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Gen w/c cushion wdth < 22 in","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"E2601","description":"Gen w/c cushion wdth < 22 in","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NIPC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Head control proximity switc","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"E2330","description":"Head control proximity switc","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Injection_ gemcitabine hydrochloride (accord)_ not therapeutically equivalent to j9201_ 200 mg","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"J9196","description":"Injection_ gemcitabine hydrochloride (accord)_ not therapeutically equivalent to j9201_ 200 mg","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"HFSC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-HD28D","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"HD28D","description":"HIPPS-HD28D","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"HCWD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OLKC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-C0401","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"C0401","description":"HCPCS-C0401","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"EIIC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OJXB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-HE14A","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"HE14A","description":"HIPPS-HE14A","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RMB11","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RMB11","description":"HIPPS-RMB11","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GFAD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"EHCC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-1BGM1","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"1BGM1","description":"HIPPS-1BGM1","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Pt inelig footwear evaluatio","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G8416","description":"Pt inelig footwear evaluatio","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JINE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"LAOD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CIOA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BFVE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"AEME1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"ADIB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Pentamidine comp unit dose","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"J7676","description":"Pentamidine comp unit dose","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OIAC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-1AGLS","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"1AGLS","description":"HIPPS-1AGLS","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Fetal surg congen hernia","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"S2400","description":"Fetal surg congen hernia","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"LIOD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-J9232","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"J9232","description":"HCPCS-J9232","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Bronchial allergy tests","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"95070","description":"Bronchial allergy tests","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"No transfercare chklist used","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0584F","description":"No transfercare chklist used","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Office-Based Treatment For Opioid Use Disorder_ Including Development Of The Treatment Plan_ Care Coordination_ Individual Therapy And Group Therapy And Counseling; At Least 7","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G2086","description":"Office-Based Treatment For Opioid Use Disorder_ Including Development Of The Treatment Plan_ Care Coordination_ Individual Therapy And Group Therapy And Counseling; At Least 7","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-LC130","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"LC130","description":"HIPPS-LC130","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Njx tfrml eprl w/us cer/thor","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0228T","description":"Njx tfrml eprl w/us cer/thor","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RLA4A","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RLA4A","description":"HIPPS-RLA4A","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GAOA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OBFF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-CD241","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"CD241","description":"HIPPS-CD241","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CBYC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SurFactor or NuDyn_ per 0.5 cc","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"Q4233","description":"SurFactor or NuDyn_ per 0.5 cc","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"AFTC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NLVC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"IFCC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-Q4424","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"Q4424","description":"HCPCS-Q4424","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OCBF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"LCSD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FFNC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BECC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"IDAA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MFMC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"IBLF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OGXF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"IGBF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OFEA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Art byp femoral-femoral","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"35661","description":"Art byp femoral-femoral","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Inj iron dextran","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"J1750","description":"Inj iron dextran","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Pathology report diagnosing cutaneous basal cell carcinoma or squamous cell carcinoma (to include in situ disease) was not sent from the pathologist/dermatopathologist to the","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G9786","description":"Pathology report diagnosing cutaneous basal cell carcinoma or squamous cell carcinoma (to include in situ disease) was not sent from the pathologist/dermatopathologist to the","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FFLB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Self-mgmt educ/train 5-8 pt","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"98962","description":"Self-mgmt educ/train 5-8 pt","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Onc dx sclc/nsclc limited","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G9068","description":"Onc dx sclc/nsclc limited","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MEBB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"ODWE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Closure dev_ vasc","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"C1760","description":"Closure dev_ vasc","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Spin/brain pump refil & main","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"95991","description":"Spin/brain pump refil & main","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OHFD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-4CFK3","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"4CFK3","description":"HIPPS-4CFK3","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RMB3D","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RMB3D","description":"HIPPS-RMB3D","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Digitization of glass microscope slides for pathology consultation during surgery; first tissue block_ with frozen section(s)_ single specimen (List separately in addition to","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0841T","description":"Digitization of glass microscope slides for pathology consultation during surgery; first tissue block_ with frozen section(s)_ single specimen (List separately in addition to","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Assay of serotonin","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"84260","description":"Assay of serotonin","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"LBSB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Repair radius & ulna","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"25415","description":"Repair radius & ulna","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Cptr ophth dx img post segmt","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"92134","description":"Cptr ophth dx img post segmt","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-1CHKT","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"1CHKT","description":"HIPPS-1CHKT","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Dental bitewings four films","billing_code_type":"CDT","billing_code_type_version":"2024","billing_code":"D0274","description":"Dental bitewings four films","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FFCB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Catheter_ transluminal intravascular lesion preparation device_ bladed_ sheathed (insertable)","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"C1600","description":"Catheter_ transluminal intravascular lesion preparation device_ bladed_ sheathed (insertable)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MDEB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"IIED0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"HGSB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Exhaled carbon dioxide test","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"94770","description":"Exhaled carbon dioxide test","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-4AGK3","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"4AGK3","description":"HIPPS-4AGK3","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-ES220","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"ES220","description":"HIPPS-ES220","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OCWB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KDCB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Lisocabtagene maraleucel_ up to 110 million autologous anti  CAR-positive viable T cells_ including leukapheresis and dose preparation procedures_ per therapeutic dose","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"Q2054","description":"Lisocabtagene maraleucel_ up to 110 million autologous anti  CAR-positive viable T cells_ including leukapheresis and dose preparation procedures_ per therapeutic dose","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"ECHD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-2CFLS","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"2CFLS","description":"HIPPS-2CFLS","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"IIUE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"IAMB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Clin depres scrn no f/u doc","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G8511","description":"Clin depres scrn no f/u doc","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GIHE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"DFSF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JHLA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"AILF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"HFWE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-CE24D","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"CE24D","description":"HIPPS-CE24D","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"DGWA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"IGUA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"PAYD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Impact tooth remov soft tiss","billing_code_type":"CDT","billing_code_type_version":"2024","billing_code":"D7220","description":"Impact tooth remov soft tiss","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RMX8C","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RMX8C","description":"HIPPS-RMX8C","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"ADTF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CGPB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OKEA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Orthodontic treatment","billing_code_type":"CDT","billing_code_type_version":"2024","billing_code":"D8690","description":"Orthodontic treatment","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Tlso flex trunk/thor pre ots","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"L0450","description":"Tlso flex trunk/thor pre ots","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Mammogram both breasts","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"77056","description":"Mammogram both breasts","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-CB126","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"CB126","description":"HIPPS-CB126","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MIMA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Place perm pacing cardiovert","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G0448","description":"Place perm pacing cardiovert","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Subsequent repair of nerve","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"64872","description":"Subsequent repair of nerve","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CENE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-ES28A","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"ES28A","description":"HIPPS-ES28A","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Ko w/adj jt rot cntrl molded","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"L1844","description":"Ko w/adj jt rot cntrl molded","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Neuromuscular junction test","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"95937","description":"Neuromuscular junction test","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GFUB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Drain/inj joint/bursa w/us","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"20606","description":"Drain/inj joint/bursa w/us","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Removal of arm bone lesion","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"24134","description":"Removal of arm bone lesion","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Specimen site not prostate","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G8798","description":"Specimen site not prostate","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Clinical Decision Support Mechanism Stanson_ As Defined By The Medicare Appropriate Use Criteria Program","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G1010","description":"Clinical Decision Support Mechanism Stanson_ As Defined By The Medicare Appropriate Use Criteria Program","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FCPF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Reproductive Medicine (Endometrial Receptivity Analysis)_ Rna Gene Expression Profile_ 238 Genes By Next-Generation Sequencing_ Endometrial Tissue_ Predictive Algorithm Report","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0253U","description":"Reproductive Medicine (Endometrial Receptivity Analysis)_ Rna Gene Expression Profile_ 238 Genes By Next-Generation Sequencing_ Endometrial Tissue_ Predictive Algorithm Report","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Insertion or replacement of a permanently implantable aortic counterpulsation ventricular assist system_ endovascular approach_ and programming of sensing and therapeutic para","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0452T","description":"Insertion or replacement of a permanently implantable aortic counterpulsation ventricular assist system_ endovascular approach_ and programming of sensing and therapeutic para","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-HC10A","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"HC10A","description":"HIPPS-HC10A","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Gallium Ga-68 gozetotide_ diagnostic_ (Locametz)_1 mCi","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"A9800","description":"Gallium Ga-68 gozetotide_ diagnostic_ (Locametz)_1 mCi","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RUC5A","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RUC5A","description":"HIPPS-RUC5A","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"MRI for tissue ablation","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"77022","description":"MRI for tissue ablation","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BHHD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NFUA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OLXF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NBNF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-2AGK4","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"2AGK4","description":"HIPPS-2AGK4","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Segesterone acetate and ethinyl estradiol 0.15 mg_ 0.013 mgper 24 hours; yearly vaginal system_ ea","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"J7294","description":"Segesterone acetate and ethinyl estradiol 0.15 mg_ 0.013 mgper 24 hours; yearly vaginal system_ ea","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Cushioned headrest","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"E0955","description":"Cushioned headrest","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CCXD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JEHA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CIKD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Vbac delivery","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"59610","description":"Vbac delivery","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"EHLE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Ctlso a-p-l control molded","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"L0700","description":"Ctlso a-p-l control molded","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KDJE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-HD28G","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"HD28G","description":"HIPPS-HD28G","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JHNE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CFEE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"LBOF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Nervous system surgery","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"64999","description":"Nervous system surgery","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FCVB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-CA14C","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"CA14C","description":"HIPPS-CA14C","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KEAC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RMA4A","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RMA4A","description":"HIPPS-RMA4A","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MGUC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"EGCD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KHRF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MIUE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Place breast rad tube/caths","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"19298","description":"Place breast rad tube/caths","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NIED1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OAUA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FEHC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KFMA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Hemoglobin fetal","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"85460","description":"Hemoglobin fetal","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JGBB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Microbe susceptible mlc","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"87187","description":"Microbe susceptible mlc","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BILC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KEXE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-4CHL1","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"4CHL1","description":"HIPPS-4CHL1","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Reop req bld grft oth","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G8577","description":"Reop req bld grft oth","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Hib prp-omp vacc 3 dose im","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"90647","description":"Hib prp-omp vacc 3 dose im","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-4BGK1","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"4BGK1","description":"HIPPS-4BGK1","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-LB23C","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"LB23C","description":"HIPPS-LB23C","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"HBOC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OHQF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"AGUE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"HCOA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-2AFM3","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"2AFM3","description":"HIPPS-2AFM3","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FHPD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-A1704","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"A1704","description":"HCPCS-A1704","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Hla i typing complete lr","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"81372","description":"Hla i typing complete lr","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BEDF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JHUC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Nonpneumatic compression controller with sequential calibrated gradient pressure","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"K1024","description":"Nonpneumatic compression controller with sequential calibrated gradient pressure","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MCMD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Advncd care plan addl 30 min","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"99498","description":"Advncd care plan addl 30 min","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NHGA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Biopsy of external ear","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"69100","description":"Biopsy of external ear","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Initial or subsequent psychiatric collaborative care management_ first 30 minutes in a month of behavioral health care manager activities_ in consultation with a psychiatric c","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G2214","description":"Initial or subsequent psychiatric collaborative care management_ first 30 minutes in a month of behavioral health care manager activities_ in consultation with a psychiatric c","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JAUD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CAFD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"EFDB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Rpr rem hernia init reduce","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"49550","description":"Rpr rem hernia init reduce","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FIFB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OHLA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RMC5A","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RMC5A","description":"HIPPS-RMC5A","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Replace non-molded calf lace","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"L4055","description":"Replace non-molded calf lace","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BEIE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BAXF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MHBA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"ABTF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-AAA0C","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"AAA0C","description":"HIPPS-AAA0C","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Amputate metacarpal bone","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"26910","description":"Amputate metacarpal bone","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NFJF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Bckdhb gene","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"81205","description":"Bckdhb gene","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HH PDGM","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"2IC11","description":"HH PDGM","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Treat hand dislocation","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"26675","description":"Treat hand dislocation","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Sex transformation f to m","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"55980","description":"Sex transformation f to m","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OEFD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KISF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NBCF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RHB32","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RHB32","description":"HIPPS-RHB32","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"EFME0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Incise/drain eyelid lining","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"68020","description":"Incise/drain eyelid lining","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"IBIF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Anesth vaginal procedures","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"94051","description":"Anesth vaginal procedures","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"EFIA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BILB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KCND1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OLRD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"HFOE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GIWB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NJBB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Incision of urethra","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"53020","description":"Incision of urethra","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FGDD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"DHRB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FCLC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Slp stdy unatnd w/anal","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"95801","description":"Slp stdy unatnd w/anal","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NFPE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"CPT-0979T","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"0979T","description":"CPT-0979T","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NHGD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RMB1A","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RMB1A","description":"HIPPS-RMB1A","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KDOE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JAAC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OJOC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Salivary gland function exam","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"78232","description":"Salivary gland function exam","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Surgical repair of root resorption - premolar","billing_code_type":"CDT","billing_code_type_version":"2024","billing_code":"D3472","description":"Surgical repair of root resorption - premolar","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"EHME1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-PD28G","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"PD28G","description":"HIPPS-PD28G","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GGFC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Biopsy shoulder tissues","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"23065","description":"Biopsy shoulder tissues","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JAFE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"X-ray eye for foreign body","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"70030","description":"X-ray eye for foreign body","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OBNE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"ICHB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"CPT-64656","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"64656","description":"CPT-64656","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OFQF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MJTA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Root canal therapy 2 canals","billing_code_type":"CDT","billing_code_type_version":"2024","billing_code":"D3320","description":"Root canal therapy 2 canals","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NFHE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Treatment of retina","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"67141","description":"Treatment of retina","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Tissue culture tumor","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"88239","description":"Tissue culture tumor","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NHLE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Oncology (Breast)_ Mrna_ Gene Expression Profiling By Rt-Pcr Of 12 Genes (8 Content And 4 Housekeeping)_ Utilizing Formalin-Fixed Paraffin-Embedded Tissue_ Algorithm Reported","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"81522","description":"Oncology (Breast)_ Mrna_ Gene Expression Profiling By Rt-Pcr Of 12 Genes (8 Content And 4 Housekeeping)_ Utilizing Formalin-Fixed Paraffin-Embedded Tissue_ Algorithm Reported","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JGME0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OEXF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"HEOE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Skin test nos antigen","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"86486","description":"Skin test nos antigen","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Revision of urinary tract","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"51820","description":"Revision of urinary tract","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Icm/ilr remote tech serv","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"93299","description":"Icm/ilr remote tech serv","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Cstm dme other than wheelchr","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"K0900","description":"Cstm dme other than wheelchr","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Art byp carotid-subclavian","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"35606","description":"Art byp carotid-subclavian","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Dent sutur recent wnd to 5cm","billing_code_type":"CDT","billing_code_type_version":"2024","billing_code":"D7910","description":"Dent sutur recent wnd to 5cm","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KBBF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-LE13D","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"LE13D","description":"HIPPS-LE13D","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KEED0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NAMF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-A1004","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"A1004","description":"HCPCS-A1004","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"DERA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Oral prescription drug chemo","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"J8999","description":"Oral prescription drug chemo","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Antibody detection nos if","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"87299","description":"Antibody detection nos if","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OESA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Anesth correct heart rhythm","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"41051","description":"Anesth correct heart rhythm","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RHL1A","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RHL1A","description":"HIPPS-RHL1A","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MKAB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BHNC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Urinary rubber pouch w fcplt","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"A4380","description":"Urinary rubber pouch w fcplt","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"X-rays bone survey complete","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"77075","description":"X-rays bone survey complete","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OBCB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Radiation Therapy For Breast Cancer Under The Radiation Oncology Model_ 90 Day Episode_ Technical Component","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"M1081","description":"Radiation Therapy For Breast Cancer Under The Radiation Oncology Model_ 90 Day Episode_ Technical Component","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BEPC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CAVB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NLBB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Measure blood oxygen level","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"94762","description":"Measure blood oxygen level","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-Q4426","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"Q4426","description":"HCPCS-Q4426","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Treat thigh fracture","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"27230","description":"Treat thigh fracture","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JETF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Resect scapula tumor","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"23210","description":"Resect scapula tumor","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-2BHKS","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"2BHKS","description":"HIPPS-2BHKS","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Incision of stomach nerves","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"64755","description":"Incision of stomach nerves","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Treat metacarpal fracture","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"26608","description":"Treat metacarpal fracture","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BHGA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RLB55","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RLB55","description":"HIPPS-RLB55","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"HGYB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-CD18X","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"CD18X","description":"HIPPS-CD18X","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FCXB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"PKWA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"LBOA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GDTB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RHC51","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RHC51","description":"HIPPS-RHC51","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GCTE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Custom shape cover ak","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"L5705","description":"Custom shape cover ak","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OAGC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Drainage of skin abscess","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"10061","description":"Drainage of skin abscess","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"AGED0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Insertion or replacement of percutaneous electrode array_ peripheral nerve_ with integrated neurostimulator_ including imaging guidance_ when performed; initial electrode arra","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"64596","description":"Insertion or replacement of percutaneous electrode array_ peripheral nerve_ with integrated neurostimulator_ including imaging guidance_ when performed; initial electrode arra","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-A1404","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"A1404","description":"HCPCS-A1404","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NEKB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"DGWC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"ECME0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CGTB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Removal of fb reaction","billing_code_type":"CDT","billing_code_type_version":"2024","billing_code":"D7540","description":"Removal of fb reaction","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Sinus caus bac inx","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G9364","description":"Sinus caus bac inx","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Office/outpatient visit new","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"99203","description":"Office/outpatient visit new","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MAUE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Facility-based respite_ 24-hour unit_ for use in CMMI model","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G0531","description":"Facility-based respite_ 24-hour unit_ for use in CMMI model","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"I&d absc intraoral soft tiss","billing_code_type":"CDT","billing_code_type_version":"2024","billing_code":"D7510","description":"I&d absc intraoral soft tiss","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NJND0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"CPT-55714","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"55714","description":"CPT-55714","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NHND0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KIHE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NEUF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Mwc acc_ wheelchair brake","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"E2228","description":"Mwc acc_ wheelchair brake","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-3AFM6","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"3AFM6","description":"HIPPS-3AFM6","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OKVF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Init pm e/m new pat 1-4 yrs","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"99382","description":"Init pm e/m new pat 1-4 yrs","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Lt compres band >=5in/yd","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"A6450","description":"Lt compres band >=5in/yd","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-3AGM6","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"3AGM6","description":"HIPPS-3AGM6","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KGAE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Cmplx rpr e/n/e/l 1.1-2.5 cm","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"13151","description":"Cmplx rpr e/n/e/l 1.1-2.5 cm","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Treat wrist bone fracture","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"25624","description":"Treat wrist bone fracture","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CBVA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JBIE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CCPE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"EGHE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KDUD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Use of speech device service","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"92609","description":"Use of speech device service","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CEYA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GCWE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CGPF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NACE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"AFEF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KARA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"MRI joint upr extr w/o&w/dye","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"73223","description":"MRI joint upr extr w/o&w/dye","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OCKC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Genome re-evaluation","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"81427","description":"Genome re-evaluation","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-CD14B","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"CD14B","description":"HIPPS-CD14B","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Oncology (solid organ neoplasia)_ gene rearrangement detection by whole genome next-generation sequencing_ DNA_ fresh or frozen tissue or cells_ report of specific gene rearra","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0013U","description":"Oncology (solid organ neoplasia)_ gene rearrangement detection by whole genome next-generation sequencing_ DNA_ fresh or frozen tissue or cells_ report of specific gene rearra","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Expandable controller_ initl","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"E2377","description":"Expandable controller_ initl","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KAPF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"IAHD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"HHRC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NLMF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FEMA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FAVF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Inner ear surgery procedure","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"69949","description":"Inner ear surgery procedure","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RHX0D","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RHX0D","description":"HIPPS-RHX0D","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Hit inj interferon diem","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"S9559","description":"Hit inj interferon diem","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CIWA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"CPT-00142","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"00142","description":"CPT-00142","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NDPE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Removal of foot foreign body","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"28193","description":"Removal of foot foreign body","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RLA51","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RLA51","description":"HIPPS-RLA51","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Hydroxyprogesterone caproate","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"J1725","description":"Hydroxyprogesterone caproate","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Relocation pocket pacemaker","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"33222","description":"Relocation pocket pacemaker","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OLVD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-LB106","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"LB106","description":"HIPPS-LB106","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"EHAB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-PC255","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"PC255","description":"HIPPS-PC255","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Add pwr leg elevation","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"E1010","description":"Add pwr leg elevation","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Injection_ ticarcillin disod","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"S0040","description":"Injection_ ticarcillin disod","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GEAD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"N block inj brachial plexus","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"64415","description":"N block inj brachial plexus","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Professional services_ initial visit_ for the administration of anti-infective_ pain management_ chelation_ pulmonary hypertension_ inotropic_ or other intravenous infusion dr","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G0088","description":"Professional services_ initial visit_ for the administration of anti-infective_ pain management_ chelation_ pulmonary hypertension_ inotropic_ or other intravenous infusion dr","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"No admit w/in 180d req remov","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G9411","description":"No admit w/in 180d req remov","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"EIHC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-CC155","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"CC155","description":"HIPPS-CC155","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Digitization of glass microscope slides for special stain_ including interpretation and report_ group III_ for enzyme constituents (List separately in addition to code for pri","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0759T","description":"Digitization of glass microscope slides for special stain_ including interpretation and report_ group III_ for enzyme constituents (List separately in addition to code for pri","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-2CFKT","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"2CFKT","description":"HIPPS-2CFKT","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KIOA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CGKB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Mental status assess","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"2014F","description":"Mental status assess","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"DAWF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Place catheter in vein","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"36012","description":"Place catheter in vein","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-ES136","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"ES136","description":"HIPPS-ES136","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Remove contraceptive capsule","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"11976","description":"Remove contraceptive capsule","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MFDE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"AICB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KIDB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"IBEE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MCEB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Fracture frame attachmnts pe","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"E0947","description":"Fracture frame attachmnts pe","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Prosthetic sock multi ply ak","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"L8430","description":"Prosthetic sock multi ply ak","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FBXF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Esrd srv 4 vsts p mo 12-19","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"90957","description":"Esrd srv 4 vsts p mo 12-19","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NCHB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Patient has documented immunity to hepatitis B and initiating anti-TNF therapy","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G8869","description":"Patient has documented immunity to hepatitis B and initiating anti-TNF therapy","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Inj gadoterate meglumi 0.1ml","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"A9575","description":"Inj gadoterate meglumi 0.1ml","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BCPC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RHC42","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RHC42","description":"HIPPS-RHC42","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"CPT-01402","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"01402","description":"CPT-01402","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-3CHLU","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"3CHLU","description":"HIPPS-3CHLU","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"CPT-0497U","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"0497U","description":"CPT-0497U","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CHHE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Bumetanide 0.5 mg","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"S0171","description":"Bumetanide 0.5 mg","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RUC8C","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RUC8C","description":"HIPPS-RUC8C","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Evasc prlng admn rx agnt 1st","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"61650","description":"Evasc prlng admn rx agnt 1st","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Hpv types 16 & 18 only","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"87625","description":"Hpv types 16 & 18 only","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RUC34","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RUC34","description":"HIPPS-RUC34","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BFMF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Matristem micromatrix","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"Q4118","description":"Matristem micromatrix","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"HBQB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GFXC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Resect/debride pancreas","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"48105","description":"Resect/debride pancreas","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Replace duod/jej tube perc","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"49451","description":"Replace duod/jej tube perc","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-CC111","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"CC111","description":"HIPPS-CC111","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CDEA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OBHF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FBPF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MGLE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"CPT-64466","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"64466","description":"CPT-64466","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Recording of fetal magnetic cardiac signal using at least 3 channels; patient recording_ data scanning_ with raw electronic signal transfer of data and storage","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0476T","description":"Recording of fetal magnetic cardiac signal using at least 3 channels; patient recording_ data scanning_ with raw electronic signal transfer of data and storage","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"DIRA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Anesth lumbar puncture","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"63551","description":"Anesth lumbar puncture","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MCLA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OHSD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Excision of skull/sutures","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"61558","description":"Excision of skull/sutures","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"IHBD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NJLE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Outrigger","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"L1080","description":"Outrigger","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OFJE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"IEUD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"ODSE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MDCC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MEEA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GDNA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Vitamin b12 injection","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"J3420","description":"Vitamin b12 injection","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Caster wheel excludes tire","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"E2395","description":"Caster wheel excludes tire","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-B0105","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"B0105","description":"HCPCS-B0105","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NILC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JFJC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KGRD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-PB130","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"PB130","description":"HIPPS-PB130","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"ACMD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FDHD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FDEF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Rev_ comm_ track_ doc biopsy","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G8883","description":"Rev_ comm_ track_ doc biopsy","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-A2042","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"A2042","description":"HCPCS-A2042","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Assay of pyruvate kinase","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"84220","description":"Assay of pyruvate kinase","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Drainage of palm bursa","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"26025","description":"Drainage of palm bursa","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KDNB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BALC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"X-ray of lower spine disk","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"72295","description":"X-ray of lower spine disk","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CDLB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Ingest challenge ini 120 min","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"95076","description":"Ingest challenge ini 120 min","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"IGCA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Nuclear rx intra-articular","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"79440","description":"Nuclear rx intra-articular","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NKBC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NJUD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FCJC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MHDC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-PA244","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"PA244","description":"HIPPS-PA244","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Remis 6m w/o 6mos phq-9 <5","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G9574","description":"Remis 6m w/o 6mos phq-9 <5","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GIDA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JIUE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-1CGLU","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"1CGLU","description":"HIPPS-1CGLU","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Cord blood-derived stem-cell","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"S2142","description":"Cord blood-derived stem-cell","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JGBE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OCDD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Oncology (hematolymphoid neoplasia)_ optical genome mapping for copy number alterations and gene rearrangements utilizing DNA from blood or bone marrow_ report of clinically s","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0331U","description":"Oncology (hematolymphoid neoplasia)_ optical genome mapping for copy number alterations and gene rearrangements utilizing DNA from blood or bone marrow_ report of clinically s","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Partial removal finger bone","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"26236","description":"Partial removal finger bone","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"HGOB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MGIB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-4CGLS","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"4CGLS","description":"HIPPS-4CGLS","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"West nile virus ab igm","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"86788","description":"West nile virus ab igm","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"ONC MRNA 5 genes ur alg rish urothelial cancer","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0012M","description":"ONC MRNA 5 genes ur alg rish urothelial cancer","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RML2A","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RML2A","description":"HIPPS-RML2A","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"IAMD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-LC224","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"LC224","description":"HIPPS-LC224","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JIEF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"PKWB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"CPT-00470","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"00470","description":"CPT-00470","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"DHSE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Caffeine citrate injection","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"J0706","description":"Caffeine citrate injection","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JAGB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Certified nurse midwife mips specialty set","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G0064","description":"Certified nurse midwife mips specialty set","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GGTF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Ligation upper jaw artery","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"30920","description":"Ligation upper jaw artery","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"METB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JDGB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MILB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Treat mouth roof fracture","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"21421","description":"Treat mouth roof fracture","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Gjb2 gene full sequence","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"81252","description":"Gjb2 gene full sequence","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Hepa vacc ped/adol 3 dose","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"90634","description":"Hepa vacc ped/adol 3 dose","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"ACMF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GBWC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Beta pres or already taking","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G9189","description":"Beta pres or already taking","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NCUD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"AFDF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RHB43","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RHB43","description":"HIPPS-RHB43","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Genvisc_ inj_ 1mg","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"Q9980","description":"Genvisc_ inj_ 1mg","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Somatropin injection","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"J2941","description":"Somatropin injection","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CIDD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"ODUB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Vancomycin hcl injection","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"J3370","description":"Vancomycin hcl injection","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BHVB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RLA2D","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RLA2D","description":"HIPPS-RLA2D","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CIXB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Visual acuity screen","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"99173","description":"Visual acuity screen","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NGXF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Dialys sol fld vol > 5999cc","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"A4726","description":"Dialys sol fld vol > 5999cc","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Appl multlay comprs arm/hand","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"29584","description":"Appl multlay comprs arm/hand","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Preparation of report","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"90889","description":"Preparation of report","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Patients who are counseled on connection with a csp and explicitly opt out","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"M1317","description":"Patients who are counseled on connection with a csp and explicitly opt out","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CERF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Heart infarct image (3d)","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"78469","description":"Heart infarct image (3d)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Implant mid ear hearing pros","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"V5095","description":"Implant mid ear hearing pros","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Back school visit","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"S9117","description":"Back school visit","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Abciximab injection","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"J0130","description":"Abciximab injection","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Injection_ dexamethasone acetate_ per 1mcg","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"J1095","description":"Injection_ dexamethasone acetate_ per 1mcg","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KGIB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Alcohol and/or drug services","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"H0011","description":"Alcohol and/or drug services","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"IGLD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KGUF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"PIOE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FHCD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FFXD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Elbow stump activated lock h","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"L6130","description":"Elbow stump activated lock h","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Tpa initi w/in 3 hrs","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G8600","description":"Tpa initi w/in 3 hrs","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"CPT-00914","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"00914","description":"CPT-00914","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OIUB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Anesth repair of hernia","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"75251","description":"Anesth repair of hernia","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"AIIE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Administration of respiratory syncytial virus_ monoclonal antibody_ seasonal dose by intramuscular injection","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"96381","description":"Administration of respiratory syncytial virus_ monoclonal antibody_ seasonal dose by intramuscular injection","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RVX8E","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RVX8E","description":"HIPPS-RVX8E","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MJBD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GCKE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"DCOC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-B1301","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"B1301","description":"HCPCS-B1301","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Extracapsular Cataract Removal With Insertion Of Intraocular Lens Prosthesis (1-Stage Procedure)_ Manual Or Mechanical Technique (Eg_ Irrigation And Aspiration Or Phacoemulsif","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"66989","description":"Extracapsular Cataract Removal With Insertion Of Intraocular Lens Prosthesis (1-Stage Procedure)_ Manual Or Mechanical Technique (Eg_ Irrigation And Aspiration Or Phacoemulsif","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Resin infiltration of lesion","billing_code_type":"CDT","billing_code_type_version":"2024","billing_code":"D2990","description":"Resin infiltration of lesion","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BHFD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"DGOD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GFIF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-J2253","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"J2253","description":"HCPCS-J2253","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Cidofovir injection","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"J0740","description":"Cidofovir injection","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-CC211","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"CC211","description":"HIPPS-CC211","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"ICMA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Lap proctopexy w/sig resect","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"45402","description":"Lap proctopexy w/sig resect","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"AATB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Lens sphere trifocal 7.12-20","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"V2302","description":"Lens sphere trifocal 7.12-20","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Colonoscopy_ flexible_ proximal to splenic flexure; with transendoscopic stent placement (includes predilation)","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G6025","description":"Colonoscopy_ flexible_ proximal to splenic flexure; with transendoscopic stent placement (includes predilation)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Electrophysiology evaluation","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"93621","description":"Electrophysiology evaluation","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-Q4339","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"Q4339","description":"HCPCS-Q4339","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Grp a strep test performed","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"3210F","description":"Grp a strep test performed","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-LD221","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"LD221","description":"HIPPS-LD221","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Spec stains not for microorg","billing_code_type":"CDT","billing_code_type_version":"2024","billing_code":"D0477","description":"Spec stains not for microorg","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-BA12D","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"BA12D","description":"HIPPS-BA12D","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Endovenous rf vein add-on","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"36476","description":"Endovenous rf vein add-on","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"IETB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MJHA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BFMF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CHPE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JFED0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Pemetrexed injection","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"J9305","description":"Pemetrexed injection","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NETF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CCID0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Borrelia burgdorferi_ antibody detection of 12 recombinant protein groups_ by immunoblot_ IgG","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0042U","description":"Borrelia burgdorferi_ antibody detection of 12 recombinant protein groups_ by immunoblot_ IgG","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OCRC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Ongoing Care Not Indicated_ Patient Self-Discharged Early And Seen Only 1-2 Visits (E.G._ Financial Or Insurance Reasons_ Transportation Problems_ Or Reason Unknown)","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"M1125","description":"Ongoing Care Not Indicated_ Patient Self-Discharged Early And Seen Only 1-2 Visits (E.G._ Financial Or Insurance Reasons_ Transportation Problems_ Or Reason Unknown)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MAEE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"CPT-92635","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"92635","description":"CPT-92635","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-B0106","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"B0106","description":"HCPCS-B0106","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MDIE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JBDF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GGDC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MLHB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"CPT-92636","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"92636","description":"CPT-92636","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RMA5B","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RMA5B","description":"HIPPS-RMA5B","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RML52","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RML52","description":"HIPPS-RML52","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RMX1C","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RMX1C","description":"HIPPS-RMX1C","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NIJB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Remove elbow bone lesion","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"24138","description":"Remove elbow bone lesion","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-BA28E","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"BA28E","description":"HIPPS-BA28E","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BGEA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-AAA2C","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"AAA2C","description":"HIPPS-AAA2C","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Hit device repair","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"S5036","description":"Hit device repair","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Rad resect hand tumor 3 cm/>","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"26118","description":"Rad resect hand tumor 3 cm/>","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NIDB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MKHB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JGBD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Percutaneous vertebral augmentations_ first lumbar and any additional thoracic or lumbar vertebral bodies_ including cavity creations (fracture reductions and bone biopsies in","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"C7508","description":"Percutaneous vertebral augmentations_ first lumbar and any additional thoracic or lumbar vertebral bodies_ including cavity creations (fracture reductions and bone biopsies in","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Ganciclovir sodium injection","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"J1570","description":"Ganciclovir sodium injection","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-PE14A","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"PE14A","description":"HIPPS-PE14A","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Lung transplant double","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"32853","description":"Lung transplant double","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OIYA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-CB120","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"CB120","description":"HIPPS-CB120","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FEKC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Implant neuroelectrodes","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"64581","description":"Implant neuroelectrodes","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"EFDD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-4BHKT","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"4BHKT","description":"HIPPS-4BHKT","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-2CGMX","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"2CGMX","description":"HIPPS-2CGMX","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"IDMC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"EBMC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GAQE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-BB12B","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"BB12B","description":"HIPPS-BB12B","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RMX1B","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RMX1B","description":"HIPPS-RMX1B","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RUL10","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RUL10","description":"HIPPS-RUL10","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CDTC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-HD235","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"HD235","description":"HIPPS-HD235","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NGVB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-ES204","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"ES204","description":"HIPPS-ES204","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KAEE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Bed pan fracture","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"E0276","description":"Bed pan fracture","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MKTF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CIGD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Remove bladder/revise tract","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"51590","description":"Remove bladder/revise tract","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"LFOF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KGCF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OLMB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JDCC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"DEWD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Treatment of thigh fracture","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"27507","description":"Treatment of thigh fracture","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Open ablate liver tumor cryo","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"47381","description":"Open ablate liver tumor cryo","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RVA1A","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RVA1A","description":"HIPPS-RVA1A","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Injection_ isatuximab-irfc_ 10 mg","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"J9227","description":"Injection_ isatuximab-irfc_ 10 mg","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CHLE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Hygienic item or device_ disposable or non-disposable_ any type_ each","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"A9286","description":"Hygienic item or device_ disposable or non-disposable_ any type_ each","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Varicella-zoster antibody","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"86787","description":"Varicella-zoster antibody","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"CPT-0567U","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"0567U","description":"CPT-0567U","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OCBB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Reconstruction knee","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"27429","description":"Reconstruction knee","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Blood/lymph system procedure","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"38999","description":"Blood/lymph system procedure","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-PD22B","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"PD22B","description":"HIPPS-PD22B","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Remote Treatment Of Amblyopia Using An Eye Tracking Device; Surveillance Center Technical Support Including Data Transmission With Analysis_ With A Minimum Of 18 Training Hour","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0705T","description":"Remote Treatment Of Amblyopia Using An Eye Tracking Device; Surveillance Center Technical Support Including Data Transmission With Analysis_ With A Minimum Of 18 Training Hour","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NGJC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-HC23B","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"HC23B","description":"HIPPS-HC23B","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GITC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OKAD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Lab pathology consultation","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"80500","description":"Lab pathology consultation","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Multiaxial ankle w dorsiflex","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"L5968","description":"Multiaxial ankle w dorsiflex","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Partial removal of colon","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"44147","description":"Partial removal of colon","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Hla typing dr/dq","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"86816","description":"Hla typing dr/dq","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-HB216","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"HB216","description":"HIPPS-HB216","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GGRB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-3CGPW","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"3CGPW","description":"HIPPS-3CGPW","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JCFD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Reconstruction of orbit","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"21256","description":"Reconstruction of orbit","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NHKE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MBAE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-M1447","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"M1447","description":"HCPCS-M1447","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"HDQD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"PBOA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Cciiv3 vac im cult prsv free","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"90661","description":"Cciiv3 vac im cult prsv free","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KBJC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Non-pneumatic sequential compression garment_ trunk","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"E0677","description":"Non-pneumatic sequential compression garment_ trunk","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Risperidone_ long acting","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"J2794","description":"Risperidone_ long acting","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Hla class i&ii antibody qual","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"86828","description":"Hla class i&ii antibody qual","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-4CFL6","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"4CFL6","description":"HIPPS-4CFL6","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"DHRD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Anesthesia for procedures on facial bones or skull; radical surgery (includ","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0127U","description":"Anesthesia for procedures on facial bones or skull; radical surgery (includ","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NIFB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Replc vagus nerve pls gen","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0316T","description":"Replc vagus nerve pls gen","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JADF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-3BHPU","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"3BHPU","description":"HIPPS-3BHPU","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Incision of cheek nerve","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"64734","description":"Incision of cheek nerve","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OICA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OAIC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Gradient pressure wrap with adjustable straps_ arm_ each","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"A6588","description":"Gradient pressure wrap with adjustable straps_ arm_ each","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FDEE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"ABHC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-ES160","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"ES160","description":"HIPPS-ES160","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KESE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GCOB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NCXC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-B1803","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"B1803","description":"HCPCS-B1803","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-1BGKT","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"1BGKT","description":"HIPPS-1BGKT","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Incision of knee joint","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"27435","description":"Incision of knee joint","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"AATB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Treat radius fracture","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"24665","description":"Treat radius fracture","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Gastroenterology (Barrett’s esophagus)_ P16_ RUNX3_ HPP1_ and FBN1 methylation analysis_ prognostic and predictive algorithm reported as a risk score for progression to high-g","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0386U","description":"Gastroenterology (Barrett’s esophagus)_ P16_ RUNX3_ HPP1_ and FBN1 methylation analysis_ prognostic and predictive algorithm reported as a risk score for progression to high-g","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Removal of adenoids","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"42831","description":"Removal of adenoids","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"IHMA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-HE18C","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"HE18C","description":"HIPPS-HE18C","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KBDA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FDBC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JDXB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OHGD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GEUF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Replace high roll cuff","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"L4060","description":"Replace high roll cuff","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RVC60","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RVC60","description":"HIPPS-RVC60","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"M/phmtrc alys ishquant/semiq","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"88374","description":"M/phmtrc alys ishquant/semiq","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Remove vert xdrl body thrc","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"63301","description":"Remove vert xdrl body thrc","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"AGCC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KGYC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Egd optical endomicroscopy","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"43252","description":"Egd optical endomicroscopy","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Rerepair fem hernia reduce","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"49555","description":"Rerepair fem hernia reduce","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GGJB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MIBC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CIFC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GAAD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-HB28A","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"HB28A","description":"HIPPS-HB28A","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FBTA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Radiation therapy management","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"77431","description":"Radiation therapy management","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GIEA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Urine pch w ex wear bar conv","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"A4393","description":"Urine pch w ex wear bar conv","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RUC24","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RUC24","description":"HIPPS-RUC24","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Bronchoscopy w/tumor excise","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"31640","description":"Bronchoscopy w/tumor excise","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OHQE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CHAF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BCJA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GGQD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FEEB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KGBE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-3BGNT","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"3BGNT","description":"HIPPS-3BGNT","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"DCYF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Program intake assessment","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"T1023","description":"Program intake assessment","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KFYF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-C0903","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"C0903","description":"HCPCS-C0903","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KHAB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-1BFNX","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"1BFNX","description":"HIPPS-1BFNX","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NFTE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BIHB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Doripenem injection","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"J1267","description":"Doripenem injection","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OEQA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Cult skin grft t/a/l addl","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"15151","description":"Cult skin grft t/a/l addl","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Assay of folic acid rbc","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"82747","description":"Assay of folic acid rbc","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-3AHL3","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"3AHL3","description":"HIPPS-3AHL3","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-PB211","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"PB211","description":"HIPPS-PB211","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Microprcsr cu combo vad_ rep","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"Q0482","description":"Microprcsr cu combo vad_ rep","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Incise inner eye strands","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"67030","description":"Incise inner eye strands","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Monocyte distribution width_ whole blood (List separately in addition to code for primary procedure)","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0427U","description":"Monocyte distribution width_ whole blood (List separately in addition to code for primary procedure)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KBRC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Treat thigh fracture","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"27235","description":"Treat thigh fracture","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Replacement air bubble detec","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"E1530","description":"Replacement air bubble detec","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JBFB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Hla i & ii typing hr","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"81378","description":"Hla i & ii typing hr","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"DBOF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-3BFPU","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"3BFPU","description":"HIPPS-3BFPU","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-1CFP2","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"1CFP2","description":"HIPPS-1CFP2","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MECF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Nephrology (chronic kidney disease)_ nuclear magnetic resonance spectroscopy measurement of myo-inositol_ valine_ and creatinine_ algorithmically combined with cystatin C (by","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0259U","description":"Nephrology (chronic kidney disease)_ nuclear magnetic resonance spectroscopy measurement of myo-inositol_ valine_ and creatinine_ algorithmically combined with cystatin C (by","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MHDE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Percutaneous vertebroplasty_ one vertebral body_ unilateral or bilateral injection; cervical","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"S2360","description":"Percutaneous vertebroplasty_ one vertebral body_ unilateral or bilateral injection; cervical","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FAVD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-PB260","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"PB260","description":"HIPPS-PB260","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JEEC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RMC42","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RMC42","description":"HIPPS-RMC42","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-2AFLV","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"2AFLV","description":"HIPPS-2AFLV","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Management of new patient-caregiver dyad with dementia_ high complexity_ for use in CMMI model","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G0521","description":"Management of new patient-caregiver dyad with dementia_ high complexity_ for use in CMMI model","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RHA3B","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RHA3B","description":"HIPPS-RHA3B","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Hearing aid_ CROS_ behind the ear","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"V5180","description":"Hearing aid_ CROS_ behind the ear","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Exc hand tum deep < 1.5 cm","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"26116","description":"Exc hand tum deep < 1.5 cm","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CFGA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MHLE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KGHD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-HD130","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"HD130","description":"HIPPS-HD130","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"CPT-01967","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"01967","description":"CPT-01967","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MHUD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"PGOC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KIBD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Tmj excisn of joint membrane","billing_code_type":"CDT","billing_code_type_version":"2024","billing_code":"D7854","description":"Tmj excisn of joint membrane","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"EGDC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Patient had hospice services any time during the measurement period","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G9691","description":"Patient had hospice services any time during the measurement period","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Isoetharine comp unit","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"J7650","description":"Isoetharine comp unit","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CIFD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Coagulation time otr method","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"85348","description":"Coagulation time otr method","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"ACDA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Neuroeltrd stim post tibial","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"64566","description":"Neuroeltrd stim post tibial","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Shoe heel new rubber standar","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"L3460","description":"Shoe heel new rubber standar","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Replacement supplies and accessories for external upper limb tremor stimulator of the peripheral nerves of the wrist","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"K1019","description":"Replacement supplies and accessories for external upper limb tremor stimulator of the peripheral nerves of the wrist","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Buttock fasciotomy w/dbrdmt","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"27057","description":"Buttock fasciotomy w/dbrdmt","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-CB236","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"CB236","description":"HIPPS-CB236","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Reinforce thigh","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"27495","description":"Reinforce thigh","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Replacement blood pump","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"E1620","description":"Replacement blood pump","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NJDC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KCRD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MIEF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-1BGMU","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"1BGMU","description":"HIPPS-1BGMU","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OEAF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JHNB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CIUE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OLBF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Amnicore pro+_ per square centimeter","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"Q4299","description":"Amnicore pro+_ per square centimeter","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HTT (huntingtin) (eg_ Huntington disease) gene analysis; evaluation to detect abnormal (eg_ expanded) alleles","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"81271","description":"HTT (huntingtin) (eg_ Huntington disease) gene analysis; evaluation to detect abnormal (eg_ expanded) alleles","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"EDAA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Lens sphcy trifocal 4.25-7/.","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"V2307","description":"Lens sphcy trifocal 4.25-7/.","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"HBSF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NFHC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"B-12 binding capacity","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"82608","description":"B-12 binding capacity","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Exc face les sbq 2 cm/>","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"21012","description":"Exc face les sbq 2 cm/>","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Endomysial Antibody (Ema)_ Each Immunoglobulin (Ig) Class","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"86231","description":"Endomysial Antibody (Ema)_ Each Immunoglobulin (Ig) Class","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Ost pch drain/barr lk flng/f","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"A4427","description":"Ost pch drain/barr lk flng/f","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Antiviral ordered","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G9245","description":"Antiviral ordered","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GCKA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Take-home supply of injectable naloxone (provision of the services by a medicare-enrolled opioid treatment program); list separately in addition to code for primary procedure","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G2216","description":"Take-home supply of injectable naloxone (provision of the services by a medicare-enrolled opioid treatment program); list separately in addition to code for primary procedure","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RUC0C","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RUC0C","description":"HIPPS-RUC0C","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Mr angiography head w/dye","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"70545","description":"Mr angiography head w/dye","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CBUF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NLHD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Patients seen within 7 weeks following the date of injection and are screened for elevated intraocular pressure (iop) with tonometry with documented iop =<25 mm hg for injecte","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"M1322","description":"Patients seen within 7 weeks following the date of injection and are screened for elevated intraocular pressure (iop) with tonometry with documented iop =<25 mm hg for injecte","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Periodontal scaling 1-3teeth","billing_code_type":"CDT","billing_code_type_version":"2024","billing_code":"D4342","description":"Periodontal scaling 1-3teeth","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BINC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Gradient compression stocking_ waist length_ 18-30 mmhg_ custom_ each","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"A6562","description":"Gradient compression stocking_ waist length_ 18-30 mmhg_ custom_ each","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Cryotherapy of skin","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"17340","description":"Cryotherapy of skin","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Infectious disease (respiratory infection)_ Myxovirus resistance protein A (MxA) and C-reactive protein (CRP)_ fingerstick whole blood specimen_ each biomarker reported as pre","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0442U","description":"Infectious disease (respiratory infection)_ Myxovirus resistance protein A (MxA) and C-reactive protein (CRP)_ fingerstick whole blood specimen_ each biomarker reported as pre","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"IGHD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Color cont lens","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"S0514","description":"Color cont lens","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NICC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Exclusion Of Left Atrial Appendage_ Open_ Any Method (Eg_ Excision_ Isolation Via Stapling_ Oversewing_ Ligation_ Plication_ Clip)","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"33267","description":"Exclusion Of Left Atrial Appendage_ Open_ Any Method (Eg_ Excision_ Isolation Via Stapling_ Oversewing_ Ligation_ Plication_ Clip)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"ODNA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FIUA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CIVB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OIFB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GDKE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CIRE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"AGDA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Mr-staph dna amp probe","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"87641","description":"Mr-staph dna amp probe","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Radiopharmaceutical Quantification Measurement(S) Single Area (List Separately In Addition To Code For Primary Procedure)","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"78835","description":"Radiopharmaceutical Quantification Measurement(S) Single Area (List Separately In Addition To Code For Primary Procedure)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-Q4348","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"Q4348","description":"HCPCS-Q4348","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FICC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-PE213","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"PE213","description":"HIPPS-PE213","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-J1938","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"J1938","description":"HCPCS-J1938","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Assay of angiotensin ii","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"82163","description":"Assay of angiotensin ii","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OEUA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-2AFMW","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"2AFMW","description":"HIPPS-2AFMW","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NAJB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Pneum compressor segmental","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"E0651","description":"Pneum compressor segmental","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RHB0A","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RHB0A","description":"HIPPS-RHB0A","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KGJC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NAEE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JEGA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OHEB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NGPD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Caster fork replacement only","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"E2226","description":"Caster fork replacement only","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-CC104","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"CC104","description":"HIPPS-CC104","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"CPT-1006T","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"1006T","description":"CPT-1006T","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Inj_ rimabotulinumtoxinb","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"J0587","description":"Inj_ rimabotulinumtoxinb","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-Q4416","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"Q4416","description":"HCPCS-Q4416","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NCPD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-2CHK1","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"2CHK1","description":"HIPPS-2CHK1","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-BB155","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"BB155","description":"HIPPS-BB155","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Mohs 1 stage h/n/hf/g","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"17311","description":"Mohs 1 stage h/n/hf/g","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JHEA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"ODXD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Injection_ omadacycline_ 1mg","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"J0121","description":"Injection_ omadacycline_ 1mg","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"CPT-0499U","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"0499U","description":"CPT-0499U","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OLNE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Parkinsons disease mg","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G8903","description":"Parkinsons disease mg","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CFGB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"5% dextrose/water","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"J7060","description":"5% dextrose/water","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Intmd rpr n-hf/genit12.6-20","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"12045","description":"Intmd rpr n-hf/genit12.6-20","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Incise finger tendon sheath","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"26055","description":"Incise finger tendon sheath","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KGKB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JHPA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CIXA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NBED0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-C0203","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"C0203","description":"HCPCS-C0203","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Small bowel endoscopy","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"44365","description":"Small bowel endoscopy","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"No syst antimicrobial thx rx","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"4132F","description":"No syst antimicrobial thx rx","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"LIOA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BBPD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"AFCD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"LFRA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"EEBB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"AGDC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CHDA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HH PDGM","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"2EA11","description":"HH PDGM","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-3CGNX","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"3CGNX","description":"HIPPS-3CGNX","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BEJD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Behav chng smoking 3-10 min","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"99406","description":"Behav chng smoking 3-10 min","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Pfizer-BioNTech Covid-19 vaccine administration - booster dose (SARSCOV2 COVID-19 VAC mRNA 30mcg/0.3mL IM DOSE BOOSTER)","billing_code_type":"CDT","billing_code_type_version":"2024","billing_code":"D1709","description":"Pfizer-BioNTech Covid-19 vaccine administration - booster dose (SARSCOV2 COVID-19 VAC mRNA 30mcg/0.3mL IM DOSE BOOSTER)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Synthetic implnt urinary 1ml","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"L8606","description":"Synthetic implnt urinary 1ml","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Blood collection tube/vacuum","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"A4770","description":"Blood collection tube/vacuum","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Resect/excise cranial lesion","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"61600","description":"Resect/excise cranial lesion","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CAUF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Heart flow reserve measure","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"93571","description":"Heart flow reserve measure","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FHVE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FCVC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MDHC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Reconstruction of jaw","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"21245","description":"Reconstruction of jaw","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-1AHPV","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"1AHPV","description":"HIPPS-1AHPV","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BCLD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"ECBC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Lamaze class","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"S9436","description":"Lamaze class","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NFPA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CIAB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"CPT-0492U","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"0492U","description":"CPT-0492U","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Aspirin/clopidogrel rxd","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"4086F","description":"Aspirin/clopidogrel rxd","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RLA25","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RLA25","description":"HIPPS-RLA25","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MBAF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BHME0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-M1444","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"M1444","description":"HCPCS-M1444","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Closure of vagina","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"57120","description":"Closure of vagina","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-4AGLT","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"4AGLT","description":"HIPPS-4AGLT","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OEMB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Inj ferric pyrophosphate cit","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"J1443","description":"Inj ferric pyrophosphate cit","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-BB23D","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"BB23D","description":"HIPPS-BB23D","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-CE234","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"CE234","description":"HIPPS-CE234","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Abortion","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"59840","description":"Abortion","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Harvest stem cell concentrte","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"38215","description":"Harvest stem cell concentrte","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"PKSE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Reconstr lwr jaw segment","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"21198","description":"Reconstr lwr jaw segment","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Foot lamin/prepreg composite","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"L3031","description":"Foot lamin/prepreg composite","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"EDHE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BIFC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Injection_ aminocaproic acid","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"S0017","description":"Injection_ aminocaproic acid","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-1BGNV","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"1BGNV","description":"HIPPS-1BGNV","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"CPT-1054T","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"1054T","description":"CPT-1054T","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"MRI low field","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"S8042","description":"MRI low field","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Clinical Decision Support Mechanism Cranberry Peak_ As Defined By The Medicare Appropriate Use Criteria Program","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G1008","description":"Clinical Decision Support Mechanism Cranberry Peak_ As Defined By The Medicare Appropriate Use Criteria Program","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"IADNA SARSCOV2 & INF A&B & RSV MULT AMP PROBE TQ","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"87637","description":"IADNA SARSCOV2 & INF A&B & RSV MULT AMP PROBE TQ","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MAMF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"TB screening not performed or results not interpreted_ reason not given","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"M1005","description":"TB screening not performed or results not interpreted_ reason not given","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Apply multlay comprs upr arm","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"29583","description":"Apply multlay comprs upr arm","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MEAF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-CD20B","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"CD20B","description":"HIPPS-CD20B","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Transection or ligation_ carotid artery in petrous canal; with repair by anastomosis or graft (List separately in addition to code for primary procedure)","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"61612","description":"Transection or ligation_ carotid artery in petrous canal; with repair by anastomosis or graft (List separately in addition to code for primary procedure)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Ct lower extremity w/dye","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"73701","description":"Ct lower extremity w/dye","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Assessment of and care planning for a patient with cognitive impairment_ requiring an independent historian_ in the office or other outpatient_ home or domiciliary or rest hom","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"99483","description":"Assessment of and care planning for a patient with cognitive impairment_ requiring an independent historian_ in the office or other outpatient_ home or domiciliary or rest hom","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"IEAF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RHC0B","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RHC0B","description":"HIPPS-RHC0B","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Injection_ tebentafusp-tebn_ 1 mcg","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"C9095","description":"Injection_ tebentafusp-tebn_ 1 mcg","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Replace g/c tube perc","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"49450","description":"Replace g/c tube perc","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"AGEA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GGJC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JIHE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Compre dental tx adolescent","billing_code_type":"CDT","billing_code_type_version":"2024","billing_code":"D8080","description":"Compre dental tx adolescent","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-J2252","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"J2252","description":"HCPCS-J2252","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OLYD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Njx px nfrosgrm &/urtrgrm","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"50430","description":"Njx px nfrosgrm &/urtrgrm","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NBPB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Transcatheter Tricuspid Valve Repair_ Percutaneous Approach; Initial Prosthesis","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0569T","description":"Transcatheter Tricuspid Valve Repair_ Percutaneous Approach; Initial Prosthesis","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-A1203","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"A1203","description":"HCPCS-A1203","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NGFA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Rgd ped wc adjstabl w/o seat","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"E1237","description":"Rgd ped wc adjstabl w/o seat","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Revision of hip bone","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"27147","description":"Revision of hip bone","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"LHOE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OGCF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FGTB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Amnioamp-mp_ per square centimeter","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"Q4250","description":"Amnioamp-mp_ per square centimeter","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OLXC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BBVD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KGSE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"1st course antitnf","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G8868","description":"1st course antitnf","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Pneumatic compression device","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"E0675","description":"Pneumatic compression device","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KFPB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Removal of rib(s)","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"32900","description":"Removal of rib(s)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JIVA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JBFE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NLHB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Aspirate/inj ganglion cyst","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"20612","description":"Aspirate/inj ganglion cyst","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JCMD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"HAQD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NBMA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MKHE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RUX35","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RUX35","description":"HIPPS-RUX35","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RLA54","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RLA54","description":"HIPPS-RLA54","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FBXD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GAQC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CBRB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RVL55","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RVL55","description":"HIPPS-RVL55","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-HE25C","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"HE25C","description":"HIPPS-HE25C","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HH PDGM","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"1DB31","description":"HH PDGM","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-CD18A","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"CD18A","description":"HIPPS-CD18A","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-BA10B","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"BA10B","description":"HIPPS-BA10B","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"PAQE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BFHD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OEQA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MLLA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NDXD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Orthovisc inj per dose","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"J7324","description":"Orthovisc inj per dose","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"DFRF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"HDRD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"CDT-D9128","billing_code_type":"CDT","billing_code_type_version":"2026","billing_code":"D9128","description":"CDT-D9128","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NDLE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Fetal scalp blood sample","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"59030","description":"Fetal scalp blood sample","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FEUE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-4CHMU","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"4CHMU","description":"HIPPS-4CHMU","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"LGQF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KCHD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Injection_ daxibotulinumtoxina-lanm_ 1 unit","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"J0589","description":"Injection_ daxibotulinumtoxina-lanm_ 1 unit","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Repair double ventricle","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"33612","description":"Repair double ventricle","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GAJD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"HAYE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OJQA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Ultrasonic generator w svneb","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"E0574","description":"Ultrasonic generator w svneb","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Rbc serum pretx id dilution","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"86976","description":"Rbc serum pretx id dilution","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"CPT-0547U","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"0547U","description":"CPT-0547U","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Wheelchair standard detach a","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"E1140","description":"Wheelchair standard detach a","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-BB226","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"BB226","description":"HIPPS-BB226","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Colonoscopy w/snare","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"44394","description":"Colonoscopy w/snare","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Chest x-ray special views","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"71035","description":"Chest x-ray special views","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Developmental test administration (including assessment of fine and/or gross motor_ language_ cognitive level_ social_ memory and/or executive functions by standardized develo","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"96112","description":"Developmental test administration (including assessment of fine and/or gross motor_ language_ cognitive level_ social_ memory and/or executive functions by standardized develo","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Tlso full corset","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"L0974","description":"Tlso full corset","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"AGDE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"EDME0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KDVA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CDND0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Pt doc to have fall in asc","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G8910","description":"Pt doc to have fall in asc","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Incisional biopsy of skin (eg_ wedge) (including simple closure_ when performed); single lesion","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"11106","description":"Incisional biopsy of skin (eg_ wedge) (including simple closure_ when performed); single lesion","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Pwc gp 1 std port seat/back","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"K0813","description":"Pwc gp 1 std port seat/back","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KAEF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Remove humerus lesion","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"24110","description":"Remove humerus lesion","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-C0405","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"C0405","description":"HCPCS-C0405","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-C1608","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"C1608","description":"HCPCS-C1608","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KHVA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Catheter_ transluminal intravascular lithotripsy_ coronary","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"C1761","description":"Catheter_ transluminal intravascular lithotripsy_ coronary","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"IEED0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"AADF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Heart symp image plnr spect","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0332T","description":"Heart symp image plnr spect","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NAIE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JHAB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RMB05","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RMB05","description":"HIPPS-RMB05","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Pt not elig","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G9629","description":"Pt not elig","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OFEB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GFYE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RHC8F","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RHC8F","description":"HIPPS-RHC8F","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NFHE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RHA8F","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RHA8F","description":"HIPPS-RHA8F","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JABA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Speech audiometry complete","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"92556","description":"Speech audiometry complete","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Patient refused to participate","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G9734","description":"Patient refused to participate","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-LD11A","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"LD11A","description":"HIPPS-LD11A","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Medical conference_ 60 min","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"S0221","description":"Medical conference_ 60 min","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CFCF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Pt w iv ab given on time","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G8916","description":"Pt w iv ab given on time","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Upper limb orthosis nos","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"L3999","description":"Upper limb orthosis nos","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KHKE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CDJD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Balloon dilate urtrl strix","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"50706","description":"Balloon dilate urtrl strix","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Piflufolastat F-18_ Diagnostic_ 1 Millicurie","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"A9595","description":"Piflufolastat F-18_ Diagnostic_ 1 Millicurie","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"CPT-0931T","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"0931T","description":"CPT-0931T","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"marsupialization of odontogenic cyst","billing_code_type":"CDT","billing_code_type_version":"2024","billing_code":"D7509","description":"marsupialization of odontogenic cyst","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Drain bag/bottle","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"A4911","description":"Drain bag/bottle","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GGPB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NEJD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"DDQF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KEXC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"EAAA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"IBLA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"DAQF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MIIF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CINB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BHHC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Excision of mesentery lesion","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"44820","description":"Excision of mesentery lesion","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Dilate biliary duct/ampulla","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"47542","description":"Dilate biliary duct/ampulla","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"ADLE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Copd symptoms assess","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"1015F","description":"Copd symptoms assess","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FATF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Esophagoscopy rigid trnso dx","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"43191","description":"Esophagoscopy rigid trnso dx","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"AEHD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Assay of glycated protein","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"82985","description":"Assay of glycated protein","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Pos clin depres scrn f/u doc","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G8431","description":"Pos clin depres scrn f/u doc","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FCKD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CGWB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RHB4A","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RHB4A","description":"HIPPS-RHB4A","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KBUF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JCTD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NDCD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Home visit est patient","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"99350","description":"Home visit est patient","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BFJA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KGLA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"HGYC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-PA18D","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"PA18D","description":"HIPPS-PA18D","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-1CHL6","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"1CHL6","description":"HIPPS-1CHL6","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OKED0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Hosp bed fixed ht w/ mattres","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"E0250","description":"Hosp bed fixed ht w/ mattres","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Patient received anti-EGFR monoclonal antibody therapy","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G9845","description":"Patient received anti-EGFR monoclonal antibody therapy","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CHID1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BHXB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JGUF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GEWC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CIUC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GICB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Artery x-rays chest","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"75756","description":"Artery x-rays chest","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"NEURO ALZHEIMER QUAN IMAGING","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0207U","description":"NEURO ALZHEIMER QUAN IMAGING","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NBMB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NKAE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"EHTC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MCUE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CBRC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Nasal/sinus endoscopy_ surgical with ethmoidectomy; partial (anterior)","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"31254","description":"Nasal/sinus endoscopy_ surgical with ethmoidectomy; partial (anterior)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OBAE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Doc perm/cont/parox atr fib","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"1060F","description":"Doc perm/cont/parox atr fib","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-4AHLX","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"4AHLX","description":"HIPPS-4AHLX","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Repair spinal fluid leakage","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"63707","description":"Repair spinal fluid leakage","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-2CFMW","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"2CFMW","description":"HIPPS-2CFMW","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Removal of prostate","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"55801","description":"Removal of prostate","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FEIE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NCHB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Gastroenterology (irritable bowel syndrome [IBS])_ immunoassay for anti-CdtB and anti-vinculin antibodies_ utilizing plasma_ algorithm for elevated or not elevated qualitative","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0164U","description":"Gastroenterology (irritable bowel syndrome [IBS])_ immunoassay for anti-CdtB and anti-vinculin antibodies_ utilizing plasma_ algorithm for elevated or not elevated qualitative","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"CACNA1A (calcium voltage-gated channel subunit alpha1 A) (eg_ spinocerebellar ataxia) gene analysis; full gene sequence","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"81185","description":"CACNA1A (calcium voltage-gated channel subunit alpha1 A) (eg_ spinocerebellar ataxia) gene analysis; full gene sequence","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"AAIC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RVC23","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RVC23","description":"HIPPS-RVC23","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JFMF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NIMF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NCFD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CCVC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) (Coronavirus disease [COVID-19]) vaccine_ mRNA-LNP_ spike protein_ preservative free_ 30 mcg/0.3mL dosage_ diluent","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"91300","description":"Severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) (Coronavirus disease [COVID-19]) vaccine_ mRNA-LNP_ spike protein_ preservative free_ 30 mcg/0.3mL dosage_ diluent","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NBGC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GHRA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RHA32","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RHA32","description":"HIPPS-RHA32","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KDXA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JDCA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Dental connector bar","billing_code_type":"CDT","billing_code_type_version":"2024","billing_code":"D6920","description":"Dental connector bar","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Insert heart pm ventricular","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"33207","description":"Insert heart pm ventricular","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-G0567","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"G0567","description":"HCPCS-G0567","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-CA126","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"CA126","description":"HIPPS-CA126","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Ibuprofen injection","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"J1741","description":"Ibuprofen injection","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Endoscope_ single-use (i.e. disposable)_ upper GI_ imaging/illumination device (insertable)","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"C1748","description":"Endoscope_ single-use (i.e. disposable)_ upper GI_ imaging/illumination device (insertable)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RUC16","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RUC16","description":"HIPPS-RUC16","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Prednisone_ oral_ per 5mg","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"J7506","description":"Prednisone_ oral_ per 5mg","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RHL60","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RHL60","description":"HIPPS-RHL60","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KHRF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-2CHK6","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"2CHK6","description":"HIPPS-2CHK6","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Remove ventricular device","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"33977","description":"Remove ventricular device","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"ADAD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RMC2C","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RMC2C","description":"HIPPS-RMC2C","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"M/phmtrc alys ishquant/semiq","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"88377","description":"M/phmtrc alys ishquant/semiq","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OGYB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FEPE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NDBA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-3BGLU","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"3BGLU","description":"HIPPS-3BGLU","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FGMB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Removal of residual cervix","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"57540","description":"Removal of residual cervix","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Diaphragm surgery procedure","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"39599","description":"Diaphragm surgery procedure","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Revise eye muscle add-on","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"67340","description":"Revise eye muscle add-on","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"CPT-0539U","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"0539U","description":"CPT-0539U","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Esophagoscopy flex remove fb","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"43215","description":"Esophagoscopy flex remove fb","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-E1822","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"E1822","description":"HCPCS-E1822","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BDKE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-C9169","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"C9169","description":"HCPCS-C9169","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"PERB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Co2 breathing response curve","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"94400","description":"Co2 breathing response curve","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"LDSB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GEUD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OJCD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OIUE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MABC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Init nb em per day hosp","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"99460","description":"Init nb em per day hosp","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BAMB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"PIQA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OBFB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Removal of breast implant","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"19328","description":"Removal of breast implant","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OIRF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FIAD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RUX5A","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RUX5A","description":"HIPPS-RUX5A","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RVA07","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RVA07","description":"HIPPS-RVA07","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-3CHM2","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"3CHM2","description":"HIPPS-3CHM2","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RVL01","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RVL01","description":"HIPPS-RVL01","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"No rx ace/arb therapy","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G8937","description":"No rx ace/arb therapy","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Perq dev breast 1st us imag","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"19285","description":"Perq dev breast 1st us imag","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-PB13B","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"PB13B","description":"HIPPS-PB13B","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-BA24B","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"BA24B","description":"HIPPS-BA24B","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GAOB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Remove lung artery emboli","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"33910","description":"Remove lung artery emboli","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-PE255","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"PE255","description":"HIPPS-PE255","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OJBF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Hla i typing complete hr","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"81379","description":"Hla i typing complete hr","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Stance phase only","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"L5858","description":"Stance phase only","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BHKD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"IEID1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Removal of bladder lesion","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"51525","description":"Removal of bladder lesion","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CDVD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CBHF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Onco (ovar) two proteins","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"81500","description":"Onco (ovar) two proteins","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Im b1 mrw cel ther xcl hrvst","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0264T","description":"Im b1 mrw cel ther xcl hrvst","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Partial removal of tongue","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"41120","description":"Partial removal of tongue","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"CPT-0568U","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"0568U","description":"CPT-0568U","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MBBD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"LEOC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Hydroxyzine hcl injection","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"J3410","description":"Hydroxyzine hcl injection","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MDID1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Remove exostosis mandible","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"21031","description":"Remove exostosis mandible","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GELA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Percutaneous transcatheter closure of paravalvular leak; each additional occlusion device (List separately in addition to code for primary procedure)","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"93592","description":"Percutaneous transcatheter closure of paravalvular leak; each additional occlusion device (List separately in addition to code for primary procedure)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Elec alys vagus nrv pls gen","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0317T","description":"Elec alys vagus nrv pls gen","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Calc bmi norm parameters","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G8420","description":"Calc bmi norm parameters","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Neurobehavioral status exam (clinical assessment of thinking_ reasoning and judgment_ [eg_ acquired knowledge_ attention_ language_ memory_ planning and problem solving_ and v","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"96121","description":"Neurobehavioral status exam (clinical assessment of thinking_ reasoning and judgment_ [eg_ acquired knowledge_ attention_ language_ memory_ planning and problem solving_ and v","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Prosthetic eye other type","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"V2629","description":"Prosthetic eye other type","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-HD201","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"HD201","description":"HIPPS-HD201","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Revision of pulmonary valve","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"33474","description":"Revision of pulmonary valve","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FGVF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"DFWF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Injection_ infliximab-dyyb (Zymfentra)_ 10 mg","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"J1748","description":"Injection_ infliximab-dyyb (Zymfentra)_ 10 mg","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"IDBF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JHCF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Crown titanium","billing_code_type":"CDT","billing_code_type_version":"2024","billing_code":"D6794","description":"Crown titanium","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FEEC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KAUA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"EITB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Echo transesophageal intraop","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"93318","description":"Echo transesophageal intraop","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Repl met band kafo-afo prox","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"L4080","description":"Repl met band kafo-afo prox","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CAGD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Adults who are deliberately phased out of medication assisted treatment (MAT) prior to 180 days of continuous treatment","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"M1035","description":"Adults who are deliberately phased out of medication assisted treatment (MAT) prior to 180 days of continuous treatment","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Remote retinal imaging mgmt","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"92228","description":"Remote retinal imaging mgmt","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OLSD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-G0682","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"G0682","description":"HCPCS-G0682","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"No doc elder mal scrn","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G8536","description":"No doc elder mal scrn","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Seat lift incorp lift-chair","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"E0627","description":"Seat lift incorp lift-chair","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Repair iris & ciliary body","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"66682","description":"Repair iris & ciliary body","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JDNB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-5BHK3","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"5BHK3","description":"HIPPS-5BHK3","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"ACEC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"IGUE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NFVB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Repair blood vessel lesion","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"35271","description":"Repair blood vessel lesion","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Non-sterile gauze<=16 sq in","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"A6216","description":"Non-sterile gauze<=16 sq in","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-3CGK5","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"3CGK5","description":"HIPPS-3CGK5","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FEID0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"EHTD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OLPC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KHJA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-HB23D","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"HB23D","description":"HIPPS-HB23D","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OFID1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"AHTA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HH PDGM","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"2GB11","description":"HH PDGM","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OEBE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NAPB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CEJA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OBNB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-LB111","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"LB111","description":"HIPPS-LB111","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GDGB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Mod or severe osa","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G8846","description":"Mod or severe osa","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Patients on any kidney or kidney-pancreas transplant waitlist as of the last day of each month during the measurement period","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"M1272","description":"Patients on any kidney or kidney-pancreas transplant waitlist as of the last day of each month during the measurement period","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-PB112","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"PB112","description":"HIPPS-PB112","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Injection_ Avalglucosidase Alfa-Ngpt_ 4 Mg","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"C9085","description":"Injection_ Avalglucosidase Alfa-Ngpt_ 4 Mg","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GGGA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-PD101","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"PD101","description":"HIPPS-PD101","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BBFE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Hereditary breast cancer-related disorders (eg_ hereditary breast cancer_ hereditary ovarian cancer_ hereditary endometrial cancer)_ genomic sequence analysis panel utilizing","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0102U","description":"Hereditary breast cancer-related disorders (eg_ hereditary breast cancer_ hereditary ovarian cancer_ hereditary endometrial cancer)_ genomic sequence analysis panel utilizing","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"CPT-1059T","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"1059T","description":"CPT-1059T","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MIUA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Triamcinolone diacetate inj","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"J3302","description":"Triamcinolone diacetate inj","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"LBRA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Pfizer-BioNTech Covid-19 vaccine administration tris-sucrose pediatric - first dose (SARSCOV2 COVID-19 VAC mRNA 10mcg/0.2mL tris-sucrose IM DOSE 1)","billing_code_type":"CDT","billing_code_type_version":"2024","billing_code":"D1713","description":"Pfizer-BioNTech Covid-19 vaccine administration tris-sucrose pediatric - first dose (SARSCOV2 COVID-19 VAC mRNA 10mcg/0.2mL tris-sucrose IM DOSE 1)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Electrophysiology evaluation","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"93642","description":"Electrophysiology evaluation","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Nursing fac care supervision","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"99380","description":"Nursing fac care supervision","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"ODUA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"ODNE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Art byp aortobifemoral","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"35646","description":"Art byp aortobifemoral","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GGOA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OIVE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NEUC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Urtr inj at surg/1mos post","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G9631","description":"Urtr inj at surg/1mos post","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-LE235","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"LE235","description":"HIPPS-LE235","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-2BHKW","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"2BHKW","description":"HIPPS-2BHKW","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Remove elctrd transvenously","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"33244","description":"Remove elctrd transvenously","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Commode chair electric","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"E0170","description":"Commode chair electric","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OHNC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JIFE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Transcatheter insertion of permanent dual-chamber leadless pacemaker_ including imaging guidance (eg_ fluoroscopy_ venous ultrasound_ right atrial angiography_ right ventricul","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0797T","description":"Transcatheter insertion of permanent dual-chamber leadless pacemaker_ including imaging guidance (eg_ fluoroscopy_ venous ultrasound_ right atrial angiography_ right ventricul","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Removal allograft pancreas","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"48556","description":"Removal allograft pancreas","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"IGED0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"PDRC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OEUF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"User adjustable heel height","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"L5990","description":"User adjustable heel height","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Disease management program","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"S0315","description":"Disease management program","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JDUF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OBFE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Mobile arm support supinator","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"E2633","description":"Mobile arm support supinator","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OHSB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Immunization administration by intramuscular injection of severe acute respiratory syndrome coronavirus 2 (SARS\u0002CoV-2) (coronavirus disease [COVID-19]) vaccine_ mRNA-LNP_ spik","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0091A","description":"Immunization administration by intramuscular injection of severe acute respiratory syndrome coronavirus 2 (SARS\u0002CoV-2) (coronavirus disease [COVID-19]) vaccine_ mRNA-LNP_ spik","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Beta blckr admin w/in 24 hrs","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"4115F","description":"Beta blckr admin w/in 24 hrs","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NKMB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-3CGL4","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"3CGL4","description":"HIPPS-3CGL4","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Auricular electrostimulation","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"S8930","description":"Auricular electrostimulation","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MFHF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RHL40","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RHL40","description":"HIPPS-RHL40","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Treat thigh fracture","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"27236","description":"Treat thigh fracture","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-BB13D","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"BB13D","description":"HIPPS-BB13D","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Lead_ aicd_ endo single coil","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"C1777","description":"Lead_ aicd_ endo single coil","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FBXF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FCBD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MCCC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BEVC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KELB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Fecal microbiota prep instil","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G0455","description":"Fecal microbiota prep instil","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"CPT-0910T","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"0910T","description":"CPT-0910T","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Flu immuno admind rcvd","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"4274F","description":"Flu immuno admind rcvd","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Cast sup lng leg splnt ped p","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"Q4043","description":"Cast sup lng leg splnt ped p","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"AHIC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KDQF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"DBQF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Transcath closure of asd","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"93580","description":"Transcath closure of asd","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NBJC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Adhesive remover_ wipes","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"A4456","description":"Adhesive remover_ wipes","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GDOB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GBBF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-3AHPS","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"3AHPS","description":"HIPPS-3AHPS","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GDGF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Coping","billing_code_type":"CDT","billing_code_type_version":"2024","billing_code":"D2975","description":"Coping","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Removal of rib and nerves","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"21616","description":"Removal of rib and nerves","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GBWC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-4BFMW","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"4BFMW","description":"HIPPS-4BFMW","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"DGYA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Sio panel custom","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"L0624","description":"Sio panel custom","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GGTF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OJDE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"X-ray exam thorac spine4/>vw","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"72074","description":"X-ray exam thorac spine4/>vw","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Dissect brain w/scope","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"62161","description":"Dissect brain w/scope","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NIJD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"ABHA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Meningococcal pentavalent vaccine_ conjugated Men A_ C_ W_ Y- tetanus toxoid carrier_ and Men B-FHbp_ for intracmuscular use","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"90623","description":"Meningococcal pentavalent vaccine_ conjugated Men A_ C_ W_ Y- tetanus toxoid carrier_ and Men B-FHbp_ for intracmuscular use","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Unclassified biologics","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"J3590","description":"Unclassified biologics","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Ultrasound_ complete joint (ie_ joint space and peri-articular soft tissue structures) real-time with image documentation","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"76881","description":"Ultrasound_ complete joint (ie_ joint space and peri-articular soft tissue structures) real-time with image documentation","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NECB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"2d tte w or w/o fol w/con_fu","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"C8924","description":"2d tte w or w/o fol w/con_fu","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JAPE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Mitomycin injection","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"J9280","description":"Mitomycin injection","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OFNA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FGPB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JBUB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-PE154","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"PE154","description":"HIPPS-PE154","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NIKE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CGOD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"CDT-D5942","billing_code_type":"CDT","billing_code_type_version":"2026","billing_code":"D5942","description":"CDT-D5942","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Removal of bone lesion","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"23145","description":"Removal of bone lesion","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Decompress spine cord add-on","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"63057","description":"Decompress spine cord add-on","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GFFF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Lens bifocal seg width over","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"V2219","description":"Lens bifocal seg width over","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Injection_ Tedizolid Phosphate_ 1 Mg","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"C9446","description":"Injection_ Tedizolid Phosphate_ 1 Mg","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FCID1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Follow up pulm nod","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G9345","description":"Follow up pulm nod","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OFDE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-Q4405","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"Q4405","description":"HCPCS-Q4405","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Extensive prostate surgery","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"55812","description":"Extensive prostate surgery","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-LC18I","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"LC18I","description":"HIPPS-LC18I","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KCYD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CFKD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-2CGK1","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"2CGK1","description":"HIPPS-2CGK1","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GHYC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Eyelid lining surgery","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"68399","description":"Eyelid lining surgery","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"1x scrn hcv infect","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G9451","description":"1x scrn hcv infect","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"CPT-90635","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"90635","description":"CPT-90635","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"ODHA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BFMD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FDVD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Partial hospitalization serv","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"S0201","description":"Partial hospitalization serv","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Drug/substance nos 7/more","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"80377","description":"Drug/substance nos 7/more","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OENB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OASB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Reremove wrist tendon lesion","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"25112","description":"Reremove wrist tendon lesion","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"IAAB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"CPT-0956T","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"0956T","description":"CPT-0956T","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JADE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Insert picvad cath","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"36570","description":"Insert picvad cath","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Bcr/abl1 gene major bp","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"81206","description":"Bcr/abl1 gene major bp","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NHUA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"DAQD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OINE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NAIC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"EAIF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KFBB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Mcp joint arthroscopy dx","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"29900","description":"Mcp joint arthroscopy dx","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Other drugs/medicaments","billing_code_type":"CDT","billing_code_type_version":"2024","billing_code":"D9630","description":"Other drugs/medicaments","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OJLB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OLVF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"DBSF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Closure of eyelid by suture","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"67875","description":"Closure of eyelid by suture","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FILE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RVX33","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RVX33","description":"HIPPS-RVX33","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BIDC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MJEA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-1BGMS","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"1BGMS","description":"HIPPS-1BGMS","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Ct pelvis w/o dye","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"72192","description":"Ct pelvis w/o dye","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Cabg meas qual act perform","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G8497","description":"Cabg meas qual act perform","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"ECED1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Wrist arthroscopy/surgery","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"29847","description":"Wrist arthroscopy/surgery","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Multiple-family group adaptive behavior treatment guidance_ administered by physician or other qualified health care professional (without the patient present)","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0371T","description":"Multiple-family group adaptive behavior treatment guidance_ administered by physician or other qualified health care professional (without the patient present)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-Q4336","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"Q4336","description":"HCPCS-Q4336","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"No rev_ comm_ track biopsy","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G8885","description":"No rev_ comm_ track biopsy","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CIBF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Genesis Amniotic Membrane_ per sq cm","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"Q4198","description":"Genesis Amniotic Membrane_ per sq cm","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CIED1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NCFA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Reconstruct windpipe","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"31780","description":"Reconstruct windpipe","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Removal of vein clot","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"34421","description":"Removal of vein clot","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"HASE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BAHD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"No pneumococcal admin","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G8867","description":"No pneumococcal admin","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KFGE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BHLE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RMB60","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RMB60","description":"HIPPS-RMB60","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NKFA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-CB160","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"CB160","description":"HIPPS-CB160","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Health Behavior Intervention_ Family (With The Patient Present)_ Face-To-Face; Each Additional 15 Minutes (List Separately In Addition To Code For Primary Service)","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"96168","description":"Health Behavior Intervention_ Family (With The Patient Present)_ Face-To-Face; Each Additional 15 Minutes (List Separately In Addition To Code For Primary Service)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GGPE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GAID1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GBIE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Hfo without joints pre ots","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"L3924","description":"Hfo without joints pre ots","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"The Start Of An Episode Of Care Documented In The Medical Record","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"M1111","description":"The Start Of An Episode Of Care Documented In The Medical Record","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GGDE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Laminotomy addl cervical","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"63043","description":"Laminotomy addl cervical","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OLKC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FIJF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JBBE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CBCC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-4BHM5","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"4BHM5","description":"HIPPS-4BHM5","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Exposure behavior treatment","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0373T","description":"Exposure behavior treatment","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OGDF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JCIF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-3AGPU","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"3AGPU","description":"HIPPS-3AGPU","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Injection_ aprepitant_ (aponvie)_ 1 mg","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"C9145","description":"Injection_ aprepitant_ (aponvie)_ 1 mg","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Wheelchair special seat heig","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"E1296","description":"Wheelchair special seat heig","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Prev visit new age 18-39","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"99385","description":"Prev visit new age 18-39","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MEHC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"CPT-01931","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"01931","description":"CPT-01931","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CDWF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"FXN (frataxin) (eg_ Friedreich ataxia) gene analysis; characterization of alleles (eg_ expanded size)","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"81285","description":"FXN (frataxin) (eg_ Friedreich ataxia) gene analysis; characterization of alleles (eg_ expanded size)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"PDYA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"IGTE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RLX8E","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RLX8E","description":"HIPPS-RLX8E","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CGTA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Anesthesia for intracranial procedures; subdural taps","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0131U","description":"Anesthesia for intracranial procedures; subdural taps","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Place device/marker_ non pro","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"C9728","description":"Place device/marker_ non pro","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BAVF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BFXB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Subsequent observation care","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"99225","description":"Subsequent observation care","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Gradient  compression arm sleeve_ custom_ heavy weight_ each","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"A6577","description":"Gradient  compression arm sleeve_ custom_ heavy weight_ each","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"EABB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OLQB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Analysis nerve","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"88356","description":"Analysis nerve","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GEHB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GENA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-2AHL6","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"2AHL6","description":"HIPPS-2AHL6","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Removal and replacement of phrenic nerve stimulator_ including vessel catheterization_ all imaging guidance_ and interrogation and programming_ when performed; transvenous sti","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"33288","description":"Removal and replacement of phrenic nerve stimulator_ including vessel catheterization_ all imaging guidance_ and interrogation and programming_ when performed; transvenous sti","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Drainage of mouth lesion","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"40801","description":"Drainage of mouth lesion","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"CPT-1005T","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"1005T","description":"CPT-1005T","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Pt dchg home post op day 7","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G9601","description":"Pt dchg home post op day 7","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CAKA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RMC44","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RMC44","description":"HIPPS-RMC44","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JEGA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-HB256","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"HB256","description":"HIPPS-HB256","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KDCD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Injection_ epoetin alfa_ 1000 units (for esrd on dialysis)","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"J0886","description":"Injection_ epoetin alfa_ 1000 units (for esrd on dialysis)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Fetal aneuploidy (trisomy 13_ 18_ and 21)_ DNA sequence analysis of selected regions using maternal plasma_ algorithm reported as a risk score for each trisomy_ includes sex r","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0327U","description":"Fetal aneuploidy (trisomy 13_ 18_ and 21)_ DNA sequence analysis of selected regions using maternal plasma_ algorithm reported as a risk score for each trisomy_ includes sex r","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Decompress optic nerve","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"67570","description":"Decompress optic nerve","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Patient approved by a qualified transplant program and scheduled to receive a living donor kidney transplant","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G9750","description":"Patient approved by a qualified transplant program and scheduled to receive a living donor kidney transplant","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OFSC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RHA26","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RHA26","description":"HIPPS-RHA26","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"CPT-0628U","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"0628U","description":"CPT-0628U","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Anesth lens surgery","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"14251","description":"Anesth lens surgery","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Immunization administration by intramuscular injection of severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) (coronavirus disease [COVID-19]) vaccine_ recombinant sp","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0042A","description":"Immunization administration by intramuscular injection of severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) (coronavirus disease [COVID-19]) vaccine_ recombinant sp","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OJKA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-J1837","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"J1837","description":"HCPCS-J1837","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"AIDA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GDPB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Abutment supported mtl crown","billing_code_type":"CDT","billing_code_type_version":"2024","billing_code":"D6061","description":"Abutment supported mtl crown","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Patients with a diagnosis or past history of total colectomy or colorectal cancer","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"M1295","description":"Patients with a diagnosis or past history of total colectomy or colorectal cancer","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-PA216","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"PA216","description":"HIPPS-PA216","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OLRB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Transcatheter Placement And Subsequent Removal Of Cerebral Embolic Protection Device(S)_ Including Arterial Access_ Catheterization_ Imaging_ And Radiological Supervision And","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"33370","description":"Transcatheter Placement And Subsequent Removal Of Cerebral Embolic Protection Device(S)_ Including Arterial Access_ Catheterization_ Imaging_ And Radiological Supervision And","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"EITA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Trans elec jt stim dev sys","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"E0762","description":"Trans elec jt stim dev sys","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-PB221","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"PB221","description":"HIPPS-PB221","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MBLA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NCIC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"IFEE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Revise stomach-bowel fusion","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"43860","description":"Revise stomach-bowel fusion","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GIKC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-PC24C","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"PC24C","description":"HIPPS-PC24C","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OCWA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Abdominal pad","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"L1270","description":"Abdominal pad","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Occlusal guard - soft appliance_ full arch","billing_code_type":"CDT","billing_code_type_version":"2024","billing_code":"D9945","description":"Occlusal guard - soft appliance_ full arch","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"LDOB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NFMF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Revise eyelid lining","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"68360","description":"Revise eyelid lining","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Youth size pull-on","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"T4534","description":"Youth size pull-on","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Remote therapeutic monitoring (eg_ therapy adherence_ therapy response); device(s) supply with scheduled (eg_ daily) recording(s) and/or programmed alert(s) transmission to mo","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"98978","description":"Remote therapeutic monitoring (eg_ therapy adherence_ therapy response); device(s) supply with scheduled (eg_ daily) recording(s) and/or programmed alert(s) transmission to mo","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GDBA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Treatment of heel fracture","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"28406","description":"Treatment of heel fracture","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Special reports or forms","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"99080","description":"Special reports or forms","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BHAB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Apply finger cast","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"29086","description":"Apply finger cast","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS CODE","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"AAAA1","description":"SNF PDPM HIPPS CODE","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GIWC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"IFEB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-C1735","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"C1735","description":"HCPCS-C1735","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RLB3D","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RLB3D","description":"HIPPS-RLB3D","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-2AFM2","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"2AFM2","description":"HIPPS-2AFM2","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-A5101","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"A5101","description":"HCPCS-A5101","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Microbe suscept macrobroth","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"87188","description":"Microbe suscept macrobroth","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"CPT-00164","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"00164","description":"CPT-00164","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OJLD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RUA51","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RUA51","description":"HIPPS-RUA51","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Retinal prosth int/ext comp","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"C1841","description":"Retinal prosth int/ext comp","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Offset knee joint heavy duty","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"L2395","description":"Offset knee joint heavy duty","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CBQA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"EACE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Partial removal of esophagus","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"43121","description":"Partial removal of esophagus","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CHSA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BIHB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-HB124","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"HB124","description":"HIPPS-HB124","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Drug confirmation_ each procedure","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G6058","description":"Drug confirmation_ each procedure","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JBPA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-LB204","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"LB204","description":"HIPPS-LB204","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Pwc gp 2 std seat/back","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"K0822","description":"Pwc gp 2 std seat/back","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Quant nonher2 ihc brst cx","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"3395F","description":"Quant nonher2 ihc brst cx","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-2CGKW","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"2CGKW","description":"HIPPS-2CGKW","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BDTF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"DFRA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OHTD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GGLA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BILB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"The Start Of An Episode Of Care Documented In The Medical Record","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"M1126","description":"The Start Of An Episode Of Care Documented In The Medical Record","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Repair of aortic valve","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"33400","description":"Repair of aortic valve","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FAGF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"ABBA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"PJOC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"DISF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"DGOE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"AFEC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Rilonacept injection","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"J2793","description":"Rilonacept injection","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"IFEC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Prolonged service inpatient","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"99357","description":"Prolonged service inpatient","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MFCF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CHVA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"IDDE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RMB8B","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RMB8B","description":"HIPPS-RMB8B","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Drain shoulder bursa","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"23031","description":"Drain shoulder bursa","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Quantitative Ultrasound Tissue Characterization (Non-Elastographic)_ Including Interpretation And Report_ Obtained With Diagnostic Ultrasound Examination Of The Same Anatomy (","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0690T","description":"Quantitative Ultrasound Tissue Characterization (Non-Elastographic)_ Including Interpretation And Report_ Obtained With Diagnostic Ultrasound Examination Of The Same Anatomy (","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CIWD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CFAF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Automated Quantification And Characterization Of Coronary Atherosclerotic Plaque To Assess Severity Of Coronary Disease_ Using Data From Coronary Computed Tomographic Angiogra","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0623T","description":"Automated Quantification And Characterization Of Coronary Atherosclerotic Plaque To Assess Severity Of Coronary Disease_ Using Data From Coronary Computed Tomographic Angiogra","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Nutri counsel-control caries","billing_code_type":"CDT","billing_code_type_version":"2024","billing_code":"D1310","description":"Nutri counsel-control caries","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Shoe sole wedge between sole","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"L3370","description":"Shoe sole wedge between sole","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Repair hand tendon","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"26410","description":"Repair hand tendon","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Gastroenterology (Barrett esophagus)_ P16_ RUNX3_ HPP1_ and FBN1 DNA methylation analysis using PCR_ formalin-fixed paraffin-embedded (FFPE) tissue_ algorithm reported as risk","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0398U","description":"Gastroenterology (Barrett esophagus)_ P16_ RUNX3_ HPP1_ and FBN1 DNA methylation analysis using PCR_ formalin-fixed paraffin-embedded (FFPE) tissue_ algorithm reported as risk","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Legion pneumophilia ag if","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"87278","description":"Legion pneumophilia ag if","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Positional nystagmus test","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"92542","description":"Positional nystagmus test","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JAID1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"PFQF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Onlay cst base mtl >=3 surfa","billing_code_type":"CDT","billing_code_type_version":"2024","billing_code":"D6613","description":"Onlay cst base mtl >=3 surfa","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Rebase hybrid prosthesis","billing_code_type":"CDT","billing_code_type_version":"2024","billing_code":"D5725","description":"Rebase hybrid prosthesis","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-BB12A","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"BB12A","description":"HIPPS-BB12A","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BEFB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"EBUF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OJTD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OASC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Biliary endoscopy thru skin","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"47554","description":"Biliary endoscopy thru skin","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MEBC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NFKB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OLTD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GHIF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GASD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Periodontal medicament carrier with peripheral seal - laboratory processed - maxillary","billing_code_type":"CDT","billing_code_type_version":"2024","billing_code":"D5995","description":"Periodontal medicament carrier with peripheral seal - laboratory processed - maxillary","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Didanosine_ 25 mg","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"S0137","description":"Didanosine_ 25 mg","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Pwc gp5 ped mult pow opt s/b","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"K0891","description":"Pwc gp5 ped mult pow opt s/b","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BDPC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-HC28A","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"HC28A","description":"HIPPS-HC28A","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KCVB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Ziprasidone mesylate","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"J3486","description":"Ziprasidone mesylate","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Patient has a reactive hcv antibody test and does not have a follow up hcv viral test_ or patient has a reactive hcv antibody test and has a follow up hcv viral test that dete","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"M1230","description":"Patient has a reactive hcv antibody test and does not have a follow up hcv viral test_ or patient has a reactive hcv antibody test and has a follow up hcv viral test that dete","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CDBD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FIGF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Allgrft implnt knee w/scope","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"29867","description":"Allgrft implnt knee w/scope","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CESB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Explore wound abdomen","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"20102","description":"Explore wound abdomen","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Axillary crutch extension","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"L0978","description":"Axillary crutch extension","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Revision of wrist joint","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"25450","description":"Revision of wrist joint","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KFLC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Pressure support ventilator with volume control mode_ may include pressure control mode_ used with invasive interface (e.g. tracheostomy tube)","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"E0463","description":"Pressure support ventilator with volume control mode_ may include pressure control mode_ used with invasive interface (e.g. tracheostomy tube)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"HCRE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CITA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Sympt show clin import drop","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"1451F","description":"Sympt show clin import drop","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Injection_ metronidazole_ 10 mg","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"J1836","description":"Injection_ metronidazole_ 10 mg","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"LAOB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Lso sag r an/pos pnl pre ots","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"L0648","description":"Lso sag r an/pos pnl pre ots","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OANE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OKBE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GDEA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CBMF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Open reduct compd mandble fx","billing_code_type":"CDT","billing_code_type_version":"2024","billing_code":"D7730","description":"Open reduct compd mandble fx","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CCCD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-PD213","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"PD213","description":"HIPPS-PD213","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Vaccinia (smallpox) virus vaccine_ live_ lyophilized_ 0.3 mL dosage_ for percutaneous use","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"90622","description":"Vaccinia (smallpox) virus vaccine_ live_ lyophilized_ 0.3 mL dosage_ for percutaneous use","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RVB8E","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RVB8E","description":"HIPPS-RVB8E","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"PDRB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-AAA26","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"AAA26","description":"HIPPS-AAA26","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BIBF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-3BHL3","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"3BHL3","description":"HIPPS-3BHL3","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Intravenous infusion_ casirivimab and imdevimab includes infusion and post administration monitoring in the home or residence.","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"M0244","description":"Intravenous infusion_ casirivimab and imdevimab includes infusion and post administration monitoring in the home or residence.","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Apply long leg cast brace","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"29358","description":"Apply long leg cast brace","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Test for g6pd enzyme","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"82960","description":"Test for g6pd enzyme","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Endovascular Repair Of Iliac Artery_ Not Associated With Placement Of An Aorto-Iliac Artery Endograft At The Same Session_ By Deployment Of An Iliac Branched Endograft_ Includ","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"34718","description":"Endovascular Repair Of Iliac Artery_ Not Associated With Placement Of An Aorto-Iliac Artery Endograft At The Same Session_ By Deployment Of An Iliac Branched Endograft_ Includ","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"PKOD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-Q4425","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"Q4425","description":"HCPCS-Q4425","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JCCC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BIXC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"IHAF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CHFF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Remove vagina tissue compl","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"57111","description":"Remove vagina tissue compl","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"PCRE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GGCF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-1CFPV","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"1CFPV","description":"HIPPS-1CFPV","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RUX42","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RUX42","description":"HIPPS-RUX42","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-3AHL1","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"3AHL1","description":"HIPPS-3AHL1","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FAVD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NLHC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OGVB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OATD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Caster wheel excludes tire","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"E2225","description":"Caster wheel excludes tire","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-1AHMW","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"1AHMW","description":"HIPPS-1AHMW","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Pt surv results not avail","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G9604","description":"Pt surv results not avail","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-J0615","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"J0615","description":"HCPCS-J0615","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RUX3A","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RUX3A","description":"HIPPS-RUX3A","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OKTB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-CD10A","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"CD10A","description":"HIPPS-CD10A","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KAQC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FBTF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Dev delay prev dp ch_ 15 min","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"H2037","description":"Dev delay prev dp ch_ 15 min","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JGFF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Cholangiography_ percutaneous_ transhepatic_ radiological supervisionand interpretation","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"74320","description":"Cholangiography_ percutaneous_ transhepatic_ radiological supervisionand interpretation","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OGHB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FAPA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Abatacept injection","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"J0129","description":"Abatacept injection","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Home health care supervision","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"99375","description":"Home health care supervision","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"IHCD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"IDLD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Open/perq place stent same","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"37238","description":"Open/perq place stent same","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BCAD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KCNF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Onc Lung 5 Clinical Risk Factors Alg Prblty Mal","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0080U","description":"Onc Lung 5 Clinical Risk Factors Alg Prblty Mal","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-Q5161","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"Q5161","description":"HCPCS-Q5161","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Extensive hysterectomy","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"58200","description":"Extensive hysterectomy","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"IHAE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JAIF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NEXF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"At least 1 body temperature measurement equal to or greater than 35.5 degrees celsius (or 95.9 degrees fahrenheit) not achieved within the 30 minutes immediately before or the","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G9773","description":"At least 1 body temperature measurement equal to or greater than 35.5 degrees celsius (or 95.9 degrees fahrenheit) not achieved within the 30 minutes immediately before or the","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Promethazine hcl injection","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"J2550","description":"Promethazine hcl injection","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GBGB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MHBE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-CA112","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"CA112","description":"HIPPS-CA112","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-ES38A","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"ES38A","description":"HIPPS-ES38A","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Glaucoma plan of care not documented_ reason not otherwise specified","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"M1222","description":"Glaucoma plan of care not documented_ reason not otherwise specified","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RHX8B","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RHX8B","description":"HIPPS-RHX8B","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Noncontact near-infrared spectroscopy (eg_ for measurement of deoxyhemoglobin_ oxyhemoglobin_ and ratio of tissue oxygenation)_ for screening for peripheral arterial disease_","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0860T","description":"Noncontact near-infrared spectroscopy (eg_ for measurement of deoxyhemoglobin_ oxyhemoglobin_ and ratio of tissue oxygenation)_ for screening for peripheral arterial disease_","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"AHIA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Remote Treatment Of Amblyopia Using An Eye Tracking Device; Interpretation And Report By Physician Or Other Qualified Health Care Professional_ Per Calendar Month","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0706T","description":"Remote Treatment Of Amblyopia Using An Eye Tracking Device; Interpretation And Report By Physician Or Other Qualified Health Care Professional_ Per Calendar Month","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Sho lift taper to metatarsal","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"L3300","description":"Sho lift taper to metatarsal","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Removal of vein clot","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"34471","description":"Removal of vein clot","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"CPT-37293","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"37293","description":"CPT-37293","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NIEE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Assay of haptoglobins","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"83012","description":"Assay of haptoglobins","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Reconst lwr jaw w/o fixation","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"21195","description":"Reconst lwr jaw w/o fixation","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NFUE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Knee joint drop lock ea jnt","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"L2405","description":"Knee joint drop lock ea jnt","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OGCA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"AILC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Injection_ aripiprazole_ (Abilify Asimtufii)_ 1 mg","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"C9152","description":"Injection_ aripiprazole_ (Abilify Asimtufii)_ 1 mg","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GDTA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Mumps virus vaccine_ live_ for subcutaneous or jet injection use","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"90704","description":"Mumps virus vaccine_ live_ for subcutaneous or jet injection use","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"IAAB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Treat toe dislocation","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"28660","description":"Treat toe dislocation","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Temozolomide","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"J8700","description":"Temozolomide","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KAYD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MFCF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NLEB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Athletic training evaluation_ low complexity_ requiring these components: A history and physical activity profile with no comorbidities that affect physical activity; An exami","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"97169","description":"Athletic training evaluation_ low complexity_ requiring these components: A history and physical activity profile with no comorbidities that affect physical activity; An exami","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CCGA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OGVC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Electrical stimulator supplies (external) for use with implantable neurostimulator_ per month","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"L8678","description":"Electrical stimulator supplies (external) for use with implantable neurostimulator_ per month","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"IIMA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Gabapentin non-blood","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"80355","description":"Gabapentin non-blood","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NECF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Multi-axial knee/shin system","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"L5840","description":"Multi-axial knee/shin system","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NLMD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Cine/vid x-ray throat/esoph","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"74230","description":"Cine/vid x-ray throat/esoph","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RUL20","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RUL20","description":"HIPPS-RUL20","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"CPT-0669U","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"0669U","description":"CPT-0669U","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GFWD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Thoracoscopy contrl bleeding","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"32654","description":"Thoracoscopy contrl bleeding","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MFAE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Remove/transplant tendon","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"23440","description":"Remove/transplant tendon","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FFTE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"DCOC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"PBRC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Exc hip/pelvis les sc < 3 cm","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"27047","description":"Exc hip/pelvis les sc < 3 cm","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BDEC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-3BHK3","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"3BHK3","description":"HIPPS-3BHK3","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Incise hand/finger tendon","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"26460","description":"Incise hand/finger tendon","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"PJRE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Plumb/elec wk hm hemo equip","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"A4870","description":"Plumb/elec wk hm hemo equip","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Treat knee fracture(s)","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"27538","description":"Treat knee fracture(s)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Remove spine lamina 1 thrc","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"63046","description":"Remove spine lamina 1 thrc","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"remove erupted tooth","billing_code_type":"CDT","billing_code_type_version":"2024","billing_code":"D7210","description":"remove erupted tooth","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Oncology (prostate) gene expression profile by real-time RT-PCR of 3 genes (ERG_ PCA3_ and SPDEF)_ urine_ algorithm reported as risk score","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0005U","description":"Oncology (prostate) gene expression profile by real-time RT-PCR of 3 genes (ERG_ PCA3_ and SPDEF)_ urine_ algorithm reported as risk score","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-HD141","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"HD141","description":"HIPPS-HD141","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"NUDT15 (nudix hydrolase 15) (eg_ drug metabolism) gene analysis_ common variant(s) (eg_ *2_ *3_ *4_ *5_ *6)","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"81306","description":"NUDT15 (nudix hydrolase 15) (eg_ drug metabolism) gene analysis_ common variant(s) (eg_ *2_ *3_ *4_ *5_ *6)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-1BGN2","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"1BGN2","description":"HIPPS-1BGN2","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BINB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"EITC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-PA28I","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"PA28I","description":"HIPPS-PA28I","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Reconstruct elbow joint","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"24361","description":"Reconstruct elbow joint","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JALD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OCGE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"LCYC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"IHUC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Plmt post facet implt addl","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0222T","description":"Plmt post facet implt addl","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Fusion of knee","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"27580","description":"Fusion of knee","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NIUE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-Q9996","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"Q9996","description":"HCPCS-Q9996","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Occupational therapy evaluation_ moderate complexity_ requiring these components: An occupational profile and medical and therapy history_ which includes an expanded review of","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"97166","description":"Occupational therapy evaluation_ moderate complexity_ requiring these components: An occupational profile and medical and therapy history_ which includes an expanded review of","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RUL8I","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RUL8I","description":"HIPPS-RUL8I","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KBVF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RVL1B","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RVL1B","description":"HIPPS-RVL1B","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Suprachoroidal space injection of pharmacologic agent (separate procedure)","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"67516","description":"Suprachoroidal space injection of pharmacologic agent (separate procedure)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CHHD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-CC12C","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"CC12C","description":"HIPPS-CC12C","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KBSD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Brca1 gene known fam variant","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"81215","description":"Brca1 gene known fam variant","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"IAUE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Initiation and monitoring marginal (extended) cadaver donor lung(s) organ perfusion system by physician or qualified health care professional_ including physiological and labo","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0495T","description":"Initiation and monitoring marginal (extended) cadaver donor lung(s) organ perfusion system by physician or qualified health care professional_ including physiological and labo","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Esophageal motility (manometric study of the esophagus and/or gastroesophageal junction) study with interpretation and report; with 3-dimensional high resolution esophageal","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0240T","description":"Esophageal motility (manometric study of the esophagus and/or gastroesophageal junction) study with interpretation and report; with 3-dimensional high resolution esophageal","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BFAE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Replacement of aortic valve","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"33413","description":"Replacement of aortic valve","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"CDT-D1901","billing_code_type":"CDT","billing_code_type_version":"2026","billing_code":"D1901","description":"CDT-D1901","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NIKB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NKUD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Esophageal motility study","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"78258","description":"Esophageal motility study","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Prepare donor heart","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"33944","description":"Prepare donor heart","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Chemo ia infuse each addl hr","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"96423","description":"Chemo ia infuse each addl hr","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"DBOD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OEPC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-LC11A","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"LC11A","description":"HIPPS-LC11A","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Lang express d/c status","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G9164","description":"Lang express d/c status","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Onc pract mgmt differs trial","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G9057","description":"Onc pract mgmt differs trial","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NKIA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Gradient  compression arm sleeve_ custom_ medium weight_ each","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"A6576","description":"Gradient  compression arm sleeve_ custom_ medium weight_ each","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-HC24A","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"HC24A","description":"HIPPS-HC24A","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"ODFB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JANA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OFDD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Devlopment test interpt&rep","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G0451","description":"Devlopment test interpt&rep","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Abutment supported mtl crown","billing_code_type":"CDT","billing_code_type_version":"2024","billing_code":"D6062","description":"Abutment supported mtl crown","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Sub pt/ot d/c status","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G8995","description":"Sub pt/ot d/c status","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FHAB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FCKF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Patients Receiving Palliative Care During The Measurement Period","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G0034","description":"Patients Receiving Palliative Care During The Measurement Period","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OEMD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FDHB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KBOD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GHWA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Hzv vaccine live subq","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"90736","description":"Hzv vaccine live subq","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KBIC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-3AGMT","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"3AGMT","description":"HIPPS-3AGMT","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-ES320","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"ES320","description":"HIPPS-ES320","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Application of body cast","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"29000","description":"Application of body cast","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KBMB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CHEC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Gi tract capsule endoscopy","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0355T","description":"Gi tract capsule endoscopy","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MBCD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Intravertebral body fracture augmentation with implant (e.g._ metal_ polymer)","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"C1062","description":"Intravertebral body fracture augmentation with implant (e.g._ metal_ polymer)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NFFE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NBKA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Ablation of malignant prostate tissue by magnetic field induction_ including all intraprocedural_ transperineal needle/catheter placement for nanoparticle installation and int","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0739T","description":"Ablation of malignant prostate tissue by magnetic field induction_ including all intraprocedural_ transperineal needle/catheter placement for nanoparticle installation and int","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"X-ray exam hips bi 2 views","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"73521","description":"X-ray exam hips bi 2 views","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CIHA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NBKE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"LCOB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KIEF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Dental retainr cast metl","billing_code_type":"CDT","billing_code_type_version":"2024","billing_code":"D6545","description":"Dental retainr cast metl","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Prolonged Office Or Other Outpatient Evaluation And Management Service(S) Beyond The Minimum Required Time Of The Primary Procedure Which Has Been Selected Using Total Time_ R","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"99417","description":"Prolonged Office Or Other Outpatient Evaluation And Management Service(S) Beyond The Minimum Required Time Of The Primary Procedure Which Has Been Selected Using Total Time_ R","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"West nile virus antibody","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"86789","description":"West nile virus antibody","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NIBC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"ECHF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BAHE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-4AGM2","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"4AGM2","description":"HIPPS-4AGM2","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CAMD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Lefort iii w/fhd w/ lefort i","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"21160","description":"Lefort iii w/fhd w/ lefort i","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OFNB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"IFDC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"PIWB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Onc dx nhl trans to lg bcell","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G9136","description":"Onc dx nhl trans to lg bcell","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"G-esoph reflx tst w/electrod","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"91035","description":"G-esoph reflx tst w/electrod","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Repr per/vag pouch dbl proc","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"46712","description":"Repr per/vag pouch dbl proc","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JAMB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FFHF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RVA54","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RVA54","description":"HIPPS-RVA54","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"HIYB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KBUD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Anesth surgery of breast","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"40251","description":"Anesth surgery of breast","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-PB22C","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"PB22C","description":"HIPPS-PB22C","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Ostomy belt","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"A4367","description":"Ostomy belt","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FBDC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Assay rbc protoporphyrin","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"84202","description":"Assay rbc protoporphyrin","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Fetal monitor/interpret only","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"59051","description":"Fetal monitor/interpret only","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-J9342","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"J9342","description":"HCPCS-J9342","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"IEDC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-G0680","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"G0680","description":"HCPCS-G0680","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Injection_ buprenorphine extended-release (Sublocade)_ less than or equal to 100 mg","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"Q9991","description":"Injection_ buprenorphine extended-release (Sublocade)_ less than or equal to 100 mg","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Compre audiometry evaluation","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0212T","description":"Compre audiometry evaluation","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Hhc slp ea 15 min","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G0161","description":"Hhc slp ea 15 min","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Injection_ argatroban_ 1 mg (for ESRD on dialysis)","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"J0884","description":"Injection_ argatroban_ 1 mg (for ESRD on dialysis)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Patient recorded spirometry","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"94014","description":"Patient recorded spirometry","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Repair eyelid defect","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"67924","description":"Repair eyelid defect","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Gastrointestinal fat absorpt","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"S3708","description":"Gastrointestinal fat absorpt","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NKAF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OCWE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-5CFKV","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"5CFKV","description":"HIPPS-5CFKV","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JGJA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Radiologic examination_ spine; scoliosis study_ including supine and erect studies","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"72090","description":"Radiologic examination_ spine; scoliosis study_ including supine and erect studies","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Anterior asis pad","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"L1250","description":"Anterior asis pad","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CEFF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"EDAB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RMB0A","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RMB0A","description":"HIPPS-RMB0A","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Below elbow switch control","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"L6930","description":"Below elbow switch control","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Cold agglutinin titer","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"86157","description":"Cold agglutinin titer","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NHTE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OGSC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BCUF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"IACE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"DCQF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"AEIF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-CB22B","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"CB22B","description":"HIPPS-CB22B","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Genetic test spec analysis","billing_code_type":"CDT","billing_code_type_version":"2024","billing_code":"D0423","description":"Genetic test spec analysis","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Alcohol and/or drug services","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"H0005","description":"Alcohol and/or drug services","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GBRC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JCKD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Revision of colostomy","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"44345","description":"Revision of colostomy","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Cabg vein single","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"33510","description":"Cabg vein single","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-CA18A","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"CA18A","description":"HIPPS-CA18A","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GCYB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KCXE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Tlso r fram soft pre ots","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"L0467","description":"Tlso r fram soft pre ots","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Remove vagina gland lesion","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"56740","description":"Remove vagina gland lesion","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MDTE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RHX21","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RHX21","description":"HIPPS-RHX21","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Prp i/hern init reduc >5 yr","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"49505","description":"Prp i/hern init reduc >5 yr","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Antibio rx w in 10d of sympt","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G9286","description":"Antibio rx w in 10d of sympt","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"IALD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GEPC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MIMF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KDDF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CEYC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Ultrasound exam aaa screen","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G0389","description":"Ultrasound exam aaa screen","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Heterophile antibody screen","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"86308","description":"Heterophile antibody screen","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Documentation Of System Reason(S) For Not Prescribing Ace Inhibitor Or Arb Or Arni Therapy (E.G._ Other System Reasons)","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G2095","description":"Documentation Of System Reason(S) For Not Prescribing Ace Inhibitor Or Arb Or Arni Therapy (E.G._ Other System Reasons)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JFLB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CBQD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Trnsprnl Impl Prm Adj Balln Cnt Dvc","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"C9746","description":"Trnsprnl Impl Prm Adj Balln Cnt Dvc","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GAXD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-PA220","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"PA220","description":"HIPPS-PA220","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Eye image valid to dx rev","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"2026F","description":"Eye image valid to dx rev","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KDAE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"DGQE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Odontics endosteal implant","billing_code_type":"CDT","billing_code_type_version":"2024","billing_code":"D6010","description":"Odontics endosteal implant","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MJDE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Testosterone response","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"80414","description":"Testosterone response","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HH PDGM","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"4FB11","description":"HH PDGM","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-C1601","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"C1601","description":"HCPCS-C1601","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CEQC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Spinal fluid tap diagnostic","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"62270","description":"Spinal fluid tap diagnostic","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Knee arthroscopy/surgery","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"29883","description":"Knee arthroscopy/surgery","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-LC12C","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"LC12C","description":"HIPPS-LC12C","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JDPF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GHWA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"IEDA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GAUC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Treat spinal cord lesion","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"62281","description":"Treat spinal cord lesion","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KDLA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"PLSE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NKJA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GDME0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"LHRC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Human Health Factor 10 Amniotic Patch (HHF10-P)_ per sq cm","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"Q4224","description":"Human Health Factor 10 Amniotic Patch (HHF10-P)_ per sq cm","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OKQF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Flexion/extension wrist unit","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"L6620","description":"Flexion/extension wrist unit","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KDEA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RMC4D","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RMC4D","description":"HIPPS-RMC4D","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BCBC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Crisis interven waiver/diem","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"T2034","description":"Crisis interven waiver/diem","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Cast sup long arm adult fbrg","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"Q4006","description":"Cast sup long arm adult fbrg","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BIPF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GIYE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GDPE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NAXF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Injection_ bortezomib_ not otherwise specified_ 0.1 mg","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"J9044","description":"Injection_ bortezomib_ not otherwise specified_ 0.1 mg","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JEPC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"IFCB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Anesth repair of hernia","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"83051","description":"Anesth repair of hernia","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"IHBB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"CPT-0635U","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"0635U","description":"CPT-0635U","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Moveable patient lift system","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"E0639","description":"Moveable patient lift system","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Chloroprocaine hcl ophthalmic_ 3% gel_ 1 mg","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"J2403","description":"Chloroprocaine hcl ophthalmic_ 3% gel_ 1 mg","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Assay of androsterone","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"82160","description":"Assay of androsterone","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Hit chelation diem","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"S9355","description":"Hit chelation diem","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Catheter placement in coronary artery(s) for coronary angiography_ including intraprocedural injection(s) for coronary angiography_ with endoluminal imaging of initial coronar","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"C7516","description":"Catheter placement in coronary artery(s) for coronary angiography_ including intraprocedural injection(s) for coronary angiography_ with endoluminal imaging of initial coronar","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"X-ray exam of eye sockets","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"70190","description":"X-ray exam of eye sockets","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CBDF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Replacement of indwelling bladder and peritoneal catheters_ including tunneling of catheter(s) and connection with previously implanted peritoneal ascites pump_ including imag","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0872T","description":"Replacement of indwelling bladder and peritoneal catheters_ including tunneling of catheter(s) and connection with previously implanted peritoneal ascites pump_ including imag","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KDEC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MBDE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Reconstruction of mouth","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"40840","description":"Reconstruction of mouth","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Intraoperative epicardial cardiac ultrasound (ie_ echocardiography) for congenital heart disease_ diagnostic; interpretation and report only","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"76989","description":"Intraoperative epicardial cardiac ultrasound (ie_ echocardiography) for congenital heart disease_ diagnostic; interpretation and report only","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Hit antibiotic q24h diem","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"S9500","description":"Hit antibiotic q24h diem","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"ODYF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Transcatheter insertion of permanent dual-chamber leadless pacemaker_ including imaging guidance (eg_ fluoroscopy_ venous ultrasound_ right atrial angiography_ right ventricul","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0795T","description":"Transcatheter insertion of permanent dual-chamber leadless pacemaker_ including imaging guidance (eg_ fluoroscopy_ venous ultrasound_ right atrial angiography_ right ventricul","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Pt w/90d mrs 0-2","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G9646","description":"Pt w/90d mrs 0-2","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"HDOD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OLGC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Oxygen therapy rx","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"4030F","description":"Oxygen therapy rx","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-2CFM1","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"2CFM1","description":"HIPPS-2CFM1","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GHTE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Motor function mapping ntms","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0310T","description":"Motor function mapping ntms","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Fluorescein angiography and indocyanine-green angiography (includes multiframe imaging) performed at the same patient encounter with interpretation and report_ unilateral or b","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"92242","description":"Fluorescein angiography and indocyanine-green angiography (includes multiframe imaging) performed at the same patient encounter with interpretation and report_ unilateral or b","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OAQD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"X-ray exam knee 4 or more","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"73564","description":"X-ray exam knee 4 or more","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Oncology (bladder)_ analysis of 10 protein biomarkers (A1AT_ ANG_ APOE_ CA9_ IL8_ MMP9_ MMP10_ PAI1_ SDC1 and VEGFA) by immunoassays_ urine_ algorithm reported as a probabilit","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0365U","description":"Oncology (bladder)_ analysis of 10 protein biomarkers (A1AT_ ANG_ APOE_ CA9_ IL8_ MMP9_ MMP10_ PAI1_ SDC1 and VEGFA) by immunoassays_ urine_ algorithm reported as a probabilit","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JGIC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Reason for not administering adjuvant treatment course including both chemotherapy and her2-targeted therapy (e.g. poor performance status (ecog 3-4; karnofsky =50)_ cardiac c","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G2207","description":"Reason for not administering adjuvant treatment course including both chemotherapy and her2-targeted therapy (e.g. poor performance status (ecog 3-4; karnofsky =50)_ cardiac c","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FCUC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NCXA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CEBA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Control throat bleeding","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"42962","description":"Control throat bleeding","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Muscle-skin graft leg","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"15738","description":"Muscle-skin graft leg","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"HGQF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Prescription drug_ generic","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"S5000","description":"Prescription drug_ generic","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Skin barrier powder per oz","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"A4371","description":"Skin barrier powder per oz","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"IGDF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Xenon xe-129 hyperpolarized gas_ diagnostic_ per study dose","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"C9150","description":"Xenon xe-129 hyperpolarized gas_ diagnostic_ per study dose","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BCLB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Drug assay_ definitive_ 120 or more drugs or metabolites_ urine_ quantitative liquid chromatography with tandem mass spectrometry (LC-MS/MS) using multiple reaction monitoring","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0143U","description":"Drug assay_ definitive_ 120 or more drugs or metabolites_ urine_ quantitative liquid chromatography with tandem mass spectrometry (LC-MS/MS) using multiple reaction monitoring","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GFPE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-1BHPU","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"1BHPU","description":"HIPPS-1BHPU","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GDUE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"ODBA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Srs cranial lesion complex","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"61798","description":"Srs cranial lesion complex","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-4CGK4","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"4CGK4","description":"HIPPS-4CGK4","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FIKD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"ODQF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"ABEF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JEJB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Appendectomy","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"44960","description":"Appendectomy","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NKAD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"ODFA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OBKA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GDSB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Asthma kit","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"S8097","description":"Asthma kit","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Corneal transplant","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"65750","description":"Corneal transplant","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"JR GNOTYP ABCG2 EXONS 2-26","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0193U","description":"JR GNOTYP ABCG2 EXONS 2-26","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Treatment of ankle fracture","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"27823","description":"Treatment of ankle fracture","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"DFYD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HH PDGM","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"1GC21","description":"HH PDGM","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Health Behavior Intervention_ Family (With The Patient Present)_ Face-To-Face; Initial 30 Minutes","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"96167","description":"Health Behavior Intervention_ Family (With The Patient Present)_ Face-To-Face; Initial 30 Minutes","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Tc99m exametazime","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"A9521","description":"Tc99m exametazime","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Re-evaluation of occupational therapy established plan of care_ requiring these components: An assessment of changes in patient functional or medical status with revised plan","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"97168","description":"Re-evaluation of occupational therapy established plan of care_ requiring these components: An assessment of changes in patient functional or medical status with revised plan","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Electrodiag polyneuro 6 mn","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"3751F","description":"Electrodiag polyneuro 6 mn","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Repair of hammertoe","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"28285","description":"Repair of hammertoe","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OFED1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Lat lumbar spine fusion","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"22533","description":"Lat lumbar spine fusion","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BHPB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Chiropractic manj 5 regions","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"98942","description":"Chiropractic manj 5 regions","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KCFC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GIFA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Test socket symes","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"L5618","description":"Test socket symes","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"IDCF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"EBED1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Patient continued to have the retina attached at the 6 months follow up visit (+/- 1 month)","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G9378","description":"Patient continued to have the retina attached at the 6 months follow up visit (+/- 1 month)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Doc reas no statin med disch","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G8817","description":"Doc reas no statin med disch","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CEDF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OKRE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Mast mod rad","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"19307","description":"Mast mod rad","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CHOC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KAOE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-LD215","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"LD215","description":"HIPPS-LD215","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Cryoablate renal mass open","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"50250","description":"Cryoablate renal mass open","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Lens variab asphericity sing","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"V2410","description":"Lens variab asphericity sing","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JHPB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-1AGP1","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"1AGP1","description":"HIPPS-1AGP1","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"LASD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Pt immunity to hep b docd","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"3216F","description":"Pt immunity to hep b docd","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"ECDE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Pt doc no fall in asc","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G8911","description":"Pt doc no fall in asc","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Swallow d/c status","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G8998","description":"Swallow d/c status","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Resect hip tum w/innom bone","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"27077","description":"Resect hip tum w/innom bone","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Exc foot/toe tum sc < 1.5 cm","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"28043","description":"Exc foot/toe tum sc < 1.5 cm","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"EIEF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JCMA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KASB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NDFC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KDRE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"DCQC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OKJB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KFJB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KDPA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"DBSD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KBID1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-4BGLX","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"4BGLX","description":"HIPPS-4BGLX","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OCUA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Amputation follow-up surgery","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"24925","description":"Amputation follow-up surgery","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"PFRD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FAXB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"CDT-D0603","billing_code_type":"CDT","billing_code_type_version":"2026","billing_code":"D0603","description":"CDT-D0603","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Anesth removal of prostate","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"90851","description":"Anesth removal of prostate","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"DDQB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JCUB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HH PDGM","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"3HC11","description":"HH PDGM","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FDPA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Assay aminolevulinic acid","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"82135","description":"Assay aminolevulinic acid","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CHHA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Janssen (Johnson & Johnson) COVID-19 vaccine administration","billing_code_type":"CDT","billing_code_type_version":"2024","billing_code":"D1707","description":"Janssen (Johnson & Johnson) COVID-19 vaccine administration","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FGDB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"LFYA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Limited dental tx adult","billing_code_type":"CDT","billing_code_type_version":"2024","billing_code":"D8040","description":"Limited dental tx adult","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GGQB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BIUD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-L6030","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"L6030","description":"HCPCS-L6030","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Incise hip/thigh nerve","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"64763","description":"Incise hip/thigh nerve","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KEEA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"R&l hrt cath w/ventriclgrphy","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"93453","description":"R&l hrt cath w/ventriclgrphy","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NLCC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Trb@ gene rearrange amplify","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"81340","description":"Trb@ gene rearrange amplify","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BFDF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Lap es sph augment dev place","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0392T","description":"Lap es sph augment dev place","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Catheter placement in coronary artery(ies) for coronary angiography_ including intraprocedural injection(s) for coronary angiography with right heart catheterization with endo","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"C7521","description":"Catheter placement in coronary artery(ies) for coronary angiography_ including intraprocedural injection(s) for coronary angiography with right heart catheterization with endo","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"HHYD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CIDA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Stereotactic body radiation therapy_ treatment delivery_ per fraction to 1 or more lesions_ including image guidance and real-time positron emissions-based delivery adjustment","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"C9795","description":"Stereotactic body radiation therapy_ treatment delivery_ per fraction to 1 or more lesions_ including image guidance and real-time positron emissions-based delivery adjustment","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Njx px nfrosgrm &/urtrgrm","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"50431","description":"Njx px nfrosgrm &/urtrgrm","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"ODOD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Oncology (Uveal Melanoma)_ Mrna_ Gene Expression Profiling By Real-Time Rt-Pcr Of 15 Genes (12 Content And 3 Housekeeping)_ Utilizing Fine Needle Aspirate Or Formalin-Fixed Pa","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"81552","description":"Oncology (Uveal Melanoma)_ Mrna_ Gene Expression Profiling By Real-Time Rt-Pcr Of 15 Genes (12 Content And 3 Housekeeping)_ Utilizing Fine Needle Aspirate Or Formalin-Fixed Pa","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JFPC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Inject suprvlv aortography","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"93567","description":"Inject suprvlv aortography","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CINF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"MRI angio abdom w orw/o dye","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"74185","description":"MRI angio abdom w orw/o dye","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Assay of semen fructose","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"82757","description":"Assay of semen fructose","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"AAUC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-HD22C","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"HD22C","description":"HIPPS-HD22C","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-1AGN5","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"1AGN5","description":"HIPPS-1AGN5","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FDLF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CEWE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-C0904","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"C0904","description":"HCPCS-C0904","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"IFMD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Destroy premal lesions 15/>","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"17004","description":"Destroy premal lesions 15/>","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NBJA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"EIBE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KGLA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Gross pulpal debridement","billing_code_type":"CDT","billing_code_type_version":"2024","billing_code":"D3221","description":"Gross pulpal debridement","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-HC18A","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"HC18A","description":"HIPPS-HC18A","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Repair nerve/shorten bone","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"64876","description":"Repair nerve/shorten bone","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Excise max/zygoma mal tumor","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"21034","description":"Excise max/zygoma mal tumor","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KABD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FEEA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Exercise Test For Bronchospasm_ Including Pre- And Post-Spirometry And Pulse Oximetry; Without Electrocardiographic Recording(S)","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"94619","description":"Exercise Test For Bronchospasm_ Including Pre- And Post-Spirometry And Pulse Oximetry; Without Electrocardiographic Recording(S)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Multi den insert direct form","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"A5512","description":"Multi den insert direct form","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Spectinomycn di-hcl inj","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"J3320","description":"Spectinomycn di-hcl inj","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Speech sound lang comprehen","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"92523","description":"Speech sound lang comprehen","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CABE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Nonemergency transport taxi","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"A0100","description":"Nonemergency transport taxi","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BIDB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"EELD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Removal of brain tissue","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"61538","description":"Removal of brain tissue","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Adenovirus ag if","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"87260","description":"Adenovirus ag if","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CFXD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RUX15","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RUX15","description":"HIPPS-RUX15","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Aquatic therapy/exercises","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"97113","description":"Aquatic therapy/exercises","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RVC1A","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RVC1A","description":"HIPPS-RVC1A","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Pt disch home day #2 evar","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G8826","description":"Pt disch home day #2 evar","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"HAWA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Moderate (45 minutes) in-home visit for a new patient post-discharge. For use only in a Medicare-approved CMMI model. (Services must be furnished within a beneficiary’s home_","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G2003","description":"Moderate (45 minutes) in-home visit for a new patient post-discharge. For use only in a Medicare-approved CMMI model. (Services must be furnished within a beneficiary’s home_","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NEGF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-Q4370","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"Q4370","description":"HCPCS-Q4370","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BAFC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FAHA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"EGEB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BIME1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-J0605","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"J0605","description":"HCPCS-J0605","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JFIA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"HCSB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Compress burn mask face/neck","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"A6513","description":"Compress burn mask face/neck","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"DAQD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"DCRE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RVB01","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RVB01","description":"HIPPS-RVB01","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Vasopneumatic device therapy","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"97016","description":"Vasopneumatic device therapy","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CDFF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JBKD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"ABAF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Remove spinal lamina add-on","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"63048","description":"Remove spinal lamina add-on","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NDAC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KHXA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Methotrexate sodium inj","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"J9250","description":"Methotrexate sodium inj","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"AFID1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Management of established patient-caregiver dyad with dementia_ low complexity_ for use in CMMI model","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G0525","description":"Management of established patient-caregiver dyad with dementia_ low complexity_ for use in CMMI model","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CATF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MBLC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-HD10D","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"HD10D","description":"HIPPS-HD10D","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"IAEB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"EBAC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"CPT-00539","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"00539","description":"CPT-00539","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OJPE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OBEB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CCPC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-BA20A","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"BA20A","description":"HIPPS-BA20A","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BGTA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-C8002","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"C8002","description":"HCPCS-C8002","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-LC24B","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"LC24B","description":"HIPPS-LC24B","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JBTA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CANE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OIXD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KABD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KEOB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Lightweight wheelchair","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"K0003","description":"Lightweight wheelchair","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-3BHNT","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"3BHNT","description":"HIPPS-3BHNT","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CAVA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OHRA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"High inten beh couns std 30m","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G0445","description":"High inten beh couns std 30m","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Echo guide for transfusion","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"76941","description":"Echo guide for transfusion","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CHVD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Trluml perip athrc visceral","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0235T","description":"Trluml perip athrc visceral","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OCFB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Injection_ mirikizumab-mrkz_ 1 mg","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"J2267","description":"Injection_ mirikizumab-mrkz_ 1 mg","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Esoph fundoplasty thor","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"43328","description":"Esoph fundoplasty thor","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GHHD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NKIB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JDIC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Tx l/r atrial fib addl","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"93657","description":"Tx l/r atrial fib addl","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FEIA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Semi-precision abutment - placement","billing_code_type":"CDT","billing_code_type_version":"2024","billing_code":"D6191","description":"Semi-precision abutment - placement","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BGBB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GDHC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KDGE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Treat big toe fracture","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"28505","description":"Treat big toe fracture","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Hiv-2 probe&revrse trnscripj","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"87538","description":"Hiv-2 probe&revrse trnscripj","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"CPT-01620","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"01620","description":"CPT-01620","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BFBE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Fusion of skull arteries","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"61711","description":"Fusion of skull arteries","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GHTF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-HB224","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"HB224","description":"HIPPS-HB224","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-J0164","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"J0164","description":"HCPCS-J0164","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-PD23A","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"PD23A","description":"HIPPS-PD23A","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Epiandrosterone","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G6049","description":"Epiandrosterone","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RLB32","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RLB32","description":"HIPPS-RLB32","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Below knee wood socket","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"L5639","description":"Below knee wood socket","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BHMC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-1CFMT","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"1CFMT","description":"HIPPS-1CFMT","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-Q5147","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"Q5147","description":"HCPCS-Q5147","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NGGB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-L6029","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"L6029","description":"HCPCS-L6029","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Mt bone graft microvasc","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"20957","description":"Mt bone graft microvasc","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NGBB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Intravascular ultrasound (non-coronary vessel)_ radiological supervisio and interpretation; initial vessel","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"75945","description":"Intravascular ultrasound (non-coronary vessel)_ radiological supervisio and interpretation; initial vessel","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"AHTB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"ECAD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GFKA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KBKD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Insertion_ subcutaneous cardiac rhythm monitor_ including programming","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"33285","description":"Insertion_ subcutaneous cardiac rhythm monitor_ including programming","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NANF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Tooth pin retention","billing_code_type":"CDT","billing_code_type_version":"2024","billing_code":"D2951","description":"Tooth pin retention","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Anesth sperm duct surgery","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"92251","description":"Anesth sperm duct surgery","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NJTD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Phototherap keratect","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"S0812","description":"Phototherap keratect","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Explore limb vessels","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"35860","description":"Explore limb vessels","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CIMC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Art byp grft fem-femoral","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"35558","description":"Art byp grft fem-femoral","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Room and Board Rate - A flat per diem rate before area wage adjustment for patients whose home is a nursing home.","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"W0606","description":"Room and Board Rate - A flat per diem rate before area wage adjustment for patients whose home is a nursing home.","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Choline C 11_ diagnostic_ per study dose","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"C9461","description":"Choline C 11_ diagnostic_ per study dose","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Fluorescent antibody screen","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"86255","description":"Fluorescent antibody screen","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-3AHPV","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"3AHPV","description":"HIPPS-3AHPV","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Doc tb scrng-rslts interpd","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"3510F","description":"Doc tb scrng-rslts interpd","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Locm 100-199mg/ml iodine_1ml","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"Q9965","description":"Locm 100-199mg/ml iodine_1ml","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Ria nonantibody","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"83519","description":"Ria nonantibody","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HH PDGM","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"2LC31","description":"HH PDGM","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HH PDGM","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"1AB31","description":"HH PDGM","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GAVF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Infectious disease (fungi)_ fungal pathogen identification_ DNA (15 fungal targets)_ blood culture_ amplified probe technique_ each target reported as detected or not detected","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0140U","description":"Infectious disease (fungi)_ fungal pathogen identification_ DNA (15 fungal targets)_ blood culture_ amplified probe technique_ each target reported as detected or not detected","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FDLD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RVC2D","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RVC2D","description":"HIPPS-RVC2D","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Repair of cloacal anomaly","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"46746","description":"Repair of cloacal anomaly","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Rib gusset (elastic) each","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"L1280","description":"Rib gusset (elastic) each","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JBGB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MDAF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"ECME1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Antigen therapy services","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"95145","description":"Antigen therapy services","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Grafix Prime and GrafixPL Prime_ per sq cm","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"Q4133","description":"Grafix Prime and GrafixPL Prime_ per sq cm","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-3BFKT","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"3BFKT","description":"HIPPS-3BFKT","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NFBA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BGXA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Heredtry nurondcrn tum dsrdr","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"81437","description":"Heredtry nurondcrn tum dsrdr","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KBOC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"ODVD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Fetal Aneuploidy Short Tandem-Repeat Comparative Analysis_ Fetal Dna From Products Of Conception_ Reported As Normal (Euploidy)_ Monosomy_ Trisomy_ Or Partial Deletion/Duplica","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0252U","description":"Fetal Aneuploidy Short Tandem-Repeat Comparative Analysis_ Fetal Dna From Products Of Conception_ Reported As Normal (Euploidy)_ Monosomy_ Trisomy_ Or Partial Deletion/Duplica","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JBKD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"1high risk med ord","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G9365","description":"1high risk med ord","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NFKF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Wound closure by adhesive","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G0168","description":"Wound closure by adhesive","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Ecmo/ecls rmvl prph cannula","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"33966","description":"Ecmo/ecls rmvl prph cannula","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BFND1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CDTC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"CPT-00812","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"00812","description":"CPT-00812","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Vascular graft_ synthetic","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"L8670","description":"Vascular graft_ synthetic","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Cystoscopy and biopsy","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"52007","description":"Cystoscopy and biopsy","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OGSC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-A1303","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"A1303","description":"HCPCS-A1303","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Anesth vascular access","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"53251","description":"Anesth vascular access","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JBKA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"ODJC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"20+ cc syringe only","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"A4213","description":"20+ cc syringe only","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Corneal transplant","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"65755","description":"Corneal transplant","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-2CFKS","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"2CFKS","description":"HIPPS-2CFKS","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Place catheter in vein","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"36011","description":"Place catheter in vein","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Retreat root canal molar","billing_code_type":"CDT","billing_code_type_version":"2024","billing_code":"D3348","description":"Retreat root canal molar","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-CE10A","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"CE10A","description":"HIPPS-CE10A","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"AFMF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NDCC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Remov/replc ur sphinctr comp","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"53448","description":"Remov/replc ur sphinctr comp","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Revise esophagus & stomach","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"43325","description":"Revise esophagus & stomach","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Replacement of precision att","billing_code_type":"CDT","billing_code_type_version":"2024","billing_code":"D5867","description":"Replacement of precision att","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RMA8F","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RMA8F","description":"HIPPS-RMA8F","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"EDBE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Njx paravert w/us lumb/sac","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0216T","description":"Njx paravert w/us lumb/sac","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"CPT-0570U","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"0570U","description":"CPT-0570U","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OADF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"No bone scn b/4 txmnt/aftrdx","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"3270F","description":"No bone scn b/4 txmnt/aftrdx","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-CC212","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"CC212","description":"HIPPS-CC212","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KDLF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JGAC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Pcv13 vaccine im","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"90670","description":"Pcv13 vaccine im","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-A2101","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"A2101","description":"HCPCS-A2101","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OBDE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GFKF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Excision of skull/sutures","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"61559","description":"Excision of skull/sutures","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"AEDD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NDTA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Iiv3 vaccine 3 yrs+ im","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"90658","description":"Iiv3 vaccine 3 yrs+ im","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Injection_ edaravone_ 1 mg","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"J1301","description":"Injection_ edaravone_ 1 mg","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OLWF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"ECIB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FEGC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Haloperidol injection","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"J1630","description":"Haloperidol injection","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-CA110","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"CA110","description":"HIPPS-CA110","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"AHLD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"ABTF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Excise lwr jaw cyst w/repair","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"21047","description":"Excise lwr jaw cyst w/repair","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Ear impression","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"V5275","description":"Ear impression","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NIAD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BFTF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Replacement retainer","billing_code_type":"CDT","billing_code_type_version":"2024","billing_code":"D8692","description":"Replacement retainer","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MFID1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FGNF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NIFA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Echo guide cardiocentesis","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"76930","description":"Echo guide cardiocentesis","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Treatment of miscarriage","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"59821","description":"Treatment of miscarriage","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"ADUE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Hard protect helmet custom","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"A8003","description":"Hard protect helmet custom","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FDMF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BBGE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Trismus appliance","billing_code_type":"CDT","billing_code_type_version":"2024","billing_code":"D5937","description":"Trismus appliance","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-LC110","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"LC110","description":"HIPPS-LC110","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"LDRC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"ACCD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Repair great vessels defect","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"33780","description":"Repair great vessels defect","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-CB216","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"CB216","description":"HIPPS-CB216","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OGPC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FADD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"ACBB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OIBF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"PJWB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CGMA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MDIB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Med risk prostate cancer","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"3272F","description":"Med risk prostate cancer","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Bronchoscopy_ rigid or flexible_ with bronchial alveolar lavage(s)_ with computer-assisted image-guided navigation_ including fluoroscopic guidance when performed","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"C7510","description":"Bronchoscopy_ rigid or flexible_ with bronchial alveolar lavage(s)_ with computer-assisted image-guided navigation_ including fluoroscopic guidance when performed","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"CPT-1034T","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"1034T","description":"CPT-1034T","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JHHD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MDIA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"EGED0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Treat pelvic fracture(s)","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"27215","description":"Treat pelvic fracture(s)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Ob us detailed addl fetus","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"76812","description":"Ob us detailed addl fetus","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Opn tx orbit periorbt w/grft","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"21395","description":"Opn tx orbit periorbt w/grft","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Nerve surgery","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"64859","description":"Nerve surgery","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RLB56","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RLB56","description":"HIPPS-RLB56","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KAAE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Nuclear matrix protein 22","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"86386","description":"Nuclear matrix protein 22","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CHXB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Crown porcelain fused base m","billing_code_type":"CDT","billing_code_type_version":"2024","billing_code":"D2751","description":"Crown porcelain fused base m","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Pt tobacco screen rcvd tlk","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"4004F","description":"Pt tobacco screen rcvd tlk","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"IGEE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Imaging of the head (CT or MRI) was not obtained_ reason not given","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"M1029","description":"Imaging of the head (CT or MRI) was not obtained_ reason not given","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"DEQE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-LB13A","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"LB13A","description":"HIPPS-LB13A","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Exc tr-ext mal+marg 0.5 cm/<","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"11600","description":"Exc tr-ext mal+marg 0.5 cm/<","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GHEF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Oral mucoadhesive_ any type (liquid_ gel_ paste_ etc.)_ per 1 ml","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"A9156","description":"Oral mucoadhesive_ any type (liquid_ gel_ paste_ etc.)_ per 1 ml","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Computerized Dynamic Posturography Sensory Organization Test (Cdp-Sot)_ 6 Conditions (Ie_ Eyes Open_ Eyes Closed_ Visual Sway_ Platform Sway_ Eyes Closed Platform Sway_ Platfo","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"92549","description":"Computerized Dynamic Posturography Sensory Organization Test (Cdp-Sot)_ 6 Conditions (Ie_ Eyes Open_ Eyes Closed_ Visual Sway_ Platform Sway_ Eyes Closed Platform Sway_ Platfo","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GBTF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KAAC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MELF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-BB21B","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"BB21B","description":"HIPPS-BB21B","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KDED1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Ko adj jnt pos r sup pre cst","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"L1832","description":"Ko adj jnt pos r sup pre cst","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Repair esophagus wound","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"43415","description":"Repair esophagus wound","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OJNB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Assay of adp & amp","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"82030","description":"Assay of adp & amp","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"IDLB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-C1743","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"C1743","description":"HCPCS-C1743","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Assay of estriol","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"82677","description":"Assay of estriol","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"PFQE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-A6518","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"A6518","description":"HCPCS-A6518","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Removal of hemorrhoid clot","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"46320","description":"Removal of hemorrhoid clot","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Dermacyte Amniotic Membrane Allograft_ per sq cm","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"Q4248","description":"Dermacyte Amniotic Membrane Allograft_ per sq cm","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Alcohol and/or drug services","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"H0017","description":"Alcohol and/or drug services","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NLND0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OCFF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RHA07","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RHA07","description":"HIPPS-RHA07","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"ADM SARSCOV2 VAC AD26 .5ML B","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0034A","description":"ADM SARSCOV2 VAC AD26 .5ML B","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Ustekinumab Intravenous Inj 1 Mg","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"Q9989","description":"Ustekinumab Intravenous Inj 1 Mg","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-CC204","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"CC204","description":"HIPPS-CC204","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Repair of ankle ligament","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"27698","description":"Repair of ankle ligament","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KAPF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CAOF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"LGRF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JBXE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GEIF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Laparoscopy_ surgical; with guided transhepatic cholangiography_ without biopsy","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"47560","description":"Laparoscopy_ surgical; with guided transhepatic cholangiography_ without biopsy","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HH PDGM","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"2GB21","description":"HH PDGM","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CGUC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CIUE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"HHRC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"LGYA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Hematology (genetic bleeding disorders)_ genomic sequence analysis of 51 genes_ blood_ buccal swab_ or amniotic fluid_ comprehensive (Versiti™ Comprehensive Bleeding Disorder","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0272U","description":"Hematology (genetic bleeding disorders)_ genomic sequence analysis of 51 genes_ blood_ buccal swab_ or amniotic fluid_ comprehensive (Versiti™ Comprehensive Bleeding Disorder","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BFPF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KGXB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Clean & inspect rem dent max","billing_code_type":"CDT","billing_code_type_version":"2024","billing_code":"D9932","description":"Clean & inspect rem dent max","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"CPT-87626","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"87626","description":"CPT-87626","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GDXD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GHPD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NKMD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"LEYA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Aortic suspension","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"33800","description":"Aortic suspension","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GHBE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-2BHM3","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"2BHM3","description":"HIPPS-2BHM3","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Adult size pull-on sm","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"T4525","description":"Adult size pull-on sm","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CBXE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-PC221","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"PC221","description":"HIPPS-PC221","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Leg vein fusion","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"34530","description":"Leg vein fusion","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Chlmyd/gonrh tsts docd done","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"3511F","description":"Chlmyd/gonrh tsts docd done","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BIGD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Muscle test hemidiaphragm","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"95866","description":"Muscle test hemidiaphragm","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"EDIB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-C9310","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"C9310","description":"HCPCS-C9310","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Intranasal reconstruction","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"30620","description":"Intranasal reconstruction","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Nuclear medicine therapy","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"79999","description":"Nuclear medicine therapy","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Patients who were not seen within 7 weeks following the date of injection for follow up or who did not have a documented iop or no plan of care documented if the iop was >25 m","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"M1321","description":"Patients who were not seen within 7 weeks following the date of injection for follow up or who did not have a documented iop or no plan of care documented if the iop was >25 m","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Cardiopulmonary exercise testing_ including measurements of minute ventilation_ CO2 production_ O2 uptake_ and electrocardiographic recordings","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"94621","description":"Cardiopulmonary exercise testing_ including measurements of minute ventilation_ CO2 production_ O2 uptake_ and electrocardiographic recordings","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BBPC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KBFA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Aicd_ dual chamber","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"C1721","description":"Aicd_ dual chamber","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OBHB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Screeningmammographydigital","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G0202","description":"Screeningmammographydigital","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Revise graft w/vein","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"35879","description":"Revise graft w/vein","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OBIC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RLB5C","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RLB5C","description":"HIPPS-RLB5C","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OFMA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"PLOD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MDUF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-1CHN6","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"1CHN6","description":"HIPPS-1CHN6","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Reconstruction of nail bed","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"11762","description":"Reconstruction of nail bed","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"EICF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RMA06","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RMA06","description":"HIPPS-RMA06","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Pet image w/ct lmtd","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"78814","description":"Pet image w/ct lmtd","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"DHOE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KEYA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GAAA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FIMD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"MSH2 (mutS homolog 2) (eg_ hereditary colon cancer_ Lynch syndrome) mRNA sequence analysis (List separately in addition to code for primary procedure)","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0159U","description":"MSH2 (mutS homolog 2) (eg_ hereditary colon cancer_ Lynch syndrome) mRNA sequence analysis (List separately in addition to code for primary procedure)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"HIYD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CHGF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Catheter placement in coronary artery(ies) for coronary angiography_ including intraprocedural injection(s) for coronary angiography_ imaging supervision and interpretation_ w","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"C7526","description":"Catheter placement in coronary artery(ies) for coronary angiography_ including intraprocedural injection(s) for coronary angiography_ imaging supervision and interpretation_ w","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RHB31","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RHB31","description":"HIPPS-RHB31","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-PA24C","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"PA24C","description":"HIPPS-PA24C","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OGBD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-3AFM5","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"3AFM5","description":"HIPPS-3AFM5","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GFXA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Traumatic brain injury with Motor >22.05 & Motor <28.75._without comorbidities","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"A0206","description":"Traumatic brain injury with Motor >22.05 & Motor <28.75._without comorbidities","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Fusion of foot bones","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"28735","description":"Fusion of foot bones","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Postop dsg cast chg wrst/elb","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"L6380","description":"Postop dsg cast chg wrst/elb","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GGBA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Removal of chest wall lesion","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"19260","description":"Removal of chest wall lesion","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CGSE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"CPT-1044T","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"1044T","description":"CPT-1044T","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-LE105","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"LE105","description":"HIPPS-LE105","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Anabolic steroid 1 or 2","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"80327","description":"Anabolic steroid 1 or 2","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FIUF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-C8003","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"C8003","description":"HCPCS-C8003","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RHC3D","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RHC3D","description":"HIPPS-RHC3D","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MEAD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"DFQE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"PIOC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FHVF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FCAE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GFCA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GAJF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Prq card stent w/angio addl","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"92929","description":"Prq card stent w/angio addl","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GHOA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MEMD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Ther/prop/diag inj/inf proc","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"96379","description":"Ther/prop/diag inj/inf proc","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Treat thigh fracture","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"27238","description":"Treat thigh fracture","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JDIC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FAMD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Bls-emergency","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"A0429","description":"Bls-emergency","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Hearing aid_ BICROS_ in the ear","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"V5210","description":"Hearing aid_ BICROS_ in the ear","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Anesth hrt surg w/pmp age 1+","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"56251","description":"Anesth hrt surg w/pmp age 1+","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Injection_ filgrastim-ayow_ biosimilar_ (Releuko)_ 1 mcg","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"Q5125","description":"Injection_ filgrastim-ayow_ biosimilar_ (Releuko)_ 1 mcg","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"HFSD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Kidney endoscopy & treatment","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"50557","description":"Kidney endoscopy & treatment","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Colonoscopy with ablation","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"44401","description":"Colonoscopy with ablation","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OIHC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FCPD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CICD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JIPB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"EIUA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-J7521","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"J7521","description":"HCPCS-J7521","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KHCC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Ref to outpt card rehab prog","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"4500F","description":"Ref to outpt card rehab prog","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GGWC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GGNA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RVL30","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RVL30","description":"HIPPS-RVL30","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FBVA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-PA23D","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"PA23D","description":"HIPPS-PA23D","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NINE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MIIA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GBSF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CEJB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-HE136","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"HE136","description":"HIPPS-HE136","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"AEMD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Non-pneumatic sequential compression garment_ full arm","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"E0682","description":"Non-pneumatic sequential compression garment_ full arm","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GCEF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NDPA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GIHF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Documentation of patient reason(s) for not having a follow up exam (e.g._ inadequate time for follow up)","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"M1330","description":"Documentation of patient reason(s) for not having a follow up exam (e.g._ inadequate time for follow up)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NJCF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GCWA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RVA16","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RVA16","description":"HIPPS-RVA16","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GENF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Documentation of medical reason(s) for ordering an advanced brain imaging study (i.e._ patient has an abnormal neurological exa","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G9536","description":"Documentation of medical reason(s) for ordering an advanced brain imaging study (i.e._ patient has an abnormal neurological exa","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CEGB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Sever cranial nerve","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"64771","description":"Sever cranial nerve","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"LFRC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-1AHNW","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"1AHNW","description":"HIPPS-1AHNW","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Insert spine fixation device","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"22847","description":"Insert spine fixation device","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Elbow disarticulation switch","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"L6940","description":"Elbow disarticulation switch","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OIEF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"DIRF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Sialodochoplasty","billing_code_type":"CDT","billing_code_type_version":"2024","billing_code":"D7982","description":"Sialodochoplasty","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Low cost skin substitute app","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"C5272","description":"Low cost skin substitute app","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BDCE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Bone marrow interpretation","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"85097","description":"Bone marrow interpretation","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NAFE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-LE28G","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"LE28G","description":"HIPPS-LE28G","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-PD25C","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"PD25C","description":"HIPPS-PD25C","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MEUC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Treat dislocation/fracture","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"23680","description":"Treat dislocation/fracture","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MCAA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Gradient compression bandaging supply_ tubular protective absorption layer_ per linear yard_ any width_ each","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"A6607","description":"Gradient compression bandaging supply_ tubular protective absorption layer_ per linear yard_ any width_ each","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NHCF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"HHRB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Amnio quad-core_ per square centimeter","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"Q4294","description":"Amnio quad-core_ per square centimeter","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NADF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Test socket knee disarticula","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"L5622","description":"Test socket knee disarticula","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JBAF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KEFB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HH PDGM","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"3BC11","description":"HH PDGM","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GDTC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Automated reticulocyte count","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"85045","description":"Automated reticulocyte count","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"DDYF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KASE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-BB111","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"BB111","description":"HIPPS-BB111","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OAGB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GEHD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NIHB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Custom shoes depth inlay","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"L3230","description":"Custom shoes depth inlay","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"1 pc ost pou w built-in conv","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"A5057","description":"1 pc ost pou w built-in conv","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Gallium ga-68_ dotatoc_ diagnostic_ 0.01 mci","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"C9067","description":"Gallium ga-68_ dotatoc_ diagnostic_ 0.01 mci","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GDGA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"IDCC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NEID0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"1 bodytemp >=35.5cw/in 30min","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"4559F","description":"1 bodytemp >=35.5cw/in 30min","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Electroencephalogram With Video (Veeg)_ Review Of Data_ Technical Description By Eeg Technologist_ Each Increment Of 12-26 Hours; With Intermittent Monitoring And Maintenance","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"95715","description":"Electroencephalogram With Video (Veeg)_ Review Of Data_ Technical Description By Eeg Technologist_ Each Increment Of 12-26 Hours; With Intermittent Monitoring And Maintenance","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FDDA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"ODDA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CFBA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BDBB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-M1419","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"M1419","description":"HCPCS-M1419","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"IFLC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RVX3C","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RVX3C","description":"HIPPS-RVX3C","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Removal of larynx lesion","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"31578","description":"Removal of larynx lesion","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NEUF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KIIB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Fistula cannulation set_ ea","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"A4730","description":"Fistula cannulation set_ ea","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NCGA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GBHA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-CC20C","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"CC20C","description":"HIPPS-CC20C","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-3BFLS","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"3BFLS","description":"HIPPS-3BFLS","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RML1A","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RML1A","description":"HIPPS-RML1A","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-5AFK1","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"5AFK1","description":"HIPPS-5AFK1","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Onc dx prostate t2no progres","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G9078","description":"Onc dx prostate t2no progres","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GBBE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NETE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NJTE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GHNE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"MRI pelvis w/dye","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"72196","description":"MRI pelvis w/dye","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-BA254","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"BA254","description":"HIPPS-BA254","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Solid propulsion tire each","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"E2220","description":"Solid propulsion tire each","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Hep a vac injxn admin/recvd","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"4148F","description":"Hep a vac injxn admin/recvd","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CFXC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Clofarabine injection","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"J9027","description":"Clofarabine injection","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OLIB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Adrenalin epinephrine inject","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"J0171","description":"Adrenalin epinephrine inject","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Adults who have not had at least 180 days of continuous pharmacotherapy with a medication prescribed for OUD without a gap of m","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"M1036","description":"Adults who have not had at least 180 days of continuous pharmacotherapy with a medication prescribed for OUD without a gap of m","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"IEBE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Behavral qualit analys voice","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"92524","description":"Behavral qualit analys voice","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RHA21","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RHA21","description":"HIPPS-RHA21","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-BB25A","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"BB25A","description":"HIPPS-BB25A","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Debride genit/per/abdom wall","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"11006","description":"Debride genit/per/abdom wall","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"intraoral tomosynthesis - comprehensive series of radiographic images - image capture only","billing_code_type":"CDT","billing_code_type_version":"2024","billing_code":"D0387","description":"intraoral tomosynthesis - comprehensive series of radiographic images - image capture only","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-HC124","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"HC124","description":"HIPPS-HC124","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Remote 30 day ecg rev/report","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"93270","description":"Remote 30 day ecg rev/report","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"W/ch access anti-rollback","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"E0974","description":"W/ch access anti-rollback","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FGKE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-CC244","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"CC244","description":"HIPPS-CC244","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"DEQB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"EAIB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Fun stat score knee >= 0","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G8647","description":"Fun stat score knee >= 0","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MJTA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GAUD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"EAMF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Assay growth hormone (hgh)","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"83003","description":"Assay growth hormone (hgh)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Patient receives hcv antibody test with reactive result","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"M1232","description":"Patient receives hcv antibody test with reactive result","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"HDQC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GBNB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-PE18E","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"PE18E","description":"HIPPS-PE18E","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FEKC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Crown porcelain noble metal","billing_code_type":"CDT","billing_code_type_version":"2024","billing_code":"D6752","description":"Crown porcelain noble metal","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Treat fx radial 3+ frag","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"25609","description":"Treat fx radial 3+ frag","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OKCA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Home visit new patient","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"99342","description":"Home visit new patient","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KBWA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Partial removal of radius","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"25151","description":"Partial removal of radius","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OGBE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MGTA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CGND1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"CPT-0616U","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"0616U","description":"CPT-0616U","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"X-ray exam of elbow","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"73070","description":"X-ray exam of elbow","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Resin retainer","billing_code_type":"CDT","billing_code_type_version":"2024","billing_code":"D6549","description":"Resin retainer","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NBAC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RHX4D","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RHX4D","description":"HIPPS-RHX4D","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Insertion of anterior segment aqueous drainage device_ with creation of intraocular reservoir_ internal approach_ into the supraciliary space","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0474T","description":"Insertion of anterior segment aqueous drainage device_ with creation of intraocular reservoir_ internal approach_ into the supraciliary space","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"AGEC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-M1448","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"M1448","description":"HCPCS-M1448","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Treat toe dislocation","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"28636","description":"Treat toe dislocation","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"ODWA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"ACLB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JDTD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KIDB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CHPE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CFVB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"PJQD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-M1499","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"M1499","description":"HCPCS-M1499","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Implant radiation dosimeter","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"A4650","description":"Implant radiation dosimeter","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Mtms by pharm np 15 min","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"99605","description":"Mtms by pharm np 15 min","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FDTC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-PD14A","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"PD14A","description":"HIPPS-PD14A","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Cardiac magnetic resonance imaging for morphology and function_ quantification of segmental dysfunction; with strain im","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"C9762","description":"Cardiac magnetic resonance imaging for morphology and function_ quantification of segmental dysfunction; with strain im","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CAAE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KATA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Meropenem","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"J2185","description":"Meropenem","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NHLA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-CD25D","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"CD25D","description":"HIPPS-CD25D","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RUX23","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RUX23","description":"HIPPS-RUX23","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"EEIB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Removal of rib","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"21615","description":"Removal of rib","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MDTD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Monovisc inj per dose","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"J7327","description":"Monovisc inj per dose","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Normal saline solution infus","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"J7030","description":"Normal saline solution infus","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NHAF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"ICIE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Perq dev breast add mr guide","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"19288","description":"Perq dev breast add mr guide","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Ann breast exam","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"S0613","description":"Ann breast exam","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"ECDA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Onc dx multi myeloma unknown","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G9130","description":"Onc dx multi myeloma unknown","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-1CGLV","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"1CGLV","description":"HIPPS-1CGLV","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BFKA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RVA5B","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RVA5B","description":"HIPPS-RVA5B","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OHWA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Ex for speech device rx addl","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"92608","description":"Ex for speech device rx addl","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Epi etiol synd rvwd and docd","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"1205F","description":"Epi etiol synd rvwd and docd","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Counsel prov driving risks","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"6110F","description":"Counsel prov driving risks","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"FXN (frataxin) (eg_ Friedreich ataxia)_ gene analysis_ including small sequence changes in exonic and intronic regions_ deletions_ duplications_ short tandem repeat (STR) expa","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0233U","description":"FXN (frataxin) (eg_ Friedreich ataxia)_ gene analysis_ including small sequence changes in exonic and intronic regions_ deletions_ duplications_ short tandem repeat (STR) expa","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KCME1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BEAA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MLTE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Wedging of cast","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"29740","description":"Wedging of cast","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KBOE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CFMB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-HD18E","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"HD18E","description":"HIPPS-HD18E","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Injection for ureter x-ray","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"50690","description":"Injection for ureter x-ray","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RHB44","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RHB44","description":"HIPPS-RHB44","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OLDE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-2CHKV","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"2CHKV","description":"HIPPS-2CHKV","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Lithium ion battery charger","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"L7368","description":"Lithium ion battery charger","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Rb82 rubidium","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"A9555","description":"Rb82 rubidium","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NHHC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-A0504","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"A0504","description":"HCPCS-A0504","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CAOA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Rbc antibody identification","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"86870","description":"Rbc antibody identification","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BECB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Attendant care service /diem","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"S5126","description":"Attendant care service /diem","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Radiologic examination_ chest; single view","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"71045","description":"Radiologic examination_ chest; single view","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Application of finger splint","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"29131","description":"Application of finger splint","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NJBB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"CPT-00550","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"00550","description":"CPT-00550","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"HDWB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CARF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Antiepileptics nos 4-6","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"80340","description":"Antiepileptics nos 4-6","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"X-ray exam of finger(s)","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"73140","description":"X-ray exam of finger(s)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Exercise test for bronchospasm_ including pre- and post-spirometry_ electrocardiographic recording(s)_ and pulse oximetry","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"94617","description":"Exercise test for bronchospasm_ including pre- and post-spirometry_ electrocardiographic recording(s)_ and pulse oximetry","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CHGD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NAGC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NBKE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"LDRE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"TOTAL_ per sq cm","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"Q4330","description":"TOTAL_ per sq cm","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OABC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-E0150","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"E0150","description":"HCPCS-E0150","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NGTF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Lap w/omentopexy add-on","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"49326","description":"Lap w/omentopexy add-on","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"AAHF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JFBF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Above knee leather socket","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"L5642","description":"Above knee leather socket","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HH PDGM","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"3IA11","description":"HH PDGM","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"LIRF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RUX24","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RUX24","description":"HIPPS-RUX24","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"PERIURETHRAL TRANSPERINEAL ADJUSTABLE BALLOON CONTINENCE DEVICE; BILATERAL INSERTION_ INCLUDING CYSTOURETHROSCOPY AND IMAGING GUIDANCE","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"53451","description":"PERIURETHRAL TRANSPERINEAL ADJUSTABLE BALLOON CONTINENCE DEVICE; BILATERAL INSERTION_ INCLUDING CYSTOURETHROSCOPY AND IMAGING GUIDANCE","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Delayed breast prosthesis","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"19342","description":"Delayed breast prosthesis","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Miglustat_ oral_ 65 mg","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"J1202","description":"Miglustat_ oral_ 65 mg","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Exc neck tum deep < 5 cm","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"21556","description":"Exc neck tum deep < 5 cm","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Injection_ infliximab-qbtx_ biosimilar_ (Ixifi)_ 10 mg","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"Q5109","description":"Injection_ infliximab-qbtx_ biosimilar_ (Ixifi)_ 10 mg","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Injection for elbow x-ray","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"24220","description":"Injection for elbow x-ray","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JGEA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FICC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-HD126","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"HD126","description":"HIPPS-HD126","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Repair pul venous stenosis","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"33726","description":"Repair pul venous stenosis","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JBUF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Elevat legrst up hangr brack","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"K0047","description":"Elevat legrst up hangr brack","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"LGWE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MEAC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-HC136","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"HC136","description":"HIPPS-HC136","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NIUF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MJEB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NCID0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Injection_ Factor VIII/von Willebrand factor complex_ recombinant (Altuviiio)_ per Factor VIII IU","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"J7214","description":"Injection_ Factor VIII/von Willebrand factor complex_ recombinant (Altuviiio)_ per Factor VIII IU","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Fetal surg urin trac obstr","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"S2401","description":"Fetal surg urin trac obstr","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Prev care mg qual act perfrm","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G8496","description":"Prev care mg qual act perfrm","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JFDC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FDXC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OKKD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-Q4418","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"Q4418","description":"HCPCS-Q4418","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FBPB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Methylenedioxyamphetamines","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"80359","description":"Methylenedioxyamphetamines","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BEKF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Vag hyst complex","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"58290","description":"Vag hyst complex","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Echo guidance radiotherapy","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"76965","description":"Echo guidance radiotherapy","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"ODYD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FFCA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Single energy x-ray study","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G0130","description":"Single energy x-ray study","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-1CFN3","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"1CFN3","description":"HIPPS-1CFN3","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"PCWD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Adj chem not pres rsn spec","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G8928","description":"Adj chem not pres rsn spec","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"DCSC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NGKD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"AEHC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CISC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"IGMA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KIRF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Dental film skull/facial bon","billing_code_type":"CDT","billing_code_type_version":"2024","billing_code":"D0290","description":"Dental film skull/facial bon","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CFYD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OBSF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Multi den insert custom mold","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"A5513","description":"Multi den insert custom mold","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"CPT-00770","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"00770","description":"CPT-00770","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OHND0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OBWE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-C0106","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"C0106","description":"HCPCS-C0106","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FCIF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KDGB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BGVB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CIEA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JDNE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Bicarbonate conc sol per gal","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"A4706","description":"Bicarbonate conc sol per gal","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Revision of mitral valve","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"92987","description":"Revision of mitral valve","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GIAA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Follow-up surgery of eye","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"66250","description":"Follow-up surgery of eye","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Candida dna amp probe","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"87481","description":"Candida dna amp probe","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CIHA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"IECE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Patten bottom","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"L2370","description":"Patten bottom","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Allergy/immunology mips specialty set","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G0060","description":"Allergy/immunology mips specialty set","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Blood thymol turbidity","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"P2033","description":"Blood thymol turbidity","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Replace aortic valve w/byp","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"33367","description":"Replace aortic valve w/byp","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"HIYE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HH PDGM","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"3IB11","description":"HH PDGM","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MGLA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-3AGNV","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"3AGNV","description":"HIPPS-3AGNV","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Tah rad debulk/lymph remove","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"58954","description":"Tah rad debulk/lymph remove","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BDPA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Repair blood vessel lesion","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"35188","description":"Repair blood vessel lesion","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OIQD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FFXA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BHCC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FHXF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JDLE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CBHC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"CPT-37294","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"37294","description":"CPT-37294","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"CPT-1002T","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"1002T","description":"CPT-1002T","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OCHC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CAGA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KGEA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Glaucoma plan of care documented","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"M1223","description":"Glaucoma plan of care documented","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-HD216","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"HD216","description":"HIPPS-HD216","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OIOF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"PESD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KIOE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OCBA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OAEF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CIUA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CIJA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NGVF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-HE226","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"HE226","description":"HIPPS-HE226","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Remove thigh pressure sore","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"15956","description":"Remove thigh pressure sore","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Blood methemoglobin assay","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"83050","description":"Blood methemoglobin assay","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Treat ectopic pregnancy","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"59151","description":"Treat ectopic pregnancy","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"DASE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JFBD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"No ret for surg w in 30d","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G9307","description":"No ret for surg w in 30d","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Reusable underpad chair size","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"T4540","description":"Reusable underpad chair size","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"EFHC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FDME1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CEXC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Colon ca scrn not hi rsk ind","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G0121","description":"Colon ca scrn not hi rsk ind","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CDAA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OHJC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NJBD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Treat craniofacial fracture","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"21431","description":"Treat craniofacial fracture","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"LGSC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Pneumococcal conjugate vaccine_ polyvalent_ intramuscular_ for children from five years to nine years of age who have not previously received the vaccine","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"S0195","description":"Pneumococcal conjugate vaccine_ polyvalent_ intramuscular_ for children from five years to nine years of age who have not previously received the vaccine","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Symptom mgmnt plan care docd","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0555F","description":"Symptom mgmnt plan care docd","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JCEF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CAVE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Implant neuroelectrodes","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"63655","description":"Implant neuroelectrodes","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Suspension of uterus","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"58400","description":"Suspension of uterus","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-1CFM5","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"1CFM5","description":"HIPPS-1CFM5","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Occupational therapy evaluation_ low complexity_ requiring these components: An occupational profile and medical and therapy history_ which includes a brief history including","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"97165","description":"Occupational therapy evaluation_ low complexity_ requiring these components: An occupational profile and medical and therapy history_ which includes a brief history including","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JGNC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OKLE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NHXF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RHL5C","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RHL5C","description":"HIPPS-RHL5C","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NELF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OCWD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Elb disart prosth tiss shap","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"L6450","description":"Elb disart prosth tiss shap","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Bronchoscopy treat blockage","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"31641","description":"Bronchoscopy treat blockage","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NBMF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Guidance for radiaj tx dlvr","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"77387","description":"Guidance for radiaj tx dlvr","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-1BGPS","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"1BGPS","description":"HIPPS-1BGPS","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HH PDGM","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"1JB31","description":"HH PDGM","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Nasal/sinus endoscopy_ surgical with ethmoidectomy; total (anterior and posterior)_ including frontal sinus exploration_ with removal of tissue from frontal sinus_ when perfor","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"31253","description":"Nasal/sinus endoscopy_ surgical with ethmoidectomy; total (anterior and posterior)_ including frontal sinus exploration_ with removal of tissue from frontal sinus_ when perfor","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Management of a new patient with dementia_ low complexity_ for use in CMMI model","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G0522","description":"Management of a new patient with dementia_ low complexity_ for use in CMMI model","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"CPT-37291","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"37291","description":"CPT-37291","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Custom grad glove heavy","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"S8426","description":"Custom grad glove heavy","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BIPD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Stroke with Motor >26.15 & Motor <30.05._comorbidity in tier 2","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"C0107","description":"Stroke with Motor >26.15 & Motor <30.05._comorbidity in tier 2","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Cardiolipin antibody ea ig","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"86147","description":"Cardiolipin antibody ea ig","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KEFC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Patient Received At Least One Td Vaccine Or One Tdap Vaccine Between Nine Years Prior To The Start Of The Measurement Period And The End Of The Measurement Period","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G2154","description":"Patient Received At Least One Td Vaccine Or One Tdap Vaccine Between Nine Years Prior To The Start Of The Measurement Period And The End Of The Measurement Period","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JBBD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"AGUA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Phenotype dna hiv w/culture","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"87903","description":"Phenotype dna hiv w/culture","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OHJC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RHA25","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RHA25","description":"HIPPS-RHA25","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"EECB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HH PDGM","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"2LA11","description":"HH PDGM","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Mohs surg addl block","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"17315","description":"Mohs surg addl block","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"HARA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CGGA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"IDAB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OLUC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CBVF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-1AFNT","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"1AFNT","description":"HIPPS-1AFNT","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GFXF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"HBSC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Dicom format image data availability not documented in final report due to medical reasons (eg_CT studies performed for radiation treatment planning or image-guided radiation)","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G9328","description":"Dicom format image data availability not documented in final report due to medical reasons (eg_CT studies performed for radiation treatment planning or image-guided radiation)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GFPE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Injection anistreplase 30 u","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"J0350","description":"Injection anistreplase 30 u","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BAJE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JDXF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-Q4340","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"Q4340","description":"HCPCS-Q4340","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JGUF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GAHD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GBUF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MFCE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Rpr umbil hern block < 5 yr","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"49582","description":"Rpr umbil hern block < 5 yr","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Camp overnite waiver/session","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"T2036","description":"Camp overnite waiver/session","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"EHEC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OHSB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NDXF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"DIWB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OABC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Cytopath c/v manual","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"88150","description":"Cytopath c/v manual","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Mra w/cont_ abd","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"C8900","description":"Mra w/cont_ abd","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OJGA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"HIWD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Obstructive sleep apnea mg","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G8900","description":"Obstructive sleep apnea mg","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Evasc rpr iliac art bifr s&i","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0255T","description":"Evasc rpr iliac art bifr s&i","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"CPT-0636U","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"0636U","description":"CPT-0636U","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FACE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KEYB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"LCSF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MCHB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"EGAF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-CE18I","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"CE18I","description":"HIPPS-CE18I","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Revise tear duct opening","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"68705","description":"Revise tear duct opening","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-CD13A","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"CD13A","description":"HIPPS-CD13A","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Gastric restrictive procedure_ endoscopic sleeve gastroplasty_ with esophagogastroduodenoscopy and intraluminal tube insertion_ if performed_ including all system and tissue a","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"C9784","description":"Gastric restrictive procedure_ endoscopic sleeve gastroplasty_ with esophagogastroduodenoscopy and intraluminal tube insertion_ if performed_ including all system and tissue a","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Removal Of Fixed Bilateral Space Maintainer - Mandibular","billing_code_type":"CDT","billing_code_type_version":"2024","billing_code":"D1558","description":"Removal Of Fixed Bilateral Space Maintainer - Mandibular","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Resect neck thorax tumor<5cm","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"21557","description":"Resect neck thorax tumor<5cm","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JDNF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BAPD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KACC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GAUA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BIMB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Visc & infraren abd 2 prosth","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"34846","description":"Visc & infraren abd 2 prosth","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Lap part colectomy w/stoma","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"44206","description":"Lap part colectomy w/stoma","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-PB12A","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"PB12A","description":"HIPPS-PB12A","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Digitization of glass microscope slides for consultation and report on referred slides prepared elsewhere (List separately in addition to code for primary procedure)","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0838T","description":"Digitization of glass microscope slides for consultation and report on referred slides prepared elsewhere (List separately in addition to code for primary procedure)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NKMA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"MRI lower extremity w/dye","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"73719","description":"MRI lower extremity w/dye","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Rare diseases (constitutional/heritable disorders)_ identification of copy number variations_ inversions_ insertions_ translocations_ and other structural variants by optical","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0260U","description":"Rare diseases (constitutional/heritable disorders)_ identification of copy number variations_ inversions_ insertions_ translocations_ and other structural variants by optical","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-LD28X","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"LD28X","description":"HIPPS-LD28X","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Comprehensive (60 minutes) care management home visit for an existing patient. for use only in a medicare-approved cmmi model. (services must be furnished within a beneficiary","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G0084","description":"Comprehensive (60 minutes) care management home visit for an existing patient. for use only in a medicare-approved cmmi model. (services must be furnished within a beneficiary","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"reline custom sleep apnea appliance (indirect)","billing_code_type":"CDT","billing_code_type_version":"2024","billing_code":"D9953","description":"reline custom sleep apnea appliance (indirect)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Esrd home pt serv p day 20+","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"90970","description":"Esrd home pt serv p day 20+","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Remote in-home visit for the e&m of an estab patient for use only in the Medicare-approved Comprehensive Care for Joint Replacement model_ which requires 2 of 3 key components","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G9489","description":"Remote in-home visit for the e&m of an estab patient for use only in the Medicare-approved Comprehensive Care for Joint Replacement model_ which requires 2 of 3 key components","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GBXF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Anterior swing band","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"L2335","description":"Anterior swing band","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BGCF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MCEA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-HC220","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"HC220","description":"HIPPS-HC220","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OBEB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BDED1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FDBB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Ex for speech device rx 1hr","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"92607","description":"Ex for speech device rx 1hr","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NLTA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Decompress spinal cord thrc","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"63064","description":"Decompress spinal cord thrc","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Treat craniofacial fracture","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"21433","description":"Treat craniofacial fracture","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-LD141","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"LD141","description":"HIPPS-LD141","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RML4C","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RML4C","description":"HIPPS-RML4C","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OIUD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JFGB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KDUE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JHGB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"AAMF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"CPT-0987T","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"0987T","description":"CPT-0987T","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"IDHE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OGIC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Absorpt drg <=16 sq in w/bdr","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"A6254","description":"Absorpt drg <=16 sq in w/bdr","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"X-ray nose to rectum","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"76010","description":"X-ray nose to rectum","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JIUE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CBVE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GIYE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KBRC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Apply short leg cast","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"29405","description":"Apply short leg cast","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Dentures adjust cmplt maxil","billing_code_type":"CDT","billing_code_type_version":"2024","billing_code":"D5410","description":"Dentures adjust cmplt maxil","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-PC144","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"PC144","description":"HIPPS-PC144","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GEBF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Plt_ aph/pher_ l/r_ cmv-neg","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"P9055","description":"Plt_ aph/pher_ l/r_ cmv-neg","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GBOD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Injection for bladder x-ray","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"51610","description":"Injection for bladder x-ray","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"AR (androgen receptor) (eg_ spinal and bulbar muscular atrophy_ Kennedy disease_ X chromosome inactivation) gene analysis; characterization of alleles (eg_ expanded size or me","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"81204","description":"AR (androgen receptor) (eg_ spinal and bulbar muscular atrophy_ Kennedy disease_ X chromosome inactivation) gene analysis; characterization of alleles (eg_ expanded size or me","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"LARD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-3CFN4","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"3CFN4","description":"HIPPS-3CFN4","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OFBE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Arthrodesis_ sacroiliac joint_ percutaneous or minimally invasive (indirect visualization)_ with image guidance_ placement of transfixing device(s) and intra-articular implant","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0809T","description":"Arthrodesis_ sacroiliac joint_ percutaneous or minimally invasive (indirect visualization)_ with image guidance_ placement of transfixing device(s) and intra-articular implant","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"PHQF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-J0139","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"J0139","description":"HCPCS-J0139","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GGBA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CFHC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"PCWF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-PA22D","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"PA22D","description":"HIPPS-PA22D","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NEIC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JDFF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CDJA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Targeted genomic seq analys","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"81450","description":"Targeted genomic seq analys","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"LCYB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Revise extra spine segment","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"22226","description":"Revise extra spine segment","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Floxuridine injection","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"J9200","description":"Floxuridine injection","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OANF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"LAQE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"IHCF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"IFAC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Safety concerns screen provided and if positive then documented mitigation recommendations","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G9922","description":"Safety concerns screen provided and if positive then documented mitigation recommendations","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-CC205","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"CC205","description":"HIPPS-CC205","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-1CFPX","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"1CFPX","description":"HIPPS-1CFPX","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-PA124","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"PA124","description":"HIPPS-PA124","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"HFOA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NAMF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"ECHE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OARB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NFMF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OHYB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MKIF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OKUE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RML1B","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RML1B","description":"HIPPS-RML1B","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RMC10","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RMC10","description":"HIPPS-RMC10","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-C1737","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"C1737","description":"HCPCS-C1737","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Complete removal of vulva","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"56625","description":"Complete removal of vulva","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-PD251","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"PD251","description":"HIPPS-PD251","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Mopath procedure level 8","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"81407","description":"Mopath procedure level 8","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Extraction of lens","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"66920","description":"Extraction of lens","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-CC15B","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"CC15B","description":"HIPPS-CC15B","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"AACC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Incision secondary cataract","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"66820","description":"Incision secondary cataract","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-LB23B","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"LB23B","description":"HIPPS-LB23B","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NDJB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RVA36","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RVA36","description":"HIPPS-RVA36","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FCVA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MGUF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HH PDGM","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"4GA21","description":"HH PDGM","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Excise intrspinl lesion scrl","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"63273","description":"Excise intrspinl lesion scrl","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Urinary bladder retention","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"78730","description":"Urinary bladder retention","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"von Willebrand factor (VWF)_ type 2N_ factor VIII and VWF binding evaluation_ enzyme-linked immunosorbent assays (ELISA)_ plasma (Versiti™ VWD Type 2N Binding)","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0284U","description":"von Willebrand factor (VWF)_ type 2N_ factor VIII and VWF binding evaluation_ enzyme-linked immunosorbent assays (ELISA)_ plasma (Versiti™ VWD Type 2N Binding)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MJHC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Autotransplant parathyroid","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"60512","description":"Autotransplant parathyroid","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Patient alive as of the last day of the measurement year","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G9787","description":"Patient alive as of the last day of the measurement year","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FIMA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Gastric emptying imag study","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"78265","description":"Gastric emptying imag study","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"LBWB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"EBDE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BIKD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JIGC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Patient not screened for unhealthy alcohol use using a systematic screening method_ reason not given","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G2199","description":"Patient not screened for unhealthy alcohol use using a systematic screening method_ reason not given","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Hepatitis c rna dir probe","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"87520","description":"Hepatitis c rna dir probe","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NFUC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Permanent tear duct plug","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"A4263","description":"Permanent tear duct plug","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Severe acute resp synd coronavirus 2 (SARS-CoV-2) ([COVID-19]) vaccine_ mRNA-LNP_ spike protein_ preserv free_ 30 mcg/0.3 mL dosage_ tris-sucrose formula formula_ for intramus","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"91305","description":"Severe acute resp synd coronavirus 2 (SARS-CoV-2) ([COVID-19]) vaccine_ mRNA-LNP_ spike protein_ preserv free_ 30 mcg/0.3 mL dosage_ tris-sucrose formula formula_ for intramus","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-G9871","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"G9871","description":"HCPCS-G9871","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GGRD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FFVE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Lap inc hern recur comp","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"49657","description":"Lap inc hern recur comp","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"LAWE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Contrst x-ray exam of throat","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"74210","description":"Contrst x-ray exam of throat","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OKNF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NDEC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NACB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CDMF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OATD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Diab manage trn ind/group","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G0109","description":"Diab manage trn ind/group","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GFYF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RHB8I","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RHB8I","description":"HIPPS-RHB8I","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CINC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Exploration Not Followed By Surgical Repair_ Artery; Lower Extremity (Eg_ Common Femoral_ Deep Femoral_ Superficial Femoral_ Popliteal_ Tibial_ Peroneal)","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"35703","description":"Exploration Not Followed By Surgical Repair_ Artery; Lower Extremity (Eg_ Common Femoral_ Deep Femoral_ Superficial Femoral_ Popliteal_ Tibial_ Peroneal)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NCEC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"PIYE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"CPT-0630U","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"0630U","description":"CPT-0630U","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"CPT-81524","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"81524","description":"CPT-81524","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"ICAF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-1AFKS","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"1AFKS","description":"HIPPS-1AFKS","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Injection_ dinutuximab_ 0.1 mg","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"J1246","description":"Injection_ dinutuximab_ 0.1 mg","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Patient did not achieve flat retinas six months post surgery","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G9379","description":"Patient did not achieve flat retinas six months post surgery","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FGUE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MGCA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"ICTA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GBTA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Dx laryngoscopy newborn","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"31520","description":"Dx laryngoscopy newborn","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Should sling/vest/abrestrain","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"A4566","description":"Should sling/vest/abrestrain","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"LDSE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CCIC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MGAB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NBNE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MDBC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Oncology (lung)_ augmentative algorithmic analysis of digitized whole slide imaging for 8 genes (ALK_ BRAF_ EGFR_ ERBB2_ MET_ NTRK1-3_ RET_ ROS1)_ and KRAS G12C and PD-L1_ if","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0414U","description":"Oncology (lung)_ augmentative algorithmic analysis of digitized whole slide imaging for 8 genes (ALK_ BRAF_ EGFR_ ERBB2_ MET_ NTRK1-3_ RET_ ROS1)_ and KRAS G12C and PD-L1_ if","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CFUB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NGXC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OLYE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Infectious agent antigen detection by immunoassay with direct optical (ie_ visual) observation; HIV-1 antigen(s)_ with HIV-1 and HIV-2 antibodies","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"87806","description":"Infectious agent antigen detection by immunoassay with direct optical (ie_ visual) observation; HIV-1 antigen(s)_ with HIV-1 and HIV-2 antibodies","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BANB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BHFA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NDLC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Repl trach puncture dilator","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"L8514","description":"Repl trach puncture dilator","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Term dev_ sport/rec/work att","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"L6704","description":"Term dev_ sport/rec/work att","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Colonoscopy w/stent plcmt","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"44402","description":"Colonoscopy w/stent plcmt","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Sex offend tx svc_ 15 min","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"H2028","description":"Sex offend tx svc_ 15 min","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Rabies Immune Globulin_ Heat- And Solvent/Detergent-Treated (Rig-Ht S/D)_ Human_ For Intramuscular And/Or Subcutaneous Use","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"90377","description":"Rabies Immune Globulin_ Heat- And Solvent/Detergent-Treated (Rig-Ht S/D)_ Human_ For Intramuscular And/Or Subcutaneous Use","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-CE220","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"CE220","description":"HIPPS-CE220","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NKMC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Backbench reconstruction of cadaver or living donor uterus allograft prior to transplantation; arterial anastomosis_ each","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0670T","description":"Backbench reconstruction of cadaver or living donor uterus allograft prior to transplantation; arterial anastomosis_ each","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"PFWF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NDIB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HBB (hemoglobin_ subunit beta) (eg_ sickle cell anemia_ beta thalassemia_ hemoglobinopathy); duplication/deletion variant(s)","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"81363","description":"HBB (hemoglobin_ subunit beta) (eg_ sickle cell anemia_ beta thalassemia_ hemoglobinopathy); duplication/deletion variant(s)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Pelvic belt/harness/boot","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"E0944","description":"Pelvic belt/harness/boot","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OEUA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"PDRF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Patient does not achieve refraction +-1 d for the eye that underwent cataract surgery_ measured at the one month follow up visit","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G9392","description":"Patient does not achieve refraction +-1 d for the eye that underwent cataract surgery_ measured at the one month follow up visit","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MHBB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Remove wrist tendon lesion","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"25110","description":"Remove wrist tendon lesion","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"EBED0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"PHOB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CDNE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Remove eyelid lesions","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"67801","description":"Remove eyelid lesions","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BDHA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CGFD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JFPF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Inj nalbuphine hydrochloride","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"J2300","description":"Inj nalbuphine hydrochloride","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FCDD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BCNA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GHFE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HH PDGM","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"2HA31","description":"HH PDGM","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BDDE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-2BHLV","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"2BHLV","description":"HIPPS-2BHLV","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Unlisted e&m service","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"99499","description":"Unlisted e&m service","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-2BFKW","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"2BFKW","description":"HIPPS-2BFKW","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HBA1/HBA2 (alpha globin 1 and alpha globin 2) (eg_ alpha thalassemia_ Hb Bart hydrops fetalis syndrome_ HbH disease)_ gene analysis; known familial variant","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"81258","description":"HBA1/HBA2 (alpha globin 1 and alpha globin 2) (eg_ alpha thalassemia_ Hb Bart hydrops fetalis syndrome_ HbH disease)_ gene analysis; known familial variant","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NCJE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"ABED0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NLHD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OGJC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Psori tool doc w/benchmk","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G9649","description":"Psori tool doc w/benchmk","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"AICA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KBEC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"AFBA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OJWC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Levoleucovorin injection","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"J0641","description":"Levoleucovorin injection","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FAJE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KASB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Visual funct status assess","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"1055F","description":"Visual funct status assess","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BANC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"ODKA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KFYD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GIPB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"EABF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FEKA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CAXA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FDKE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Repair of eardrum","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"69610","description":"Repair of eardrum","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"AIAD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-3CFPW","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"3CFPW","description":"HIPPS-3CFPW","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Partial removal of rectum","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"45116","description":"Partial removal of rectum","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-BA125","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"BA125","description":"HIPPS-BA125","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RVL40","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RVL40","description":"HIPPS-RVL40","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Protein western blot test","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"84182","description":"Protein western blot test","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GDPF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Hearing aid_ CROS_ in the ear","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"V5170","description":"Hearing aid_ CROS_ in the ear","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RML50","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RML50","description":"HIPPS-RML50","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CCPD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GGJF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Virtual reality (VR) procedural dissociation services provided by the same physician or other qualified health care professional performing the diagnostic or therapeutic servi","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0772T","description":"Virtual reality (VR) procedural dissociation services provided by the same physician or other qualified health care professional performing the diagnostic or therapeutic servi","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GISE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MABE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Insertion of chest wall respiratory sensor electrode or electrode array_ including connection to pulse generator (List separately in addition to code for primary procedure)","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0466T","description":"Insertion of chest wall respiratory sensor electrode or electrode array_ including connection to pulse generator (List separately in addition to code for primary procedure)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-HB28C","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"HB28C","description":"HIPPS-HB28C","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KHPA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Targeted genomic sequence analysis_ solid organ neoplasm_ DNA analysis of 324 genes_ interrogation for sequence variants_ gene copy number amplifications_ gene rearrangements_","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0037U","description":"Targeted genomic sequence analysis_ solid organ neoplasm_ DNA analysis of 324 genes_ interrogation for sequence variants_ gene copy number amplifications_ gene rearrangements_","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Health And Well-Being Coaching Face-To-Face; Individual_ Follow-Up Session_ At Least 30 Minutes","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0592T","description":"Health And Well-Being Coaching Face-To-Face; Individual_ Follow-Up Session_ At Least 30 Minutes","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Cult skin grft t/arm/leg","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"15150","description":"Cult skin grft t/arm/leg","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KAME1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BBHF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-CB124","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"CB124","description":"HIPPS-CB124","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"IHIC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Open/perq place stent ea add","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"37239","description":"Open/perq place stent ea add","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Prp i/hern init block >5 yr","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"49507","description":"Prp i/hern init block >5 yr","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OHND1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GCHD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Extracorporeal shock wave for integumentary wound healing_ high energy_ including topical application and dressing care; each additional wound (List separately in addition to","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0513T","description":"Extracorporeal shock wave for integumentary wound healing_ high energy_ including topical application and dressing care; each additional wound (List separately in addition to","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"ODMB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-3AGN5","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"3AGN5","description":"HIPPS-3AGN5","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Echo exam of abdomen","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"76705","description":"Echo exam of abdomen","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Lap remove rectum w/pouch","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"45397","description":"Lap remove rectum w/pouch","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KBDB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-4AFL3","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"4AFL3","description":"HIPPS-4AFL3","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"DFQE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KCNB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RMB2D","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RMB2D","description":"HIPPS-RMB2D","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-4AHKU","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"4AHKU","description":"HIPPS-4AHKU","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Small bowel endoscopy","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"44376","description":"Small bowel endoscopy","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FDEA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KBSA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RLX8B","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RLX8B","description":"HIPPS-RLX8B","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GIRE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-CC18X","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"CC18X","description":"HIPPS-CC18X","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"AGAE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MKCD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-PC217","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"PC217","description":"HIPPS-PC217","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KGUC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Gen w/c cushion wdth >=22 in","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"E2602","description":"Gen w/c cushion wdth >=22 in","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-Q4398","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"Q4398","description":"HCPCS-Q4398","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-HE156","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"HE156","description":"HIPPS-HE156","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NHVE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KGSD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Semi precision attach abut","billing_code_type":"CDT","billing_code_type_version":"2024","billing_code":"D6052","description":"Semi precision attach abut","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OJMF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"In vivo lab service","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"88749","description":"In vivo lab service","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-LD14B","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"LD14B","description":"HIPPS-LD14B","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KGIC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KDVF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Distal shoe space maintainer - fixed - unilateral","billing_code_type":"CDT","billing_code_type_version":"2024","billing_code":"D1575","description":"Distal shoe space maintainer - fixed - unilateral","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Patient has been treated with an oral systemic or biologic medication for psoriasis vulgaris","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G9764","description":"Patient has been treated with an oral systemic or biologic medication for psoriasis vulgaris","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Had smoke b/4 anes day surg","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G9645","description":"Had smoke b/4 anes day surg","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Ak/knee disartic pelvic band","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"L5697","description":"Ak/knee disartic pelvic band","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-5BHKX","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"5BHKX","description":"HIPPS-5BHKX","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Repair/svc oxygen equipment","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"K0740","description":"Repair/svc oxygen equipment","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Ped size brief/diaper lg","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"T4530","description":"Ped size brief/diaper lg","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Removal of pancreas","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"48155","description":"Removal of pancreas","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GFQD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NITE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BHUE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Rhythm ecg report","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"93042","description":"Rhythm ecg report","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Patients that were on the kidney or kidney-pancreas waitlist prior to initiation of dialysis","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"M1261","description":"Patients that were on the kidney or kidney-pancreas waitlist prior to initiation of dialysis","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Legg perthes orthosis trilat","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"L1720","description":"Legg perthes orthosis trilat","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JGPB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NFHD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MGHD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Derm autograft t/a/l add-on","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"15131","description":"Derm autograft t/a/l add-on","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Corneal tissue transplant","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"65767","description":"Corneal tissue transplant","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FCDC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Repair of stomach lesion","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"43840","description":"Repair of stomach lesion","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HH PDGM","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"2AA21","description":"HH PDGM","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Caloric vstblr test w/rec","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"92538","description":"Caloric vstblr test w/rec","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Dental suture wound to 5 cm","billing_code_type":"CDT","billing_code_type_version":"2024","billing_code":"D7911","description":"Dental suture wound to 5 cm","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KGLC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GEBD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"EDLE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RHC3C","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RHC3C","description":"HIPPS-RHC3C","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GENE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"ODUA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CCFF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CDVE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Ana crown exp 4 or> per quad","billing_code_type":"CDT","billing_code_type_version":"2024","billing_code":"D4230","description":"Ana crown exp 4 or> per quad","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-2BHKT","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"2BHKT","description":"HIPPS-2BHKT","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Hemodialysis treatment performed exactly three times per week for > 90 days","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G8714","description":"Hemodialysis treatment performed exactly three times per week for > 90 days","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"M.avium-intra dna amp prob","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"87561","description":"M.avium-intra dna amp prob","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JFDA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Traumatic brain injury with Motor <22.05._without comorbidities","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"A0207","description":"Traumatic brain injury with Motor <22.05._without comorbidities","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Accelerated_ repetitive high-dose functional connectivity MRI-guided theta-burst stimulation_ including target assessment_ initial motor threshold determination_ neuronavigati","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0890T","description":"Accelerated_ repetitive high-dose functional connectivity MRI-guided theta-burst stimulation_ including target assessment_ initial motor threshold determination_ neuronavigati","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Additive for enteral formula","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"B4104","description":"Additive for enteral formula","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KDLC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"MOLECULAR PATHOLOGY PROCEDURE LEVEL 6","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"81405","description":"MOLECULAR PATHOLOGY PROCEDURE LEVEL 6","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RUX3D","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RUX3D","description":"HIPPS-RUX3D","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CGKE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"PKSF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GHEA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RVX3B","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RVX3B","description":"HIPPS-RVX3B","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Incision of eye","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"65850","description":"Incision of eye","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Laparoscope proc bla","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"51999","description":"Laparoscope proc bla","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Elec osteogen stim implanted","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"E0749","description":"Elec osteogen stim implanted","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Two Or More Benzodiazepine Prescriptions Ordered For Patients Who Had A Diagnosis Of Seizure Disorders_ Rapid Eye Movement Sleep Behavior Disorder_ Benzodiazepine Withdrawal_","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G0033","description":"Two Or More Benzodiazepine Prescriptions Ordered For Patients Who Had A Diagnosis Of Seizure Disorders_ Rapid Eye Movement Sleep Behavior Disorder_ Benzodiazepine Withdrawal_","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Prefab stnlss steel crwn pri","billing_code_type":"CDT","billing_code_type_version":"2024","billing_code":"D2930","description":"Prefab stnlss steel crwn pri","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Pt recvng antivir txmnt hepc","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"4150F","description":"Pt recvng antivir txmnt hepc","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Tmj cutting into joint","billing_code_type":"CDT","billing_code_type_version":"2024","billing_code":"D7860","description":"Tmj cutting into joint","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JHFC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NFIC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MELA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"PDOD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Cytp dx eval fna 1st ea site","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"88172","description":"Cytp dx eval fna 1st ea site","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Chromosome analysis 20-25","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"88264","description":"Chromosome analysis 20-25","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FBFC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Dis site  tele svcs RHC/FQHC","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G2025","description":"Dis site  tele svcs RHC/FQHC","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Prescription digital visual therapy_ software-only_ FDA cleared_ per course of treatment","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"A9292","description":"Prescription digital visual therapy_ software-only_ FDA cleared_ per course of treatment","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GBBE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Heart image (pet) multiple","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"78492","description":"Heart image (pet) multiple","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Rpr s/n/ax/gen/trnk >30.0 cm","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"12007","description":"Rpr s/n/ax/gen/trnk >30.0 cm","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Prosthetic sock multi ply bk","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"L8420","description":"Prosthetic sock multi ply bk","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OCNE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NLJA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KAAE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GGXE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"DCOD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"HAQE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-ES21B","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"ES21B","description":"HIPPS-ES21B","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Pt inelig ref oto eval","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G8566","description":"Pt inelig ref oto eval","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Completion pneumonectomy","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"32488","description":"Completion pneumonectomy","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OBMD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-PD24C","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"PD24C","description":"HIPPS-PD24C","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-3CFPV","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"3CFPV","description":"HIPPS-3CFPV","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Catheter placement in coronary artery(ies) for coronary angiography_ including intraprocedural injection(s) for coronary angiography_ imaging supervision and interpretation_","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"C7527","description":"Catheter placement in coronary artery(ies) for coronary angiography_ including intraprocedural injection(s) for coronary angiography_ imaging supervision and interpretation_","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Nephrology (renal transplant)_ RNA expression by select transcriptome sequencing_ using pretransplant peripheral blood_ algorithm reported as a risk score for early acute reje","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0319U","description":"Nephrology (renal transplant)_ RNA expression by select transcriptome sequencing_ using pretransplant peripheral blood_ algorithm reported as a risk score for early acute reje","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GEXA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JINC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Mesh (implantable)","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"C1781","description":"Mesh (implantable)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Valvuloplasty tricuspid","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"33463","description":"Valvuloplasty tricuspid","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RVX22","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RVX22","description":"HIPPS-RVX22","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KGTB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OKUC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-BA20B","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"BA20B","description":"HIPPS-BA20B","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-LE224","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"LE224","description":"HIPPS-LE224","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Reposition venous catheter","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"36597","description":"Reposition venous catheter","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"EBDA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Bath tub rail floor","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"E0242","description":"Bath tub rail floor","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Aortic hemiarch graft including isolation and control of the arch vessels_ beveled open distal aortic anastomosis extending under one or more of the arch vessels_ and total ci","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"33866","description":"Aortic hemiarch graft including isolation and control of the arch vessels_ beveled open distal aortic anastomosis extending under one or more of the arch vessels_ and total ci","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"NuDYN DL or NuDYN DL MESH_ per sq cm","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"Q4285","description":"NuDYN DL or NuDYN DL MESH_ per sq cm","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-PC23C","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"PC23C","description":"HIPPS-PC23C","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Injection_eptinezumab-jjmr_ 1mg","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"C9063","description":"Injection_eptinezumab-jjmr_ 1mg","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Bpci home visit","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G9187","description":"Bpci home visit","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-PE115","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"PE115","description":"HIPPS-PE115","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Alcohol and/or drug services","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"H0016","description":"Alcohol and/or drug services","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GBBA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Place cath xtrnl carotid","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"36227","description":"Place cath xtrnl carotid","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NLJE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Ost urine pch w b/bltin conv","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"A4430","description":"Ost urine pch w b/bltin conv","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CEGC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BHUA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Repair of heart wound","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"33305","description":"Repair of heart wound","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-2BFMT","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"2BFMT","description":"HIPPS-2BFMT","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-5AHK4","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"5AHK4","description":"HIPPS-5AHK4","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FIKD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NIHC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"HHRA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Evasc prlng admn rx agnt add","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"61651","description":"Evasc prlng admn rx agnt add","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CGGA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RUC36","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RUC36","description":"HIPPS-RUC36","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"ADTB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CDCD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"CPT-1027T","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"1027T","description":"CPT-1027T","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NDXC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FGMC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Resect hip/pelv tum 5 cm/>","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"27059","description":"Resect hip/pelv tum 5 cm/>","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OFOD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CCGE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Correction of bunion","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"28292","description":"Correction of bunion","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-2BFK6","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"2BFK6","description":"HIPPS-2BFK6","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Lap myotomy heller","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"43279","description":"Lap myotomy heller","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GDLE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Infusion insulin pump needle","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"A4231","description":"Infusion insulin pump needle","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GGFB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Laryngoscope w/vc inj","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"31570","description":"Laryngoscope w/vc inj","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RHA8H","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RHA8H","description":"HIPPS-RHA8H","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Auditor evoke potent compre","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"92585","description":"Auditor evoke potent compre","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GDHD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Removal of urethra gland","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"53250","description":"Removal of urethra gland","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"intraoral tomosynthesis - periapical radiographic image","billing_code_type":"CDT","billing_code_type_version":"2024","billing_code":"D0374","description":"intraoral tomosynthesis - periapical radiographic image","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NLXF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-4CHLW","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"4CHLW","description":"HIPPS-4CHLW","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"So 8 ab rstr can/web pre ots","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"L3660","description":"So 8 ab rstr can/web pre ots","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JCFB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CHEE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RLA43","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RLA43","description":"HIPPS-RLA43","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"DFRB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OEGF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OKOE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"EAUB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"ABIC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"X-rays bone survey limited","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"77074","description":"X-rays bone survey limited","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NDCB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"LFOA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OERB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Cephalothin sodium injection","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"J1890","description":"Cephalothin sodium injection","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OFEE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RVC2A","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RVC2A","description":"HIPPS-RVC2A","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Assay of serum sodium","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"84295","description":"Assay of serum sodium","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-ES13B","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"ES13B","description":"HIPPS-ES13B","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Manipulation of hip joint","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"27275","description":"Manipulation of hip joint","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Hhv-6 dna amp probe","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"87532","description":"Hhv-6 dna amp probe","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GCBC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Onc dx nhl stg 3-4 not relap","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G9135","description":"Onc dx nhl stg 3-4 not relap","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Sheath below knee","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"L8400","description":"Sheath below knee","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-LD18D","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"LD18D","description":"HIPPS-LD18D","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NHMB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CFID0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"DDWE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OBDE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"CPT-1014T","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"1014T","description":"CPT-1014T","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MEHC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Unplnd ret to surg w in 30d","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G9308","description":"Unplnd ret to surg w in 30d","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-HE18H","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"HE18H","description":"HIPPS-HE18H","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NJUC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KGIF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Parenteral sol amino acid 7-","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"B4176","description":"Parenteral sol amino acid 7-","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CAHC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-M1433","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"M1433","description":"HCPCS-M1433","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JCFF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Removal of esophagus","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"43107","description":"Removal of esophagus","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OGRE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RVX3D","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RVX3D","description":"HIPPS-RVX3D","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KILE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BIUD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OFRD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Assay dipropylacetic acd tot","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"80164","description":"Assay dipropylacetic acd tot","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-G0669","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"G0669","description":"HCPCS-G0669","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Prev visit est age 18-39","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"99395","description":"Prev visit est age 18-39","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KHBC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MHUB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Sgd digitized pre-rec <=8min","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"E2500","description":"Sgd digitized pre-rec <=8min","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KGGE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HH PDGM","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"4KB31","description":"HH PDGM","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"CDT-D1602","billing_code_type":"CDT","billing_code_type_version":"2026","billing_code":"D1602","description":"CDT-D1602","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CEOA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OJVB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FAFD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RVA06","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RVA06","description":"HIPPS-RVA06","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CIKB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-B1503","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"B1503","description":"HCPCS-B1503","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-2CGMU","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"2CGMU","description":"HIPPS-2CGMU","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Dimethyl sulfoxide 50% 50 ml","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"J1212","description":"Dimethyl sulfoxide 50% 50 ml","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-1CGMS","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"1CGMS","description":"HIPPS-1CGMS","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NCUA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Biopsy of breast open","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"19101","description":"Biopsy of breast open","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Rpr ventral hern init block","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"49561","description":"Rpr ventral hern init block","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Patient Receiving <=5 Mg Daily Prednisone (Or Equivalent)_ Or Ra Activity Is Worsening_ Or Glucocorticoid Use Is For Less Than 6 Months","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G2112","description":"Patient Receiving <=5 Mg Daily Prednisone (Or Equivalent)_ Or Ra Activity Is Worsening_ Or Glucocorticoid Use Is For Less Than 6 Months","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GGKB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"LFRC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GIOD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KICA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Partial removal of liver","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"47120","description":"Partial removal of liver","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CBNE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CCAE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Destroy c/th facet jnt addl","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"64634","description":"Destroy c/th facet jnt addl","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OCVC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"AEDD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JFLC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Knee arthroscopy/surgery","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"29884","description":"Knee arthroscopy/surgery","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KHID0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Dna antibody single strand","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"86226","description":"Dna antibody single strand","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OHBB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KFYA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Endoscopic defect closure within the entire gastrointestinal tract_ including upper endoscopy (including diagnostic_ if performed) or colonoscopy (including diagnostic_ if per","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"C9901","description":"Endoscopic defect closure within the entire gastrointestinal tract_ including upper endoscopy (including diagnostic_ if performed) or colonoscopy (including diagnostic_ if per","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-C0901","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"C0901","description":"HCPCS-C0901","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-A0902","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"A0902","description":"HCPCS-A0902","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NCED0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"PAYE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RMA3D","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RMA3D","description":"HIPPS-RMA3D","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CCQC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GGIE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GCPC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Replace tunneled cv cath","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"36581","description":"Replace tunneled cv cath","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"ODFD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Clamp neck artery","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"61703","description":"Clamp neck artery","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Psychiatry (eg_ depression_ anxiety_ attention deficit hyperactivity disorder [ADHD])_ genomic analysis panel_ variant analysis of 15 genes_ including deletion/duplication ana","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0411U","description":"Psychiatry (eg_ depression_ anxiety_ attention deficit hyperactivity disorder [ADHD])_ genomic analysis panel_ variant analysis of 15 genes_ including deletion/duplication ana","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GICD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Post-coital mucous exam","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"Q0115","description":"Post-coital mucous exam","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CBUE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Injection_ bortezomib_ (dr. reddy_s)_ not therapeutically equivalent to j9041_ 0.1 mg","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"J9046","description":"Injection_ bortezomib_ (dr. reddy_s)_ not therapeutically equivalent to j9041_ 0.1 mg","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-1AGK1","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"1AGK1","description":"HIPPS-1AGK1","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Filleted finger/toe flap","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"14350","description":"Filleted finger/toe flap","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Patients who had documented contact with a csp for at least one of their screened positive hrsns within 60 days after screening","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"M1319","description":"Patients who had documented contact with a csp for at least one of their screened positive hrsns within 60 days after screening","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Rmvl devital tis addl 20cm/<","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"97598","description":"Rmvl devital tis addl 20cm/<","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Removal sweat gland lesion","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"11450","description":"Removal sweat gland lesion","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OHBD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"CDT-D0602","billing_code_type":"CDT","billing_code_type_version":"2026","billing_code":"D0602","description":"CDT-D0602","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CBEE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"AGUD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"PARE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Power operated vehicle noc","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"K0812","description":"Power operated vehicle noc","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BEGE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Fuse pancreas and bowel","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"48548","description":"Fuse pancreas and bowel","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-3AHKW","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"3AHKW","description":"HIPPS-3AHKW","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Autologous adipose-derived regenerative cell (ADRC) therapy for partial thickness rotator cuff tear; injection into supraspinatus tendon including ultrasound guidance_ unilate","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0718T","description":"Autologous adipose-derived regenerative cell (ADRC) therapy for partial thickness rotator cuff tear; injection into supraspinatus tendon including ultrasound guidance_ unilate","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"CPT-01941","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"01941","description":"CPT-01941","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"CPT-37274","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"37274","description":"CPT-37274","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FDMA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Inj_ clevidipine butyrate","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"C9248","description":"Inj_ clevidipine butyrate","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CAHD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Gradient compression stocking_ below knee_ 18-30 mmhg_ custom_ each","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"A6610","description":"Gradient compression stocking_ below knee_ 18-30 mmhg_ custom_ each","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"CPT-0578U","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"0578U","description":"CPT-0578U","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CIWA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Wheelchair amputee w/o leg r","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"E1171","description":"Wheelchair amputee w/o leg r","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BIUA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"EBTE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Canakinumab injection","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"J0638","description":"Canakinumab injection","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"AGIC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Tetracyclin injection","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"J0120","description":"Tetracyclin injection","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JAKD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OAEB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Incision of heart sac","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"33020","description":"Incision of heart sac","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CAPC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Cyclosporine oral 100 mg","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"J7502","description":"Cyclosporine oral 100 mg","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GEJF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OHXD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Colonoscopy w/lesion removal","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"45384","description":"Colonoscopy w/lesion removal","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Unlisted procedure colon","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"45399","description":"Unlisted procedure colon","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Application of long leg cast","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"29345","description":"Application of long leg cast","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Gradient compression garment_ glove_ padded_ for nighttime use_ custom_ each","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"A6521","description":"Gradient compression garment_ glove_ padded_ for nighttime use_ custom_ each","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Rubella antibody","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"86762","description":"Rubella antibody","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"LFQC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OHJF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"EGBA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Middle cerebral artery echo","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"76821","description":"Middle cerebral artery echo","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KCLD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KAYF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BGBA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"PARA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FAXC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OHCD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Cath place cardio brachytx","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"92974","description":"Cath place cardio brachytx","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Bronch ebus samplng 1/2 node","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"31652","description":"Bronch ebus samplng 1/2 node","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Anesth vitreoretinal surg","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"14551","description":"Anesth vitreoretinal surg","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"LFYD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GIBA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JHGE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BDEC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Fusion of ankle joint open","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"27870","description":"Fusion of ankle joint open","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CFXF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KGIA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Removal_ entire osseointegrated implant_ skull; with magnetic transcutaneous attachment to external speech processor_ outside the mastoid and involving a bony defect greater t","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"69728","description":"Removal_ entire osseointegrated implant_ skull; with magnetic transcutaneous attachment to external speech processor_ outside the mastoid and involving a bony defect greater t","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"ECAA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Scr c/v cyto_thinlayer_rescr","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G0145","description":"Scr c/v cyto_thinlayer_rescr","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Hosp bed semi-elect w/o matt","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"E0295","description":"Hosp bed semi-elect w/o matt","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Exploration maxillary sinus","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"31030","description":"Exploration maxillary sinus","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"AFUA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"So 8 abd restraint pre ots","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"L3650","description":"So 8 abd restraint pre ots","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Remote Therapeutic Monitoring Of A Standardized Online Digital Cognitive Behavioral Therapy Program Ordered By A Physician Or Other Qualified Health Care Professional; Supply","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0702T","description":"Remote Therapeutic Monitoring Of A Standardized Online Digital Cognitive Behavioral Therapy Program Ordered By A Physician Or Other Qualified Health Care Professional; Supply","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Revise penis/urethra","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"54328","description":"Revise penis/urethra","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OIQA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CHCD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GFJC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RHC24","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RHC24","description":"HIPPS-RHC24","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RHC3A","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RHC3A","description":"HIPPS-RHC3A","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NKGA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"PSYC GEN ALYS PANEL 14 GENES","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0173U","description":"PSYC GEN ALYS PANEL 14 GENES","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Incision of eye","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"66172","description":"Incision of eye","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"IHLA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-BB225","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"BB225","description":"HIPPS-BB225","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MEDC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RHB52","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RHB52","description":"HIPPS-RHB52","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MHEC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NIPB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OKOB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FAFC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NDFC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Us exam abdo back wall lim","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"76775","description":"Us exam abdo back wall lim","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"JAK2 (Janus kinase 2) (eg_ myeloproliferative disorder) gene analysis_ targeted sequence analysis exons 12-15","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0027U","description":"JAK2 (Janus kinase 2) (eg_ myeloproliferative disorder) gene analysis_ targeted sequence analysis exons 12-15","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-4CFK2","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"4CFK2","description":"HIPPS-4CFK2","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Ablative laser treatment_ non-contact_ full field and fractional ablation_ open wound_ per day_ total treatment surface area; each additional 20 sq cm_ or part thereof (List s","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0492T","description":"Ablative laser treatment_ non-contact_ full field and fractional ablation_ open wound_ per day_ total treatment surface area; each additional 20 sq cm_ or part thereof (List s","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JAXA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GGGF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BCND1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Hfo flexion glove pre ots","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"L3912","description":"Hfo flexion glove pre ots","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MJBB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Radiation Therapy For Colorectal Cancer Under The Radiation Oncology Model_ 90 Day Episode_ Professional Component","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"M1086","description":"Radiation Therapy For Colorectal Cancer Under The Radiation Oncology Model_ 90 Day Episode_ Professional Component","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Repair of ruptured tendon","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"24342","description":"Repair of ruptured tendon","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FCTA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Collagen imp urinary 2.5 ml","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"L8603","description":"Collagen imp urinary 2.5 ml","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Injection_ belantamab mafodontin-blmf_ 0.5 mg","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"J9037","description":"Injection_ belantamab mafodontin-blmf_ 0.5 mg","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KCWC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OLVD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"ECHA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Artery x-rays adrenals","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"75733","description":"Artery x-rays adrenals","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"CPT-0687U","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"0687U","description":"CPT-0687U","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JIAA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Repair corporeal tear","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"54437","description":"Repair corporeal tear","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BEKD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Pt counsld on exam for moles","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"5005F","description":"Pt counsld on exam for moles","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-BB121","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"BB121","description":"HIPPS-BB121","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"AIDD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FATB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KCXA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Ccnd1/Igh (T(11;14)) (Eg_ Mantle Cell Lymphoma) Translocation Analysis_ Major Breakpoint_ Qualitative And Quantitative_ If Performed","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"81168","description":"Ccnd1/Igh (T(11;14)) (Eg_ Mantle Cell Lymphoma) Translocation Analysis_ Major Breakpoint_ Qualitative And Quantitative_ If Performed","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Ureter endoscopy & treatment","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"50961","description":"Ureter endoscopy & treatment","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-1AGPW","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"1AGPW","description":"HIPPS-1AGPW","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CDXD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BBLC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RVL8A","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RVL8A","description":"HIPPS-RVL8A","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"DDSB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RUC5B","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RUC5B","description":"HIPPS-RUC5B","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Implant nerve end","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"64787","description":"Implant nerve end","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MLEB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GHKD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Exploration/repair of rectum","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"45563","description":"Exploration/repair of rectum","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GDNC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"CDT-D0604","billing_code_type":"CDT","billing_code_type_version":"2026","billing_code":"D0604","description":"CDT-D0604","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OGNE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RLA05","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RLA05","description":"HIPPS-RLA05","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"EEIC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Ultralightweight wheelchair","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"K0005","description":"Ultralightweight wheelchair","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NBUF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Implant connecting bar","billing_code_type":"CDT","billing_code_type_version":"2024","billing_code":"D6055","description":"Implant connecting bar","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OJEB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Lubricant per ounce","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"A4402","description":"Lubricant per ounce","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Epieffect_ per square centimeter","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"Q4278","description":"Epieffect_ per square centimeter","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FAEF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"IAHE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-2CFL6","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"2CFL6","description":"HIPPS-2CFL6","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RHB13","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RHB13","description":"HIPPS-RHB13","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Bortezomib injection","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"J9041","description":"Bortezomib injection","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Alarm symp assessed-1+ prsnt","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"1071F","description":"Alarm symp assessed-1+ prsnt","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BDVD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Trach-esoph voice pros pt in","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"L8507","description":"Trach-esoph voice pros pt in","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-5AHK1","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"5AHK1","description":"HIPPS-5AHK1","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GCGB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Low-level laser trmt 15 min","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"S8948","description":"Low-level laser trmt 15 min","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Adhesive_ liquid or equal","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"A4364","description":"Adhesive_ liquid or equal","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-2BGLV","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"2BGLV","description":"HIPPS-2BGLV","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Repair finger/hand tendon","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"26373","description":"Repair finger/hand tendon","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NDHA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Thoracic duct procedure","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"38380","description":"Thoracic duct procedure","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CBTB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Injection_ vancomycin hcl (mylan) not therapeutically equivalent to j3370_ 500 mg","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"J3371","description":"Injection_ vancomycin hcl (mylan) not therapeutically equivalent to j3370_ 500 mg","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Contrst x-ray urinary tract","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"74415","description":"Contrst x-ray urinary tract","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CGJE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BFUF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Surgraft tl_ per square centimeter","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"Q4263","description":"Surgraft tl_ per square centimeter","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"PEQE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BDDD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-5AGK4","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"5AGK4","description":"HIPPS-5AGK4","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OGND1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KBXB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Inj tendon origin/insertion","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"20551","description":"Inj tendon origin/insertion","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CEPB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"DIQF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"DAWF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Hearing aid noc","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"V5298","description":"Hearing aid noc","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Inter active grp psych parti","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G0411","description":"Inter active grp psych parti","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BFJB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BDPC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BIKC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-LB246","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"LB246","description":"HIPPS-LB246","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BCHA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CIYE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"AFIE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Npm1 gene","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"81310","description":"Npm1 gene","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-4BHKV","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"4BHKV","description":"HIPPS-4BHKV","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Remove vc lesion scope/graft","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"31546","description":"Remove vc lesion scope/graft","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GDKF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OKYC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"EGMC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GHQE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NBFA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Transcutaneous magnetic stimulation by focused low-frequency electromagnetic pulse_ peripheral nerve_ initial treatment_ with identification and marking of the treatment locat","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0766T","description":"Transcutaneous magnetic stimulation by focused low-frequency electromagnetic pulse_ peripheral nerve_ initial treatment_ with identification and marking of the treatment locat","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Noner transport meals recip","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"A0190","description":"Noner transport meals recip","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Assay duodenal fluid trypsin","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"84485","description":"Assay duodenal fluid trypsin","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CFNB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KHBD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Treat scapula fracture","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"23585","description":"Treat scapula fracture","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Repair of windpipe","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"31760","description":"Repair of windpipe","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Hpv low-risk types","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"87623","description":"Hpv low-risk types","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-4AHL2","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"4AHL2","description":"HIPPS-4AHL2","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Lens trifocal seg width > 28","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"V2319","description":"Lens trifocal seg width > 28","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KCSD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OHBC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"IEAA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CFXD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CDSE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Opiate(s)_ drug and metabolites_ each procedure","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G6056","description":"Opiate(s)_ drug and metabolites_ each procedure","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-3AFPT","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"3AFPT","description":"HIPPS-3AFPT","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"AIEB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"IDLA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KGKD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Benzodiazepines1-12","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"80346","description":"Benzodiazepines1-12","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RLA45","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RLA45","description":"HIPPS-RLA45","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Meals for clinical trial par","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"S9996","description":"Meals for clinical trial par","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KGVD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NAHE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-E0715","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"E0715","description":"HCPCS-E0715","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RLB25","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RLB25","description":"HIPPS-RLB25","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BHAC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OBQE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KHTF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JBJB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HH PDGM","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"4JB31","description":"HH PDGM","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Reposition gastrostomy tube","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"43761","description":"Reposition gastrostomy tube","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GHQF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GAIC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KBLF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Exc tr-ext b9+marg >4.0 cm","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"11406","description":"Exc tr-ext b9+marg >4.0 cm","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Two Medicare Diabetes Prevention Program (MDPP) core maintenance sessions (MS) were attended by an MDPP beneficiary in months (mo) 10-12 under the MDPP Expanded Model (EM).","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G9877","description":"Two Medicare Diabetes Prevention Program (MDPP) core maintenance sessions (MS) were attended by an MDPP beneficiary in months (mo) 10-12 under the MDPP Expanded Model (EM).","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RMB0C","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RMB0C","description":"HIPPS-RMB0C","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KCQD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CAHB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Nasal smear for eosinophils","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"89190","description":"Nasal smear for eosinophils","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"CPT-01939","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"01939","description":"CPT-01939","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MCCB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HH PDGM","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"2AC31","description":"HH PDGM","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Transcatheter intraoperative blood vessel microinfusion(s) (e.g._ intraluminal_ vascular wall and/or perivascular) ther","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"C9759","description":"Transcatheter intraoperative blood vessel microinfusion(s) (e.g._ intraluminal_ vascular wall and/or perivascular) ther","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"HBWE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BAMF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Explore/treat wrist joint","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"25040","description":"Explore/treat wrist joint","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OAOB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-1CGNW","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"1CGNW","description":"HIPPS-1CGNW","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"IDDF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CHYB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Amniocentesis therapeutic","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"59001","description":"Amniocentesis therapeutic","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Remove spinal canal catheter","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"62355","description":"Remove spinal canal catheter","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-LB255","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"LB255","description":"HIPPS-LB255","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KCIC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Palifermin injection","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"J2425","description":"Palifermin injection","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NHAC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-E1807","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"E1807","description":"HCPCS-E1807","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NFNC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GAGF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"AAHE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CEYA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JGFC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RHL15","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RHL15","description":"HIPPS-RHL15","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GAOE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CIFE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Dtap-hep b-ipv vaccine im","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"90723","description":"Dtap-hep b-ipv vaccine im","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-M1493","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"M1493","description":"HCPCS-M1493","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Hip arthro w/labral repair","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"29916","description":"Hip arthro w/labral repair","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KBKD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-CE18F","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"CE18F","description":"HIPPS-CE18F","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MKIC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KDUD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-4BGL4","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"4BGL4","description":"HIPPS-4BGL4","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-A1502","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"A1502","description":"HCPCS-A1502","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-1BHK6","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"1BHK6","description":"HIPPS-1BHK6","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CGXD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Treat uterus infection","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"59830","description":"Treat uterus infection","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CBSD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-J0014","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"J0014","description":"HCPCS-J0014","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KELC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HH PDGM","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"4KB21","description":"HH PDGM","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-J8502","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"J8502","description":"HCPCS-J8502","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KAYE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Lumb artif diskectomy addl","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0163T","description":"Lumb artif diskectomy addl","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"EIMD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NLND1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KGPE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Remove femur lesion/graft","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"27356","description":"Remove femur lesion/graft","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RUB26","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RUB26","description":"HIPPS-RUB26","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BAXA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Custom grad glove med","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"S8425","description":"Custom grad glove med","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Visc & infraren abd 3 prosth","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"34847","description":"Visc & infraren abd 3 prosth","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Walker variable wheel resist","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"E0147","description":"Walker variable wheel resist","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"IEEE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Spirom fev/fvc <70% w/copd","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"3025F","description":"Spirom fev/fvc <70% w/copd","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Apply multlay comprs upr leg","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"29582","description":"Apply multlay comprs upr leg","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"AFBD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CDUD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-3BHN3","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"3BHN3","description":"HIPPS-3BHN3","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GGEE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Mucus trap","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"S8210","description":"Mucus trap","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-HC20C","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"HC20C","description":"HIPPS-HC20C","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"EITF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Assay rbc glutathione","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"82979","description":"Assay rbc glutathione","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RLB0D","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RLB0D","description":"HIPPS-RLB0D","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"IACE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Breathing capacity test","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"94010","description":"Breathing capacity test","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-B0201","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"B0201","description":"HCPCS-B0201","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Ongoing Care Not Indicated_ Patient Self-Discharged Early And Seen Only 1-2 Visits (E.G._ Financial Or Insurance Reasons_ Transportation Problems_ Or Reason Unknown)","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"M1139","description":"Ongoing Care Not Indicated_ Patient Self-Discharged Early And Seen Only 1-2 Visits (E.G._ Financial Or Insurance Reasons_ Transportation Problems_ Or Reason Unknown)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FEBF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OADC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-LC24A","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"LC24A","description":"HIPPS-LC24A","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Ace/arb therapy rxd/taken","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"4010F","description":"Ace/arb therapy rxd/taken","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GEKA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Treat humerus fracture","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"23630","description":"Treat humerus fracture","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"EBDF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KEOC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BEUD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RLX14","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RLX14","description":"HIPPS-RLX14","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Management of established patient with dementia_ moderate to high complexity_ for use in CMMI model","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G0528","description":"Management of established patient with dementia_ moderate to high complexity_ for use in CMMI model","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Lsh w/t/o uterus above 250 g","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"58544","description":"Lsh w/t/o uterus above 250 g","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"EFUC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CCIB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GDKC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-1CGPW","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"1CGPW","description":"HIPPS-1CGPW","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Immunization admin by intramuscular injection of s (SARS-CoV-2)  vaccine_ mRNA-LNP_ spike protein_ preservative free_ 30 mcg/0.3 mL dosage_ tris-sucrose form first dose","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0051A","description":"Immunization admin by intramuscular injection of s (SARS-CoV-2)  vaccine_ mRNA-LNP_ spike protein_ preservative free_ 30 mcg/0.3 mL dosage_ tris-sucrose form first dose","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Artery x-rays arm/leg","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"75710","description":"Artery x-rays arm/leg","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JEUD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"DHYB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Neuropsychological testing evaluation services by physician or other qualified health care professional_ including integration of patient data_ interpretation of standardized","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"96133","description":"Neuropsychological testing evaluation services by physician or other qualified health care professional_ including integration of patient data_ interpretation of standardized","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CFDB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Female condom","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"A4268","description":"Female condom","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MDUB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Hit antibiotic q12h diem","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"S9501","description":"Hit antibiotic q12h diem","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JCUB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Comprehensive (60 mins) home care plan oversight. For use only in a Medicare-approved CMMI model. (Services must be furnished within a beneficiary’s home_ domiciliary_ rest ho","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G2015","description":"Comprehensive (60 mins) home care plan oversight. For use only in a Medicare-approved CMMI model. (Services must be furnished within a beneficiary’s home_ domiciliary_ rest ho","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Pfizer-BioNTech Covid-19 vaccine administration - third dose (SARSCOV2 COVID-19 VAC mRNA 30mcg/0.3mL IM DOSE 3)","billing_code_type":"CDT","billing_code_type_version":"2024","billing_code":"D1708","description":"Pfizer-BioNTech Covid-19 vaccine administration - third dose (SARSCOV2 COVID-19 VAC mRNA 30mcg/0.3mL IM DOSE 3)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MDID0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NDEE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-B0402","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"B0402","description":"HCPCS-B0402","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OIFD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Repair detached retina","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"67107","description":"Repair detached retina","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Esrd demo bundle-level ii","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G9014","description":"Esrd demo bundle-level ii","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Barium swallow test not req","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"3200F","description":"Barium swallow test not req","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GGBE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Atomic absorption","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"82190","description":"Atomic absorption","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"IIED1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MKTC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Remove vertebral body add-on","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"63082","description":"Remove vertebral body add-on","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Prefab stainless steel crown","billing_code_type":"CDT","billing_code_type_version":"2024","billing_code":"D2933","description":"Prefab stainless steel crown","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Ophthalmic biometry","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"92136","description":"Ophthalmic biometry","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-Q5146","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"Q5146","description":"HCPCS-Q5146","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OBSC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BDCC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OEYA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Injection_ sincalide (maia) not therapeutically equivalent to j2805_ 5 micrograms","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"J2806","description":"Injection_ sincalide (maia) not therapeutically equivalent to j2805_ 5 micrograms","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"HHYD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NLUF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-HC24C","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"HC24C","description":"HIPPS-HC24C","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Ortho shoe add half sole","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"L3530","description":"Ortho shoe add half sole","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KCHF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CCMA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"ICTC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KDWE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Injection_ loncastuximab tesirine-lpyl_ 0.1 mg","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"C9084","description":"Injection_ loncastuximab tesirine-lpyl_ 0.1 mg","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NLLD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KFSB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Endosteal implant","billing_code_type":"CDT","billing_code_type_version":"2024","billing_code":"D6012","description":"Endosteal implant","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-3BGMU","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"3BGMU","description":"HIPPS-3BGMU","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GIKA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RMB13","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RMB13","description":"HIPPS-RMB13","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"DDSC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-PA12C","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"PA12C","description":"HIPPS-PA12C","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Medical reason for no beta","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G9190","description":"Medical reason for no beta","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"EEUF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Bekesy audiometry diagnosis","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"92561","description":"Bekesy audiometry diagnosis","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Repair of bowel lesion","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"44605","description":"Repair of bowel lesion","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Laparoscopy_ surgical_ total hysterectomy for resection of malignancy (tumor debulking)_ with omentectomy including salpingo-oophorectomy_ unilateral or bilateral_ when perfor","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"58575","description":"Laparoscopy_ surgical_ total hysterectomy for resection of malignancy (tumor debulking)_ with omentectomy including salpingo-oophorectomy_ unilateral or bilateral_ when perfor","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FGAD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"CPT-37287","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"37287","description":"CPT-37287","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"CPT-92641","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"92641","description":"CPT-92641","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Uvl md cabinet sys 6 ft","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"E0694","description":"Uvl md cabinet sys 6 ft","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OCHA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NJFB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"PEYF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Hemi-wheelchair detachable a","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"E1084","description":"Hemi-wheelchair detachable a","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"D/c hemo or perit dialysis","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G9523","description":"D/c hemo or perit dialysis","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Ra measures grp","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G8490","description":"Ra measures grp","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Injection_ piperacillin sodi","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"S0081","description":"Injection_ piperacillin sodi","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NDNC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NGJE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Bone harvest_auto graft proc","billing_code_type":"CDT","billing_code_type_version":"2024","billing_code":"D7295","description":"Bone harvest_auto graft proc","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-1BFKT","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"1BFKT","description":"HIPPS-1BFKT","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OHUC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JGUE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Repair nerve add-on","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"64832","description":"Repair nerve add-on","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BDGA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-PB256","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"PB256","description":"HIPPS-PB256","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FBXE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Assay of feces/urobilinogen","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"84577","description":"Assay of feces/urobilinogen","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"IDUE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Preventive counseling indiv","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"99403","description":"Preventive counseling indiv","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Insert ureteral support","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"50605","description":"Insert ureteral support","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Removal of non-biodegradable drug delivery implants_ 4 or more (services for subdermal implants)","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G0517","description":"Removal of non-biodegradable drug delivery implants_ 4 or more (services for subdermal implants)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FCGC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OJPF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FBBD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OBAA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GCYC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"LGSB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Low density lipoprotein(ldl)","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"S2120","description":"Low density lipoprotein(ldl)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Drainage lymph node lesion","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"38305","description":"Drainage lymph node lesion","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Dispensing fee binaural","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"V5160","description":"Dispensing fee binaural","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"HGSF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Closed tx orbit w/manipulj","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"21401","description":"Closed tx orbit w/manipulj","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FBCC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Perfluoroalkyl substances (PFAS) (eg_ perfluorooctanoic acid_ perfluorooctane sulfonic acid)_ 16 PFAS compounds by liquid chromatography with tandem mass spectrometry (LC-MS/M","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0394U","description":"Perfluoroalkyl substances (PFAS) (eg_ perfluorooctanoic acid_ perfluorooctane sulfonic acid)_ 16 PFAS compounds by liquid chromatography with tandem mass spectrometry (LC-MS/M","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Placental lactogen","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"83632","description":"Placental lactogen","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Change gastric port open","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"43888","description":"Change gastric port open","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Manual standing system","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"E2230","description":"Manual standing system","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-AAA0D","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"AAA0D","description":"HIPPS-AAA0D","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Alglucerase injection","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"J0205","description":"Alglucerase injection","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Repair of nasal vestibular lateral wall stenosis with implant(s)","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"C9749","description":"Repair of nasal vestibular lateral wall stenosis with implant(s)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MITE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CAVC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-3CFM2","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"3CFM2","description":"HIPPS-3CFM2","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NLUC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BGKE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OGGD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OBLC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FCFC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KHKA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MILD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-PD13C","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"PD13C","description":"HIPPS-PD13C","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Endovenous ablation therapy of incompetent vein_ extremity_ inclusive of all imaging guidance and monitoring_ percutaneous_ mechanochemical; subsequent vein(s) treated in a si","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"36474","description":"Endovenous ablation therapy of incompetent vein_ extremity_ inclusive of all imaging guidance and monitoring_ percutaneous_ mechanochemical; subsequent vein(s) treated in a si","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"IIDF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Electrocardiogram report","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"93010","description":"Electrocardiogram report","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"CDT-D0704","billing_code_type":"CDT","billing_code_type_version":"2026","billing_code":"D0704","description":"CDT-D0704","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"AHLF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"IATE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MAMC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Replace socket brim cust fit","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"L4030","description":"Replace socket brim cust fit","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Crown repair","billing_code_type":"CDT","billing_code_type_version":"2024","billing_code":"D2980","description":"Crown repair","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-PE11B","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"PE11B","description":"HIPPS-PE11B","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"LESE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Treat kneecap dislocation","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"27562","description":"Treat kneecap dislocation","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JFTF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Cine/video x-rays","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"76120","description":"Cine/video x-rays","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-PD205","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"PD205","description":"HIPPS-PD205","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BCNF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"EBIC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Removal of brain abscess","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"61522","description":"Removal of brain abscess","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Portable gas oxygen system","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"K0738","description":"Portable gas oxygen system","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OLMC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"EIHA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CFMA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OGMC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CIOA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"AFHE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Pathogen Test For Platelets","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"Q9987","description":"Pathogen Test For Platelets","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"PHRE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NEJE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KGYD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OKGD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GAJD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CBYC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BFPB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JHDF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NKLC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GBAA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"DEYA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KARD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Htlv/hiv confirmj antibody","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"86689","description":"Htlv/hiv confirmj antibody","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BITD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"ICUC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"IFTA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NAPE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Dentures immediat mandible","billing_code_type":"CDT","billing_code_type_version":"2024","billing_code":"D5140","description":"Dentures immediat mandible","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"CPT-1066T","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"1066T","description":"CPT-1066T","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Repair/transpose nerve","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"64856","description":"Repair/transpose nerve","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-2BFM2","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"2BFM2","description":"HIPPS-2BFM2","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Gated heart planar single","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"78472","description":"Gated heart planar single","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"IAMB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Ex for nonspeech dev rx add","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"92618","description":"Ex for nonspeech dev rx add","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MDCF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Drainage of mouth lesion","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"41008","description":"Drainage of mouth lesion","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Ecmo/ecls initiation artery","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"33947","description":"Ecmo/ecls initiation artery","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Knee arthroscopy/surgery","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"29889","description":"Knee arthroscopy/surgery","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-LD13C","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"LD13C","description":"HIPPS-LD13C","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NBMA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BCTF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Esrd home pt serv p mo 20+","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"90966","description":"Esrd home pt serv p mo 20+","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OHPC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Ajcc mel cnr stg 0 - iic","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G8944","description":"Ajcc mel cnr stg 0 - iic","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Hit picc insert kit","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"S5520","description":"Hit picc insert kit","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Clearance of airways","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"31720","description":"Clearance of airways","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Pharmacologic mgmt w/psytx","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"90863","description":"Pharmacologic mgmt w/psytx","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KITE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Non-invasive vagus nerve stimulator (GammaCore-S)","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"K1020","description":"Non-invasive vagus nerve stimulator (GammaCore-S)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"IFIB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-2BGKV","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"2BGKV","description":"HIPPS-2BGKV","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Thoracoscopy remove segment","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"32669","description":"Thoracoscopy remove segment","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"AAEE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Resin three surfaces-anterio","billing_code_type":"CDT","billing_code_type_version":"2024","billing_code":"D2332","description":"Resin three surfaces-anterio","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JDEE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Repair of urethra injury","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"53510","description":"Repair of urethra injury","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NDUF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GEGA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Revision or removal of neurostimulator electrode array_ peripheral nerve_ with integrated neurostimulator","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"64598","description":"Revision or removal of neurostimulator electrode array_ peripheral nerve_ with integrated neurostimulator","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"IHBA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"DAOD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"CPT-98011","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"98011","description":"CPT-98011","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GBPB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JFBA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Insulin rapid 5 u","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"S5550","description":"Insulin rapid 5 u","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Ntrk2 (Neurotrophic Receptor Tyrosine Kinase 2) (Eg_ Solid Tumors) Translocation Analysis","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"81192","description":"Ntrk2 (Neurotrophic Receptor Tyrosine Kinase 2) (Eg_ Solid Tumors) Translocation Analysis","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Adjv hrmnl thxpy rxd","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"4164F","description":"Adjv hrmnl thxpy rxd","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"AHLA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"EDDD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OENA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GIQA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Chemodenerv eccrine glands","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"64653","description":"Chemodenerv eccrine glands","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RHX15","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RHX15","description":"HIPPS-RHX15","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RVA5C","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RVA5C","description":"HIPPS-RVA5C","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Hla i typing 1 allele hr","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"81381","description":"Hla i typing 1 allele hr","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Ultrasound breast complete","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"76641","description":"Ultrasound breast complete","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OFIB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Crown resin w/noble metal","billing_code_type":"CDT","billing_code_type_version":"2024","billing_code":"D6722","description":"Crown resin w/noble metal","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MABF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KDBE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-3AGP3","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"3AGP3","description":"HIPPS-3AGP3","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-PA18C","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"PA18C","description":"HIPPS-PA18C","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-3AFK2","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"3AFK2","description":"HIPPS-3AFK2","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JFMC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MJDE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"IHIE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-ES12A","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"ES12A","description":"HIPPS-ES12A","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KHDD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OGEB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Non-routine bl draw 3/> yrs","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"36410","description":"Non-routine bl draw 3/> yrs","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Patient Or Care Partner Decline Assessment","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G0036","description":"Patient Or Care Partner Decline Assessment","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GDFF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KDSD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"PGQA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RMA14","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RMA14","description":"HIPPS-RMA14","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NKAC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"E & M Of Beneficiary_S Ac Change Cond Nsg Fac","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G9685","description":"E & M Of Beneficiary_S Ac Change Cond Nsg Fac","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KAOE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"IHHC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Ho flex frejka w/cov pre cst","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"L1600","description":"Ho flex frejka w/cov pre cst","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Spec childcare waiver 15 min","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"T2027","description":"Spec childcare waiver 15 min","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-1BHN4","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"1BHN4","description":"HIPPS-1BHN4","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Remove nasal foreign body","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"30300","description":"Remove nasal foreign body","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Immunoassay quant nos nonab","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"83520","description":"Immunoassay quant nos nonab","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Resect hip tum incl acetabul","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"27076","description":"Resect hip tum incl acetabul","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Change ureter stent percut","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"50382","description":"Change ureter stent percut","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BDNA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FFIE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Parenteral sol hepatic fream","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"B5200","description":"Parenteral sol hepatic fream","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Drug delivery system >=50 ml","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"A4305","description":"Drug delivery system >=50 ml","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Body fluid specific gravity","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"84315","description":"Body fluid specific gravity","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KIRF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Esrd home pt srv p day 12-19","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"90969","description":"Esrd home pt srv p day 12-19","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OCUA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-LE24C","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"LE24C","description":"HIPPS-LE24C","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KACF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Sgd prerec msg > 40 min","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"E2506","description":"Sgd prerec msg > 40 min","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Bk removable medial brim sus","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"L5672","description":"Bk removable medial brim sus","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NHHD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BCAB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-BB24C","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"BB24C","description":"HIPPS-BB24C","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Radiation cone locator","billing_code_type":"CDT","billing_code_type_version":"2024","billing_code":"D5985","description":"Radiation cone locator","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NLKA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-LE28C","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"LE28C","description":"HIPPS-LE28C","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CIJB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NCMD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Med list docd in rcrd","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"1159F","description":"Med list docd in rcrd","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RMB12","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RMB12","description":"HIPPS-RMB12","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Soft tissue allograft","billing_code_type":"CDT","billing_code_type_version":"2024","billing_code":"D4275","description":"Soft tissue allograft","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"EDTC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OAEE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FEKB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CIXD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KBBD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Insert picvad cath","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"36571","description":"Insert picvad cath","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NCBA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Igk rearrangeabn clonal pop","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"81264","description":"Igk rearrangeabn clonal pop","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FBPE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RUC54","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RUC54","description":"HIPPS-RUC54","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"IIME1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Gi prophylaxis for nsaid rx","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"4017F","description":"Gi prophylaxis for nsaid rx","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RLX4A","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RLX4A","description":"HIPPS-RLX4A","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Chemodenervation of abductor","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"S2340","description":"Chemodenervation of abductor","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OBYF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-A0405","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"A0405","description":"HCPCS-A0405","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"ADCD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"PKWC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Pp eval/edu perf","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G9357","description":"Pp eval/edu perf","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Drainage of gum lesion","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"41800","description":"Drainage of gum lesion","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Neurology (autism spectrum disorder [ASD])_ quantitative measurements of 14 acyl carnitines and microbiome-derived metabolites_ liquid chromatography with tandem mass spectrom","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0322U","description":"Neurology (autism spectrum disorder [ASD])_ quantitative measurements of 14 acyl carnitines and microbiome-derived metabolites_ liquid chromatography with tandem mass spectrom","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KBCA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Alcohol and/or drug preventi","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"H0024","description":"Alcohol and/or drug preventi","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OBOB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Injection_ prothrombin complex concentrate_ human-lans_ per i.u. of factor ix activity","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"J7165","description":"Injection_ prothrombin complex concentrate_ human-lans_ per i.u. of factor ix activity","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Powered upper extremity range of motion assist device_ elbow_ wrist_ hand_ finger_ single or double upright(s)_ includes microp","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"L8702","description":"Powered upper extremity range of motion assist device_ elbow_ wrist_ hand_ finger_ single or double upright(s)_ includes microp","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"IETA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-LD151","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"LD151","description":"HIPPS-LD151","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Ca tx e-stim electr/transduc","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"A4555","description":"Ca tx e-stim electr/transduc","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Anesth sternal debridement","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"55051","description":"Anesth sternal debridement","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Electric heat pad standard","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"E0210","description":"Electric heat pad standard","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"PKWE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FBBF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FGTD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Rails bed side half length","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"E0305","description":"Rails bed side half length","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-LD10D","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"LD10D","description":"HIPPS-LD10D","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MEEF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OAFA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Laryngoscopy with injection","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"C9742","description":"Laryngoscopy with injection","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Implant/replace hearing aid","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"69710","description":"Implant/replace hearing aid","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JGIC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OARA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Med serv eve/wkend/holiday","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"99051","description":"Med serv eve/wkend/holiday","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Removal of forehead wrinkles","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"15824","description":"Removal of forehead wrinkles","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Dimecaprol injection","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"J0470","description":"Dimecaprol injection","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Fun stat score neck/ts >=0","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G8671","description":"Fun stat score neck/ts >=0","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GIXF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FAPD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Revise gastric port open","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"43886","description":"Revise gastric port open","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-PD151","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"PD151","description":"HIPPS-PD151","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Path rpt malig cancer docd","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"3317F","description":"Path rpt malig cancer docd","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Gingival irrigation per quad","billing_code_type":"CDT","billing_code_type_version":"2024","billing_code":"D4921","description":"Gingival irrigation per quad","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GBIE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Prolong clincl staff svc add","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"99416","description":"Prolong clincl staff svc add","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Fusion of finger tendons","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"26471","description":"Fusion of finger tendons","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Removal of anal fissure","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"46200","description":"Removal of anal fissure","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Hospice long term care_ r&b","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"T2046","description":"Hospice long term care_ r&b","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GAXC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GHFF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BFMC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MGUE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-PE18B","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"PE18B","description":"HIPPS-PE18B","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OCBB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OGWD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"X-ray exam of foot","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"73630","description":"X-ray exam of foot","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JFCA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Echo exam of eye","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"76519","description":"Echo exam of eye","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"HCRF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GAAE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OJAF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BBCA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KCOC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CEJF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BBLA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Aud rehab pre-ling hear loss","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"92630","description":"Aud rehab pre-ling hear loss","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GBJC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Ped size pull-on lg","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"T4532","description":"Ped size pull-on lg","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"PKYD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"PJYF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JHPE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OJXC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"PIOA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Occlude fallopian tube(s)","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"58615","description":"Occlude fallopian tube(s)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"IDIA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Bronchoscopy_ rigid or flexible_ transbronchial ablation of lesion(s) by microwave energy_ including fluoroscopic guidance_ whe","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"C9751","description":"Bronchoscopy_ rigid or flexible_ transbronchial ablation of lesion(s) by microwave energy_ including fluoroscopic guidance_ whe","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JBBF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"CPT-92642","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"92642","description":"CPT-92642","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"AHHB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-A5103","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"A5103","description":"HCPCS-A5103","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JIVF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OCEB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Patients who have had a hysterectomy","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G9774","description":"Patients who have had a hysterectomy","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Digitization of glass microscope slides for immunofluorescence_ per specimen; each additional single antibody stain procedure (List separately in addition to code for primary","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0846T","description":"Digitization of glass microscope slides for immunofluorescence_ per specimen; each additional single antibody stain procedure (List separately in addition to code for primary","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"O2 saturation doc rev","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"3028F","description":"O2 saturation doc rev","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HH PDGM","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"3KA31","description":"HH PDGM","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-J9186","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"J9186","description":"HCPCS-J9186","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-HC155","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"HC155","description":"HIPPS-HC155","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-1CFP1","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"1CFP1","description":"HIPPS-1CFP1","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"ODBD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NJFB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"HEOA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"EGEE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"EFBA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-CB116","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"CB116","description":"HIPPS-CB116","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Prfrmnc docd 2 wks b/4 surg","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"3328F","description":"Prfrmnc docd 2 wks b/4 surg","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"CPT-1072T","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"1072T","description":"CPT-1072T","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KEJF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"IDIE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NKLF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MLMA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-HB101","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"HB101","description":"HIPPS-HB101","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Removal of brain lesion","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"61536","description":"Removal of brain lesion","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GHJF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Ovine_ 1000 usp units","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"J3472","description":"Ovine_ 1000 usp units","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-1BGP4","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"1BGP4","description":"HIPPS-1BGP4","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Severity angina by actvty","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"1010F","description":"Severity angina by actvty","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Fun stat score shdl pt no el","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G8665","description":"Fun stat score shdl pt no el","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Morcellator","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"C1782","description":"Morcellator","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-PD11C","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"PD11C","description":"HIPPS-PD11C","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Stoma absorptive cover","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"A5083","description":"Stoma absorptive cover","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"DCWF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FGJB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Biopsy or excision of lymph node(s); open_ inguinofemoral node(s)","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"38531","description":"Biopsy or excision of lymph node(s); open_ inguinofemoral node(s)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Plate pheres leukoredu irrad","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"P9037","description":"Plate pheres leukoredu irrad","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-1BGN5","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"1BGN5","description":"HIPPS-1BGN5","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Glaucoma scrn hgh risk direc","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G0117","description":"Glaucoma scrn hgh risk direc","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FCKB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"IECD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Thyrotropin injection","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"J3240","description":"Thyrotropin injection","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RMX05","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RMX05","description":"HIPPS-RMX05","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Treat wrist dislocation","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"25676","description":"Treat wrist dislocation","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Incision of brow nerve","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"64732","description":"Incision of brow nerve","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-3AGMS","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"3AGMS","description":"HIPPS-3AGMS","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CHAA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"CDT-D1902","billing_code_type":"CDT","billing_code_type_version":"2026","billing_code":"D1902","description":"CDT-D1902","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Adult size pull-on med","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"T4526","description":"Adult size pull-on med","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Hematology (autosomal dominant congenital thrombocytopenia)_ genomic sequence analysis of 14 genes_ blood_ buccal swab_ or amniotic fluid (Versiti™ Autosomal Dominant Thromboc","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0269U","description":"Hematology (autosomal dominant congenital thrombocytopenia)_ genomic sequence analysis of 14 genes_ blood_ buccal swab_ or amniotic fluid (Versiti™ Autosomal Dominant Thromboc","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BFDA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JHDD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Dermapure 1 square cm","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"Q4152","description":"Dermapure 1 square cm","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NGBF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RUA4A","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RUA4A","description":"HIPPS-RUA4A","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KFFD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-2BHL1","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"2BHL1","description":"HIPPS-2BHL1","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BBPB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NCHE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GBPF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Biopsy oocyte polar body","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"89290","description":"Biopsy oocyte polar body","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Approp diuretic tstng done","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"4190F","description":"Approp diuretic tstng done","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FFND0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BBAA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Plmt biliary drainage cath","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"47534","description":"Plmt biliary drainage cath","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Treat knee fracture","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"27536","description":"Treat knee fracture","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KAWE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RHB1B","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RHB1B","description":"HIPPS-RHB1B","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CDGD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-L6038","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"L6038","description":"HCPCS-L6038","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GBAB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Finasteride_ 5 mg","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"S0138","description":"Finasteride_ 5 mg","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GFSF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CEVC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NHXC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Ct hrt w/o dye w/ca test","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"75571","description":"Ct hrt w/o dye w/ca test","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-HB150","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"HB150","description":"HIPPS-HB150","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RHC26","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RHC26","description":"HIPPS-RHC26","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Hair removal by electrolysis","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"17380","description":"Hair removal by electrolysis","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"The Start Of An Episode Of Care Documented In The Medical Record","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"M1136","description":"The Start Of An Episode Of Care Documented In The Medical Record","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KHDF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Interim labor facility globa","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"S4005","description":"Interim labor facility globa","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Lang comp goal status","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G9160","description":"Lang comp goal status","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Insert balloon device","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"33973","description":"Insert balloon device","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"EDUB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MLUB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Normal blood pressure reading documented_ follow-up not required","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"M1294","description":"Normal blood pressure reading documented_ follow-up not required","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Transplant of thigh tendon","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"27396","description":"Transplant of thigh tendon","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KDQA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-4BHK4","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"4BHK4","description":"HIPPS-4BHK4","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-4AGMV","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"4AGMV","description":"HIPPS-4AGMV","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Respiratory syncytial virus_ monoclonal antibody_ seasonal dose; 0.5 mL dosage_ for intramuscular use","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"90380","description":"Respiratory syncytial virus_ monoclonal antibody_ seasonal dose; 0.5 mL dosage_ for intramuscular use","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NIFF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"ICCA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OEGA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Hepatitis c ab test","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"86803","description":"Hepatitis c ab test","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"IDIE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GGSE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BCPF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JHBF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Hip core decompression","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"S2325","description":"Hip core decompression","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Remove/repair hearing aid","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"69711","description":"Remove/repair hearing aid","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"IABB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GFUB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Sgd sftwre prgrm for pc/pda","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"E2511","description":"Sgd sftwre prgrm for pc/pda","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Implant neuroelectrodes","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"64575","description":"Implant neuroelectrodes","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RMX35","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RMX35","description":"HIPPS-RMX35","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Infectious agent detection by nucleic acid (DNA)_ genitourinary pathogens_ identification of 20 bacterial and fungal organisms_ including identification of 20 associated antib","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0416U","description":"Infectious agent detection by nucleic acid (DNA)_ genitourinary pathogens_ identification of 20 bacterial and fungal organisms_ including identification of 20 associated antib","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Nasal/sinus endoscopy_ cryoablation nasal tissue(s) and/or nerve(s)_ unilateral or bilateral","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"C9771","description":"Nasal/sinus endoscopy_ cryoablation nasal tissue(s) and/or nerve(s)_ unilateral or bilateral","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OEWB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Injection_ bortezomib (hospira)_ not therapeutically equivalent to j9041_ 0.1 mg","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"J9049","description":"Injection_ bortezomib (hospira)_ not therapeutically equivalent to j9041_ 0.1 mg","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BFKE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Histoplasma antibody","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"86698","description":"Histoplasma antibody","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-BA106","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"BA106","description":"HIPPS-BA106","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FFUD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-3AHP6","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"3AHP6","description":"HIPPS-3AHP6","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Custom abutment","billing_code_type":"CDT","billing_code_type_version":"2024","billing_code":"D6057","description":"Custom abutment","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RUL43","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RUL43","description":"HIPPS-RUL43","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-HE23A","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"HE23A","description":"HIPPS-HE23A","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FDUA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JCCA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Ecg monit/reprt up to 48 hrs","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"93227","description":"Ecg monit/reprt up to 48 hrs","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-PC111","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"PC111","description":"HIPPS-PC111","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"CPT-64473","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"64473","description":"CPT-64473","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Patient Did Not Receive At Least One Dose Of The Herpes Zoster Live Vaccine Or Two Doses Of The Herpes Zoster Recombinant Vaccine (At Least 28 Days Apart) Anytime On Or After","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G2162","description":"Patient Did Not Receive At Least One Dose Of The Herpes Zoster Live Vaccine Or Two Doses Of The Herpes Zoster Recombinant Vaccine (At Least 28 Days Apart) Anytime On Or After","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"IHED0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MFUD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CGFA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Exhaled breath condensate","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"83987","description":"Exhaled breath condensate","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-A0904","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"A0904","description":"HCPCS-A0904","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CCXF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KGJB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"CPT-0511U","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"0511U","description":"CPT-0511U","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-CE28G","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"CE28G","description":"HIPPS-CE28G","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GDUA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NHXE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Assay of hemosiderin qual","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"83070","description":"Assay of hemosiderin qual","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"DIYB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"HDRC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BITB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Treat finger dislocation","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"26775","description":"Treat finger dislocation","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KFFA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OHTF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Chromatography_ quantitative_ column (eg_ gas liquid or hplc); single analyte not elsewhere specified_ single stationary and mobile phase","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"82491","description":"Chromatography_ quantitative_ column (eg_ gas liquid or hplc); single analyte not elsewhere specified_ single stationary and mobile phase","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"AHCF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JGHD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Repair bowel-bladder fistula","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"44660","description":"Repair bowel-bladder fistula","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CCCF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Revise major vessel","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"33820","description":"Revise major vessel","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GEJA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Injection for ureter x-ray","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"50684","description":"Injection for ureter x-ray","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RMA42","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RMA42","description":"HIPPS-RMA42","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OAEC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KBQF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Tc99m depreotide","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"A9536","description":"Tc99m depreotide","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-4AGK4","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"4AGK4","description":"HIPPS-4AGK4","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"CYP3A4 (cytochrome P450 family 3 subfamily A member 4) (eg_ drug metabolism)_ gene analysis_ common variant(s) (eg_ *2_ *22)","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"81230","description":"CYP3A4 (cytochrome P450 family 3 subfamily A member 4) (eg_ drug metabolism)_ gene analysis_ common variant(s) (eg_ *2_ *22)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FDMC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CDMC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Cool quant sensory test","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0108T","description":"Cool quant sensory test","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-PC205","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"PC205","description":"HIPPS-PC205","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Cystouretero & or pyeloscope","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"52351","description":"Cystouretero & or pyeloscope","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BHMB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Oncology (breast)_ mRNA_ gene expression profiling by real-time RT-PCR of 11 genes (7 content and 4 housekeeping)_ utilizing formalin-fixed paraffin-embedded tissue_ algorithm","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"81518","description":"Oncology (breast)_ mRNA_ gene expression profiling by real-time RT-PCR of 11 genes (7 content and 4 housekeeping)_ utilizing formalin-fixed paraffin-embedded tissue_ algorithm","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Radiologic examination_ hip_ unilateral; complete_ minimum of two views","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"73510","description":"Radiologic examination_ hip_ unilateral; complete_ minimum of two views","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Ablate atria w/o bypass ext","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"33255","description":"Ablate atria w/o bypass ext","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Echo guide for heart biopsy","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"76932","description":"Echo guide for heart biopsy","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"ODLF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KIAD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"AIAB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Remove inner ear","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"69905","description":"Remove inner ear","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"PLYF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Cardiac output measurement","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"93561","description":"Cardiac output measurement","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KECC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Thyroid uptake measurement","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"78012","description":"Thyroid uptake measurement","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BGEB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GDHF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Gradient compression stocking_ waist length_ 30-40 mmhg_ custom_ each","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"A6563","description":"Gradient compression stocking_ waist length_ 30-40 mmhg_ custom_ each","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Com wrap-around sv_ per diem","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"H2022","description":"Com wrap-around sv_ per diem","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Egd injection varices","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"43243","description":"Egd injection varices","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-ES24B","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"ES24B","description":"HIPPS-ES24B","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-1CFL6","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"1CFL6","description":"HIPPS-1CFL6","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Patients who had follow-up assessment 30 to 180 days after the index assessment who demonstrated positive improvement or maintenance of functioning scores during the performan","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"M1339","description":"Patients who had follow-up assessment 30 to 180 days after the index assessment who demonstrated positive improvement or maintenance of functioning scores during the performan","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MHHD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Excise mandible lesion","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"21040","description":"Excise mandible lesion","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KGYC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FILC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"IHUB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"DARD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GBFB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JDID0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-PE230","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"PE230","description":"HIPPS-PE230","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MLBD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GENB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KDBB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Removal of nose lesion","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"30124","description":"Removal of nose lesion","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Satisfy survey not complete","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G0917","description":"Satisfy survey not complete","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JEGC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FITB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"EFUD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Drug screening buprenorphine","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"80348","description":"Drug screening buprenorphine","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OACE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Art trnsposj subclavian","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"35693","description":"Art trnsposj subclavian","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-CA22B","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"CA22B","description":"HIPPS-CA22B","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KIYF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Antidepressant not specified","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"80338","description":"Antidepressant not specified","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Tcranial magn stim tx deli","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"90868","description":"Tcranial magn stim tx deli","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Breast reconstruction","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"19357","description":"Breast reconstruction","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Oncology (prostate cancer)_ image analysis of at least 128 histologic features and clinical factors_ prognostic algorithm determining the risk of distant metastases_ and prost","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0376U","description":"Oncology (prostate cancer)_ image analysis of at least 128 histologic features and clinical factors_ prognostic algorithm determining the risk of distant metastases_ and prost","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KIOD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CHNF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GGNC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"IBUA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-CA23A","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"CA23A","description":"HIPPS-CA23A","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MLIB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GGCB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Reconstruct lip with flap","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"40525","description":"Reconstruct lip with flap","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Anesth bladder tumor surg","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"91251","description":"Anesth bladder tumor surg","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Vein access cutdown > 1 yr","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"36425","description":"Vein access cutdown > 1 yr","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"PLSC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GBIC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"PBSC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Intrnl bleaching per tooth","billing_code_type":"CDT","billing_code_type_version":"2024","billing_code":"D9974","description":"Intrnl bleaching per tooth","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"ADBA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Explore/repair chest","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"32110","description":"Explore/repair chest","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JHND0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NJCB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Nursing care in home rn","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"S9123","description":"Nursing care in home rn","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MKMA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Orbital replacement","billing_code_type":"CDT","billing_code_type_version":"2024","billing_code":"D5928","description":"Orbital replacement","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"AAEF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"ECLD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-CE18D","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"CE18D","description":"HIPPS-CE18D","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Ascending aortic graft","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"33860","description":"Ascending aortic graft","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Tendon excision palm/finger","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"26145","description":"Tendon excision palm/finger","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OAXE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Gauze > 48 sq in water/salne","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"A6230","description":"Gauze > 48 sq in water/salne","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GHTA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"IHUB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Application of long arm cast","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"29065","description":"Application of long arm cast","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Measure blood oxygen level","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"94761","description":"Measure blood oxygen level","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Hepb vaccine 3 dose adult im","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"90746","description":"Hepb vaccine 3 dose adult im","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GCFC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MEDE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NITD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JBJF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"PKOF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-CC28B","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"CC28B","description":"HIPPS-CC28B","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FFVD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CGYF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GHJC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Pediatric Patient With Minor Blunt Head Trauma And Pecarn Prediction Criteria Are Not Assessed","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G0047","description":"Pediatric Patient With Minor Blunt Head Trauma And Pecarn Prediction Criteria Are Not Assessed","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Incision of heel bone","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"28300","description":"Incision of heel bone","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Insert cath pleura w/ image","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"32557","description":"Insert cath pleura w/ image","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GEFA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Patient approved by a qualified transplant program and scheduled to receive a living donor kidney transplant","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G9748","description":"Patient approved by a qualified transplant program and scheduled to receive a living donor kidney transplant","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OHFC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CBHB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"EDMF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Androstanediol glucuronide","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"82154","description":"Androstanediol glucuronide","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Bone marrow aspirate &biopsy","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G0364","description":"Bone marrow aspirate &biopsy","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MLEE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MHHB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-HD25D","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"HD25D","description":"HIPPS-HD25D","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Pacemaker monitr audible/vis","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"E0610","description":"Pacemaker monitr audible/vis","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"EBAF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Cst noble mtl inlay >=3 surf","billing_code_type":"CDT","billing_code_type_version":"2024","billing_code":"D6607","description":"Cst noble mtl inlay >=3 surf","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Contrast x-ray of elbow","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"73085","description":"Contrast x-ray of elbow","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Pul art balloon repr percut","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"92998","description":"Pul art balloon repr percut","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-1BGK1","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"1BGK1","description":"HIPPS-1BGK1","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Biovance 1 square cm","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"Q4154","description":"Biovance 1 square cm","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Pwc gp2 vhd sing pow opt s/b","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"K0839","description":"Pwc gp2 vhd sing pow opt s/b","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CDJF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GCLD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KBGA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KIAB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CBAE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Radiopharm rx agent noc","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"A9699","description":"Radiopharm rx agent noc","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KHMA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"HAYA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FBLB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Electric breast pump","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"E0603","description":"Electric breast pump","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Wound srfc culturetech used","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"4260F","description":"Wound srfc culturetech used","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-PB12B","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"PB12B","description":"HIPPS-PB12B","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Removal of residual cervix","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"57550","description":"Removal of residual cervix","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"DGWC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Revision of ankle joint","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"27700","description":"Revision of ankle joint","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-A0702","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"A0702","description":"HCPCS-A0702","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"AGTF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OFWF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RHA51","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RHA51","description":"HIPPS-RHA51","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NIEA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Atropine sulfate injection","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"J0461","description":"Atropine sulfate injection","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KBHF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Formoterol fumarate_ inh","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"J7606","description":"Formoterol fumarate_ inh","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Syst antimicrobial thx rx","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"4131F","description":"Syst antimicrobial thx rx","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KGVF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Documentation of medical reason for not conducting a search for DICOM format images for prior patient CT imaging studies completed at non-affiliated external healthcare facili","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G9753","description":"Documentation of medical reason for not conducting a search for DICOM format images for prior patient CT imaging studies completed at non-affiliated external healthcare facili","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BFTD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RVB43","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RVB43","description":"HIPPS-RVB43","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-PD12C","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"PD12C","description":"HIPPS-PD12C","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BENE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"EAEF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"CPT-00750","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"00750","description":"CPT-00750","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OJRE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Ther/proph/diag iv inf addon","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"96366","description":"Ther/proph/diag iv inf addon","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KHHE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BABC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Revision of diaphragm","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"39545","description":"Revision of diaphragm","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RLX3D","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RLX3D","description":"HIPPS-RLX3D","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-CD214","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"CD214","description":"HIPPS-CD214","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-1CHKV","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"1CHKV","description":"HIPPS-1CHKV","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NLTF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GIGA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RHC43","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RHC43","description":"HIPPS-RHC43","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Remove anal fist complex","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"46280","description":"Remove anal fist complex","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KIFC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JHNE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RHX1C","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RHX1C","description":"HIPPS-RHX1C","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Ldl-c >/= 130 mg/dl","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"3050F","description":"Ldl-c >/= 130 mg/dl","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OKLE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KHSB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GIQD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"AEDC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Injection_ elotuzumab_ 1mg (Empliciti)","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"C9477","description":"Injection_ elotuzumab_ 1mg (Empliciti)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-5AHK3","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"5AHK3","description":"HIPPS-5AHK3","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KBOC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GDGC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FHDF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FCDC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-M1387","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"M1387","description":"HCPCS-M1387","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GCIB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-M1485","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"M1485","description":"HCPCS-M1485","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Ob us limited fetus(s)","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"76815","description":"Ob us limited fetus(s)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"DDYB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-3BHN4","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"3BHN4","description":"HIPPS-3BHN4","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NFTA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OAEE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Crown full base metal cast","billing_code_type":"CDT","billing_code_type_version":"2024","billing_code":"D6791","description":"Crown full base metal cast","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"3D printing of a 3D dental surfacet scan","billing_code_type":"CDT","billing_code_type_version":"2024","billing_code":"D0396","description":"3D printing of a 3D dental surfacet scan","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GGJB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JDFE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Amputate hand at wrist","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"25920","description":"Amputate hand at wrist","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Treat spinal canal lesion","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"62282","description":"Treat spinal canal lesion","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-1BHM3","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"1BHM3","description":"HIPPS-1BHM3","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GELE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KFQD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-LD24C","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"LD24C","description":"HIPPS-LD24C","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-LC23D","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"LC23D","description":"HIPPS-LC23D","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Optical endomicroscpy interp","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"88375","description":"Optical endomicroscpy interp","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Assay of csf protein","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"83873","description":"Assay of csf protein","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KHLA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"IFDA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CEKC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Pulmonary compliance study","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"94750","description":"Pulmonary compliance study","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-2CHMS","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"2CHMS","description":"HIPPS-2CHMS","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-2CGKU","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"2CGKU","description":"HIPPS-2CGKU","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FETB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CAXD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Assay activated protein c","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"85307","description":"Assay activated protein c","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Impact tooth remov part bony","billing_code_type":"CDT","billing_code_type_version":"2024","billing_code":"D7230","description":"Impact tooth remov part bony","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OLHA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NENB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HH PDGM","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"1AB11","description":"HH PDGM","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Macul result phy/qhp mng dm","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"5010F","description":"Macul result phy/qhp mng dm","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JEKC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MITB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Patient had cancer_ fracture or infection related to the lumbar spine or patient had idiopathic or congenital scoliosis","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"M1041","description":"Patient had cancer_ fracture or infection related to the lumbar spine or patient had idiopathic or congenital scoliosis","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Afo sing upright w/ adjust s","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"L1920","description":"Afo sing upright w/ adjust s","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Laparoscope proc esoph","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"43289","description":"Laparoscope proc esoph","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OLYA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BHEE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NGNE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-1AHKT","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"1AHKT","description":"HIPPS-1AHKT","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Current tobacco non-user","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"M1316","description":"Current tobacco non-user","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"AFHD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BCFE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OASF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JBKE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Pov group 1 std up to 300lbs","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"K0800","description":"Pov group 1 std up to 300lbs","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NJUD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Removal of stomach partial","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"43632","description":"Removal of stomach partial","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"ADLB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OBAD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GHMA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Fqhc visit_ estab pt","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G0467","description":"Fqhc visit_ estab pt","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FGCF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Replace/irrigate catheter","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"62225","description":"Replace/irrigate catheter","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KGVB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FCGE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KAAA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Electronic analysis of implanted neurostimulator pulse generator system (eg_ rate_ pulse amplitude and duration_ battery status_ electrode selectability and polarity_ impedanc","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"95978","description":"Electronic analysis of implanted neurostimulator pulse generator system (eg_ rate_ pulse amplitude and duration_ battery status_ electrode selectability and polarity_ impedanc","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Injection_ cemiplimab-rwlc_ 1mg","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"C9044","description":"Injection_ cemiplimab-rwlc_ 1mg","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-3AGM5","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"3AGM5","description":"HIPPS-3AGM5","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Assay of somatostatin","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"84307","description":"Assay of somatostatin","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KEGF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FIBA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Valvuloplasty_ aortic valve_ open_ with cardiopulmonary bypass; simple (ie_ valvotomy_ debridement_ debulking_ and/or simple commissural resuspension)","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"33390","description":"Valvuloplasty_ aortic valve_ open_ with cardiopulmonary bypass; simple (ie_ valvotomy_ debridement_ debulking_ and/or simple commissural resuspension)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-HE111","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"HE111","description":"HIPPS-HE111","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NAKF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Partial removal of heart sac","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"33030","description":"Partial removal of heart sac","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Tc99 tilmanocept diag 0.5mci","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"A9520","description":"Tc99 tilmanocept diag 0.5mci","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Destruction anal lesion(s)","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"46900","description":"Destruction anal lesion(s)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MDIE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GBVA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Treatment of penis lesion","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"54220","description":"Treatment of penis lesion","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BIKC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"CPT-0478U","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"0478U","description":"CPT-0478U","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KICF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Add metal substructure to acrylic full denture (per arch)","billing_code_type":"CDT","billing_code_type_version":"2024","billing_code":"D5876","description":"Add metal substructure to acrylic full denture (per arch)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Breast tomosynthesis bi","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"77063","description":"Breast tomosynthesis bi","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"IFLD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Shldr disartic switch contro","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"L6960","description":"Shldr disartic switch contro","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KEUF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Fluoro polarize fetal lung","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"83663","description":"Fluoro polarize fetal lung","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MKBD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Catheterize for urine spec","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"P9612","description":"Catheterize for urine spec","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GGHA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Assay of histamine","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"83088","description":"Assay of histamine","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BBJB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-PE14C","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"PE14C","description":"HIPPS-PE14C","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"CPT-01250","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"01250","description":"CPT-01250","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"EDEE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"No smok b/4 anes day of surg","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G9644","description":"No smok b/4 anes day of surg","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Wc van mileage per mi","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"S0209","description":"Wc van mileage per mi","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"IHAC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GBBB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Dna/rna direct probe","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"87149","description":"Dna/rna direct probe","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Abl1 gene","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"81170","description":"Abl1 gene","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-PD15C","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"PD15C","description":"HIPPS-PD15C","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BCXB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NDIE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-PE231","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"PE231","description":"HIPPS-PE231","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-1BHN5","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"1BHN5","description":"HIPPS-1BHN5","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Face-To-Face Hh Nsg Vst Rhc/Fqhc Area Shtg Hha","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G0490","description":"Face-To-Face Hh Nsg Vst Rhc/Fqhc Area Shtg Hha","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OKTD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FGLD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-M1376","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"M1376","description":"HCPCS-M1376","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-CE28D","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"CE28D","description":"HIPPS-CE28D","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"I131 iodobenguate_ dx","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"A9508","description":"I131 iodobenguate_ dx","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-HB240","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"HB240","description":"HIPPS-HB240","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Integrated keratoprosthesis","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"C1818","description":"Integrated keratoprosthesis","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"ODED0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Subsequent psychiatric collaborative care management_ first 60 minutes in a subsequent month of behavioral health care manager activities_ in consultation with a psychiatric c","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G0503","description":"Subsequent psychiatric collaborative care management_ first 60 minutes in a subsequent month of behavioral health care manager activities_ in consultation with a psychiatric c","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KDJD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"DDSC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"AFTE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-HD101","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"HD101","description":"HIPPS-HD101","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OKDE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RVX45","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RVX45","description":"HIPPS-RVX45","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NGVB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"IEHD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"PISC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Bronchoscopy_ rigid or flexible_ including fluoroscopic guidance_ when performed; with therapeutic aspiration of tracheobronchial tree_ initial","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"31645","description":"Bronchoscopy_ rigid or flexible_ including fluoroscopic guidance_ when performed; with therapeutic aspiration of tracheobronchial tree_ initial","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"IEEA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GARB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HH PDGM","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"4KA11","description":"HH PDGM","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RUL56","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RUL56","description":"HIPPS-RUL56","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BIXF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"4-bar link above knee w/swng","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"L5614","description":"4-bar link above knee w/swng","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-PE111","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"PE111","description":"HIPPS-PE111","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"PAYC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"LFQB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"EHMD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CEMD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BEME0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KDVB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CFQA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Op rad mg intent","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G9238","description":"Op rad mg intent","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"AETA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Repair artery blockage each","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"75968","description":"Repair artery blockage each","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Vein x-ray liver w/o hemodyn","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"75887","description":"Vein x-ray liver w/o hemodyn","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KHGD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"DEOB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RUA01","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RUA01","description":"HIPPS-RUA01","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Periph field stimul revise","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0284T","description":"Periph field stimul revise","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"CPT-0607U","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"0607U","description":"CPT-0607U","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OKHA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RMX3C","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RMX3C","description":"HIPPS-RMX3C","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CEYE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"AEUC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FECA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Art byp grft aortbifemoral","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"35540","description":"Art byp grft aortbifemoral","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Exam/biopsy of vulva w/scope","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"56821","description":"Exam/biopsy of vulva w/scope","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OJLE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CFNE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KETF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Esophagoscp rig trnso biopsy","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"43193","description":"Esophagoscp rig trnso biopsy","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Rpr ing hernia init blocked","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"49501","description":"Rpr ing hernia init blocked","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Alcohol and/or drug services","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"H0019","description":"Alcohol and/or drug services","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-M1489","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"M1489","description":"HCPCS-M1489","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"W/c acc_saf belt pelv strap","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"E0978","description":"W/c acc_saf belt pelv strap","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MHLB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Dimenhydrinate injection","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"J1240","description":"Dimenhydrinate injection","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Medical home_ initial plan","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"S0280","description":"Medical home_ initial plan","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-CB18H","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"CB18H","description":"HIPPS-CB18H","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-LB213","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"LB213","description":"HIPPS-LB213","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GGEB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FADE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Reopen fallopian tube","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"58345","description":"Reopen fallopian tube","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Family assessment","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"H1011","description":"Family assessment","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CFKA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KCBA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"ODVF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JCBC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"HDWC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JCKB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Rna tstng hepc vir ord/docd","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"3265F","description":"Rna tstng hepc vir ord/docd","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Group behave couns 2-10","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G0473","description":"Group behave couns 2-10","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CGOF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Treatment of ankle fracture","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"27816","description":"Treatment of ankle fracture","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RUB11","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RUB11","description":"HIPPS-RUB11","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KHMB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Collagen dressing <=16 sq in","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"A6021","description":"Collagen dressing <=16 sq in","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Immunoassay tumor ca 15-3","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"86300","description":"Immunoassay tumor ca 15-3","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NAHF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Revise eye sockets","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"21263","description":"Revise eye sockets","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MGTD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NEGD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-CB12B","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"CB12B","description":"HIPPS-CB12B","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"ADCA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NKKE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JFIA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"DIWC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Exoskeletal bk ultralt mater","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"L5785","description":"Exoskeletal bk ultralt mater","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Fem urinary collect dev cup","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"A4327","description":"Fem urinary collect dev cup","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MAAE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Injection_ pafolacianine_ 0.1 mg","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"A9603","description":"Injection_ pafolacianine_ 0.1 mg","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Alveoloplasty w/extract 1-3","billing_code_type":"CDT","billing_code_type_version":"2024","billing_code":"D7311","description":"Alveoloplasty w/extract 1-3","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Vitamin B-12 absorption study (eg_ Schilling test); without intrinsic factor","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"78270","description":"Vitamin B-12 absorption study (eg_ Schilling test); without intrinsic factor","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-CC10C","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"CC10C","description":"HIPPS-CC10C","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CIDE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Biopsy of soft tissues","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"27040","description":"Biopsy of soft tissues","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GFSE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OLRE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JGMF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Cystoscopy & ureter catheter","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"52005","description":"Cystoscopy & ureter catheter","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Fev<60% pred & copd sym","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G8924","description":"Fev<60% pred & copd sym","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MFLD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HH PDGM","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"2EB11","description":"HH PDGM","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NCIE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"IGEB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Replace pretibial shell","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"L4130","description":"Replace pretibial shell","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CAEE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RLX17","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RLX17","description":"HIPPS-RLX17","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Carpal tunnel surgery","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"64721","description":"Carpal tunnel surgery","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GDND0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-ES38I","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"ES38I","description":"HIPPS-ES38I","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RVL4B","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RVL4B","description":"HIPPS-RVL4B","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BFIC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RMB8I","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RMB8I","description":"HIPPS-RMB8I","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BEMA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CIVA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BAFD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FIGA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-2BHM1","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"2BHM1","description":"HIPPS-2BHM1","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OKGA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"PCRC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Buprenorphine hydrochloride","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"J0592","description":"Buprenorphine hydrochloride","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OJBA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JCXF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OEIE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-PC18F","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"PC18F","description":"HIPPS-PC18F","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NLVA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Infusion pump refill kit","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"A4220","description":"Infusion pump refill kit","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BDUC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Foot/toes surgery procedure","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"28899","description":"Foot/toes surgery procedure","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GIUD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MHUF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NLXB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CCIA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Hemophilus influenza b vaccine (hib)_ prp-d conjugate_ for booster use only_ intramuscular use","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"90646","description":"Hemophilus influenza b vaccine (hib)_ prp-d conjugate_ for booster use only_ intramuscular use","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Iv tubing extension set","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"S1015","description":"Iv tubing extension set","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-J1736","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"J1736","description":"HCPCS-J1736","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Knee arthroscopy/surgery","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"29888","description":"Knee arthroscopy/surgery","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KFBF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"PCSB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Punch biopsy of skin (including simple closure_ when performed); single lesion","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"11104","description":"Punch biopsy of skin (including simple closure_ when performed); single lesion","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Fusion of elbow joint","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"24800","description":"Fusion of elbow joint","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KIAC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NEEA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Pt doc with wrong event","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G8912","description":"Pt doc with wrong event","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Blood clot lysis time","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"85175","description":"Blood clot lysis time","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Influenza dna amp prob addl","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"87503","description":"Influenza dna amp prob addl","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OBUD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-2BGLS","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"2BGLS","description":"HIPPS-2BGLS","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Pten gene dup/delet variant","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"81323","description":"Pten gene dup/delet variant","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"PJQA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FIFE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Revise eye muscle","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"67311","description":"Revise eye muscle","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Psy evaluation of records","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"90885","description":"Psy evaluation of records","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JAPA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OLAB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"EECE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"No knee joint with artic ali","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"L5220","description":"No knee joint with artic ali","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GGSD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Exploration of hip joint","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"27033","description":"Exploration of hip joint","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Repair of cloacal anomaly","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"46744","description":"Repair of cloacal anomaly","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FBPA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JENE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NDDB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"AHLB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OGYE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Ct orbit/ear/fossa w/o dye","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"70480","description":"Ct orbit/ear/fossa w/o dye","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FECA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Revision of pulmonary artery","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"33788","description":"Revision of pulmonary artery","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-3BFKX","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"3BFKX","description":"HIPPS-3BFKX","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KFKA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Removal of jaw joint","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"21050","description":"Removal of jaw joint","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Lens sphcy bifocal 4.00d/2.1","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"V2204","description":"Lens sphcy bifocal 4.00d/2.1","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GCOE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RVX54","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RVX54","description":"HIPPS-RVX54","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-LC245","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"LC245","description":"HIPPS-LC245","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"CPT-1084T","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"1084T","description":"CPT-1084T","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Frame depth 22 to 25 in","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"E2204","description":"Frame depth 22 to 25 in","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Routine footcare pt w lops","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G0247","description":"Routine footcare pt w lops","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OKKF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Corneal transplant","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"65710","description":"Corneal transplant","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Reaching/grabbing device","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"A9281","description":"Reaching/grabbing device","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"AADE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Lacer molded to patient mode","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"L2330","description":"Lacer molded to patient mode","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FIUA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GDKF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FHJC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Inject sinus tract for x-ray","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"20501","description":"Inject sinus tract for x-ray","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BBKC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Small bowel endoscopy/stent","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"44370","description":"Small bowel endoscopy/stent","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-LB256","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"LB256","description":"HIPPS-LB256","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Calcium glycer & lact/10 ml","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"J0620","description":"Calcium glycer & lact/10 ml","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Ferumoxytol_ esrd use","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"Q0139","description":"Ferumoxytol_ esrd use","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Incis w/discectomy lumbar","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"22224","description":"Incis w/discectomy lumbar","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CARE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"MRI orbit/face/neck w/o dye","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"70540","description":"MRI orbit/face/neck w/o dye","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Pt has no resp insufficiency","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"1505F","description":"Pt has no resp insufficiency","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"HIOB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Typhoid vaccine_ acetone-killed_ dried (akd)_ for subcutaneous or jetinjection use (u.s. military)","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"90693","description":"Typhoid vaccine_ acetone-killed_ dried (akd)_ for subcutaneous or jetinjection use (u.s. military)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Alatrofloxacin mesylate","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"J0200","description":"Alatrofloxacin mesylate","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Patient lift electric","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"E0635","description":"Patient lift electric","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BHGD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RUL8F","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RUL8F","description":"HIPPS-RUL8F","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Immune admin oral/nasal","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"90473","description":"Immune admin oral/nasal","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CIQE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Digitization of glass microscope slides for cytopathology_ fluids_ washings_ or brushings_ except cervical or vaginal; smears with interpretation (List separately in addition","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0827T","description":"Digitization of glass microscope slides for cytopathology_ fluids_ washings_ or brushings_ except cervical or vaginal; smears with interpretation (List separately in addition","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Transab esoph hiat hern rpr","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"43333","description":"Transab esoph hiat hern rpr","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GHYA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Instillation_ taurolidine 1.35 mg and heparin sodium 100 units (central venous catheter lock for adult patients receiving chronic hemodialysis)","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"J0911","description":"Instillation_ taurolidine 1.35 mg and heparin sodium 100 units (central venous catheter lock for adult patients receiving chronic hemodialysis)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Malig tumor > 1.25 cm","billing_code_type":"CDT","billing_code_type_version":"2024","billing_code":"D7441","description":"Malig tumor > 1.25 cm","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NDAF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Injection_ benralizumab_ 1 mg","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"C9466","description":"Injection_ benralizumab_ 1 mg","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NEPC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KHDA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-PA21C","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"PA21C","description":"HIPPS-PA21C","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Palatal lift prosthesis","billing_code_type":"CDT","billing_code_type_version":"2024","billing_code":"D5955","description":"Palatal lift prosthesis","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-1BGLT","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"1BGLT","description":"HIPPS-1BGLT","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Home Delivered Meals-Hot Entrée","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"W1759","description":"Home Delivered Meals-Hot Entrée","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Injection_ cefotetan disodiu","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"S0074","description":"Injection_ cefotetan disodiu","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Oral everolimus","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"J7527","description":"Oral everolimus","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-G0672","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"G0672","description":"HCPCS-G0672","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Implant neuroelectrodes","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"64565","description":"Implant neuroelectrodes","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FANE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KGEB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"N block inj celiac pelus","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"64530","description":"N block inj celiac pelus","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CDFC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RUA02","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RUA02","description":"HIPPS-RUA02","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Isoproterenol non-comp unit","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"J7659","description":"Isoproterenol non-comp unit","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-CA114","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"CA114","description":"HIPPS-CA114","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KHTC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BIMA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Morphine sulfate injection","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"J2270","description":"Morphine sulfate injection","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Cytomeg dna quant","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"87497","description":"Cytomeg dna quant","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-A1902","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"A1902","description":"HCPCS-A1902","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RHA5B","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RHA5B","description":"HIPPS-RHA5B","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Pressure sensor system_ includes all components (eg_ introducer sensor)_ intramuscular (imp)_ exc mobile (wireless) software app","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"C1834","description":"Pressure sensor system_ includes all components (eg_ introducer sensor)_ intramuscular (imp)_ exc mobile (wireless) software app","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KDQD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CIOE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"LBOC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"CPT-00524","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"00524","description":"CPT-00524","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Prostate biopsy_ any mthd","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G0416","description":"Prostate biopsy_ any mthd","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CFUD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-BB14B","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"BB14B","description":"HIPPS-BB14B","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GBPC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-3CFP4","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"3CFP4","description":"HIPPS-3CFP4","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Inj dobutamine hcl/250 mg","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"J1250","description":"Inj dobutamine hcl/250 mg","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HH PDGM","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"3FB11","description":"HH PDGM","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"ODLC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BIUC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"PCWB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MJCC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RLB40","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RLB40","description":"HIPPS-RLB40","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-3AGP4","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"3AGP4","description":"HIPPS-3AGP4","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Fabric wrapping of aneurysm","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"M0301","description":"Fabric wrapping of aneurysm","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Initial preventive exam","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G0402","description":"Initial preventive exam","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KAFE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-PB10A","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"PB10A","description":"HIPPS-PB10A","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JHJB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"EFHE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GBFC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CHYF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KDYC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NJHC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Sclerotx fluid collection","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"49185","description":"Sclerotx fluid collection","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GATB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GHFF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-PE241","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"PE241","description":"HIPPS-PE241","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Patients with a medication dispensing event indicator of a history of asthma any time during the patient_s history through the end of the measure period","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G9799","description":"Patients with a medication dispensing event indicator of a history of asthma any time during the patient_s history through the end of the measure period","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FIHE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Spec gene test hyp cardiomy","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"S3866","description":"Spec gene test hyp cardiomy","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BAUE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GDHE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GGTA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Rev/remvl crtd sns dev gen","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0271T","description":"Rev/remvl crtd sns dev gen","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CADF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GBHE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-BA135","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"BA135","description":"HIPPS-BA135","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MGUA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Inj_ propofol_ 10 mg","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"J2704","description":"Inj_ propofol_ 10 mg","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Patients who use hospice services any time during the measurement period","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"M1165","description":"Patients who use hospice services any time during the measurement period","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Initial exam involved joints","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"2004F","description":"Initial exam involved joints","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Reconstruction of jaw joint","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"21243","description":"Reconstruction of jaw joint","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GDBE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Car-car bp grft/endovas taa","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"33891","description":"Car-car bp grft/endovas taa","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NAED0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MDLC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GCOF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-C8012","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"C8012","description":"HCPCS-C8012","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"PGWF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Cast sup sht arm splint plst","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"Q4021","description":"Cast sup sht arm splint plst","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Cell enumeration phys interp","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"86153","description":"Cell enumeration phys interp","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-1CHLV","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"1CHLV","description":"HIPPS-1CHLV","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Revision of heart chamber","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"33735","description":"Revision of heart chamber","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-Q4413","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"Q4413","description":"HCPCS-Q4413","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"LGSE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Repair maxillofacial defects","billing_code_type":"CDT","billing_code_type_version":"2024","billing_code":"D7955","description":"Repair maxillofacial defects","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Muscle-skin graft arm","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"15736","description":"Muscle-skin graft arm","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GECD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"PCYB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JEHB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FBNE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Alglucosidase alfa injection","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"J0220","description":"Alglucosidase alfa injection","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GHFA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Extensive prostate surgery","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"55845","description":"Extensive prostate surgery","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Low-level laser therapy_ dynamic photonic and dynamic thermokinetic energies_ provided by a physician or other qualified health care professional","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0552T","description":"Low-level laser therapy_ dynamic photonic and dynamic thermokinetic energies_ provided by a physician or other qualified health care professional","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Tlso rig fram pelvic pre ots","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"L0469","description":"Tlso rig fram pelvic pre ots","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KDAF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"PHOA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KHXB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"CPT-93146","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"93146","description":"CPT-93146","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"EHAC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Near ifr spectrsc of wounds","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0286T","description":"Near ifr spectrsc of wounds","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Camisole post-mast","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"S8460","description":"Camisole post-mast","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BATB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MIHB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Incise tear duct opening","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"68440","description":"Incise tear duct opening","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JCCD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CHLC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"X-ray exam pituitary saddle","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"70240","description":"X-ray exam pituitary saddle","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"CDT-D1401","billing_code_type":"CDT","billing_code_type_version":"2026","billing_code":"D1401","description":"CDT-D1401","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Infant safety class","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"S9447","description":"Infant safety class","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KDBF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BBXA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Reconst lwr jaw w/graft","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"21194","description":"Reconst lwr jaw w/graft","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OBJA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Incise skull/sutures","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"61557","description":"Incise skull/sutures","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"ECUC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BELB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Multisys ther/juvenile 15min","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"H2033","description":"Multisys ther/juvenile 15min","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Drug screening pregabalin","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"80366","description":"Drug screening pregabalin","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Rho d immune globulin inj","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"J2790","description":"Rho d immune globulin inj","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-J9382","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"J9382","description":"HCPCS-J9382","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OJRA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OBYE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-PA231","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"PA231","description":"HIPPS-PA231","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JFMD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Md certification hha patient","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G0180","description":"Md certification hha patient","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Audit/dast 15-30 min","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"99408","description":"Audit/dast 15-30 min","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Salivary gland imaging","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"78230","description":"Salivary gland imaging","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Elosulfase alfa_ injection","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"J1322","description":"Elosulfase alfa_ injection","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Reconstruction of sternum","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"21740","description":"Reconstruction of sternum","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-A0704","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"A0704","description":"HCPCS-A0704","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"ODIE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"HEOD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GBKD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Electroencephalogram (Eeg)_ Continuous Recording_ Physician Or Other Qualified Health Care Professional Review Of Recorded Events_ Analysis Of Spike And Seizure Detection_ Int","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"95726","description":"Electroencephalogram (Eeg)_ Continuous Recording_ Physician Or Other Qualified Health Care Professional Review Of Recorded Events_ Analysis Of Spike And Seizure Detection_ Int","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CCNF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Nasal/sinus endoscopy_ surgical_ with frontal sinus exploration_ including removal of tissue from frontal sinus_ when performed","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"31276","description":"Nasal/sinus endoscopy_ surgical_ with frontal sinus exploration_ including removal of tissue from frontal sinus_ when performed","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"EDDB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KHQD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GCBA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Remove aneurysm sinus","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"61613","description":"Remove aneurysm sinus","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CFAD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Hydrocolld drg >16<=48 w/bdr","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"A6238","description":"Hydrocolld drg >16<=48 w/bdr","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OINA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Charger and base station for intraurethral activation device_ replacement only","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"K1012","description":"Charger and base station for intraurethral activation device_ replacement only","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RHX35","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RHX35","description":"HIPPS-RHX35","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KFYF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KGUD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"PDRD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OEJA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Coombs test indirect titer","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"86886","description":"Coombs test indirect titer","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KALA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Init bk ptb plaster direct","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"L5500","description":"Init bk ptb plaster direct","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NHNC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"EBHB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"PIOF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CFEC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"PIYB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Flt3 gene analysis","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"81246","description":"Flt3 gene analysis","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CBND1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"EILB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RMC23","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RMC23","description":"HIPPS-RMC23","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"HGRD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"N block inj occipital","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"64405","description":"N block inj occipital","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OCBE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"DFOE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GHGC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OLQA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Consultation with a medical health care professional","billing_code_type":"CDT","billing_code_type_version":"2024","billing_code":"D9311","description":"Consultation with a medical health care professional","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RHB8F","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RHB8F","description":"HIPPS-RHB8F","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-LB226","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"LB226","description":"HIPPS-LB226","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-PC15D","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"PC15D","description":"HIPPS-PC15D","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NFIA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NCPB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KEDB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KAMD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NADC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Mannitol for inhaler","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"J7665","description":"Mannitol for inhaler","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MEAA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-1BGN3","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"1BGN3","description":"HIPPS-1BGN3","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Exc h-f-nk-sp mal+marg 0.5/<","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"11620","description":"Exc h-f-nk-sp mal+marg 0.5/<","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Neuragen nerve guide_ per cm","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"C9352","description":"Neuragen nerve guide_ per cm","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FICD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FIKB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OGGE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Transseptal fiberotomy","billing_code_type":"CDT","billing_code_type_version":"2024","billing_code":"D7291","description":"Transseptal fiberotomy","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Repl soft interface_ helmet","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"A8004","description":"Repl soft interface_ helmet","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-A0805","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"A0805","description":"HCPCS-A0805","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CITF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-1BFK1","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"1BFK1","description":"HIPPS-1BFK1","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NJUF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Lt compres band >=3in <5in/yd","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"A6449","description":"Lt compres band >=3in <5in/yd","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Eeg awake and asleep","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"95819","description":"Eeg awake and asleep","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Filters elec/combo vad_ rep","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"Q0500","description":"Filters elec/combo vad_ rep","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JHGC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-HB204","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"HB204","description":"HIPPS-HB204","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MHDE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Clot factor x stuart-power","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"85260","description":"Clot factor x stuart-power","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"HIYA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Wheelchair heavy duty fixed","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"E1285","description":"Wheelchair heavy duty fixed","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"PASB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Patients with clinical indications for imaging of the head: headache radiating to the neck","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G2190","description":"Patients with clinical indications for imaging of the head: headache radiating to the neck","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Lead_ pmkr_ transvenous vdd","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"C1779","description":"Lead_ pmkr_ transvenous vdd","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Ct thorax w/o dye","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"71250","description":"Ct thorax w/o dye","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Incision of thigh tendon","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"27390","description":"Incision of thigh tendon","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Neurology (prior disease)_ cerebrospinal fluid_ detection of prion protein by quaking-induced conf conversion_ qualitative","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0035U","description":"Neurology (prior disease)_ cerebrospinal fluid_ detection of prion protein by quaking-induced conf conversion_ qualitative","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"ABIF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GHXF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"EGTB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NBBA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Injection_ Factor VIII_ (antihemophilic factor_ recombinant)_ (Afstyla)_ 1 IU","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"J7210","description":"Injection_ Factor VIII_ (antihemophilic factor_ recombinant)_ (Afstyla)_ 1 IU","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Kafo dbl solid stirrup band/","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"L2020","description":"Kafo dbl solid stirrup band/","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Doppler echo exam heart","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"93320","description":"Doppler echo exam heart","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HH PDGM","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"3JB21","description":"HH PDGM","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Adjustment gastric band","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"S2083","description":"Adjustment gastric band","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"LAOA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MFIA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NHHB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FHLE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Injection_ elotuzumab_ 1 mg","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"J9176","description":"Injection_ elotuzumab_ 1 mg","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CFDA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Cytomegalovirus imm iv /vial","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"J0850","description":"Cytomegalovirus imm iv /vial","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"IBME1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RML14","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RML14","description":"HIPPS-RML14","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FFJF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-B0603","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"B0603","description":"HCPCS-B0603","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-B1901","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"B1901","description":"HCPCS-B1901","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Documentation of medical reason(s) for not screening for tobacco use (e.g._ limited life expectancy_ other medical reason)","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G9904","description":"Documentation of medical reason(s) for not screening for tobacco use (e.g._ limited life expectancy_ other medical reason)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GAMD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"EDCA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Oncology_ whole blood or buccal_ DNA single-nucleotide polymorphism (SNP) genotyping by real-time PCR of 24 genes_ with variant analysis and reported phenotypes","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0460U","description":"Oncology_ whole blood or buccal_ DNA single-nucleotide polymorphism (SNP) genotyping by real-time PCR of 24 genes_ with variant analysis and reported phenotypes","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-1AFLT","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"1AFLT","description":"HIPPS-1AFLT","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Electronic positional obstructive sleep apnea treatment_ with sensor_ includes all components and accessories_ any type","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"E0530","description":"Electronic positional obstructive sleep apnea treatment_ with sensor_ includes all components and accessories_ any type","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"ODBF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Neuropsychia interven order","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"4525F","description":"Neuropsychia interven order","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Bl push transfuse 2 yr/<","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"36440","description":"Bl push transfuse 2 yr/<","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Radiof trsmtr implt scrl neu","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"L8684","description":"Radiof trsmtr implt scrl neu","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Psychological or neuropsychological test administration and scoring by technician_ two or more tests_ any method; first 30 minutes","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"96138","description":"Psychological or neuropsychological test administration and scoring by technician_ two or more tests_ any method; first 30 minutes","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Amnicore pro_ per square centimeter","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"Q4298","description":"Amnicore pro_ per square centimeter","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BHVF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KDRA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"AIUC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MAMA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Cardiac event recorder","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"E0616","description":"Cardiac event recorder","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HH PDGM","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"3AA11","description":"HH PDGM","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-BB250","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"BB250","description":"HIPPS-BB250","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JEFE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CDDB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-1CHM2","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"1CHM2","description":"HIPPS-1CHM2","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Implant spine infusion pump","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"62361","description":"Implant spine infusion pump","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Self-mgmt educ & train 1 pt","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"98960","description":"Self-mgmt educ & train 1 pt","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Search for prior patient completed dicom format images not completed due to medical reasons(eg_CT studies performed for radiation treatment planning or image-guided radiation)","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G9343","description":"Search for prior patient completed dicom format images not completed due to medical reasons(eg_CT studies performed for radiation treatment planning or image-guided radiation)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"IIAA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MKCC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Tkr composite","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G9233","description":"Tkr composite","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OIYB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BGFA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"ECAF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GDAE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CCQD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Pneuma compresor non-segment","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"E0650","description":"Pneuma compresor non-segment","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NFMD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RHL26","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RHL26","description":"HIPPS-RHL26","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Cardiovascular disease_ quantification of advanced serum or plasma lipoprotein profile_ by nuclear magnetic resonance (NMR) spectrometry with report of a lipoprotein profile (","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0377U","description":"Cardiovascular disease_ quantification of advanced serum or plasma lipoprotein profile_ by nuclear magnetic resonance (NMR) spectrometry with report of a lipoprotein profile (","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FDCC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KDYE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GDEE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Treat tail bone fracture","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"27202","description":"Treat tail bone fracture","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-PD211","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"PD211","description":"HIPPS-PD211","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Ivf canc p aspir case rate","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"S4021","description":"Ivf canc p aspir case rate","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MCDE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Patients who have another reason for visiting the clinic [not prenatal or postpartum care] and have a positive pregnancy test but have not established the clinic as an ob prov","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"M1255","description":"Patients who have another reason for visiting the clinic [not prenatal or postpartum care] and have a positive pregnancy test but have not established the clinic as an ob prov","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-C9302","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"C9302","description":"HCPCS-C9302","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-B1602","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"B1602","description":"HCPCS-B1602","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Max ultrasound image capture","billing_code_type":"CDT","billing_code_type_version":"2024","billing_code":"D0386","description":"Max ultrasound image capture","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Cytopath report nongyn spcmn","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0550F","description":"Cytopath report nongyn spcmn","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OAEA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Thi/glut/ischia wgt bearing","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"L2500","description":"Thi/glut/ischia wgt bearing","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Removal of stomach","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"43620","description":"Removal of stomach","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GACF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JDPC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OALF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Postop dsg ak ea add cast ch","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"L5430","description":"Postop dsg ak ea add cast ch","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OIMF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OGGA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-2CHKX","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"2CHKX","description":"HIPPS-2CHKX","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JBPB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Locm 300-399mg/ml iodine_1ml","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"Q9967","description":"Locm 300-399mg/ml iodine_1ml","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OKDF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MKTA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Additional switch_ ext power","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"L6611","description":"Additional switch_ ext power","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GBOE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Dementia mg qual act perform","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G8761","description":"Dementia mg qual act perform","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-CB24D","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"CB24D","description":"HIPPS-CB24D","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GAFF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"PAWD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FBGD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Removal of brain lesion","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"61534","description":"Removal of brain lesion","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RMA55","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RMA55","description":"HIPPS-RMA55","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NIVE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"MRI neck spine w/o & w/dye","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"72156","description":"MRI neck spine w/o & w/dye","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Replacement nasal pillows","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"A7033","description":"Replacement nasal pillows","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BAFA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Pcp prophylax rxd 3mon low %","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"4280F","description":"Pcp prophylax rxd 3mon low %","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"AHIF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Insert spine fixation device","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"22841","description":"Insert spine fixation device","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OESE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"IFDE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-CA216","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"CA216","description":"HIPPS-CA216","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Vit for macular hole","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"67042","description":"Vit for macular hole","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Interprof phone/online 21-30","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"99448","description":"Interprof phone/online 21-30","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Transplant related per diem","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"S9975","description":"Transplant related per diem","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FAHF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Revision of elbow joint","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"24470","description":"Revision of elbow joint","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KGSB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Injection_ C-1 Esterase Inhibitor (Recombinant) Ruconest_ 10 Units","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"C9445","description":"Injection_ C-1 Esterase Inhibitor (Recombinant) Ruconest_ 10 Units","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MALD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Onc dx head/neck m1 mets rec","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G9111","description":"Onc dx head/neck m1 mets rec","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"CPT-0502U","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"0502U","description":"CPT-0502U","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Documentation of patients with primary headache diagnosis and imaging other than CT or MRI obtained","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"M1028","description":"Documentation of patients with primary headache diagnosis and imaging other than CT or MRI obtained","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Laparoscopy tubal cautery","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"58670","description":"Laparoscopy tubal cautery","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MATB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GBOA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"AIIB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Pre-htn or htn doc_ f/u indc","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G8950","description":"Pre-htn or htn doc_ f/u indc","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KFUE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Tub stool or bench","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"E0245","description":"Tub stool or bench","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BGLB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NKNC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Decalcification procedure","billing_code_type":"CDT","billing_code_type_version":"2024","billing_code":"D0475","description":"Decalcification procedure","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GAQF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FGVC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FFHA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"EECF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RUB8A","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RUB8A","description":"HIPPS-RUB8A","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"DFQC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OEKF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NEID1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OCCB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Dilated macul exam done","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"2019F","description":"Dilated macul exam done","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FBMD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Infectious agent detection by nucleic acid (DNA or RNA); Ehrlichia chaffeensis_ amplified probe technique","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"87484","description":"Infectious agent detection by nucleic acid (DNA or RNA); Ehrlichia chaffeensis_ amplified probe technique","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"PEOF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"AFDB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Ecmo/ecls repos perph cnula","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"33962","description":"Ecmo/ecls repos perph cnula","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Hh respiratory thrpy nos/day","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"S5181","description":"Hh respiratory thrpy nos/day","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KENC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NKIF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RVX8C","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RVX8C","description":"HIPPS-RVX8C","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Implant neuroelectrodes","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"64553","description":"Implant neuroelectrodes","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CBCE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Endobronchial ultrasound (ebus) during bronchoscopic diagnostic or therapeutic intervention(s) (list separately in addition to code for primary procedure(s))","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"31620","description":"Endobronchial ultrasound (ebus) during bronchoscopic diagnostic or therapeutic intervention(s) (list separately in addition to code for primary procedure(s))","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Vag hyst incl t/o complex","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"58291","description":"Vag hyst incl t/o complex","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BDBE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Ophthalmoscopy_ Extended; With Drawing Of Optic Nerve Or Macula (Eg_ For Glaucoma_ Macular Pathology_ Tumor) With Interpretation And Report_ Unilateral Or Bilateral","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"92202","description":"Ophthalmoscopy_ Extended; With Drawing Of Optic Nerve Or Macula (Eg_ For Glaucoma_ Macular Pathology_ Tumor) With Interpretation And Report_ Unilateral Or Bilateral","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Tubular dressing","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"A6457","description":"Tubular dressing","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Anesth vasectomy","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"92151","description":"Anesth vasectomy","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Documented reason for not screening or recommending a follow-up for high blood pressure","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"M1288","description":"Documented reason for not screening or recommending a follow-up for high blood pressure","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-HC115","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"HC115","description":"HIPPS-HC115","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NJXA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OEGE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KCCF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CDKE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CCAB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NENE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OHME0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OHIB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-HB22B","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"HB22B","description":"HIPPS-HB22B","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Gastroesophageal reflux test","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"91034","description":"Gastroesophageal reflux test","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JFGB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-AAA01","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"AAA01","description":"HIPPS-AAA01","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-HB115","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"HB115","description":"HIPPS-HB115","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CGPB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Assay of pregnanetriol","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"84138","description":"Assay of pregnanetriol","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KFTC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Removal of spinal shunt","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"63746","description":"Removal of spinal shunt","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Ct sft tsue nck w/o & w/dye","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"70492","description":"Ct sft tsue nck w/o & w/dye","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OKPB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OEPE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Dentures immediat maxillary","billing_code_type":"CDT","billing_code_type_version":"2024","billing_code":"D5130","description":"Dentures immediat maxillary","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-5AHKV","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"5AHKV","description":"HIPPS-5AHKV","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KDCB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Aor ane 5.5-5.9 cm max diam","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G9598","description":"Aor ane 5.5-5.9 cm max diam","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CBYA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NAUE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KCGE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BETC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NJVC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Biopsy of sacroiliac joint","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"27050","description":"Biopsy of sacroiliac joint","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Indium in-111 auto platelet","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"A9571","description":"Indium in-111 auto platelet","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GAMF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JGCF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OGBC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Foot longitud/metatarsal sup","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"L3020","description":"Foot longitud/metatarsal sup","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MDHE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GBBF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RHC60","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RHC60","description":"HIPPS-RHC60","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Ped home apnea rec report","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"94777","description":"Ped home apnea rec report","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CAJB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Tendon lengthening","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"26476","description":"Tendon lengthening","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-Q5170","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"Q5170","description":"HCPCS-Q5170","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Pwc gp4 vhd sing pow opt s/b","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"K0880","description":"Pwc gp4 vhd sing pow opt s/b","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BDVE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-2CGK3","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"2CGK3","description":"HIPPS-2CGK3","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HH PDGM","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"4LC21","description":"HH PDGM","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KBKC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Japanese encephalitis virus vaccine_ for subcutaneous use","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"90735","description":"Japanese encephalitis virus vaccine_ for subcutaneous use","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"ODNB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Surgery of breast capsule","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"19370","description":"Surgery of breast capsule","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Cystoscopy and treatment","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"52290","description":"Cystoscopy and treatment","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GFXB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BEEF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OFEC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OAFD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"PHWA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CCVE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CFHC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Ct chest spine w/o & w/dye","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"72130","description":"Ct chest spine w/o & w/dye","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CHMC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Icg angiography","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"92240","description":"Icg angiography","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-LE155","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"LE155","description":"HIPPS-LE155","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Vent mgmt nf per day","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"94004","description":"Vent mgmt nf per day","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-ES38X","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"ES38X","description":"HIPPS-ES38X","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GCHC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Sternal pad","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"L1050","description":"Sternal pad","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BDUE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"PGSA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CBNA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"ECEC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RHA2D","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RHA2D","description":"HIPPS-RHA2D","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Lengthening of palate","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"42226","description":"Lengthening of palate","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Chronic Care Management Services With The Following Required Elements: Multiple (Two Or More) Chronic Conditions Expected To Last At Least 12 Months_ Or Until The Death Of The","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"99437","description":"Chronic Care Management Services With The Following Required Elements: Multiple (Two Or More) Chronic Conditions Expected To Last At Least 12 Months_ Or Until The Death Of The","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-CA131","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"CA131","description":"HIPPS-CA131","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KDRC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MALB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BEFA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Bcg vaccine intravesical","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"90586","description":"Bcg vaccine intravesical","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RUA40","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RUA40","description":"HIPPS-RUA40","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Term dev_ passive hand mitt","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"L6703","description":"Term dev_ passive hand mitt","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-1CGN4","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"1CGN4","description":"HIPPS-1CGN4","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Ecmo/ecls insj prph cannula","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"33951","description":"Ecmo/ecls insj prph cannula","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KEOE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Lipoprotein_ direct measurement; small dense LDL cholesterol","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"83722","description":"Lipoprotein_ direct measurement; small dense LDL cholesterol","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KHCC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BHIE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Decompression of thigh/knee","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"27498","description":"Decompression of thigh/knee","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FCKF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OHMA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-PA250","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"PA250","description":"HIPPS-PA250","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Insertion or replacement of intracardiac ischemia monitoring system_ including testing of the lead and monitor_ initial system programming_ and imaging supervision and interpr","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0526T","description":"Insertion or replacement of intracardiac ischemia monitoring system_ including testing of the lead and monitor_ initial system programming_ and imaging supervision and interpr","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-2BFM1","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"2BFM1","description":"HIPPS-2BFM1","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Interstitial radioelement application; simple","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"77776","description":"Interstitial radioelement application; simple","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KCVE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Injection_ argatroban (accord)_ not therapeutically equivalent to j0883_ 1 mg (for non-esrd use)","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"J0891","description":"Injection_ argatroban (accord)_ not therapeutically equivalent to j0883_ 1 mg (for non-esrd use)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KGKC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"ODLA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Removal of frontal sinus","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"31087","description":"Removal of frontal sinus","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Mgmt gene methylation anal","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"81287","description":"Mgmt gene methylation anal","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OCYA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OKWC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NABE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GIVD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Harvesting of donor multivis","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"S2055","description":"Harvesting of donor multivis","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Shoe dennis browne splint bo","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"L3640","description":"Shoe dennis browne splint bo","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Itraconazole injection","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"J1835","description":"Itraconazole injection","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"PJSC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MCIC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BHVD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CHJA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"PHRF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GCGE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-G0664","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"G0664","description":"HCPCS-G0664","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"HBYD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-M1467","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"M1467","description":"HCPCS-M1467","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Njx tfrml eprl w/us lumb/sac","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0231T","description":"Njx tfrml eprl w/us lumb/sac","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BEUA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-LD246","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"LD246","description":"HIPPS-LD246","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Infectious agent antigen detection by immunoassay technique_ (eg_ enzyme immunoassay [EIA]_ enzyme-linked immunosorbent assay [ELISA]_ fluorescence immunoassay [FIA]_ immunoch","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"87467","description":"Infectious agent antigen detection by immunoassay technique_ (eg_ enzyme immunoassay [EIA]_ enzyme-linked immunosorbent assay [ELISA]_ fluorescence immunoassay [FIA]_ immunoch","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JCHC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BHCC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Radiologic examination_ hip_ unilateral; one view","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"73500","description":"Radiologic examination_ hip_ unilateral; one view","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Injection_ rozanolixizumab-noli_ 1 mg","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"J9333","description":"Injection_ rozanolixizumab-noli_ 1 mg","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BFNA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Laparo proc abdm/per/oment","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"49329","description":"Laparo proc abdm/per/oment","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-1AGNT","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"1AGNT","description":"HIPPS-1AGNT","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Prepare face/oral prosthesis","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"21088","description":"Prepare face/oral prosthesis","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Biopsy shoulder tissues","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"23066","description":"Biopsy shoulder tissues","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KEHA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Injection_ blinatumomab","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"J9039","description":"Injection_ blinatumomab","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Extraction of lens","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"66940","description":"Extraction of lens","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GAPD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RUX10","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RUX10","description":"HIPPS-RUX10","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OBOA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"DCQE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Molecular pathology interpr","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G0452","description":"Molecular pathology interpr","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GCQA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OCWC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Ischm stroke symp ge3 hrsb/4","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"1066F","description":"Ischm stroke symp ge3 hrsb/4","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Insulin (lyumjev)_ per 5 units","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"J1814","description":"Insulin (lyumjev)_ per 5 units","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BEDD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JANA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-1AGLX","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"1AGLX","description":"HIPPS-1AGLX","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Urinal female jug-type","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"E0326","description":"Urinal female jug-type","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Th/wght bear nar m-l brim cu","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"L2526","description":"Th/wght bear nar m-l brim cu","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KAHD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OEXA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-5CGKS","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"5CGKS","description":"HIPPS-5CGKS","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-PE160","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"PE160","description":"HIPPS-PE160","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OFTF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Who cock-up nonmolde pre ots","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"L3908","description":"Who cock-up nonmolde pre ots","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Cast sup lng arm splint plst","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"Q4017","description":"Cast sup lng arm splint plst","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FBED1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Frozen blood thaw","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"86931","description":"Frozen blood thaw","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Domicil/r-home visit new pat","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"99324","description":"Domicil/r-home visit new pat","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Adults who are not ambulatory","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"M1068","description":"Adults who are not ambulatory","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Partial removal of ulna","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"25119","description":"Partial removal of ulna","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GFSD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JDKA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CGBB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OKLD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-1AHMU","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"1AHMU","description":"HIPPS-1AHMU","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"LCQA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Gradient compression bandaging supply_ high density foam pad_ any size or shape_ each","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"A6601","description":"Gradient compression bandaging supply_ high density foam pad_ any size or shape_ each","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Noninvasive Arterial Plaque Analysis Using Software Processing Of Data From Non-Coronary Computerized Tomography Angiography; Data Preparation And Transmission","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0711T","description":"Noninvasive Arterial Plaque Analysis Using Software Processing Of Data From Non-Coronary Computerized Tomography Angiography; Data Preparation And Transmission","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OAIB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OAOE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Treat humerus fracture","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"24576","description":"Treat humerus fracture","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NDND1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Electroencephalogram (Eeg)_ Without Video_ Review Of Data_ Technical Description By Eeg Technologist_ Each Increment Of 12-26 Hours; With Intermittent Monitoring And Maintenan","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"95709","description":"Electroencephalogram (Eeg)_ Without Video_ Review Of Data_ Technical Description By Eeg Technologist_ Each Increment Of 12-26 Hours; With Intermittent Monitoring And Maintenan","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"IHBC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Above elbow switch control","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"L6950","description":"Above elbow switch control","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"ICLD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Mw therapy for breast tumor","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0301T","description":"Mw therapy for breast tumor","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"RFC1 (replication factor C subunit 1)_ repeat expansion variant analysis by traditional and repeat-primed PCR_ blood_ saliva_ or buccal swab","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0378U","description":"RFC1 (replication factor C subunit 1)_ repeat expansion variant analysis by traditional and repeat-primed PCR_ blood_ saliva_ or buccal swab","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Implant Supported Crown - Noble Alloys","billing_code_type":"CDT","billing_code_type_version":"2024","billing_code":"D6087","description":"Implant Supported Crown - Noble Alloys","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Cbc without platelet","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G0307","description":"Cbc without platelet","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"ODFA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FFKA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GGUC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JGHE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OJOE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-ES105","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"ES105","description":"HIPPS-ES105","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Ptnotrcvngsteroid>/=10mg/day","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"3750F","description":"Ptnotrcvngsteroid>/=10mg/day","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Icatibant injection","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"J1744","description":"Icatibant injection","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KDSB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Barbiturates_ not elsewhere specified","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G6043","description":"Barbiturates_ not elsewhere specified","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-1CHNV","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"1CHNV","description":"HIPPS-1CHNV","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Lap colectomy part w/ileum","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"44205","description":"Lap colectomy part w/ileum","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MHAA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Endoscopy ligate perf veins","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"37500","description":"Endoscopy ligate perf veins","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Dental onlay porc 4/more sur","billing_code_type":"CDT","billing_code_type_version":"2024","billing_code":"D2644","description":"Dental onlay porc 4/more sur","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-HC14D","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"HC14D","description":"HIPPS-HC14D","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FCDF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RHA02","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RHA02","description":"HIPPS-RHA02","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BEHF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MDHD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-BB145","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"BB145","description":"HIPPS-BB145","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Sildenafil citrate_ 25 mg","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"S0090","description":"Sildenafil citrate_ 25 mg","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Continuous in-person monitoring and intervention (eg_ psychotherapy_ crisis intervention)_ as needed_ during psychedelic medication therapy; second physician or other qualifie","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0821T","description":"Continuous in-person monitoring and intervention (eg_ psychotherapy_ crisis intervention)_ as needed_ during psychedelic medication therapy; second physician or other qualifie","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Occlusal guard - hard appliance_ full arch","billing_code_type":"CDT","billing_code_type_version":"2024","billing_code":"D9944","description":"Occlusal guard - hard appliance_ full arch","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-LC231","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"LC231","description":"HIPPS-LC231","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OKRC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Specimen collection for severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) (Coronavirus disease [COVID-19])_ any specimen source","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G2023","description":"Specimen collection for severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) (Coronavirus disease [COVID-19])_ any specimen source","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-PC214","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"PC214","description":"HIPPS-PC214","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Lap ileo/jejuno-stomy","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"44187","description":"Lap ileo/jejuno-stomy","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Cyp2c19 gene com variants","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"81225","description":"Cyp2c19 gene com variants","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Hypertonic saline sol","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"J7131","description":"Hypertonic saline sol","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-3CGLX","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"3CGLX","description":"HIPPS-3CGLX","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-HB231","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"HB231","description":"HIPPS-HB231","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OIRD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Radiation Therapy For Prostate Cancer Under The Radiation Oncology Model_ 90 Day Episode_ Technical Component","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"M1101","description":"Radiation Therapy For Prostate Cancer Under The Radiation Oncology Model_ 90 Day Episode_ Technical Component","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Doc lack perm&cont&parox fib","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"1061F","description":"Doc lack perm&cont&parox fib","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Reconstruction of mouth","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"40845","description":"Reconstruction of mouth","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"HIWE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Pt doc no wrong event","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G8913","description":"Pt doc no wrong event","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"LESE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Immunization administration by intramuscular injection of severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) (coronavirus disease [COVID-19]) vaccine_ mRNA-LNP_ biva","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0173A","description":"Immunization administration by intramuscular injection of severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) (coronavirus disease [COVID-19]) vaccine_ mRNA-LNP_ biva","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Implantation of catheter-delivered prosthetic pulmonary valve_ endovascular approach","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0262T","description":"Implantation of catheter-delivered prosthetic pulmonary valve_ endovascular approach","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NJAB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"DARA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"ODRC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CAPE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"ICTE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Transpetrosal approach/skull","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"61598","description":"Transpetrosal approach/skull","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KFIA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-PE28D","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"PE28D","description":"HIPPS-PE28D","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JCPB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Craniofacial approach skull","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"61580","description":"Craniofacial approach skull","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FDME0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Tablo Hemodialysis System For The Billable Dialysis Service","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"E1629","description":"Tablo Hemodialysis System For The Billable Dialysis Service","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"CPT-0986T","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"0986T","description":"CPT-0986T","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NGXE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-C9814","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"C9814","description":"HCPCS-C9814","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Fetal hemoglobin assay qual","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"83033","description":"Fetal hemoglobin assay qual","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-Q0155","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"Q0155","description":"HCPCS-Q0155","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Oncology gynecologic","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"81535","description":"Oncology gynecologic","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KBXE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Oncology (breast)_ immunohistochemistry_ protein expression profiling of 4 biomarkers (matrix metalloproteinase-1 [MMP-1]_ carcinoembryonic antigen-related cell","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0067U","description":"Oncology (breast)_ immunohistochemistry_ protein expression profiling of 4 biomarkers (matrix metalloproteinase-1 [MMP-1]_ carcinoembryonic antigen-related cell","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KHCA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"GYPB GNOTYP NTRNS 1 5 SEUX 3","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0190U","description":"GYPB GNOTYP NTRNS 1 5 SEUX 3","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"IAAD IA CHLAMYDIA TRACHOMATIS","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"87320","description":"IAAD IA CHLAMYDIA TRACHOMATIS","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BFHA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OFCB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Halo cervical into jckt vest","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"L0810","description":"Halo cervical into jckt vest","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Repair heart septum defect","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"33684","description":"Repair heart septum defect","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BDGC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MDDB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Removable unilateral partial denture - one piece cast metal_ mandibular","billing_code_type":"CDT","billing_code_type_version":"2024","billing_code":"D5283","description":"Removable unilateral partial denture - one piece cast metal_ mandibular","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Hysterectomy/revise vagina","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"58275","description":"Hysterectomy/revise vagina","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GHLF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KBVE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Adaptive behavior treatment social skills group_ administered by physician or other qualified health care professional face-to-face with multiple patients","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0372T","description":"Adaptive behavior treatment social skills group_ administered by physician or other qualified health care professional face-to-face with multiple patients","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GHFC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Excision of major peripheral nerve neuroma_ except sciatic_ with implantation of nerve end into bone or muscle","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"C7551","description":"Excision of major peripheral nerve neuroma_ except sciatic_ with implantation of nerve end into bone or muscle","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OFYC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Assess dyspnea present","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"1019F","description":"Assess dyspnea present","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KDXC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HH PDGM","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"1HC21","description":"HH PDGM","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Esrd home pt serv p mo 12-19","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"90965","description":"Esrd home pt serv p mo 12-19","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Analgesics non-opioid 3-5","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"80330","description":"Analgesics non-opioid 3-5","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Forensic autopsy (necropsy)","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"88040","description":"Forensic autopsy (necropsy)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"AACB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Alpha-fetoprotein serum","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"82105","description":"Alpha-fetoprotein serum","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"For diabetics only_ multiple density insert_ made by direct carving with CAM technology from a rectified CAD model created from","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"A5514","description":"For diabetics only_ multiple density insert_ made by direct carving with CAM technology from a rectified CAD model created from","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BHLC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"AFIF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"HGRE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-PA110","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"PA110","description":"HIPPS-PA110","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MEEB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MDBD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NCVA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-C9173","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"C9173","description":"HCPCS-C9173","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JDUA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Influenza immunization was not administered_ reason not given","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"M1308","description":"Influenza immunization was not administered_ reason not given","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CFOB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Introduction of needle(s) and/or catheter(s)_ dialysis circuit_ with diagnostic angiography of the dialysis circuit_ including all direct puncture(s) and catheter placement(s)","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"36902","description":"Introduction of needle(s) and/or catheter(s)_ dialysis circuit_ with diagnostic angiography of the dialysis circuit_ including all direct puncture(s) and catheter placement(s)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RUB06","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RUB06","description":"HIPPS-RUB06","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CHJA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GACF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Specialized Medical Equipment and Supplies","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"W0137","description":"Specialized Medical Equipment and Supplies","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BFUE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Oncology (cutaneous melanoma)_ mRNA gene expression profiling by RT-PCR of 23 genes (14 content and 9 housekeeping)_ utilizing formalin-fixed paraffin-embedded tissue_ algorit","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0090U","description":"Oncology (cutaneous melanoma)_ mRNA gene expression profiling by RT-PCR of 23 genes (14 content and 9 housekeeping)_ utilizing formalin-fixed paraffin-embedded tissue_ algorit","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Wheelchair lightwt fixed arm","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"E1250","description":"Wheelchair lightwt fixed arm","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CFTB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RUA26","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RUA26","description":"HIPPS-RUA26","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Oncology (pancreatic)_ DNA_ whole genome sequencing with 5-hydroxymethylcytosine enrichment_ whole blood or plasma_ algorithm reported as cancer detected or not detected","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0410U","description":"Oncology (pancreatic)_ DNA_ whole genome sequencing with 5-hydroxymethylcytosine enrichment_ whole blood or plasma_ algorithm reported as cancer detected or not detected","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KBEA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FGPD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MGAE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Cytogenomic (Genome-Wide) Analysis For Constitutional Chromosomal Abnormalities; Interrogation Of Genomic Regions For Copy Number And Loss-Of-Heterozygosity Variants_ Low-Pass","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"81349","description":"Cytogenomic (Genome-Wide) Analysis For Constitutional Chromosomal Abnormalities; Interrogation Of Genomic Regions For Copy Number And Loss-Of-Heterozygosity Variants_ Low-Pass","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Tobacco-use counsel 3-10 min","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G0436","description":"Tobacco-use counsel 3-10 min","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"ECDC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Restore/remodel ventricle","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"33548","description":"Restore/remodel ventricle","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"AEEE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"X-ray exam of teeth","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"70300","description":"X-ray exam of teeth","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Lyse chest fibrin subq day","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"32562","description":"Lyse chest fibrin subq day","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"DESA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"PDQF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Levetiracetam injection","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"J1953","description":"Levetiracetam injection","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Repair of anterior abdominal hernia(s) (ie_ epigastric_ incisional_ ventral_ umbilical_ spigelian)_ any approach (ie_ open_ laparoscopic_ robotic)_ initial_ including implanta","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"49594","description":"Repair of anterior abdominal hernia(s) (ie_ epigastric_ incisional_ ventral_ umbilical_ spigelian)_ any approach (ie_ open_ laparoscopic_ robotic)_ initial_ including implanta","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Exc thigh/knee tum dep 5cm/>","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"27339","description":"Exc thigh/knee tum dep 5cm/>","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-LD154","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"LD154","description":"HIPPS-LD154","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Sealant_ pulmonary_ liquid","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"C2615","description":"Sealant_ pulmonary_ liquid","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Release wrist/forearm tendon","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"25295","description":"Release wrist/forearm tendon","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Rmvl&rplcmt ss impl dfb pg","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0614T","description":"Rmvl&rplcmt ss impl dfb pg","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-CB25A","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"CB25A","description":"HIPPS-CB25A","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"PFOE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Ecg/signal-averaged","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"93278","description":"Ecg/signal-averaged","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Documentation of medical reason(s) for not providing safety concerns screen or for not providing recommendations_ orders or referrals for positive screen (e.g._ patient in pal","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G9924","description":"Documentation of medical reason(s) for not providing safety concerns screen or for not providing recommendations_ orders or referrals for positive screen (e.g._ patient in pal","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"PASD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-HB146","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"HB146","description":"HIPPS-HB146","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OAQA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OJWE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GBMD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Powered upper extremity range of motion assist device_ elbow_ wrist_ hand with single or double upright(s)_ includes microproce","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"L8701","description":"Powered upper extremity range of motion assist device_ elbow_ wrist_ hand with single or double upright(s)_ includes microproce","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Vinblastine sulfate inj","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"J9360","description":"Vinblastine sulfate inj","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Hospital discharge day","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"99239","description":"Hospital discharge day","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Ic inf pbw 2501-5000 g subsq","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"99480","description":"Ic inf pbw 2501-5000 g subsq","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NIUF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Remove eye/attach implant","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"65105","description":"Remove eye/attach implant","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Nasal endoscop po debrid","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"S2342","description":"Nasal endoscop po debrid","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RHL17","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RHL17","description":"HIPPS-RHL17","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Transcatheter Intracardiac Shunt (Tis) Creation By Stent Placement For Congenital Cardiac Anomalies To Establish Effective Intracardiac Flow_ Including All Imaging Guidance By","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"33745","description":"Transcatheter Intracardiac Shunt (Tis) Creation By Stent Placement For Congenital Cardiac Anomalies To Establish Effective Intracardiac Flow_ Including All Imaging Guidance By","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Removal of phrenic nerve stimulator_ including vessel catheterization_ all imaging guidance_ and interrogation and programming_ when performed; transvenous stimulation or sens","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"33279","description":"Removal of phrenic nerve stimulator_ including vessel catheterization_ all imaging guidance_ and interrogation and programming_ when performed; transvenous stimulation or sens","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Targeted genomic sequence analysis panel_ solid organ or hematolymphoid neoplasm or disorder_ 51 or greater genes (eg_ ALK_ BRAF_ CDKN2A_ CEBPA_ DNMT3A_ EGFR_ ERBB2_ EZH2_ FLT","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"81456","description":"Targeted genomic sequence analysis panel_ solid organ or hematolymphoid neoplasm or disorder_ 51 or greater genes (eg_ ALK_ BRAF_ CDKN2A_ CEBPA_ DNMT3A_ EGFR_ ERBB2_ EZH2_ FLT","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Sympathectomy cervical","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"64802","description":"Sympathectomy cervical","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Mucopolysaccharides","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"83864","description":"Mucopolysaccharides","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"EFIC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CDBF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"CPT-0999T","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"0999T","description":"CPT-0999T","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Ongoing Care Not Indicated_ Patient Discharged After Only 1-2 Visits Due To Specific Medical Events_ Documented In The Medical Record That Make The Treatment Episode Impossibl","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"M1129","description":"Ongoing Care Not Indicated_ Patient Discharged After Only 1-2 Visits Due To Specific Medical Events_ Documented In The Medical Record That Make The Treatment Episode Impossibl","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CIBC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MILA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"DHOF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MJTB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Combination oral/nasal mask","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"A7027","description":"Combination oral/nasal mask","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KFJD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Rare diseases (constitutional/heritable disorders)_ identification of copy number variations_ inversions_ insertions_ translocations_ and other structural variants by optical","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0454U","description":"Rare diseases (constitutional/heritable disorders)_ identification of copy number variations_ inversions_ insertions_ translocations_ and other structural variants by optical","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OJLC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-CA28D","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"CA28D","description":"HIPPS-CA28D","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Fusion of facial/other nerve","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"64866","description":"Fusion of facial/other nerve","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Tens four lead","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"E0730","description":"Tens four lead","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"LCWD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BAUC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Partial removal collar bone","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"23120","description":"Partial removal collar bone","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FIEB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Quinupristin/dalfopristin","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"J2770","description":"Quinupristin/dalfopristin","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"ICCC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Implant cochlear device","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"69930","description":"Implant cochlear device","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Part removal of metatarsal","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"28113","description":"Part removal of metatarsal","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Skin peel therapy","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"17360","description":"Skin peel therapy","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Injection_ fosnetupitant 235 mg and palonosetron 0.25 mg","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"J1454","description":"Injection_ fosnetupitant 235 mg and palonosetron 0.25 mg","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"AACF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Vabra aspirator","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"A4480","description":"Vabra aspirator","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"IEMB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Automated rbc count","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"85041","description":"Automated rbc count","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Imm counseling by a physician or other qualified health care professional when the vaccine(s) is not admin on the same date of service for ages under 21 Medicaid only","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G0312","description":"Imm counseling by a physician or other qualified health care professional when the vaccine(s) is not admin on the same date of service for ages under 21 Medicaid only","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CCJF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Removal of elbow joint","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"24155","description":"Removal of elbow joint","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Alcohols biomarkers 1or 2","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"80321","description":"Alcohols biomarkers 1or 2","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KIAC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OLTE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Nasal/sinus endoscopy surg","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"31290","description":"Nasal/sinus endoscopy surg","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"ICCB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OCUB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Excise intrspinl lesion scrl","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"63268","description":"Excise intrspinl lesion scrl","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Destruction ciliary body","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"66700","description":"Destruction ciliary body","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Inj estrogen conjugate 25 mg","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"J1410","description":"Inj estrogen conjugate 25 mg","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KEKB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Med reas rpt no histo type","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G9423","description":"Med reas rpt no histo type","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Cytopath c/v index add-on","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"88155","description":"Cytopath c/v index add-on","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Thermal Destruction Of Intraosseous Basivertebral Nerve_ Including All Imaging Guidance; First 2 Vertebral Bodies_ Lumbar Or Sacral","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"64628","description":"Thermal Destruction Of Intraosseous Basivertebral Nerve_ Including All Imaging Guidance; First 2 Vertebral Bodies_ Lumbar Or Sacral","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Remove/revise male sling","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"53442","description":"Remove/revise male sling","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BFMA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NHPB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-1CFN4","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"1CFN4","description":"HIPPS-1CFN4","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"EIID1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RVB31","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RVB31","description":"HIPPS-RVB31","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-ES23C","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"ES23C","description":"HIPPS-ES23C","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"LIYE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RMB4B","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RMB4B","description":"HIPPS-RMB4B","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OCXE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GGCA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Alt long-term cntrl med rxd","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"4144F","description":"Alt long-term cntrl med rxd","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FFME0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Chest surgery procedure","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"32999","description":"Chest surgery procedure","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"HBSF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Calcium gluconate injection","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"J0610","description":"Calcium gluconate injection","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Limited ankle motion ea jnt","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"L2200","description":"Limited ankle motion ea jnt","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Varus/valgus strap padded/li","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"L2270","description":"Varus/valgus strap padded/li","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Vein x-ray trunk","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"75825","description":"Vein x-ray trunk","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Assay of estrogens","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"82671","description":"Assay of estrogens","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Partial removal of toe","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"28160","description":"Partial removal of toe","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Holster elec/combo vad_ rep","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"Q0498","description":"Holster elec/combo vad_ rep","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Treat chest lining","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"32215","description":"Treat chest lining","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"HCOD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CCRA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JGAA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RVC8B","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RVC8B","description":"HIPPS-RVC8B","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-M1411","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"M1411","description":"HCPCS-M1411","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CGGF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"AI IBD MRNA XPRSN PRFL 17","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0203U","description":"AI IBD MRNA XPRSN PRFL 17","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Insert tunneled cv cath","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"36560","description":"Insert tunneled cv cath","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Antithymocyte globuln rabbit","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"J7511","description":"Antithymocyte globuln rabbit","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Incis 1 vertebral seg thorac","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"22212","description":"Incis 1 vertebral seg thorac","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JAIB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MEHF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Cytopath smear prep & report","billing_code_type":"CDT","billing_code_type_version":"2024","billing_code":"D0480","description":"Cytopath smear prep & report","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JFFA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-1CGL4","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"1CGL4","description":"HIPPS-1CGL4","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FGVF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"PIWD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Pericardiocentesis_ Including Imaging Guidance_ When Performed","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"33016","description":"Pericardiocentesis_ Including Imaging Guidance_ When Performed","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-4BGKT","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"4BGKT","description":"HIPPS-4BGKT","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"External ambulatory infus pu","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"E0781","description":"External ambulatory infus pu","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-4CGM2","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"4CGM2","description":"HIPPS-4CGM2","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-B0805","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"B0805","description":"HCPCS-B0805","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BGTF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"IHLC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JHIF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OEDB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-HC20A","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"HC20A","description":"HIPPS-HC20A","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Insert 1 electrode pm-defib","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"33216","description":"Insert 1 electrode pm-defib","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"CPT-01390","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"01390","description":"CPT-01390","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CINA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Treat thigh fracture","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"27244","description":"Treat thigh fracture","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Correction of astigmatism","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"65772","description":"Correction of astigmatism","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NGGC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RUL16","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RUL16","description":"HIPPS-RUL16","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MBEA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OKID1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Documentation of medical reason(s) for not performing a dilated macular examination","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G9975","description":"Documentation of medical reason(s) for not performing a dilated macular examination","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NFBD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KEJA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NCBC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Patients who are receiving comfort care only","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G9930","description":"Patients who are receiving comfort care only","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Oncology (Breast)_ Semiquantitative Analysis Of 32 Phosphoproteins And Protein Analytes_ Includes Laser Capture Microdissection_ With Algorithmic Analysis And Interpretative R","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0249U","description":"Oncology (Breast)_ Semiquantitative Analysis Of 32 Phosphoproteins And Protein Analytes_ Includes Laser Capture Microdissection_ With Algorithmic Analysis And Interpretative R","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RUC2D","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RUC2D","description":"HIPPS-RUC2D","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GCHA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Injection_ Brolucizumab-Dbll_ 1 Mg","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"J0179","description":"Injection_ Brolucizumab-Dbll_ 1 Mg","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Remove epididymis lesion","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"54830","description":"Remove epididymis lesion","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-3BHM6","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"3BHM6","description":"HIPPS-3BHM6","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Maxilla open reduct compound","billing_code_type":"CDT","billing_code_type_version":"2024","billing_code":"D7710","description":"Maxilla open reduct compound","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"HHQD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-1AHLV","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"1AHLV","description":"HIPPS-1AHLV","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MKIB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Ef ped hydrolyzed/amino acid","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"B4161","description":"Ef ped hydrolyzed/amino acid","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Repair spinal fluid leakage","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"63709","description":"Repair spinal fluid leakage","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CDFB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CIAD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FAUC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JEDF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GGQA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FABA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GCGF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-M1392","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"M1392","description":"HCPCS-M1392","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Treatment of retinal lesion","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"67218","description":"Treatment of retinal lesion","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"DBWE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OCAC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JEPF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Ilr device interrogate","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"93291","description":"Ilr device interrogate","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OENE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Hydrogel drg >48 in w/o bdr","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"A6244","description":"Hydrogel drg >48 in w/o bdr","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Dental tmj arthrogram incl i","billing_code_type":"CDT","billing_code_type_version":"2024","billing_code":"D0320","description":"Dental tmj arthrogram incl i","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GGFF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CGRE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Repair extra toe(s)","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"28344","description":"Repair extra toe(s)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MKEF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Art byp aor-celiac-msn-renal","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"35631","description":"Art byp aor-celiac-msn-renal","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Microdissection manual","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"88381","description":"Microdissection manual","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CDRE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OCDB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Treat humerus fracture","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"24582","description":"Treat humerus fracture","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OAYE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"EBBC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Cmplx rpr f/c/c/m/n/ax/g/h/f","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"13131","description":"Cmplx rpr f/c/c/m/n/ax/g/h/f","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GEKF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-LC18B","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"LC18B","description":"HIPPS-LC18B","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Dicom format doc on rpt","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G9340","description":"Dicom format doc on rpt","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CITB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RHL0A","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RHL0A","description":"HIPPS-RHL0A","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GDHC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Receiver (Monitor)_ dedicated_ for use with therapeutic continuous glucose mnitor system.","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"K0554","description":"Receiver (Monitor)_ dedicated_ for use with therapeutic continuous glucose mnitor system.","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-HC18D","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"HC18D","description":"HIPPS-HC18D","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Non-programble infusion pump","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"E0782","description":"Non-programble infusion pump","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FBHF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JBMA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Fqhc visit_ mh estab pt","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G0470","description":"Fqhc visit_ mh estab pt","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Explore/treat eye socket","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"67413","description":"Explore/treat eye socket","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-BA28D","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"BA28D","description":"HIPPS-BA28D","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"IFID1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BGLC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CHYA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-C8007","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"C8007","description":"HCPCS-C8007","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FCTE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"IFIF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GBKE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CCKE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Intravenous infusion_ pemivibart_ for the pre-exposure prophylaxis only_ for certain adults and adolescents (12 years of age and older weighing at least 40 kg) with no known S","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"M0224","description":"Intravenous infusion_ pemivibart_ for the pre-exposure prophylaxis only_ for certain adults and adolescents (12 years of age and older weighing at least 40 kg) with no known S","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RHA1A","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RHA1A","description":"HIPPS-RHA1A","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OCFD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Resect fibula tumor","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"27646","description":"Resect fibula tumor","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"EEEE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Adj cmo not pres rsn not gvn","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G8929","description":"Adj cmo not pres rsn not gvn","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"ODCD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"X-ray exam of kidney lesion","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"74470","description":"X-ray exam of kidney lesion","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FFBF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Removal of donor heart","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"33940","description":"Removal of donor heart","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KEBC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-1AFM5","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"1AFM5","description":"HIPPS-1AFM5","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BFLA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CBTF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"EHDC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OCUE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"CPT-0915T","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"0915T","description":"CPT-0915T","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"CPT-0480U","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"0480U","description":"CPT-0480U","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BGTE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-PD201","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"PD201","description":"HIPPS-PD201","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Injection_ daptomycin (hospira)_ not therapeutically equivalent to j0878_ 1 mg","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"J0877","description":"Injection_ daptomycin (hospira)_ not therapeutically equivalent to j0878_ 1 mg","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FAJB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GHDD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Factor ix fc fusion recomb","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"J7201","description":"Factor ix fc fusion recomb","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CABB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JEFC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"PCOC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-LD136","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"LD136","description":"HIPPS-LD136","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"EEHF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RUC2A","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RUC2A","description":"HIPPS-RUC2A","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-3AHK1","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"3AHK1","description":"HIPPS-3AHK1","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-ES12C","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"ES12C","description":"HIPPS-ES12C","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"PDYF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KCUA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"DBSB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Removal of ureter stone","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"50610","description":"Removal of ureter stone","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Contact lens gas impermeable","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"V2530","description":"Contact lens gas impermeable","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KEOF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"AGEB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Patient died at any time during the 24-month measurement period","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G9751","description":"Patient died at any time during the 24-month measurement period","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"EBDF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"ECUE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OAQF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"PCWC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Retainer Crown - Porcelain Fused To Titanium And Titanium Alloys","billing_code_type":"CDT","billing_code_type_version":"2024","billing_code":"D6753","description":"Retainer Crown - Porcelain Fused To Titanium And Titanium Alloys","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Dna analysis deafness","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"S3844","description":"Dna analysis deafness","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Incision of achilles tendon","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"27606","description":"Incision of achilles tendon","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Histotripsy (ie_ non-thermal ablation via acoustic energy delivery) of malignant renal tissue_ including imaging guidance","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0888T","description":"Histotripsy (ie_ non-thermal ablation via acoustic energy delivery) of malignant renal tissue_ including imaging guidance","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CHND0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Documentation of medical reason(s) for not recommending at least a 10 year follow-up interval (e.g._ inadequate prep_ familial or personal history of colonic polyps_ patient h","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G9862","description":"Documentation of medical reason(s) for not recommending at least a 10 year follow-up interval (e.g._ inadequate prep_ familial or personal history of colonic polyps_ patient h","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Gradient compression bandaging supply_ not otherwise specified","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"A6609","description":"Gradient compression bandaging supply_ not otherwise specified","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"IAAD IA HEPATITIS B SURFACE AG NEUTRALIZATION","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"87341","description":"IAAD IA HEPATITIS B SURFACE AG NEUTRALIZATION","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BCVF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"IADC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"HFQF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Family stabilization 15 min","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"S9482","description":"Family stabilization 15 min","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FIVE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"PKRD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CHQC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Acute hepatitis panel","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"80074","description":"Acute hepatitis panel","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BCBB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HH PDGM","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"1BB21","description":"HH PDGM","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Reset dislocated jaw","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"21485","description":"Reset dislocated jaw","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Lvef>=40% doc normal or mild","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G8395","description":"Lvef>=40% doc normal or mild","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CFVD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KINB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OKPF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Onc dx rectal t4_n_m0 no prg","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G9093","description":"Onc dx rectal t4_n_m0 no prg","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RMA8A","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RMA8A","description":"HIPPS-RMA8A","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-CB112","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"CB112","description":"HIPPS-CB112","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-HE106","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"HE106","description":"HIPPS-HE106","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OHQC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Control of nosebleed","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"30903","description":"Control of nosebleed","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KBLE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Digitization of glass microscope slides for cytopathology_ evaluation of fine needle aspirate; immediate cytohistologic study to determine adequacy for diagnosis_ first evalua","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0835T","description":"Digitization of glass microscope slides for cytopathology_ evaluation of fine needle aspirate; immediate cytohistologic study to determine adequacy for diagnosis_ first evalua","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"LIRF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BHKC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BBKF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FFXF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KBGC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"EIMB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Automated diff wbc count","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"85004","description":"Automated diff wbc count","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KBNF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Hla ii typing 1 allele hr","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"81383","description":"Hla ii typing 1 allele hr","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RLX07","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RLX07","description":"HIPPS-RLX07","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Apheresis wbc","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"36511","description":"Apheresis wbc","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OILF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-HE117","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"HE117","description":"HIPPS-HE117","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"AFDF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"LFOB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KCJE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Periradicular surgery","billing_code_type":"CDT","billing_code_type_version":"2024","billing_code":"D3427","description":"Periradicular surgery","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Repair blood vessel lesion","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"35256","description":"Repair blood vessel lesion","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Inhaled corticosteroids rxd","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"4140F","description":"Inhaled corticosteroids rxd","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"HFSE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Excision graft abdomen","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"35907","description":"Excision graft abdomen","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RVB2D","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RVB2D","description":"HIPPS-RVB2D","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Handgrip for cane etc","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"A4636","description":"Handgrip for cane etc","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"HDWF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OJCC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"ABUF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MJTC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GAGE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Grafting Of Autologous Fat Harvested By Liposuction Technique To Face_ Eyelids_ Mouth_ Neck_ Ears_ Orbits_ Genitalia_ Hands_ And/Or Feet; Each Additional 25 Cc Injectate_ Or P","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"15774","description":"Grafting Of Autologous Fat Harvested By Liposuction Technique To Face_ Eyelids_ Mouth_ Neck_ Ears_ Orbits_ Genitalia_ Hands_ And/Or Feet; Each Additional 25 Cc Injectate_ Or P","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-2BGMU","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"2BGMU","description":"HIPPS-2BGMU","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Patients using hospice services any time during the measurement period","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G9688","description":"Patients using hospice services any time during the measurement period","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"CPT-64728","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"64728","description":"CPT-64728","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BGGA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OKAD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Hit cath care noc","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"S5497","description":"Hit cath care noc","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Closed treatment of posterior pelvic ring fracture(s)_ dislocation(s)_ diastasis or subluxation of the ilium_ sacroiliac joint_ and/or sacrum_ with or without anterior pelvic","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"27197","description":"Closed treatment of posterior pelvic ring fracture(s)_ dislocation(s)_ diastasis or subluxation of the ilium_ sacroiliac joint_ and/or sacrum_ with or without anterior pelvic","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Technetium tc99m arcitumomab","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"A9568","description":"Technetium tc99m arcitumomab","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JHKB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"AFLB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NFCE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JFEF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Radiopha dx beta amyloid pet","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"A9599","description":"Radiopha dx beta amyloid pet","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GGFD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RVA4B","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RVA4B","description":"HIPPS-RVA4B","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MKDC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Repair of urethra injury","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"53515","description":"Repair of urethra injury","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RMA0B","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RMA0B","description":"HIPPS-RMA0B","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-CA25C","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"CA25C","description":"HIPPS-CA25C","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GHAE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CALC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OJOD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Insertion Or Replacement Of Pulse Generator Only_ Permanent Implantable Synchronized Diaphragmatic Stimulation System For Augmentation Of Cardiac Function_ With Connection To","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0680T","description":"Insertion Or Replacement Of Pulse Generator Only_ Permanent Implantable Synchronized Diaphragmatic Stimulation System For Augmentation Of Cardiac Function_ With Connection To","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Infectious disease_ chronic hepatitis C virus (HCV) infection_ six biochemical assays (ALT_ A2-macroglobulin_ apolipoprotein A-1_ total bilirubin_ GGT_ and haptoglobin) utiliz","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"81596","description":"Infectious disease_ chronic hepatitis C virus (HCV) infection_ six biochemical assays (ALT_ A2-macroglobulin_ apolipoprotein A-1_ total bilirubin_ GGT_ and haptoglobin) utiliz","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KFFC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KEXF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Epoprostenol injection","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"J1325","description":"Epoprostenol injection","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OJUB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KGWA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"ODBD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Bx breast percut w/o image","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"19100","description":"Bx breast percut w/o image","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NHFD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"HIQD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OLVC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KETE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KANF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-Q5159","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"Q5159","description":"HCPCS-Q5159","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"CPT-0686U","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"0686U","description":"CPT-0686U","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OJPC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Frontier extended stay demo","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G9140","description":"Frontier extended stay demo","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Intro windpipe wire/tube","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"31730","description":"Intro windpipe wire/tube","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GDJB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RHC8I","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RHC8I","description":"HIPPS-RHC8I","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Legionella antibody","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"86713","description":"Legionella antibody","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OAMA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OCCF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-PE250","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"PE250","description":"HIPPS-PE250","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Hyperthermia treatment","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"77615","description":"Hyperthermia treatment","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Bmt harv/transpl 28d pkg","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"S2150","description":"Bmt harv/transpl 28d pkg","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CISF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Percutaneous injection of calcium-based biodegradable osteoconductive material_ proximal femur_ including imaging guidance_ unilateral","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0814T","description":"Percutaneous injection of calcium-based biodegradable osteoconductive material_ proximal femur_ including imaging guidance_ unilateral","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Breath hydrogen/methane test","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"91065","description":"Breath hydrogen/methane test","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FCXD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Denture interm part maxill","billing_code_type":"CDT","billing_code_type_version":"2024","billing_code":"D5820","description":"Denture interm part maxill","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-CE11B","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"CE11B","description":"HIPPS-CE11B","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NKHB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GDIB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CHJD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Frozen blood prep","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"86930","description":"Frozen blood prep","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"ODAF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-4AGM4","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"4AGM4","description":"HIPPS-4AGM4","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"External recharging system for battery (internal) for use with implanted cardiac contractility modulation generator_ replacement only","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"K1030","description":"External recharging system for battery (internal) for use with implanted cardiac contractility modulation generator_ replacement only","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KDDF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FDDC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-J7356","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"J7356","description":"HCPCS-J7356","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"CPT-0647U","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"0647U","description":"CPT-0647U","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FGKF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Brst prsth bra & bilat form","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"L8002","description":"Brst prsth bra & bilat form","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"HCRD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"LCWB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"PHWF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"DBYF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CGCD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Iodine i-123 ioflupane","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"A9584","description":"Iodine i-123 ioflupane","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RMC35","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RMC35","description":"HIPPS-RMC35","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"IGIF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OCDF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Preventive counseling group","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"99411","description":"Preventive counseling group","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BFVC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KDAE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FIXE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"PEYA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GHRD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"ODCA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Injection_ crizanlizumab-tmca_ 1mg","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"C9053","description":"Injection_ crizanlizumab-tmca_ 1mg","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CCVF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"HARB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Skin seal protect moisturizr","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"A6250","description":"Skin seal protect moisturizr","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Documented reason for not screening or recommending a follow-up for high blood pressure","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G9745","description":"Documented reason for not screening or recommending a follow-up for high blood pressure","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"ONC THYR MRNA XPRSN ALYS 593","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0204U","description":"ONC THYR MRNA XPRSN ALYS 593","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Prol intubation req","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G8569","description":"Prol intubation req","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Ko elas w/ condyle pads & jo","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"L1820","description":"Ko elas w/ condyle pads & jo","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NLFA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-3BGKS","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"3BGKS","description":"HIPPS-3BGKS","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Decompress forearm 1 space","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"25023","description":"Decompress forearm 1 space","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"5% dextrose and 0.45% saline","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"S5010","description":"5% dextrose and 0.45% saline","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"PASF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Artificial cornea","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"L8609","description":"Artificial cornea","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MHBD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Skull base/brainstem surgery","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"61576","description":"Skull base/brainstem surgery","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Other manual wheelchair/base","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"K0009","description":"Other manual wheelchair/base","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OKCD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Hysteroscopy remove myoma","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"58561","description":"Hysteroscopy remove myoma","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NDGC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JDJF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"CPT-0633U","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"0633U","description":"CPT-0633U","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RVC12","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RVC12","description":"HIPPS-RVC12","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JCHA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OGRD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"IECF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"EAED0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"CPT-0608U","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"0608U","description":"CPT-0608U","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Red blood cell antigen typing_ DNA_ human erythrocyte antigen gene analysis of 35 antigens from 11 blood groups_ utilizing whole blood_ common RBC alleles reported","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0001U","description":"Red blood cell antigen typing_ DNA_ human erythrocyte antigen gene analysis of 35 antigens from 11 blood groups_ utilizing whole blood_ common RBC alleles reported","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Renal scope w/tumor resect","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"50562","description":"Renal scope w/tumor resect","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Treat hip dislocation","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"27266","description":"Treat hip dislocation","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Complete aa_ per square centimeter","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"Q4303","description":"Complete aa_ per square centimeter","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-HD111","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"HD111","description":"HIPPS-HD111","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-CA28C","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"CA28C","description":"HIPPS-CA28C","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Remv/replc penis pros compl","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"54417","description":"Remv/replc penis pros compl","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Removal of ureter stone","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"51060","description":"Removal of ureter stone","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Intra-atrial recording","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"93602","description":"Intra-atrial recording","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OBYB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Replace molded thigh lacer","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"L4040","description":"Replace molded thigh lacer","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"LFRE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Amb infusion pump mechanical","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"E0779","description":"Amb infusion pump mechanical","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KAKE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FCHF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CCWA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BIID1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Misc sup/acc ext vad","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"Q0507","description":"Misc sup/acc ext vad","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Oncology (solid organ neoplasia)_ targeted genomic sequence analysis panel of 361 genes_ interrogation for gene fusions_ translocations_ or other rearrangements_ using DNA fro","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0444U","description":"Oncology (solid organ neoplasia)_ targeted genomic sequence analysis panel of 361 genes_ interrogation for gene fusions_ translocations_ or other rearrangements_ using DNA fro","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Inj ceftazidime per 500 mg","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"J0713","description":"Inj ceftazidime per 500 mg","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KBRA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Direct advanced life support","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"99288","description":"Direct advanced life support","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MEEE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"PKSA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OHRB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NJGB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"No admit req surg rev","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G9413","description":"No admit req surg rev","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Patients who had a completed suicide safety plan initiated_ reviewed or updated in collaboration with their clinician (concurrent or within 24 hours) of the index clinical enc","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"M1350","description":"Patients who had a completed suicide safety plan initiated_ reviewed or updated in collaboration with their clinician (concurrent or within 24 hours) of the index clinical enc","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Stent_ non-cor_ tem w/del sy","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"C2625","description":"Stent_ non-cor_ tem w/del sy","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BCJC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BEGC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Protein c concentrate","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"J2724","description":"Protein c concentrate","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GGGE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CHCB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OBIA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"LDYD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"EEDA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BIGE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-LB28H","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"LB28H","description":"HIPPS-LB28H","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BGFD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Repair defect of artery","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"35021","description":"Repair defect of artery","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OEDE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Hepatitis be antibody","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"86707","description":"Hepatitis be antibody","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Ost pch clsd for bar w lk fl","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"A4420","description":"Ost pch clsd for bar w lk fl","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Power operated vehicle","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"E1230","description":"Power operated vehicle","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Assay of pregnenolone","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"84140","description":"Assay of pregnenolone","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Stroke with Motor <26.15 & Age >84.5_ comorbidity in tier 2","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"C0108","description":"Stroke with Motor <26.15 & Age >84.5_ comorbidity in tier 2","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HH PDGM","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"4CA31","description":"HH PDGM","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Cast sup lng leg ped fbrgls","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"Q4032","description":"Cast sup lng leg ped fbrgls","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FELE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Treat big toe fracture","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"28496","description":"Treat big toe fracture","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Removal of pituitary gland","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"61546","description":"Removal of pituitary gland","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-B0302","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"B0302","description":"HCPCS-B0302","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KHXF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"AHEB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Revision of larynx","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"31588","description":"Revision of larynx","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CGID1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Treprostinil_ non-comp unit","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"J7686","description":"Treprostinil_ non-comp unit","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Hematocrit","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"85014","description":"Hematocrit","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-3CFP2","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"3CFP2","description":"HIPPS-3CFP2","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GGIF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-CD18G","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"CD18G","description":"HIPPS-CD18G","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Cocaine hydrochloride nasal solution for topical administration_ 1 mg","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"C9046","description":"Cocaine hydrochloride nasal solution for topical administration_ 1 mg","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Dent anesthesia w/o surgery","billing_code_type":"CDT","billing_code_type_version":"2024","billing_code":"D9210","description":"Dent anesthesia w/o surgery","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-M1394","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"M1394","description":"HCPCS-M1394","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NJIF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Matrion_ per sq cm","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"Q4201","description":"Matrion_ per sq cm","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HH PDGM","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"1GA21","description":"HH PDGM","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OIYE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Remove iris and lesion","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"66600","description":"Remove iris and lesion","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"CPT-01924","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"01924","description":"CPT-01924","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"EAMA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JIMC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JCTB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CGUF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JEMD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Exploration behind upper jaw","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"31040","description":"Exploration behind upper jaw","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BGMA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"LHWE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GFYE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CDUC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JBVB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MIUF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HH PDGM","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"2EC31","description":"HH PDGM","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FGDF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BADD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OEBA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JFIF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KHQE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HH PDGM","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"1FB21","description":"HH PDGM","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Programming device evaluation (in person) with iterative adjustment of the implantable device to test the function of the device and select optimal permanent programmed values","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0522T","description":"Programming device evaluation (in person) with iterative adjustment of the implantable device to test the function of the device and select optimal permanent programmed values","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GAAB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Radiation Therapy For Colorectal Cancer Under The Radiation Oncology Model_ 90 Day Episode_ Technical Component","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"M1087","description":"Radiation Therapy For Colorectal Cancer Under The Radiation Oncology Model_ 90 Day Episode_ Technical Component","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-CC28F","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"CC28F","description":"HIPPS-CC28F","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Scr c/v cyto_ automated sys","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G0147","description":"Scr c/v cyto_ automated sys","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Community Transition Svcs (House Hold Suppl)","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"W7332","description":"Community Transition Svcs (House Hold Suppl)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MDAF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"CPT-01470","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"01470","description":"CPT-01470","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-5BHKU","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"5BHKU","description":"HIPPS-5BHKU","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BDBA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Remove bladder/revise tract","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"51595","description":"Remove bladder/revise tract","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RHB0B","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RHB0B","description":"HIPPS-RHB0B","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-HD20D","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"HD20D","description":"HIPPS-HD20D","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Lodging costs (e.g. hotel ch","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"S9994","description":"Lodging costs (e.g. hotel ch","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NDFA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Pwc gp 3 vhd cap chair","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"K0853","description":"Pwc gp 3 vhd cap chair","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-LC18H","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"LC18H","description":"HIPPS-LC18H","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-HD214","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"HD214","description":"HIPPS-HD214","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"LIOC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CGDF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Autoimmune (rheumatoid arthritis)_ next-generation sequencing (NGS)_ gene expression testing of 19 genes_ whole blood_ with analysis of anti-cyclic citrullinated peptides (CCP","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0456U","description":"Autoimmune (rheumatoid arthritis)_ next-generation sequencing (NGS)_ gene expression testing of 19 genes_ whole blood_ with analysis of anti-cyclic citrullinated peptides (CCP","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Clsd red comp malar/zygma fx","billing_code_type":"CDT","billing_code_type_version":"2024","billing_code":"D7760","description":"Clsd red comp malar/zygma fx","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FIBF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GDGE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NIBB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HH PDGM","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"3DB31","description":"HH PDGM","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NBGB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GEEE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"IAAC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Doc first line amox","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G9315","description":"Doc first line amox","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Aspir/inj thyroid cyst","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"60300","description":"Aspir/inj thyroid cyst","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Assay of ceruloplasmin","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"82390","description":"Assay of ceruloplasmin","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"IGID1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"HAWA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-LC111","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"LC111","description":"HIPPS-LC111","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Dialysis scale","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"E1639","description":"Dialysis scale","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CBMA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Biopsy roof of mouth","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"42100","description":"Biopsy roof of mouth","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CEUF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"HISB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"IACF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-M0235","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"M0235","description":"HCPCS-M0235","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OKJE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RHC4B","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RHC4B","description":"HIPPS-RHC4B","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KGOC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NKKC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-LE10C","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"LE10C","description":"HIPPS-LE10C","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"PDYD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"IHEE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Bronchoscopy/lung bx each","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"31628","description":"Bronchoscopy/lung bx each","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OCFF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RHX06","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RHX06","description":"HIPPS-RHX06","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KDFD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"CPT-15017","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"15017","description":"CPT-15017","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Scrn hcv infec not recd","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G9386","description":"Scrn hcv infec not recd","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GEUC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JBUB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GFRC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GDSF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"LIWF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NKJD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Assessment of a patient","billing_code_type":"CDT","billing_code_type_version":"2024","billing_code":"D0191","description":"Assessment of a patient","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Nasopharyngoscopy_ Surgical_ With Dilation Of Eustachian Tube (Ie_ Balloon Dilation); Unilateral","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"69705","description":"Nasopharyngoscopy_ Surgical_ With Dilation Of Eustachian Tube (Ie_ Balloon Dilation); Unilateral","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KEDF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JGTF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"PGRF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Vitamin B-12 absorption study (eg_ Schilling test); with intrinsic factor","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"78271","description":"Vitamin B-12 absorption study (eg_ Schilling test); with intrinsic factor","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Reconstruct larynx & pharynx","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"31395","description":"Reconstruct larynx & pharynx","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MKME1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-LC204","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"LC204","description":"HIPPS-LC204","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OHRC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Immunoassay tumor qual","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"86294","description":"Immunoassay tumor qual","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Mrgfus strtctc les abltj","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0398T","description":"Mrgfus strtctc les abltj","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"IFTB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JHAC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Iodine i-125 sodium iodide","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"A9527","description":"Iodine i-125 sodium iodide","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"ODPB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Detect agent nos dna quant","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"87799","description":"Detect agent nos dna quant","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Corf skilled nursing service","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G0128","description":"Corf skilled nursing service","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NKGA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-J7514","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"J7514","description":"HCPCS-J7514","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KBVA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"CPT-0498U","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"0498U","description":"CPT-0498U","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RVC06","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RVC06","description":"HIPPS-RVC06","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Decompression of tibia nerve","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"28035","description":"Decompression of tibia nerve","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Interrogation Device Evaluation(S) (Remote)_ Up To 90 Days_ Substernal Lead Implantable Cardioverter-Defibrillator System_ Remote Data Acquisition(S)_ Receipt Of Transmissions","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0579T","description":"Interrogation Device Evaluation(S) (Remote)_ Up To 90 Days_ Substernal Lead Implantable Cardioverter-Defibrillator System_ Remote Data Acquisition(S)_ Receipt Of Transmissions","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Tmj open reduct-dislocation","billing_code_type":"CDT","billing_code_type_version":"2024","billing_code":"D7810","description":"Tmj open reduct-dislocation","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Etonogestrel implant system","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"J7307","description":"Etonogestrel implant system","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Airways surgical procedure","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"31899","description":"Airways surgical procedure","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Polycentric hinge pair","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"L6600","description":"Polycentric hinge pair","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-CD22D","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"CD22D","description":"HIPPS-CD22D","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NEGA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BEPF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KIQE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-Q4380","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"Q4380","description":"HCPCS-Q4380","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JDAE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CEGE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OBPE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"AFUD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OGKF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MLAA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JBGC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Community Transition Svcs (Set-Up Fees)","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"W7335","description":"Community Transition Svcs (Set-Up Fees)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KIXC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"IGAD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JENF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Androgen deprivation therapy prescribed/administered in combination with external beam radiotherapy to the prostate","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G9894","description":"Androgen deprivation therapy prescribed/administered in combination with external beam radiotherapy to the prostate","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Serum immunoelectrophoresis","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"86320","description":"Serum immunoelectrophoresis","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Evaluation for wheelchair","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G9156","description":"Evaluation for wheelchair","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Treat foot dislocation","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"28546","description":"Treat foot dislocation","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Hydrocolld drg <=16 w/o bdr","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"A6234","description":"Hydrocolld drg <=16 w/o bdr","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Laundry serv_ext_prof_/order","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"S5175","description":"Laundry serv_ext_prof_/order","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Biopsy of prostate","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"55700","description":"Biopsy of prostate","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Streptozocin injection","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"J9320","description":"Streptozocin injection","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-PD21B","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"PD21B","description":"HIPPS-PD21B","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-PE121","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"PE121","description":"HIPPS-PE121","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OKFB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Oncology (solid tumor)_ circulating tumor cell selection_ identification_ morphological characterization_ detection and enumeration based on differential EpCAM_ cytokeratins 8","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0338U","description":"Oncology (solid tumor)_ circulating tumor cell selection_ identification_ morphological characterization_ detection and enumeration based on differential EpCAM_ cytokeratins 8","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"CPT-0576U","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"0576U","description":"CPT-0576U","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OLRC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"AAIC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Remove cva lumen obstruct","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"75902","description":"Remove cva lumen obstruct","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Irrig drug delivery device","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"96523","description":"Irrig drug delivery device","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GHCE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CAWD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CIOC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Cvd risk assessment not performed or incomplete (e.g._ cvd risk assessment was not documented)_ reason not otherwise specified","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"M1257","description":"Cvd risk assessment not performed or incomplete (e.g._ cvd risk assessment was not documented)_ reason not otherwise specified","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Remove impacted ear wax uni","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"69210","description":"Remove impacted ear wax uni","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"PHQB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"METC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GDNA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CAID1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MHED1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FBTF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"EDAE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"DDWF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"EHHF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-3CHMS","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"3CHMS","description":"HIPPS-3CHMS","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Subsequent hospital care","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"99232","description":"Subsequent hospital care","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BIJB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BAHB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RVA25","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RVA25","description":"HIPPS-RVA25","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OEGC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MLMC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MITF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Incision of heart sac","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"33025","description":"Incision of heart sac","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KHXC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JIKA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KCMD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CGJD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Ajcc cncr 0/ia melan docd","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"3321F","description":"Ajcc cncr 0/ia melan docd","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GALB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GIIC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NFLF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KFAF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Sewho cap design w/o jnts cf","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"L3961","description":"Sewho cap design w/o jnts cf","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Total hip arthroplasty","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"27130","description":"Total hip arthroplasty","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OCGD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FEVA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Sigmoidoscopy w/ultrasound","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"45341","description":"Sigmoidoscopy w/ultrasound","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RMX4C","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RMX4C","description":"HIPPS-RMX4C","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MHHE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JCXF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Assay of ketogenic steroids","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"83582","description":"Assay of ketogenic steroids","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-HD155","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"HD155","description":"HIPPS-HD155","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RHL24","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RHL24","description":"HIPPS-RHL24","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-ES11A","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"ES11A","description":"HIPPS-ES11A","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RUA33","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RUA33","description":"HIPPS-RUA33","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"ICMD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Needle biopsy liver add-on","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"47001","description":"Needle biopsy liver add-on","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"PDWD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"LHQB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-LE146","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"LE146","description":"HIPPS-LE146","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BBEE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FACC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Asth controlled","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G9432","description":"Asth controlled","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BHFD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Limit oral eval problm focus","billing_code_type":"CDT","billing_code_type_version":"2024","billing_code":"D0140","description":"Limit oral eval problm focus","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-LC21C","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"LC21C","description":"HIPPS-LC21C","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Insulin tolerance panel","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"80434","description":"Insulin tolerance panel","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-3AGK4","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"3AGK4","description":"HIPPS-3AGK4","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JHVF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Ped size brief/diaper sm/med","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"T4529","description":"Ped size brief/diaper sm/med","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KEPD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-LE256","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"LE256","description":"HIPPS-LE256","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CBDE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Total kt/v less than 1. 7 per week (total clearance of urea [kt] / volume [v])_ reason not given","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G8720","description":"Total kt/v less than 1. 7 per week (total clearance of urea [kt] / volume [v])_ reason not given","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Partial removal of pancreas","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"48145","description":"Partial removal of pancreas","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"AGHC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GESC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Intmd rpr face/mm 12.6-20 cm","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"12055","description":"Intmd rpr face/mm 12.6-20 cm","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Brief (20 minutes) in-home visit for a new patient post-discharge.  For use only in a Medicare-appro","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G2001","description":"Brief (20 minutes) in-home visit for a new patient post-discharge.  For use only in a Medicare-appro","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Drug metabolism (depression_ anxiety_ attention deficit hyperactivity disorder [ADHD])_ gene-drug interactions_ variant analysis of 16 genes_ including deletion/duplication an","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0392U","description":"Drug metabolism (depression_ anxiety_ attention deficit hyperactivity disorder [ADHD])_ gene-drug interactions_ variant analysis of 16 genes_ including deletion/duplication an","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Splint supplies misc","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"Q4051","description":"Splint supplies misc","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Therapeutic pulpotomy","billing_code_type":"CDT","billing_code_type_version":"2024","billing_code":"D3220","description":"Therapeutic pulpotomy","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RMB41","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RMB41","description":"HIPPS-RMB41","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MAHD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CGHC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"ODBB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CGEA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Repair esophagus opening","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"43425","description":"Repair esophagus opening","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"PGOA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GANF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OFOB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Appliance removal","billing_code_type":"CDT","billing_code_type_version":"2024","billing_code":"D7997","description":"Appliance removal","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"HDRF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-CC14B","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"CC14B","description":"HIPPS-CC14B","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NDDF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FEMA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-LE135","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"LE135","description":"HIPPS-LE135","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-AAA2D","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"AAA2D","description":"HIPPS-AAA2D","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KDPE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"X-ray exam hip uni 1 view","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"73501","description":"X-ray exam hip uni 1 view","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-LB10D","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"LB10D","description":"HIPPS-LB10D","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Revise/rmv pn/gastr stimul","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"64595","description":"Revise/rmv pn/gastr stimul","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Igh gene rearrang dir probe","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"81262","description":"Igh gene rearrang dir probe","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NEKF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KAJE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Stent_ non-coa/non-cov w/del","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"C1876","description":"Stent_ non-coa/non-cov w/del","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Tensix_ 1cm","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"Q4146","description":"Tensix_ 1cm","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Limited autopsy","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"88036","description":"Limited autopsy","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-2CGMW","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"2CGMW","description":"HIPPS-2CGMW","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OETA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Hematology (von Willebrand disease [VWD])_ von Willebrand factor (VWF) and collagen IV binding by enzyme-linked immunosorbent assays (ELISA)_ plasma_ report of collagen IV bin","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0280U","description":"Hematology (von Willebrand disease [VWD])_ von Willebrand factor (VWF) and collagen IV binding by enzyme-linked immunosorbent assays (ELISA)_ plasma_ report of collagen IV bin","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Documentation of medical reason(s) for not prescribing a long-acting inhaled bronchodilator","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G9696","description":"Documentation of medical reason(s) for not prescribing a long-acting inhaled bronchodilator","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Disease progn ra poor docd","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"3475F","description":"Disease progn ra poor docd","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Place gastrostomy tube","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"43830","description":"Place gastrostomy tube","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JBVA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-CE12B","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"CE12B","description":"HIPPS-CE12B","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"IHDF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"CPT-55882","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"55882","description":"CPT-55882","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OBQC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"AstraZeneca COVID-19 vaccine administration — second dose","billing_code_type":"CDT","billing_code_type_version":"2024","billing_code":"D1706","description":"AstraZeneca COVID-19 vaccine administration — second dose","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OIGF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KCGD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GEPE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CADB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KGRB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Anesth testis suspension","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"93051","description":"Anesth testis suspension","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KGDF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GAYC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-3BHL5","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"3BHL5","description":"HIPPS-3BHL5","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"IIDC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Autochondrocyte implant knee","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"27412","description":"Autochondrocyte implant knee","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Imported lipodox inj","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"Q2049","description":"Imported lipodox inj","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Small bowel endoscopy","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"44360","description":"Small bowel endoscopy","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BBDB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Ptrsn no gc chl syp test","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G9229","description":"Ptrsn no gc chl syp test","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CHDF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Repair of urethra defect","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"53275","description":"Repair of urethra defect","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GEPB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MGBB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"EATF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BAND0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Protein western blot tissue","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"88371","description":"Protein western blot tissue","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KHLF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Cataract surgery complex","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"66982","description":"Cataract surgery complex","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"DBWC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Chap services at hospice","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G9473","description":"Chap services at hospice","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Day habil waiver per diem","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"T2020","description":"Day habil waiver per diem","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Treat elbow dislocation","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"24605","description":"Treat elbow dislocation","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"CSTB (cystatin B) (eg_ progressive myoclonic epilepsy type 1A_ Unverricht-Lundborg disease)_ full gene analysis_ including small sequence changes in exonic and intronic region","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0232U","description":"CSTB (cystatin B) (eg_ progressive myoclonic epilepsy type 1A_ Unverricht-Lundborg disease)_ full gene analysis_ including small sequence changes in exonic and intronic region","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Repair tcat mitral valve","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"33419","description":"Repair tcat mitral valve","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Two Medica re Diabetes Prevention Program (MDPP) core maintenance sessi on s (MS) were attended by an MDPP beneficiary in months (mo) 7-9 under the MDPP Expanded Model (EM).","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G9878","description":"Two Medica re Diabetes Prevention Program (MDPP) core maintenance sessi on s (MS) were attended by an MDPP beneficiary in months (mo) 7-9 under the MDPP Expanded Model (EM).","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Removal of vein clot","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"34451","description":"Removal of vein clot","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KISF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Global eswl kidney","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"S0400","description":"Global eswl kidney","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Injection_ plasminogen_ human-tvmh_ 1 mg","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"J2998","description":"Injection_ plasminogen_ human-tvmh_ 1 mg","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MCUB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Adult day care per diem","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"S5102","description":"Adult day care per diem","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Pos airway pressure filter","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"A7038","description":"Pos airway pressure filter","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JFHB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KIKA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"LBOB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"PCSC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BHXB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Destroy cerv/thor facet jnt","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"64633","description":"Destroy cerv/thor facet jnt","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-BA213","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"BA213","description":"HIPPS-BA213","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-CA251","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"CA251","description":"HIPPS-CA251","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Bp scrn perf rec interval","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G8783","description":"Bp scrn perf rec interval","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OKXE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Community-acquired bacterial pneumonia assessment (includes all of the foll","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0118U","description":"Community-acquired bacterial pneumonia assessment (includes all of the foll","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Repair esophagus and fistula","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"43305","description":"Repair esophagus and fistula","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FITE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HH PDGM","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"2IA21","description":"HH PDGM","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"CPT-0937T","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"0937T","description":"CPT-0937T","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CICB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JFEA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Patient died prior to the end of the performance period","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"M1060","description":"Patient died prior to the end of the performance period","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"CPT-0911T","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"0911T","description":"CPT-0911T","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GAXB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Lso sag r an/pos pnl pre cst","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"L0631","description":"Lso sag r an/pos pnl pre cst","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Insj/rplc car modulj atr elt","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0410T","description":"Insj/rplc car modulj atr elt","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KIXB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"IALF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JGJB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Cystoscopy and treatment","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"52301","description":"Cystoscopy and treatment","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OBJF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-C0902","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"C0902","description":"HCPCS-C0902","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Crown - Porcelain Fused To Titanium And Titanium Alloys","billing_code_type":"CDT","billing_code_type_version":"2024","billing_code":"D2753","description":"Crown - Porcelain Fused To Titanium And Titanium Alloys","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Integra meshed bil wound mat","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"C9363","description":"Integra meshed bil wound mat","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Patient had history of immunocompromising conditions prior to or during the measurement period","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"M1158","description":"Patient had history of immunocompromising conditions prior to or during the measurement period","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"ADUD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NEXB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"EHHC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-4AHMS","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"4AHMS","description":"HIPPS-4AHMS","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"IHTE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OHPE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Outer ear surgery procedure","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"69399","description":"Outer ear surgery procedure","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HH PDGM","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"4EB11","description":"HH PDGM","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-HE22D","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"HE22D","description":"HIPPS-HE22D","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Eo w/o joints cf","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"L3702","description":"Eo w/o joints cf","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"EATA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GFGB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GDCF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CBRD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BETA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NALB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Ped home apnea rec downld","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"94776","description":"Ped home apnea rec downld","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Cr51 chromate","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"A9553","description":"Cr51 chromate","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"AFTF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Gradient compression garment_ genital region_ each","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"A6570","description":"Gradient compression garment_ genital region_ each","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MCUC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FELC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Release facial nerve","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"69720","description":"Release facial nerve","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-CB144","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"CB144","description":"HIPPS-CB144","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"PCSD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OAOD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OKWF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"CPT-62331","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"62331","description":"CPT-62331","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BALA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FICF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GDYE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JGNB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Ankle arthroscopy/surgery","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"29897","description":"Ankle arthroscopy/surgery","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Surg proc w/in 30 days","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G8627","description":"Surg proc w/in 30 days","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CBQB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"IHBF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-AAA02","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"AAA02","description":"HIPPS-AAA02","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Ultrasound_ elastography; parenchyma (eg_ organ)","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"76981","description":"Ultrasound_ elastography; parenchyma (eg_ organ)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-HB156","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"HB156","description":"HIPPS-HB156","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Patients 66 Years Of Age And Older With At Least One Claim/Encounter For Frailty During The Measurement Period And A Dispensed Medication For Dementia During The Measurement P","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G2098","description":"Patients 66 Years Of Age And Older With At Least One Claim/Encounter For Frailty During The Measurement Period And A Dispensed Medication For Dementia During The Measurement P","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Shunt accessory","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"A4740","description":"Shunt accessory","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"PCQA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Microbe susceptible mic","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"87186","description":"Microbe susceptible mic","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Revise finger/toe nerve","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"64702","description":"Revise finger/toe nerve","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GIFD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RLX44","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RLX44","description":"HIPPS-RLX44","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FAFF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FICD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"PLCG2 (phospholipase C gamma 2) (eg_ chronic lymphocytic leukemia) gene analysis_ common variants (eg_ R665W_ S707F_ L845F)","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"81320","description":"PLCG2 (phospholipase C gamma 2) (eg_ chronic lymphocytic leukemia) gene analysis_ common variants (eg_ R665W_ S707F_ L845F)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RHX8D","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RHX8D","description":"HIPPS-RHX8D","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Ko dbl upright w/air pre cst","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"L1847","description":"Ko dbl upright w/air pre cst","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CAVB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Patients age 65 or older in institutional special needs plans (SNP) or residing in long-term care with POS code 32_ 33_ 34_ 54_ or 56 anytime during the measurement period","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G9910","description":"Patients age 65 or older in institutional special needs plans (SNP) or residing in long-term care with POS code 32_ 33_ 34_ 54_ or 56 anytime during the measurement period","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-M1373","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"M1373","description":"HCPCS-M1373","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GGWB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OLAC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RLB31","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RLB31","description":"HIPPS-RLB31","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JBXA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KBSF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BFCE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-1AHM6","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"1AHM6","description":"HIPPS-1AHM6","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GFVA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Lo sag ri an/pos pnl pre cst","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"L0627","description":"Lo sag ri an/pos pnl pre cst","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RMX52","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RMX52","description":"HIPPS-RMX52","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Azathioprine oral 50mg","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"J7500","description":"Azathioprine oral 50mg","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-Q4243","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"Q4243","description":"HCPCS-Q4243","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NBPF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-1CHM4","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"1CHM4","description":"HIPPS-1CHM4","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-3AFMX","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"3AFMX","description":"HIPPS-3AFMX","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Patients who utilize hospice services any time during the measurement period","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G9768","description":"Patients who utilize hospice services any time during the measurement period","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NLNB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BDNF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RVX8D","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RVX8D","description":"HIPPS-RVX8D","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NCJC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"CPT-0942T","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"0942T","description":"CPT-0942T","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KGLC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BEUD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-CC251","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"CC251","description":"HIPPS-CC251","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BCAE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Whfo w/o joints pre cst","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"L3807","description":"Whfo w/o joints pre cst","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GFNC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-ATP18","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"ATP18","description":"HIPPS-ATP18","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"CPT-00562","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"00562","description":"CPT-00562","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Remove spine lamina 1/2 scrl","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"63011","description":"Remove spine lamina 1/2 scrl","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OBCC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Extensive ear canal surgery","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"69150","description":"Extensive ear canal surgery","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Assay of blood lipoprotein","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"83719","description":"Assay of blood lipoprotein","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Antithrombin iii antigen","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"85301","description":"Antithrombin iii antigen","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"PBYF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"EDLA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BGIF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Heart infarct image","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"78466","description":"Heart infarct image","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-3AGK2","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"3AGK2","description":"HIPPS-3AGK2","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-C1301","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"C1301","description":"HCPCS-C1301","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BHDF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FBBD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KALF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RVX13","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RVX13","description":"HIPPS-RVX13","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"CDT-D0304","billing_code_type":"CDT","billing_code_type_version":"2026","billing_code":"D0304","description":"CDT-D0304","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Gradient pressure wrap with adjustable straps_ full leg_ each","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"A6586","description":"Gradient pressure wrap with adjustable straps_ full leg_ each","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RMA10","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RMA10","description":"HIPPS-RMA10","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HH PDGM","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"4CC31","description":"HH PDGM","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Percutaneous transluminal mechanical thrombectomy and/or infusion for thrombolysis_ dialysis circuit_ any method_ including all imaging and radiological supervision and interp","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"36904","description":"Percutaneous transluminal mechanical thrombectomy and/or infusion for thrombolysis_ dialysis circuit_ any method_ including all imaging and radiological supervision and interp","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RUA31","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RUA31","description":"HIPPS-RUA31","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CGUF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OKIA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MCBE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Oncology measures grp","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G8977","description":"Oncology measures grp","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Realignment of knee","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"27455","description":"Realignment of knee","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CIOC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Dispense fee initial 30 day","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G0333","description":"Dispense fee initial 30 day","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Case management","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"T1016","description":"Case management","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-ES38F","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"ES38F","description":"HIPPS-ES38F","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Removal of esophageal sphincter augmentation device","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"43285","description":"Removal of esophageal sphincter augmentation device","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FFKD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Saquinavir_ 200 mg","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"S0140","description":"Saquinavir_ 200 mg","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FAVF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Repositioning of teeth","billing_code_type":"CDT","billing_code_type_version":"2024","billing_code":"D7290","description":"Repositioning of teeth","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-CC210","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"CC210","description":"HIPPS-CC210","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Revision of larynx","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"31582","description":"Revision of larynx","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JCHE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"HDYD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"MRI chest w/o dye","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"71550","description":"MRI chest w/o dye","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Remove bladder/revise tract","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"51580","description":"Remove bladder/revise tract","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Benzodiazepines 13 or more","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"80347","description":"Benzodiazepines 13 or more","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"C motor evoked uppr limbs","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"95928","description":"C motor evoked uppr limbs","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"IFMC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OJDC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KHHD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Remove eye implant material","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"67121","description":"Remove eye implant material","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MJCA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KDHF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Orthodontic retention","billing_code_type":"CDT","billing_code_type_version":"2024","billing_code":"D8680","description":"Orthodontic retention","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Injection_ ravulizumab-cwvz_ 10mg","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"C9052","description":"Injection_ ravulizumab-cwvz_ 10mg","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KFCF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JGJA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JEDB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-LC12A","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"LC12A","description":"HIPPS-LC12A","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Inlay composite/resin two su","billing_code_type":"CDT","billing_code_type_version":"2024","billing_code":"D2651","description":"Inlay composite/resin two su","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OLCC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-M1486","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"M1486","description":"HCPCS-M1486","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NEPF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"LGWD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JIXF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Arthrodesis_ sacroiliac joint_ percutaneous_ with image guidance_ includes placement of intra-articular implant(s) (eg_ bone allograft[s]_ synthetic device[s])","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0775T","description":"Arthrodesis_ sacroiliac joint_ percutaneous_ with image guidance_ includes placement of intra-articular implant(s) (eg_ bone allograft[s]_ synthetic device[s])","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Note hring tst w/in 6 mon","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"3230F","description":"Note hring tst w/in 6 mon","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MFCB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Release palm contracture","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"26121","description":"Release palm contracture","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Ob us >/= 14 wks addl fetus","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"76810","description":"Ob us >/= 14 wks addl fetus","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OJYF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NHBF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CCFC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NGTD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-3CGMU","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"3CGMU","description":"HIPPS-3CGMU","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NBUC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MAHF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OESF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FBND1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"EGMA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FHEC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FBLC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Drainage of finger abscess","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"26011","description":"Drainage of finger abscess","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Chemo intralesional over 7","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"96406","description":"Chemo intralesional over 7","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-LB125","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"LB125","description":"HIPPS-LB125","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Open skull for exploration","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"61305","description":"Open skull for exploration","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KEAE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RMB02","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RMB02","description":"HIPPS-RMB02","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Above knee hydracadence","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"L5610","description":"Above knee hydracadence","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-HE28H","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"HE28H","description":"HIPPS-HE28H","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NHUD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Leg Pain Measured By The Visual Analog Scale (Vas) At One Year (9 To 15 Months) Postoperatively Was Greater Than 3.0 And Leg Pain Measured By The Visual Analog Scale (Vas) Wit","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G2147","description":"Leg Pain Measured By The Visual Analog Scale (Vas) At One Year (9 To 15 Months) Postoperatively Was Greater Than 3.0 And Leg Pain Measured By The Visual Analog Scale (Vas) Wit","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OIOA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"AGDE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"LEOF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FBPC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"LBSB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GCFF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OLBE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MFTC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Anesth special head surgery","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"21851","description":"Anesth special head surgery","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Ex hd hosp bed > 600 lbs","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"E0302","description":"Ex hd hosp bed > 600 lbs","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Total hysterectomy","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"58152","description":"Total hysterectomy","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OCYD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GCME0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OCEE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MDMA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MAUD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GBOC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CACD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CDMB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KGIF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CGUE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OECF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Alpha 1 proteinase inhibitor","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"J0256","description":"Alpha 1 proteinase inhibitor","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"LFRA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Dentures complete maxillary","billing_code_type":"CDT","billing_code_type_version":"2024","billing_code":"D5110","description":"Dentures complete maxillary","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OFME1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Mouth piece","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"A4617","description":"Mouth piece","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-J0168","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"J0168","description":"HCPCS-J0168","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MGCE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Remote in-home visit for the evaluation and management of an established patient for use only in a Medicare-approved Bundled Payments for Care Improvement Advanced (BPCI Advan","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G9985","description":"Remote in-home visit for the evaluation and management of an established patient for use only in a Medicare-approved Bundled Payments for Care Improvement Advanced (BPCI Advan","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-3CFLX","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"3CFLX","description":"HIPPS-3CFLX","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MHHC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"EZH2 (enhancer of zeste 2 polycomb repressive complex 2 subunit) (eg_ myelodysplastic syndrome_ myeloproliferative neoplasms) gene analysis_ full gene sequence","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"81236","description":"EZH2 (enhancer of zeste 2 polycomb repressive complex 2 subunit) (eg_ myelodysplastic syndrome_ myeloproliferative neoplasms) gene analysis_ full gene sequence","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Certolizumab pegol inj 1mg","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"J0717","description":"Certolizumab pegol inj 1mg","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OKMC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OLCB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Risk-adjusted functional status change residual score for the neck impairment not measured because the patient did not complete the neck fs prom at initial evaluation and/or n","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G2210","description":"Risk-adjusted functional status change residual score for the neck impairment not measured because the patient did not complete the neck fs prom at initial evaluation and/or n","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Back pain was not measured by the visual analog scale (VAS) within three months preoperatively and at three months (6 - 20 weeks) postoperatively","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G9943","description":"Back pain was not measured by the visual analog scale (VAS) within three months preoperatively and at three months (6 - 20 weeks) postoperatively","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Removal of salivary stone","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"42335","description":"Removal of salivary stone","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"ODPA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FAKC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RVX50","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RVX50","description":"HIPPS-RVX50","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Electrical bone stimulation","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"20975","description":"Electrical bone stimulation","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Drainage abdom abscess open","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"49020","description":"Drainage abdom abscess open","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KBYC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Infectious agent antigen detection by immunoassay with direct optical (ie_ visual) observation; Neisseria gonorrhoeae","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"87850","description":"Infectious agent antigen detection by immunoassay with direct optical (ie_ visual) observation; Neisseria gonorrhoeae","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-BB22C","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"BB22C","description":"HIPPS-BB22C","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BGEE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NJUC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FEBA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RUB31","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RUB31","description":"HIPPS-RUB31","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Reinforced solid stirrup","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"L2260","description":"Reinforced solid stirrup","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"DCQA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GEHE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BDJF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Nerve graft add-on","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"64902","description":"Nerve graft add-on","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Im admin each addl component","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"90461","description":"Im admin each addl component","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"LAYD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"CPT-00566","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"00566","description":"CPT-00566","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GHCF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GIVB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RVA4D","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RVA4D","description":"HIPPS-RVA4D","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OBPB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NCFE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FEHA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OGAB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CGRB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Telehealth consultation_ critical care_ initial_ physicians typically spend 60 minutes communicating with the patient and providers via telehealth","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G0508","description":"Telehealth consultation_ critical care_ initial_ physicians typically spend 60 minutes communicating with the patient and providers via telehealth","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GHBE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KAWB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MALD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NLIC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FECF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MHBF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"CDT-D1303","billing_code_type":"CDT","billing_code_type_version":"2026","billing_code":"D1303","description":"CDT-D1303","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JHTE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FGAC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"LBWC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"ACMF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GABB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KHNE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Chemo hormon antineopl sq/im","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"96402","description":"Chemo hormon antineopl sq/im","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OLSA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"IDEB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-LC125","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"LC125","description":"HIPPS-LC125","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Remove epididymis lesion","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"54840","description":"Remove epididymis lesion","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OBRA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FDJE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-1AGKS","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"1AGKS","description":"HIPPS-1AGKS","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JCFC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NICF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-PC20A","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"PC20A","description":"HIPPS-PC20A","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"EBCF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CAAD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-4CFMW","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"4CFMW","description":"HIPPS-4CFMW","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-A1904","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"A1904","description":"HCPCS-A1904","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"DARE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FAAA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"HBYF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KAWD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JHFE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Cystoscopy and treatment","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"52277","description":"Cystoscopy and treatment","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KFSE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"CPT-01958","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"01958","description":"CPT-01958","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Cast sup shoulder cast fbrgl","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"Q4004","description":"Cast sup shoulder cast fbrgl","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Macroscopic exam parasite","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"87169","description":"Macroscopic exam parasite","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"PHQE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Injection_ hexaminolevulinate HCl_ 100 mg_ per study dose","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"C9275","description":"Injection_ hexaminolevulinate HCl_ 100 mg_ per study dose","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NDHB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OGVA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Mtms by pharm addl 15 min","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"99607","description":"Mtms by pharm addl 15 min","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"DCRB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Care level rationale doc","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"6005F","description":"Care level rationale doc","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-CD154","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"CD154","description":"HIPPS-CD154","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Gradient  compression arm sleeve and glove combination_ each","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"A6575","description":"Gradient  compression arm sleeve and glove combination_ each","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Injection Sulfur Hexafouride Lipid Microsphere Per Ml","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"C9457","description":"Injection Sulfur Hexafouride Lipid Microsphere Per Ml","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"HIWA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"CPT-0609U","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"0609U","description":"CPT-0609U","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Shoulder arthroscopy/surgery","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"29825","description":"Shoulder arthroscopy/surgery","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FBIA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GCKE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-CC22C","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"CC22C","description":"HIPPS-CC22C","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NKUC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Refill/maint portable pump","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"96521","description":"Refill/maint portable pump","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OCJE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Sleeve lobectomy","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"32486","description":"Sleeve lobectomy","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-2AGM1","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"2AGM1","description":"HIPPS-2AGM1","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"DBRA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NGLB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Chorionic gonadotropin assay","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"84703","description":"Chorionic gonadotropin assay","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CAAA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KAUE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NLFF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BELE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NATD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-3CFPT","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"3CFPT","description":"HIPPS-3CFPT","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-BB216","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"BB216","description":"HIPPS-BB216","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RUL23","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RUL23","description":"HIPPS-RUL23","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Reattach tooth fragment","billing_code_type":"CDT","billing_code_type_version":"2024","billing_code":"D2921","description":"Reattach tooth fragment","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BAXB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FDAA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"PLRD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KFQF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Implant spinal canal cath","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"62351","description":"Implant spinal canal cath","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"PDYE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"IBDA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Removal of pituitary gland","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"61548","description":"Removal of pituitary gland","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"PJWA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"TPMT (thiopurine S-methyltransferase) (eg_ drug metabolism)_ gene analysis_ common variants (eg_ *2_ *3)","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"81335","description":"TPMT (thiopurine S-methyltransferase) (eg_ drug metabolism)_ gene analysis_ common variants (eg_ *2_ *3)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OIBC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FIJE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Atropine comp unit","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"J7636","description":"Atropine comp unit","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BCCE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"ACAE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JAXB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"EBHA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GEND1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Repair anal fistula","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"46288","description":"Repair anal fistula","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JFCF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Lens lenticular trifocal","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"V2315","description":"Lens lenticular trifocal","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"AITC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BHND0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NBCC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CBUB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"DEWA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JELB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HH PDGM","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"2EA21","description":"HH PDGM","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Rbc membranes fatty acids","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0111T","description":"Rbc membranes fatty acids","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Establish access to aorta","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"36160","description":"Establish access to aorta","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Treat finger dislocation","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"26770","description":"Treat finger dislocation","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BHCF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Stat lab","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"S3600","description":"Stat lab","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Electronic Positional Obstructive Sleep Apnea Treatment_ With Sensor_ Includes All Components And Accessories_ Any Type","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"K1001","description":"Electronic Positional Obstructive Sleep Apnea Treatment_ With Sensor_ Includes All Components And Accessories_ Any Type","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NAEE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-1AFL5","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"1AFL5","description":"HIPPS-1AFL5","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MLEE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RUX8A","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RUX8A","description":"HIPPS-RUX8A","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JDJA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OKFF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"EDDA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Iv inj ra drug dx study","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"78808","description":"Iv inj ra drug dx study","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NJED1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GEFB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Anal/urinary muscle study","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"51784","description":"Anal/urinary muscle study","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"DIOD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Diab shoe w/metatarsal bar","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"A5505","description":"Diab shoe w/metatarsal bar","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-BB246","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"BB246","description":"HIPPS-BB246","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"CPT-01926","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"01926","description":"CPT-01926","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Repl met band kafo-afo calf/","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"L4090","description":"Repl met band kafo-afo calf/","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Repair finger deformity","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"26590","description":"Repair finger deformity","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OHYC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OIVC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Scalp cooling_ mechanical; initial measurement and calibration of cap","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0662T","description":"Scalp cooling_ mechanical; initial measurement and calibration of cap","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Treat fracture of ulna","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"25530","description":"Treat fracture of ulna","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-PA13C","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"PA13C","description":"HIPPS-PA13C","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Comp cont lens eval","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"S0592","description":"Comp cont lens eval","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CFND0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Remove tunneled ip cath","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"49422","description":"Remove tunneled ip cath","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RLA53","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RLA53","description":"HIPPS-RLA53","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OEJF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-HC151","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"HC151","description":"HIPPS-HC151","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Analysis of clinical data stored in computers (eg_ ECGs_ blood pressures_ hematologic data)","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"99090","description":"Analysis of clinical data stored in computers (eg_ ECGs_ blood pressures_ hematologic data)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NEAD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Drainable pch w ex wear barr","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"A4388","description":"Drainable pch w ex wear barr","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OHVD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GHRC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"DGOB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CIYB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-2AGMT","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"2AGMT","description":"HIPPS-2AGMT","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Protozoa antibody nos","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"86753","description":"Protozoa antibody nos","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-PD23D","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"PD23D","description":"HIPPS-PD23D","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RUB12","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RUB12","description":"HIPPS-RUB12","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-3BFKS","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"3BFKS","description":"HIPPS-3BFKS","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Follow-up angiography","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"75898","description":"Follow-up angiography","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Medication Assisted Treatment_ Weekly Bundle Not Including The Drug_ Including Substance Use Counseling_ Individual And Group Therapy_ And Toxicology Testing If Performed (Pro","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G2074","description":"Medication Assisted Treatment_ Weekly Bundle Not Including The Drug_ Including Substance Use Counseling_ Individual And Group Therapy_ And Toxicology Testing If Performed (Pro","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OKGC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"PJQE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RUX12","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RUX12","description":"HIPPS-RUX12","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CEVC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CECE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Doc rsn no preop assmt","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G9616","description":"Doc rsn no preop assmt","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-CE28I","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"CE28I","description":"HIPPS-CE28I","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Insertion Of Drug-Eluting Implant_ Including Punctal Dilation When Performed_ Into Lacrimal Canaliculus_ Each","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"68841","description":"Insertion Of Drug-Eluting Implant_ Including Punctal Dilation When Performed_ Into Lacrimal Canaliculus_ Each","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BELC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Hereditary colon cancer disorders (eg_ Lynch syndrome_ <i>PTEN</i> hamartoma syndrome_ Cowden syndrome_ familial adenomatosis polyposis)_ genomic sequence analysis panel utili","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0101U","description":"Hereditary colon cancer disorders (eg_ Lynch syndrome_ <i>PTEN</i> hamartoma syndrome_ Cowden syndrome_ familial adenomatosis polyposis)_ genomic sequence analysis panel utili","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"AIEE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OCTD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"PalinGen or PalinGen XPlus_ per sq cm","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"Q4173","description":"PalinGen or PalinGen XPlus_ per sq cm","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CIBD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-HC221","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"HC221","description":"HIPPS-HC221","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Dexamethasone_ lacrimal opthalamic insert_ 0.1 mg","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"C9048","description":"Dexamethasone_ lacrimal opthalamic insert_ 0.1 mg","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"DGOA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RVC22","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RVC22","description":"HIPPS-RVC22","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"LERD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Intmd rpr s/a/t/ext 2.5 cm/<","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"12031","description":"Intmd rpr s/a/t/ext 2.5 cm/<","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BELD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JHKF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Patients who died from cancer","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G9855","description":"Patients who died from cancer","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"CPT-01484","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"01484","description":"CPT-01484","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-1BGK2","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"1BGK2","description":"HIPPS-1BGK2","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-CD121","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"CD121","description":"HIPPS-CD121","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-CB14C","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"CB14C","description":"HIPPS-CB14C","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NGCA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-4AGK2","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"4AGK2","description":"HIPPS-4AGK2","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Transplantation of kidney","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"50365","description":"Transplantation of kidney","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-M1481","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"M1481","description":"HCPCS-M1481","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NJTD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"HDOB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Revision of larynx","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"31400","description":"Revision of larynx","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"IDUD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-1AHL4","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"1AHL4","description":"HIPPS-1AHL4","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-A5104","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"A5104","description":"HCPCS-A5104","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Gs mg composite","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G9235","description":"Gs mg composite","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Spherocylindr 7.25d/4.25-6d","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"V2113","description":"Spherocylindr 7.25d/4.25-6d","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-1CHP2","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"1CHP2","description":"HIPPS-1CHP2","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Exploration/repair of rectum","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"45562","description":"Exploration/repair of rectum","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"EGCB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"AEID1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JINE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GFEF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"LEOE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GIRC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KEAC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Ex h rate sz 30+ day ri only","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0386T","description":"Ex h rate sz 30+ day ri only","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Insert ocular implant","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"65135","description":"Insert ocular implant","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Meningococcal recombinant lipoprotein vaccine_ serogroup B (MenB-FHbp)_ 2 or 3 dose schedule_ for intramuscular use","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"90621","description":"Meningococcal recombinant lipoprotein vaccine_ serogroup B (MenB-FHbp)_ 2 or 3 dose schedule_ for intramuscular use","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"AAAE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Pulmonary Disease (Idiopathic Pulmonary Fibrosis [Ipf])_ Mrna_ Gene Expression Analysis Of 190 Genes_ Utilizing Transbronchial Biopsies_ Diagnostic Algorithm Reported As Categ","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"81554","description":"Pulmonary Disease (Idiopathic Pulmonary Fibrosis [Ipf])_ Mrna_ Gene Expression Analysis Of 190 Genes_ Utilizing Transbronchial Biopsies_ Diagnostic Algorithm Reported As Categ","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Acetylcholinesterase assay","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"82013","description":"Acetylcholinesterase assay","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BGLD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JCBF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Tenolysis triceps","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"24332","description":"Tenolysis triceps","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BDLA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Frame typ socket bel elbow/w","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"L6687","description":"Frame typ socket bel elbow/w","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Noninvasive Arterial Plaque Analysis Using Software Processing Of Data From Non-Coronary Computerized Tomography Angiography; Quantification Of The Structure And Composition O","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0712T","description":"Noninvasive Arterial Plaque Analysis Using Software Processing Of Data From Non-Coronary Computerized Tomography Angiography; Quantification Of The Structure And Composition O","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NBTD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CGJE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Dual layer impax membrane_ per square centimeter","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"Q4262","description":"Dual layer impax membrane_ per square centimeter","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"G6pc gene","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"81250","description":"G6pc gene","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"PBSD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OBNF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BDVA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-BA217","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"BA217","description":"HIPPS-BA217","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NFVD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Oncology (breast)_ augmentative algorithmic analysis of digitized whole slide imaging of 8 histologic and immunohistochemical features_ reported as a recurrence score","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0418U","description":"Oncology (breast)_ augmentative algorithmic analysis of digitized whole slide imaging of 8 histologic and immunohistochemical features_ reported as a recurrence score","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GEJB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JANB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Thawing cryopresrved embryo","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"89352","description":"Thawing cryopresrved embryo","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Treat humerus fracture","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"23615","description":"Treat humerus fracture","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-1AFLU","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"1AFLU","description":"HIPPS-1AFLU","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OETC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OIXE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-2AHM6","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"2AHM6","description":"HIPPS-2AHM6","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Insertion of gastrostomy tube_ percutaneous_ with magnetic gastropexy_ under ultrasound guidance_ image documentation and report","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0647T","description":"Insertion of gastrostomy tube_ percutaneous_ with magnetic gastropexy_ under ultrasound guidance_ image documentation and report","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"HDWD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Rv5 vacc 3 dose live oral","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"90680","description":"Rv5 vacc 3 dose live oral","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Stationary liquid 02","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"E0439","description":"Stationary liquid 02","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"LBYA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GDID0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Prq cardiac angio addl art","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"92921","description":"Prq cardiac angio addl art","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OCQA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RVB44","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RVB44","description":"HIPPS-RVB44","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NFTE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"PFRE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Ophthalmic endoscope add-on","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"66990","description":"Ophthalmic endoscope add-on","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FDVC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-4BFL4","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"4BFL4","description":"HIPPS-4BFL4","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FFNB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CBRE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"AAID1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KCID0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Esoph imped function test","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"91037","description":"Esoph imped function test","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"AIHA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"CPT-00810","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"00810","description":"CPT-00810","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GCPD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-BA121","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"BA121","description":"HIPPS-BA121","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-HC25B","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"HC25B","description":"HIPPS-HC25B","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Services of skilled nurse in home health setting_ each 15 minutes","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G0154","description":"Services of skilled nurse in home health setting_ each 15 minutes","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KBDF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"EGHB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-CE23A","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"CE23A","description":"HIPPS-CE23A","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Lso full corset","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"L0976","description":"Lso full corset","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CDED0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Treat finger fracture each","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"26725","description":"Treat finger fracture each","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-CD110","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"CD110","description":"HIPPS-CD110","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BIPE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KAFA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Insulin most rapid 5 u","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"S5551","description":"Insulin most rapid 5 u","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-3AHK3","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"3AHK3","description":"HIPPS-3AHK3","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FBGB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KFHA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Cerv col supp adj bar & thor","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"L0200","description":"Cerv col supp adj bar & thor","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Over-bed table","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"E0274","description":"Over-bed table","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OKQA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Remove in/ex hem groups 2+","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"46260","description":"Remove in/ex hem groups 2+","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-HB226","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"HB226","description":"HIPPS-HB226","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MLDC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-LC131","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"LC131","description":"HIPPS-LC131","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-4CHLV","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"4CHLV","description":"HIPPS-4CHLV","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Cystoscopy and treatment","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"52224","description":"Cystoscopy and treatment","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BCUB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OGYF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FFMB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"EEEF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Laparoscopy fundoplasty","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"43280","description":"Laparoscopy fundoplasty","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Hematology (atypical hemolytic uremic syndrome [aHUS])_ genomic sequence analysis of 15 genes_ blood_ buccal swab_ or amniotic fluid (Versiti™ aHUS Genetic Evaluation)","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0268U","description":"Hematology (atypical hemolytic uremic syndrome [aHUS])_ genomic sequence analysis of 15 genes_ blood_ buccal swab_ or amniotic fluid (Versiti™ aHUS Genetic Evaluation)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"LCSD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"IFBB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"PDYF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CFOF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KFED1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"DAOF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-BA140","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"BA140","description":"HIPPS-BA140","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Ins device for rt guide open","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"49412","description":"Ins device for rt guide open","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-3CHPT","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"3CHPT","description":"HIPPS-3CHPT","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JEVB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"HBWC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KCVF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MJDC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KHGE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Extensive (75 minutes) in-home visit for a new patient post-discharge. For use only in a Medicare-approved CMMI model. (Services must be furnished within a beneficiary’s home_","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G2005","description":"Extensive (75 minutes) in-home visit for a new patient post-discharge. For use only in a Medicare-approved CMMI model. (Services must be furnished within a beneficiary’s home_","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Partial removal of hymen","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"56700","description":"Partial removal of hymen","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Repair vagina/perineum","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"57210","description":"Repair vagina/perineum","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Alcohol/substance abuse skil","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"T1012","description":"Alcohol/substance abuse skil","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Injection_ oliceridine_ 0.1 mg","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"C9101","description":"Injection_ oliceridine_ 0.1 mg","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"64 lead ecg w/tracing","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0179T","description":"64 lead ecg w/tracing","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Liver elastography","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"91200","description":"Liver elastography","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Pt ref oto eval","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G8564","description":"Pt ref oto eval","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NJNF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Transplants of thigh tendons","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"27397","description":"Transplants of thigh tendons","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Voltage-Gated Calcium Channel Antibody_ Each","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"86596","description":"Voltage-Gated Calcium Channel Antibody_ Each","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CGLC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Iodine i-123 iobenguane","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"A9582","description":"Iodine i-123 iobenguane","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-3BFP5","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"3BFP5","description":"HIPPS-3BFP5","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CCBC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-BB28X","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"BB28X","description":"HIPPS-BB28X","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Immntx 3 sting insects","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"95132","description":"Immntx 3 sting insects","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"EDBA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NHKA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Fusion of stomach and bowel","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"43825","description":"Fusion of stomach and bowel","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MAUA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-1AFM4","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"1AFM4","description":"HIPPS-1AFM4","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"CPT-0513U","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"0513U","description":"CPT-0513U","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Repair of skull with graft","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"62146","description":"Repair of skull with graft","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"AGUD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"IIID1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MLIB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GECE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CDRA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RVL24","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RVL24","description":"HIPPS-RVL24","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Exploration of chest","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"39000","description":"Exploration of chest","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"EEBC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-BA260","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"BA260","description":"HIPPS-BA260","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-3BHL1","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"3BHL1","description":"HIPPS-3BHL1","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Pt referral psych docd","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"4062F","description":"Pt referral psych docd","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NLGE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RLA14","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RLA14","description":"HIPPS-RLA14","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-LD256","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"LD256","description":"HIPPS-LD256","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GFIF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JFLC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Pathogen reduced plasma sing","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"P9071","description":"Pathogen reduced plasma sing","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Inj pantoprazole sodium_ via","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"C9113","description":"Inj pantoprazole sodium_ via","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GAFE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-Q4395","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"Q4395","description":"HCPCS-Q4395","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Ionm remote/>1 pt or per hr","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"95941","description":"Ionm remote/>1 pt or per hr","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JGFA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Remove vertebral body add-on","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"63308","description":"Remove vertebral body add-on","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MGDF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Systemic corticosteroids rx","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"4135F","description":"Systemic corticosteroids rx","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"PAYF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Extracapsular Cataract Removal With Insertion Of Intraocular Lens Prosthesis (1-Stage Procedure)_ Manual Or Mechanical Technique (Eg_ Irrigation And Aspiration Or Phacoemulsif","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"66987","description":"Extracapsular Cataract Removal With Insertion Of Intraocular Lens Prosthesis (1-Stage Procedure)_ Manual Or Mechanical Technique (Eg_ Irrigation And Aspiration Or Phacoemulsif","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-A0901","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"A0901","description":"HCPCS-A0901","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-PA260","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"PA260","description":"HIPPS-PA260","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KAMD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Laser surgery anal lesions","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"46917","description":"Laser surgery anal lesions","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"W/c vent tray gimbaled","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"E1030","description":"W/c vent tray gimbaled","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Accessory for gradient compression garment or wrap with adjustable straps_ non-otherwise specified","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"A6593","description":"Accessory for gradient compression garment or wrap with adjustable straps_ non-otherwise specified","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NGKF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Reconstruct extra finger","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"26587","description":"Reconstruct extra finger","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BIEB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Repair great vessels defect","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"33771","description":"Repair great vessels defect","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Heavy duty battery","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"A4611","description":"Heavy duty battery","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CBEF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GEIB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-BB224","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"BB224","description":"HIPPS-BB224","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OKYE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JAUD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"EGCD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GICD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Echo transesophageal","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"93315","description":"Echo transesophageal","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RUL05","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RUL05","description":"HIPPS-RUL05","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Assay of natriuretic peptide","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"83880","description":"Assay of natriuretic peptide","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Injection_ ADAMTS13_ recombinant-krhn_ 10 IU","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"J7171","description":"Injection_ ADAMTS13_ recombinant-krhn_ 10 IU","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"ODDF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KEWE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FEXD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NGIB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Breath test heart reject","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0085T","description":"Breath test heart reject","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-J0666","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"J0666","description":"HCPCS-J0666","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MCBA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MEHA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"CPT-00865","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"00865","description":"CPT-00865","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-L1006","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"L1006","description":"HCPCS-L1006","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Buttock fasciotomy","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"27027","description":"Buttock fasciotomy","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"IFDE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KBVA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Hydralazine hcl injection","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"J0360","description":"Hydralazine hcl injection","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FCFF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Injection into brain canal","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"61055","description":"Injection into brain canal","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KHEE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CGUE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GAHA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OGBD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Exc abdl tum deep 5 cm/>","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"22901","description":"Exc abdl tum deep 5 cm/>","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-CD14D","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"CD14D","description":"HIPPS-CD14D","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-A9615","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"A9615","description":"HCPCS-A9615","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KGRA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NEDD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Wheelchair mngment training","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"97542","description":"Wheelchair mngment training","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Above knee wood socket","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"L5644","description":"Above knee wood socket","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Nerve graft arm/leg >4 cm","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"64893","description":"Nerve graft arm/leg >4 cm","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"LHYA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"PJSB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JBKF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Aminolevulinic acid hcl for topical administration_ 10% gel_ 10mg","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"J7345","description":"Aminolevulinic acid hcl for topical administration_ 10% gel_ 10mg","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Injection_ plasminogen_ human-tvmh_ 1 mg","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"C9090","description":"Injection_ plasminogen_ human-tvmh_ 1 mg","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Humidifier heated used w pap","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"E0562","description":"Humidifier heated used w pap","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-PB124","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"PB124","description":"HIPPS-PB124","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Removal of pancreas lesion","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"48120","description":"Removal of pancreas lesion","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NCLD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Gastroplasty w/o v-band","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"43843","description":"Gastroplasty w/o v-band","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-ES11B","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"ES11B","description":"HIPPS-ES11B","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GABD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-LC117","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"LC117","description":"HIPPS-LC117","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"IIDF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-PA28E","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"PA28E","description":"HIPPS-PA28E","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Removal_ subcutaneous cardiac rhythm monitor","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"33286","description":"Removal_ subcutaneous cardiac rhythm monitor","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Repair eyelid defect","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"67917","description":"Repair eyelid defect","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"AFHC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FILE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BDGB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RUC2B","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RUC2B","description":"HIPPS-RUC2B","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"EIHC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RVB8X","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RVB8X","description":"HIPPS-RVB8X","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NHKD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"No rh-immunoglobulin order","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G8811","description":"No rh-immunoglobulin order","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"BCR/ABL1 (t(9;22)) (eg_ chronic myelogenous leukemia) translocation analysis_ major breakpoint_ quantitative","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0040U","description":"BCR/ABL1 (t(9;22)) (eg_ chronic myelogenous leukemia) translocation analysis_ major breakpoint_ quantitative","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Trastuzumab administered within 12 months of diagnosis","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G9835","description":"Trastuzumab administered within 12 months of diagnosis","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GHIA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CBJD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-2AFL4","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"2AFL4","description":"HIPPS-2AFL4","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Bitewings - three films","billing_code_type":"CDT","billing_code_type_version":"2024","billing_code":"D0273","description":"Bitewings - three films","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KETB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MHIA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GGVD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-1CFNW","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"1CFNW","description":"HIPPS-1CFNW","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-2AFKW","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"2AFKW","description":"HIPPS-2AFKW","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JGAC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Spec stains for microorganis","billing_code_type":"CDT","billing_code_type_version":"2024","billing_code":"D0476","description":"Spec stains for microorganis","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Insert ant segment drain int","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0376T","description":"Insert ant segment drain int","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Sincalide injection","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"J2805","description":"Sincalide injection","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"AHEA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Space maintainer_ fixed_ bilateral_ mandibular","billing_code_type":"CDT","billing_code_type_version":"2024","billing_code":"D1517","description":"Space maintainer_ fixed_ bilateral_ mandibular","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Foam filled caster tire each","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"E2217","description":"Foam filled caster tire each","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Encephaltis west eqne antbdy","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"86654","description":"Encephaltis west eqne antbdy","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JGNF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Transition service coordination","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"W7337","description":"Transition service coordination","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Removal of lymph nodes neck","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"38720","description":"Removal of lymph nodes neck","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BEMC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"ODDF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Anesth heart surg <1 yr","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"56151","description":"Anesth heart surg <1 yr","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-5AFK5","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"5AFK5","description":"HIPPS-5AFK5","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Iiv vaccine pandemic im","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"90668","description":"Iiv vaccine pandemic im","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FATE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"CPT-01951","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"01951","description":"CPT-01951","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Palate/uvula surgery","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"42299","description":"Palate/uvula surgery","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OIRD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KADE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"AIMA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NLJF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CDDE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-ES135","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"ES135","description":"HIPPS-ES135","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"AITF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Anidulafungin injection","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"J0348","description":"Anidulafungin injection","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KIBB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Revision of urethra","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"53450","description":"Revision of urethra","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-2CHKT","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"2CHKT","description":"HIPPS-2CHKT","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NKVB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Diphtheria antibody","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"86648","description":"Diphtheria antibody","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Assay of prealbumin","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"84134","description":"Assay of prealbumin","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MDBE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-PE22C","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"PE22C","description":"HIPPS-PE22C","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KBAE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Parenteral infus pump portab","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"B9004","description":"Parenteral infus pump portab","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Excision Of Chest Wall Tumor Involving Rib(S)_ With Plastic Reconstruction; With Mediastinal Lymphadenectomy","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"21603","description":"Excision Of Chest Wall Tumor Involving Rib(S)_ With Plastic Reconstruction; With Mediastinal Lymphadenectomy","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Nepuitant 300 mg and palonosetron 0.5 mg oral","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"Q9978","description":"Nepuitant 300 mg and palonosetron 0.5 mg oral","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"EFBD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CGTF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Removal of skin wrinkles","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"15829","description":"Removal of skin wrinkles","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"PCRB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-CC110","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"CC110","description":"HIPPS-CC110","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JDHA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Repair of ankle ligament","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"27695","description":"Repair of ankle ligament","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FCHB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OJGC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"AFCA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OETE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OHSD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Alemtuzumab_ 10 mg","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"J9010","description":"Alemtuzumab_ 10 mg","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Oncology (lung and colon cancer)_ DNA_ qualitative_ next-generation sequencing detection of single-nucleotide variants and deletions in EGFR and KRAS genes_ formalin-fixed par","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0448U","description":"Oncology (lung and colon cancer)_ DNA_ qualitative_ next-generation sequencing detection of single-nucleotide variants and deletions in EGFR and KRAS genes_ formalin-fixed par","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"LFOE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"X-ray exam hip uni 2-3 views","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"73502","description":"X-ray exam hip uni 2-3 views","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Patient not screened for unhealthy alcohol use using a systematic screening method or patient did not receive brief counseling if identified as an unhealthy alcohol user_ reas","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G9624","description":"Patient not screened for unhealthy alcohol use using a systematic screening method or patient did not receive brief counseling if identified as an unhealthy alcohol user_ reas","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OJDA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KEVA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JCXD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Fun stat score shdl >=0","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G8663","description":"Fun stat score shdl >=0","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"IGBF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BGKF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CIFE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JAAC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Quantitative Magnetic Resonance For Analysis Of Tissue Composition (Eg_ Fat_ Iron_ Water Content)_ Including Multiparametric Data Acquisition_ Data Preparation And Transmissio","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0698T","description":"Quantitative Magnetic Resonance For Analysis Of Tissue Composition (Eg_ Fat_ Iron_ Water Content)_ Including Multiparametric Data Acquisition_ Data Preparation And Transmissio","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NJNF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Neurology (autism spectrum disorder ASD) RNA next-generation sequencing saliva algorithmic analysis and results reported as predictive probability of ASD diagnosis","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0170U","description":"Neurology (autism spectrum disorder ASD) RNA next-generation sequencing saliva algorithmic analysis and results reported as predictive probability of ASD diagnosis","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Ligate leg veins radical","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"37760","description":"Ligate leg veins radical","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JDKE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FBDD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Repair of spinal herniation","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"63706","description":"Repair of spinal herniation","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Cardiovascular disease_ plasma_ analysis of protein biomarkers by aptamer-based microarray and algorithm reported as 4-year likelihood of coronary event in high-risk populatio","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0019M","description":"Cardiovascular disease_ plasma_ analysis of protein biomarkers by aptamer-based microarray and algorithm reported as 4-year likelihood of coronary event in high-risk populatio","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OHHD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RMB22","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RMB22","description":"HIPPS-RMB22","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OESB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OAPE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RVX31","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RVX31","description":"HIPPS-RVX31","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"CPT-38228","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"38228","description":"CPT-38228","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CFNF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JEDE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OGNF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CCOC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Occlusal guard adjustment","billing_code_type":"CDT","billing_code_type_version":"2024","billing_code":"D9943","description":"Occlusal guard adjustment","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OCJD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OBBB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GBSE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Pralidoxime chloride inj","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"J2730","description":"Pralidoxime chloride inj","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Somatrem injection","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"J2940","description":"Somatrem injection","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-Q2058","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"Q2058","description":"HCPCS-Q2058","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"ECDD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GARA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HH PDGM","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"1CA21","description":"HH PDGM","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-A2041","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"A2041","description":"HCPCS-A2041","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NCDF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NDNA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GHBB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GBEE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Egd esophagogastrc fndoplsty","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"43210","description":"Egd esophagogastrc fndoplsty","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OKVF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Noninvasive prostate cancer estimation map_ derived from augmentative analysis of image-guided fusion biopsy and pathology_ including visualization of margin volume and locati","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0898T","description":"Noninvasive prostate cancer estimation map_ derived from augmentative analysis of image-guided fusion biopsy and pathology_ including visualization of margin volume and locati","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Prepare donor heart/lung","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"33933","description":"Prepare donor heart/lung","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MJHE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Gba gene","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"81251","description":"Gba gene","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"DCYC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"IIBB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NCAC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Revision of unstable kneecap","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"27420","description":"Revision of unstable kneecap","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RLX5C","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RLX5C","description":"HIPPS-RLX5C","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FGLC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Hearing aid_ contralateral routing device_ monaural_ in the canal (ITC)","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"V5172","description":"Hearing aid_ contralateral routing device_ monaural_ in the canal (ITC)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RLB2B","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RLB2B","description":"HIPPS-RLB2B","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KIVB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Chromogenic substrate assay","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"85130","description":"Chromogenic substrate assay","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NHND1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MFBD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CEUB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-Q4403","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"Q4403","description":"HCPCS-Q4403","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-CE25B","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"CE25B","description":"HIPPS-CE25B","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"HAYD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-4CFL1","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"4CFL1","description":"HIPPS-4CFL1","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GHQB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-HE125","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"HE125","description":"HIPPS-HE125","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Ext line w easy lock connect","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"A4673","description":"Ext line w easy lock connect","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"S bowel endoscope w/stent","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"44379","description":"S bowel endoscope w/stent","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FCVF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"CPT-00862","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"00862","description":"CPT-00862","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Shrinker below knee","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"L8440","description":"Shrinker below knee","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OCJF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"HDYB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NLFF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GGTE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Application of hip casts","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"29325","description":"Application of hip casts","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Lens sphcyl trifocal 4.00/>6","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"V2306","description":"Lens sphcyl trifocal 4.00/>6","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Hemipelvectomy canadian sach","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"L5341","description":"Hemipelvectomy canadian sach","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Dementia measures group","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G8902","description":"Dementia measures group","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Fracture frame dual w cross","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"E0946","description":"Fracture frame dual w cross","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"CDT-D0402","billing_code_type":"CDT","billing_code_type_version":"2026","billing_code":"D0402","description":"CDT-D0402","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MBCE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Dem severity classified mild","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"1490F","description":"Dem severity classified mild","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-4CFKU","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"4CFKU","description":"HIPPS-4CFKU","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CEPF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Pms2 gene full seq analysis","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"81317","description":"Pms2 gene full seq analysis","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"No 1dose meni vac btwn 11&13","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G9415","description":"No 1dose meni vac btwn 11&13","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KHIE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Drainage of pelvis bursa","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"26991","description":"Drainage of pelvis bursa","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Specimen handling pt-lab","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"99001","description":"Specimen handling pt-lab","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Oncology (colorectal cancer)_ image analysis with artificial intelligence assessment of 4 histologic and immunohistochemical features (CD3 and CD8 within tumor-stroma border","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0261U","description":"Oncology (colorectal cancer)_ image analysis with artificial intelligence assessment of 4 histologic and immunohistochemical features (CD3 and CD8 within tumor-stroma border","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GFPD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Bronchoscopy revise stent","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"31638","description":"Bronchoscopy revise stent","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Protein e-phoresis serum","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"84165","description":"Protein e-phoresis serum","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JBXB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GINE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Treatment of rectal prolapse","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"45520","description":"Treatment of rectal prolapse","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OCKD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NCJA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-3CFPS","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"3CFPS","description":"HIPPS-3CFPS","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CAGD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"DIRA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Doc reas no rh-immuno","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G8810","description":"Doc reas no rh-immuno","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-BA28X","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"BA28X","description":"HIPPS-BA28X","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MDUE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Myomectomy abdom method","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"58140","description":"Myomectomy abdom method","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NKJA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CDLB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Ingest challenge addl 60 min","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"95079","description":"Ingest challenge addl 60 min","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KIHA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Storage/year embryo(s)","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"89342","description":"Storage/year embryo(s)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"ACCF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OLGE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Art byp common ipsi carotid","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"35601","description":"Art byp common ipsi carotid","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OIUE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KBQF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GADB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"vaccine administration-human papillomavirus - Dose 1","billing_code_type":"CDT","billing_code_type_version":"2024","billing_code":"D1781","description":"vaccine administration-human papillomavirus - Dose 1","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-HE224","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"HE224","description":"HIPPS-HE224","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Control nose/throat bleeding","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"42972","description":"Control nose/throat bleeding","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OAXD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Documentation Stating Patient Has A Diagnosis Of A Degenerative Neurological Condition Such As Als_ Ms_ Or Parkinson_S Diagnosed At Any Time Before Or During The Episode Of Ca","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"M1112","description":"Documentation Stating Patient Has A Diagnosis Of A Degenerative Neurological Condition Such As Als_ Ms_ Or Parkinson_S Diagnosed At Any Time Before Or During The Episode Of Ca","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"ICUF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"CPT-64657","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"64657","description":"CPT-64657","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JDTF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Tacrine hydrochloride_ 10 mg","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"S0014","description":"Tacrine hydrochloride_ 10 mg","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BBVD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Glassia injection","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"J0257","description":"Glassia injection","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NAVA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"EFAF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"New episode for condition","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"1127F","description":"New episode for condition","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JCHA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MAEC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KIHB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"AIMC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"PIRB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-LB236","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"LB236","description":"HIPPS-LB236","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Spec rpt no doc class histo","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G9425","description":"Spec rpt no doc class histo","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Injection_ anesthetic agent; spinal accessory nerve","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"64412","description":"Injection_ anesthetic agent; spinal accessory nerve","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Unspec maxillofacial prosth","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"L8048","description":"Unspec maxillofacial prosth","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Tear film img uni/bi w/i&r","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0330T","description":"Tear film img uni/bi w/i&r","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-2CGK6","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"2CGK6","description":"HIPPS-2CGK6","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MDDC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GFJA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"PESF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FCHF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Ftl cgen abnor 3 proteins","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"81509","description":"Ftl cgen abnor 3 proteins","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BEKC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Repair blood vessel lesion","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"35246","description":"Repair blood vessel lesion","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RMA51","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RMA51","description":"HIPPS-RMA51","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CHCB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-1BFMX","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"1BFMX","description":"HIPPS-1BFMX","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Prev visit est age 40-64","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"99396","description":"Prev visit est age 40-64","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Patients who were deceased when the hu survey reached them","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"M1254","description":"Patients who were deceased when the hu survey reached them","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RUA2B","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RUA2B","description":"HIPPS-RUA2B","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Amputation of hand","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"25927","description":"Amputation of hand","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GBLC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Mh partial hosp tx under 24h","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"H0035","description":"Mh partial hosp tx under 24h","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KGTD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NFHB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"HFWB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Tissue exam by pathologist","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"88304","description":"Tissue exam by pathologist","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-CB21A","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"CB21A","description":"HIPPS-CB21A","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RLA4B","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RLA4B","description":"HIPPS-RLA4B","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Revision of penis","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"54300","description":"Revision of penis","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"ODBB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Injection_ melphalan (hepzato)_ 1 mg","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"J9248","description":"Injection_ melphalan (hepzato)_ 1 mg","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JIFE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Breathing circuits","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"A4618","description":"Breathing circuits","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BCJD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GALC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RUL0D","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RUL0D","description":"HIPPS-RUL0D","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RVC5D","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RVC5D","description":"HIPPS-RVC5D","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Ionm in operatng room 15 min","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"95940","description":"Ionm in operatng room 15 min","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KGFC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Injection_ emicizumab-kxwh_ 0.5 mg","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"J7170","description":"Injection_ emicizumab-kxwh_ 0.5 mg","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CHSA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Gradient compression bandage roll_ elastic medium stretch_ per linear yard_ any width_ each","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"A6598","description":"Gradient compression bandage roll_ elastic medium stretch_ per linear yard_ any width_ each","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Injection_ guselkumab_ 1 mg","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"J1628","description":"Injection_ guselkumab_ 1 mg","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GFMF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Hep b core antibody total","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"86704","description":"Hep b core antibody total","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"EIHB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Tlh w/t/o uterus over 250 g","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"58573","description":"Tlh w/t/o uterus over 250 g","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RUX56","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RUX56","description":"HIPPS-RUX56","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MABC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-CB24C","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"CB24C","description":"HIPPS-CB24C","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BGGE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Injection_ aflibercept hd_ 1 mg","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"C9161","description":"Injection_ aflibercept hd_ 1 mg","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BANA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-PE113","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"PE113","description":"HIPPS-PE113","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Access av dial grft for eval","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"36147","description":"Access av dial grft for eval","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NGKA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Term dev mech hand vol close","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"L6709","description":"Term dev mech hand vol close","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Gel cap for trach voice pros","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"L8512","description":"Gel cap for trach voice pros","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KDYA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"PHSE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Reinsert spinal fixation","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"22849","description":"Reinsert spinal fixation","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Biopsy of hip joint","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"27052","description":"Biopsy of hip joint","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-4BFKT","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"4BFKT","description":"HIPPS-4BFKT","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Edetate calcium disodium inj","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"J0600","description":"Edetate calcium disodium inj","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NDKC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KHSD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JBXC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-PB28A","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"PB28A","description":"HIPPS-PB28A","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JELE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Hernia repair w/mesh","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"49568","description":"Hernia repair w/mesh","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Seg pneumatic appl full arm","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"E0668","description":"Seg pneumatic appl full arm","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KCCF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KFGC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OAIA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"CPT-98013","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"98013","description":"CPT-98013","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"CPT-0912T","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"0912T","description":"CPT-0912T","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GECE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Hit enteral pump diem","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"S9342","description":"Hit enteral pump diem","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JDIB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OFIC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Treatment of penis lesion","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"54110","description":"Treatment of penis lesion","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-HD18G","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"HD18G","description":"HIPPS-HD18G","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BILC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Replant forearm complete","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"20805","description":"Replant forearm complete","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OAGA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OKSD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GCLD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Mh clubhouse svc_ per 15 min","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"H2030","description":"Mh clubhouse svc_ per 15 min","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"ECAA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-LB28E","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"LB28E","description":"HIPPS-LB28E","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CIVB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"PCSD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GENA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Spacer bag/reservoir","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"A4627","description":"Spacer bag/reservoir","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"EAIE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Laryngoscopy for aspiration","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"31515","description":"Laryngoscopy for aspiration","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OHSA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Max ultrasound capt & interp","billing_code_type":"CDT","billing_code_type_version":"2024","billing_code":"D0370","description":"Max ultrasound capt & interp","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Pin hand dislocation","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"26676","description":"Pin hand dislocation","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"LAYB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GINA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Gammaplex injection","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"J1557","description":"Gammaplex injection","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JHCF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-A2035","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"A2035","description":"HCPCS-A2035","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-1BGKS","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"1BGKS","description":"HIPPS-1BGKS","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-2BHLX","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"2BHLX","description":"HIPPS-2BHLX","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Behavior management","billing_code_type":"CDT","billing_code_type_version":"2024","billing_code":"D9920","description":"Behavior management","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Remove/graft forearm lesion","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"25126","description":"Remove/graft forearm lesion","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Pres/absn hmrhg/lesion docd","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"3110F","description":"Pres/absn hmrhg/lesion docd","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-CE15D","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"CE15D","description":"HIPPS-CE15D","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-1CHL1","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"1CHL1","description":"HIPPS-1CHL1","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CCFF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GCQF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GBCD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Cast sup gauntlet ped plster","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"Q4015","description":"Cast sup gauntlet ped plster","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Ct uppr extremity w/o&w/dye","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"73202","description":"Ct uppr extremity w/o&w/dye","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OGXC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-2AHKU","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"2AHKU","description":"HIPPS-2AHKU","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Fusion of shoulder joint","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"23802","description":"Fusion of shoulder joint","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NDFF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JCVC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KGKF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"PBWF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Treat finger fracture each","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"26727","description":"Treat finger fracture each","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Protamine sulfate per 50 mg","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"A4802","description":"Protamine sulfate per 50 mg","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Infectious agent antigen detection by immunoassay with direct optical (ie_ visual) observation; not otherwise specified","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"87899","description":"Infectious agent antigen detection by immunoassay with direct optical (ie_ visual) observation; not otherwise specified","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Drainage of finger abscess","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"26010","description":"Drainage of finger abscess","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"ECHC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MCMD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"MRI lumbar spine w/o & w/dye","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"72158","description":"MRI lumbar spine w/o & w/dye","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Adolescent patients 12 to 17 years of age with major depression or dysthymia who did not reach remission at 12 months as demons","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"M1020","description":"Adolescent patients 12 to 17 years of age with major depression or dysthymia who did not reach remission at 12 months as demons","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"I & d of vulva/perineum","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"56405","description":"I & d of vulva/perineum","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Doc reas no min inv dx","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G8876","description":"Doc reas no min inv dx","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Vision svcs frames purchases","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"V2020","description":"Vision svcs frames purchases","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JFMC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RMX8B","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RMX8B","description":"HIPPS-RMX8B","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-Q4342","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"Q4342","description":"HCPCS-Q4342","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Islet cell tissue transplant","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"S2102","description":"Islet cell tissue transplant","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MGMD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Peri-Procedural Device Evaluation (In-Person) And Programming Of Device System Parameters Before Or After A Surgery_ Procedure_ Or Test With Analysis_ Review_ And Report By A","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0684T","description":"Peri-Procedural Device Evaluation (In-Person) And Programming Of Device System Parameters Before Or After A Surgery_ Procedure_ Or Test With Analysis_ Review_ And Report By A","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-M1446","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"M1446","description":"HCPCS-M1446","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"ODBC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GGWF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Auditory function + 15 min","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"92621","description":"Auditory function + 15 min","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OFNC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Portable liquid 02","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"E0434","description":"Portable liquid 02","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"PFOE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CGIF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Prep donor liver 3-segment","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"47144","description":"Prep donor liver 3-segment","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OGYB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GGLC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-HC126","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"HC126","description":"HIPPS-HC126","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Disk/foam pad +or- adhesive","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"A5126","description":"Disk/foam pad +or- adhesive","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Egd w/thrml txmnt gerd","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"43257","description":"Egd w/thrml txmnt gerd","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"EIBE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FELF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Ugt1a1 gene","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"81350","description":"Ugt1a1 gene","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NFVF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GDUC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GBAE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CCNC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NJKD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-Q4345","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"Q4345","description":"HCPCS-Q4345","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"PDOD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OJJF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FFFE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NBGD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MDLB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Mold sckt ext knee shin sach","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"L5150","description":"Mold sckt ext knee shin sach","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OLJA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Absolute Quantitation Of Myocardial Blood Flow (Aqmbf)_ Positron Emission Tomography (Pet)_ Rest And Pharmacologic Stress (List Separately In Addition To Code For Primary Proc","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"78434","description":"Absolute Quantitation Of Myocardial Blood Flow (Aqmbf)_ Positron Emission Tomography (Pet)_ Rest And Pharmacologic Stress (List Separately In Addition To Code For Primary Proc","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Pain assessment documented as positive_ follow-up plan not documented_ documentation the patient is not eligible at the time of the encounter","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G8939","description":"Pain assessment documented as positive_ follow-up plan not documented_ documentation the patient is not eligible at the time of the encounter","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-J0582","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"J0582","description":"HCPCS-J0582","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MHEE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Supported housing_ per month","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"H0044","description":"Supported housing_ per month","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GFSD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"EADE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CBQB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"HGYA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Revision of jaw muscle/bone","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"21295","description":"Revision of jaw muscle/bone","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CCPB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BEKC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Treat foot dislocation","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"28605","description":"Treat foot dislocation","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-1AFM1","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"1AFM1","description":"HIPPS-1AFM1","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CAUC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Endo ak/hip knee extens assi","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"L5850","description":"Endo ak/hip knee extens assi","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FAFF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Hyaluronan or derivitive_ genvisc 850_ for intra-articular injection_ 1 mg","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"J7320","description":"Hyaluronan or derivitive_ genvisc 850_ for intra-articular injection_ 1 mg","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FDJE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"DHWA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NDAA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MCTF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MLHE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"IIDC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JBUA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-3BHMV","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"3BHMV","description":"HIPPS-3BHMV","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"ADEB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Total disc arthrp ant appr","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0375T","description":"Total disc arthrp ant appr","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KCTC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"AFUA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Cannabinoids synthetic 1-3","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"80350","description":"Cannabinoids synthetic 1-3","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"DGQF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"External recharging system for battery for use with cochlear implant or auditory osseointegrated device_ replacement only_ each","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"L8625","description":"External recharging system for battery for use with cochlear implant or auditory osseointegrated device_ replacement only_ each","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CHFD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-5AGKT","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"5AGKT","description":"HIPPS-5AGKT","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JIVA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"CDT-D0901","billing_code_type":"CDT","billing_code_type_version":"2026","billing_code":"D0901","description":"CDT-D0901","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JCHE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Pt w/o preop order iv ab pro","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G8918","description":"Pt w/o preop order iv ab pro","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KIWC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Measles virus vaccine_ live_ for subcutaneous or jet injection use","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"90705","description":"Measles virus vaccine_ live_ for subcutaneous or jet injection use","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"ODFD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Laparo partial nephrectomy","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"50543","description":"Laparo partial nephrectomy","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RUC25","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RUC25","description":"HIPPS-RUC25","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-J8522","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"J8522","description":"HCPCS-J8522","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OJLE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NIPD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Melan follow-up complete","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0015F","description":"Melan follow-up complete","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"ADDA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Non-electronic spirometer","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"A9284","description":"Non-electronic spirometer","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MHLA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RML8D","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RML8D","description":"HIPPS-RML8D","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BEJD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GESD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Loop heel","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"E0951","description":"Loop heel","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CFJC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FGTB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Indwelling trach insert","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"L8511","description":"Indwelling trach insert","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MIUA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Laparoscopy_ surgical_ ablation of uterine fibroid(s) including intraoperative ultrasound guidance and monitoring_ radiofrequency","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"58674","description":"Laparoscopy_ surgical_ ablation of uterine fibroid(s) including intraoperative ultrasound guidance and monitoring_ radiofrequency","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NCUF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-3AFNX","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"3AFNX","description":"HIPPS-3AFNX","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-LC256","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"LC256","description":"HIPPS-LC256","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NIUC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Anesth head nerve surgery","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"22251","description":"Anesth head nerve surgery","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"PBOC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Hip arthr0 w/synovectomy","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"29863","description":"Hip arthr0 w/synovectomy","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"HFOB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KDLE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Resect/excise cranial lesion","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"61601","description":"Resect/excise cranial lesion","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JANC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-3CGNU","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"3CGNU","description":"HIPPS-3CGNU","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"ICLF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-Q5157","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"Q5157","description":"HCPCS-Q5157","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MKBF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KDID1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MBUF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"CPT-0655U","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"0655U","description":"CPT-0655U","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Secondary urethral surgery","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"54348","description":"Secondary urethral surgery","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Reconstruction of lower jaw","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"21244","description":"Reconstruction of lower jaw","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-Q4355","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"Q4355","description":"HCPCS-Q4355","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BGCB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OHDE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NAVB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"AHUA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NEVD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Esophagoscopy_ flexible_ transoral_ with initial transendoscopic mechanical dilation (eg_ nondrug-coated balloon) followed by therapeutic drug delivery by drug-coated balloon","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0884T","description":"Esophagoscopy_ flexible_ transoral_ with initial transendoscopic mechanical dilation (eg_ nondrug-coated balloon) followed by therapeutic drug delivery by drug-coated balloon","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Vent mgmt inpat init day","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"94002","description":"Vent mgmt inpat init day","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BFKB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FCVD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FDAF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-4AGKV","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"4AGKV","description":"HIPPS-4AGKV","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Ibandronate sodium injection","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"J1740","description":"Ibandronate sodium injection","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OLWE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GETF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NJKA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Assay phosphatidylglycerol","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"84081","description":"Assay phosphatidylglycerol","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Hosp bed total elect w/o mat","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"E0297","description":"Hosp bed total elect w/o mat","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RUL13","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RUL13","description":"HIPPS-RUL13","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NGBD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OIYA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Cryopreservation ovary tiss","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0058T","description":"Cryopreservation ovary tiss","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Unipuncture control system","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"E1580","description":"Unipuncture control system","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"PBYD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Repair forearm tendon/muscle","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"25270","description":"Repair forearm tendon/muscle","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MFBA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-PE28A","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"PE28A","description":"HIPPS-PE28A","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NFTF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BEEA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"ECCB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"CPT-00190","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"00190","description":"CPT-00190","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CIOF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"LHYE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OEAA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-PB111","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"PB111","description":"HIPPS-PB111","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Ostomy vent","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"A4366","description":"Ostomy vent","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-ES217","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"ES217","description":"HIPPS-ES217","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Tc99m sulfur colloid","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"A9541","description":"Tc99m sulfur colloid","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Iliac revasc w/stent","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"37221","description":"Iliac revasc w/stent","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Enterectomy live donor","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"44133","description":"Enterectomy live donor","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-5AGK6","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"5AGK6","description":"HIPPS-5AGK6","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BIKD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-CC141","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"CC141","description":"HIPPS-CC141","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Remove kidney open","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"50220","description":"Remove kidney open","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Exploration of chest","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"32100","description":"Exploration of chest","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KDHE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RUL60","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RUL60","description":"HIPPS-RUL60","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BDDF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"AITF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Acyclovir injection","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"J0133","description":"Acyclovir injection","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KAJD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HH PDGM","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"3BA21","description":"HH PDGM","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"PBOA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Ext amb insulin delivery sys","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"A9274","description":"Ext amb insulin delivery sys","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"PBSA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"EFHF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Immunofix e-phoresis serum","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"86334","description":"Immunofix e-phoresis serum","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RML8A","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RML8A","description":"HIPPS-RML8A","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FEDF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JFMF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NFUC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CBVB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Molecular Fluorescent Imaging Of Suspicious Nevus; First Lesion","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0700T","description":"Molecular Fluorescent Imaging Of Suspicious Nevus; First Lesion","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NGXE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RHB5A","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RHB5A","description":"HIPPS-RHB5A","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Treat big toe fracture","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"28495","description":"Treat big toe fracture","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RLB46","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RLB46","description":"HIPPS-RLB46","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"CPT-1009T","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"1009T","description":"CPT-1009T","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Incobotulinumtoxin a","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"J0588","description":"Incobotulinumtoxin a","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CAIB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Sinusitis intent","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G9463","description":"Sinusitis intent","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Pt no elig for bp assess","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G8784","description":"Pt no elig for bp assess","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NLIF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"PGQF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Esophagoscopy control bleed","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"43227","description":"Esophagoscopy control bleed","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-CD115","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"CD115","description":"HIPPS-CD115","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Injection_ teprotumumab-trbw_10mg","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"C9061","description":"Injection_ teprotumumab-trbw_10mg","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-LB13C","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"LB13C","description":"HIPPS-LB13C","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"IFME1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Ct head/brain w/o dye","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"70450","description":"Ct head/brain w/o dye","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JAEE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MAHE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"ICMD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"LBQD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MGAF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Drug/bio noc part b drug cap","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"Q4082","description":"Drug/bio noc part b drug cap","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Dialysis training complete","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"90989","description":"Dialysis training complete","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Hydroxyurea 500 mg","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"S0176","description":"Hydroxyurea 500 mg","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-CE140","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"CE140","description":"HIPPS-CE140","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-LD22B","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"LD22B","description":"HIPPS-LD22B","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JGKD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JGEC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BEFD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Removal of prostate","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"55831","description":"Removal of prostate","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KGKB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FCIA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OFXA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"IFUC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Serum lvls ca/ipth/lpd ord","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"3278F","description":"Serum lvls ca/ipth/lpd ord","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MKUB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CGUD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"LIYC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"EHLD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GHOB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Shoe wedge sach","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"L3340","description":"Shoe wedge sach","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OFVF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Shoe heel pad removable for","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"L3485","description":"Shoe heel pad removable for","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OECB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-1CGNU","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"1CGNU","description":"HIPPS-1CGNU","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-C0204","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"C0204","description":"HCPCS-C0204","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JEVA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-1BFL6","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"1BFL6","description":"HIPPS-1BFL6","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NKGD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"ICHA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Each Additional 30 Minutes Of Counseling In A Week Of Medication Assisted Treatment_ (Provision Of The Services By A Medicare-Enrolled Opioid Treatment Program); List Separate","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G2080","description":"Each Additional 30 Minutes Of Counseling In A Week Of Medication Assisted Treatment_ (Provision Of The Services By A Medicare-Enrolled Opioid Treatment Program); List Separate","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Injection_ Factor VIII_ antihemophilic factor (recombinant)_ (Esperoct)_ glycopegylated-exei_ per IU","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"J7204","description":"Injection_ Factor VIII_ antihemophilic factor (recombinant)_ (Esperoct)_ glycopegylated-exei_ per IU","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KHAA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-PC236","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"PC236","description":"HIPPS-PC236","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"EBHC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JFTA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Restrata minimatrix_ 5 mg","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"A2026","description":"Restrata minimatrix_ 5 mg","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MLHB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-A0604","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"A0604","description":"HCPCS-A0604","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Explore wound extremity","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"20103","description":"Explore wound extremity","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RHX5A","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RHX5A","description":"HIPPS-RHX5A","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OERC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CDGE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GIOE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NETF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OFRB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Multi-axial rotation unit","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"L5986","description":"Multi-axial rotation unit","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KFAD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JGTA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-A4296","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"A4296","description":"HCPCS-A4296","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-4AFLV","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"4AFLV","description":"HIPPS-4AFLV","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"PFYB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BDND0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BBUD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-L1557","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"L1557","description":"HCPCS-L1557","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MKME0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OEVB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Neurovascular pedicle flap","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"15750","description":"Neurovascular pedicle flap","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-HC236","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"HC236","description":"HIPPS-HC236","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-3CGK1","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"3CGK1","description":"HIPPS-3CGK1","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RUL4B","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RUL4B","description":"HIPPS-RUL4B","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JCPA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Removal of donor heart/lung","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"33930","description":"Removal of donor heart/lung","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"LDYA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NHHE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OKSE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Eeg monitor technol attended","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"95956","description":"Eeg monitor technol attended","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Diabetes prev standard curr","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0403T","description":"Diabetes prev standard curr","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Exercise class","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"S9451","description":"Exercise class","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"CPT-0491U","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"0491U","description":"CPT-0491U","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"AFLC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Percutaneous transcatheter closure of paravalvular leak; initial occlusion device_ aortic valve","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"93591","description":"Percutaneous transcatheter closure of paravalvular leak; initial occlusion device_ aortic valve","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MHHA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OBPE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Obtaining screen pap smear","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"Q0091","description":"Obtaining screen pap smear","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"HGOC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"IEDC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OKYF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JIUC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KDMF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RUX0B","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RUX0B","description":"HIPPS-RUX0B","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"CPT-99470","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"99470","description":"CPT-99470","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Repair valve femoral vein","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"34501","description":"Repair valve femoral vein","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KHLF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Therapeutic apheresis; with extracorporeal immunoadsorption_ selective adsorption or selective filtration and plasma reinfusion","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"36516","description":"Therapeutic apheresis; with extracorporeal immunoadsorption_ selective adsorption or selective filtration and plasma reinfusion","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"DBQB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CIDC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"EEAD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Albumin (human)_ 25%_ 20 ml","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"P9046","description":"Albumin (human)_ 25%_ 20 ml","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GFMF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CBLE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"AEMC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Isoproterenol comp unit","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"J7660","description":"Isoproterenol comp unit","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-1CFL5","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"1CFL5","description":"HIPPS-1CFL5","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KERC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"PJWB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Emtricitabine 200mg and tenofovir disoproxil fumarate 300mg_ oral_ fda approved prescription_ only for use as hiv pre-exposure prophylaxis (not for use as treatment of hiv)","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"J0750","description":"Emtricitabine 200mg and tenofovir disoproxil fumarate 300mg_ oral_ fda approved prescription_ only for use as hiv pre-exposure prophylaxis (not for use as treatment of hiv)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-HC22D","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"HC22D","description":"HIPPS-HC22D","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"CPT-98001","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"98001","description":"CPT-98001","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-5BGKX","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"5BGKX","description":"HIPPS-5BGKX","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"EEUA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Neurology (autism spectrum disorder [ASD])_ quantitative measurements of 6 central carbon metabolites (ie_ a-ketoglutarate_ alanine_ lactate_ phenylalanine_ pyruvate_ and succ","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0139U","description":"Neurology (autism spectrum disorder [ASD])_ quantitative measurements of 6 central carbon metabolites (ie_ a-ketoglutarate_ alanine_ lactate_ phenylalanine_ pyruvate_ and succ","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"DBWB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-J3406","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"J3406","description":"HCPCS-J3406","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BCAD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Bld glucose monitor w lance","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"E2101","description":"Bld glucose monitor w lance","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"ODCE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"ICEF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KBRA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-LB24D","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"LB24D","description":"HIPPS-LB24D","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OFVC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-C9818","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"C9818","description":"HCPCS-C9818","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Open skull for drainage","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"61315","description":"Open skull for drainage","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Bk knee joints single axis p","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"L5676","description":"Bk knee joints single axis p","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Patients with clinical indications for imaging of the head: positional headaches","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G2191","description":"Patients with clinical indications for imaging of the head: positional headaches","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Ecmo/ecls rmvl ctr cannula","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"33985","description":"Ecmo/ecls rmvl ctr cannula","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FAME0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OGFF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NEAC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Hx injec drug use","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G9450","description":"Hx injec drug use","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KDPE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CABB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JELD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CEQF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GITA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Remove vagina lesion","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"57135","description":"Remove vagina lesion","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Breast prosthes w/o adhesive","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"L8030","description":"Breast prosthes w/o adhesive","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KHXF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Insulin antibodies","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"86337","description":"Insulin antibodies","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Anesth removal of bladder","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"86451","description":"Anesth removal of bladder","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-PA23C","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"PA23C","description":"HIPPS-PA23C","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HH PDGM","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"1GA31","description":"HH PDGM","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GDWD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Afluria vacc_ 3 yrs & >_ im","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"Q2035","description":"Afluria vacc_ 3 yrs & >_ im","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"ABAA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"HBWF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RUB46","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RUB46","description":"HIPPS-RUB46","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"PrecisionBlood™_ San Diego Blood Bank","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0246U","description":"PrecisionBlood™_ San Diego Blood Bank","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GERF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NBTA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-C1609","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"C1609","description":"HCPCS-C1609","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"EHBE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FAPC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-C1607","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"C1607","description":"HCPCS-C1607","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BEHA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"DAYB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CEUD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KFED0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Lead_ aicd_ endo dual coil","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"C1895","description":"Lead_ aicd_ endo dual coil","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KAKC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GAHA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"EETB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OEFE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Children who were not screened for risk of developmental_ behavioral and social delays using a standardized tool with interpretation and report","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G9967","description":"Children who were not screened for risk of developmental_ behavioral and social delays using a standardized tool with interpretation and report","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Work related disability exam","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"99455","description":"Work related disability exam","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Cystouretero w/lithotripsy","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"52353","description":"Cystouretero w/lithotripsy","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Personal Emergency Response System (Installation)","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"W1894","description":"Personal Emergency Response System (Installation)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Observ/hosp same date","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"99234","description":"Observ/hosp same date","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GHOD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-LC28X","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"LC28X","description":"HIPPS-LC28X","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"ECBF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Remove hip foreign body","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"27087","description":"Remove hip foreign body","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NFMC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"CPT-0678U","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"0678U","description":"CPT-0678U","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BEDB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OAQF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Add proc construct new crown","billing_code_type":"CDT","billing_code_type_version":"2024","billing_code":"D2971","description":"Add proc construct new crown","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Promoting wellness mips value pathways","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"M0005","description":"Promoting wellness mips value pathways","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-3AHP2","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"3AHP2","description":"HIPPS-3AHP2","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Emer response sys instal&tst","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"S5160","description":"Emer response sys instal&tst","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Spherocylinder 4.25d/over 6d","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"V2110","description":"Spherocylinder 4.25d/over 6d","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GGAE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"DHQA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MFEB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JDHF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MJCF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Infectious disease (bacteria and fungi)_ gram-positive organism identification and drug resistance element detection_ DNA (20 gram-positive bacterial targets_ 4 resistance gen","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0141U","description":"Infectious disease (bacteria and fungi)_ gram-positive organism identification and drug resistance element detection_ DNA (20 gram-positive bacterial targets_ 4 resistance gen","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Iodine i-131 iodide cap_ dx","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"A9528","description":"Iodine i-131 iodide cap_ dx","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Antipsychotics nos 1-3","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"80342","description":"Antipsychotics nos 1-3","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-M1441","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"M1441","description":"HCPCS-M1441","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Reconstruction of nose","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"30410","description":"Reconstruction of nose","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GDSF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JBXE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KFIE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-CD21A","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"CD21A","description":"HIPPS-CD21A","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-2BHMU","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"2BHMU","description":"HIPPS-2BHMU","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JEGE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Imm admin by intramusc injection of  (SARSCoV-2) (coronavirus disease [COVID-19]) vaccine_ DNA_ spike protein_ chimp adenovirus Oxford 1 preserv free_ 0.5 ml dose_ 2nd dose","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0022A","description":"Imm admin by intramusc injection of  (SARSCoV-2) (coronavirus disease [COVID-19]) vaccine_ DNA_ spike protein_ chimp adenovirus Oxford 1 preserv free_ 0.5 ml dose_ 2nd dose","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"EELF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JBFE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JEDF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JDXF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Fos c chld non-ther per diem","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"H0041","description":"Fos c chld non-ther per diem","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Av fusion/forearm vein","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"36820","description":"Av fusion/forearm vein","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MIMC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FIFA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Battery chrgr 12 volt utah/e","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"L7366","description":"Battery chrgr 12 volt utah/e","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"PLQB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"HEYA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-LE28B","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"LE28B","description":"HIPPS-LE28B","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Excision of tongue lesion","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"41110","description":"Excision of tongue lesion","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NJEE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OHMB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"CPT-98004","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"98004","description":"CPT-98004","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Artery-vein nonautograft","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"36830","description":"Artery-vein nonautograft","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Fetal biophys profile w/nst","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"76818","description":"Fetal biophys profile w/nst","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KDOA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HH PDGM","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"3DC11","description":"HH PDGM","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JAFB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Inj follitropin beta 75 iu","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"S0128","description":"Inj follitropin beta 75 iu","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KHYA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"PLSE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BGCC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Epsd bk pain for 6 wks/<","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"1134F","description":"Epsd bk pain for 6 wks/<","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"CPT-16375","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"16375","description":"CPT-16375","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Prepare penis study","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"54230","description":"Prepare penis study","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Laser treatment of retina","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"67039","description":"Laser treatment of retina","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BDHE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CFOA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Hsv dna quant","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"87530","description":"Hsv dna quant","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NBNC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CHRD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RMB40","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RMB40","description":"HIPPS-RMB40","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Radiation treatment delivery","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G6004","description":"Radiation treatment delivery","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Tcd vasoreactivity study","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"93890","description":"Tcd vasoreactivity study","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NJFE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CHUA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"HCQD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CCNF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GDTA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"CDT-D9129","billing_code_type":"CDT","billing_code_type_version":"2026","billing_code":"D9129","description":"CDT-D9129","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"IFDD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-M0237","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"M0237","description":"HCPCS-M0237","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CHYD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KCHA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FAFE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Reconstruct elbow joint","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"24360","description":"Reconstruct elbow joint","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Consult slides prep elsewher","billing_code_type":"CDT","billing_code_type_version":"2024","billing_code":"D0484","description":"Consult slides prep elsewher","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-4BHL3","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"4BHL3","description":"HIPPS-4BHL3","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BCDD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Interferential stim 4 chan","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"S8131","description":"Interferential stim 4 chan","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GFCE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Ankle arthroscopy/surgery","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"29894","description":"Ankle arthroscopy/surgery","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-CE18B","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"CE18B","description":"HIPPS-CE18B","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BAMC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"AFEC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"HAQF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-BA101","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"BA101","description":"HIPPS-BA101","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Ant resin-based cmpst crown","billing_code_type":"CDT","billing_code_type_version":"2024","billing_code":"D2390","description":"Ant resin-based cmpst crown","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GIID1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CBRE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Patient provided a response other than completely true for the question of patient felt this provider and team understood what is important to me in my life","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"M1246","description":"Patient provided a response other than completely true for the question of patient felt this provider and team understood what is important to me in my life","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CIRF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"IATF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Intraoperative therapeutic electrical stimulation of peripheral nerve to promote nerve regeneration_ including lead placement and removal_ upper extremity_ minimum of 10 minut","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0882T","description":"Intraoperative therapeutic electrical stimulation of peripheral nerve to promote nerve regeneration_ including lead placement and removal_ upper extremity_ minimum of 10 minut","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"HAWF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Chloramphenicol sodium injec","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"J0720","description":"Chloramphenicol sodium injec","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BDBD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OIBA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"EIME1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OJHD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GGXB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Gastric emptying imag study","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"78266","description":"Gastric emptying imag study","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KDBA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-3AHM4","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"3AHM4","description":"HIPPS-3AHM4","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NIIF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RVC14","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RVC14","description":"HIPPS-RVC14","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BGXB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FBLA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GGQF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Observation care discharge day management (This code is to be utilized to report all services provided to a patient on discharge from outpatient hospital observation status if","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"99217","description":"Observation care discharge day management (This code is to be utilized to report all services provided to a patient on discharge from outpatient hospital observation status if","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KDND1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Clot factor viii vw antigen","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"85246","description":"Clot factor viii vw antigen","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KIMD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Biological materials","billing_code_type":"CDT","billing_code_type_version":"2024","billing_code":"D3431","description":"Biological materials","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FIEE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NCME0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RUX5D","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RUX5D","description":"HIPPS-RUX5D","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Screening_ diagnostic_ film_ digital or digital breast tomosynthesis (3D) mammography results documented and reviewed","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G9899","description":"Screening_ diagnostic_ film_ digital or digital breast tomosynthesis (3D) mammography results documented and reviewed","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-LB18A","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"LB18A","description":"HIPPS-LB18A","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CAPD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"PBSB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"ACIA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Parenteral sol amino acid >","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"B4178","description":"Parenteral sol amino acid >","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Gallium ga-68_ dotatate_ diagnostic_ 0.1 millicurie","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"A9587","description":"Gallium ga-68_ dotatate_ diagnostic_ 0.1 millicurie","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OLXC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"LAYD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RUB5B","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RUB5B","description":"HIPPS-RUB5B","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GAFA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-HC23A","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"HC23A","description":"HIPPS-HC23A","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Drug screen quan lamotrigine","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"80175","description":"Drug screen quan lamotrigine","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Pedcle fh/ch/ch/m/n/ax/g/h/f","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"15574","description":"Pedcle fh/ch/ch/m/n/ax/g/h/f","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RVX4C","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RVX4C","description":"HIPPS-RVX4C","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KAFB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CCWE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MIUB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Close mastoid fistula","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"69700","description":"Close mastoid fistula","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BEAC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"DBRD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NFMA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"LFWA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FEVC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-3AHMS","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"3AHMS","description":"HIPPS-3AHMS","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KGGD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-ES18F","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"ES18F","description":"HIPPS-ES18F","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-C7565","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"C7565","description":"HCPCS-C7565","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Reimplantation of kidney","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"50380","description":"Reimplantation of kidney","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Exploratory shoulder surgery","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"23044","description":"Exploratory shoulder surgery","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GGNE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"2019-nCoV Coronavirus_ SARS-CoV-2/2019-nCoV (COVID-19)_ any technique_ multiple types or subtypes (includes all targets)_ non-CDC_ making use of high throughput technologies","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"U0004","description":"2019-nCoV Coronavirus_ SARS-CoV-2/2019-nCoV (COVID-19)_ any technique_ multiple types or subtypes (includes all targets)_ non-CDC_ making use of high throughput technologies","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OACD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-LB136","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"LB136","description":"HIPPS-LB136","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"IBUE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Epstein-barr nuclear antigen","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"86664","description":"Epstein-barr nuclear antigen","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-PA18I","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"PA18I","description":"HIPPS-PA18I","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Injection_ sacituzumab govitecan-hziy_ 2.5 mg","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"J9317","description":"Injection_ sacituzumab govitecan-hziy_ 2.5 mg","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CHMC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MLBA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"DHQC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JEAA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Psychological or neuropsychological test administration and scoring by physician or other qualified health care professional_ two or more tests_ any method; first 30 minutes","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"96136","description":"Psychological or neuropsychological test administration and scoring by physician or other qualified health care professional_ two or more tests_ any method; first 30 minutes","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MEIB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-1AHL2","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"1AHL2","description":"HIPPS-1AHL2","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Singlay_ per sq cm","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"Q4329","description":"Singlay_ per sq cm","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"EAIF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JGEB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HH PDGM","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"4GC31","description":"HH PDGM","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-HC18C","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"HC18C","description":"HIPPS-HC18C","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Pos air press prescribe","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G8852","description":"Pos air press prescribe","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JEKA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Remove eyelid lesion(s)","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"67808","description":"Remove eyelid lesion(s)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Osteot hum xtrnl lngth dev","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0594T","description":"Osteot hum xtrnl lngth dev","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NGNA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JGXF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-CB25D","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"CB25D","description":"HIPPS-CB25D","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Infectious agent antigen detection by immunoassay with direct optical (ie_ visual) observation; adenovirus","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"87809","description":"Infectious agent antigen detection by immunoassay with direct optical (ie_ visual) observation; adenovirus","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-3CFN6","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"3CFN6","description":"HIPPS-3CFN6","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-BB115","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"BB115","description":"HIPPS-BB115","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JBTF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"MRI lumbar spine w/dye","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"72149","description":"MRI lumbar spine w/dye","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Antistreptolysin o titer","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"86060","description":"Antistreptolysin o titer","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OFBD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"CPT-0944T","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"0944T","description":"CPT-0944T","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"PJSF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Treat fx rad intra-articul","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"25608","description":"Treat fx rad intra-articul","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FIJB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JBDC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CENA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GIVD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CGHD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FFCD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-HE22C","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"HE22C","description":"HIPPS-HE22C","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-HC205","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"HC205","description":"HIPPS-HC205","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JAGC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Revise urine flow","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"50830","description":"Revise urine flow","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Clean & inspect rem dent man","billing_code_type":"CDT","billing_code_type_version":"2024","billing_code":"D9933","description":"Clean & inspect rem dent man","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-PE15D","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"PE15D","description":"HIPPS-PE15D","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-LC214","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"LC214","description":"HIPPS-LC214","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-3AGNW","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"3AGNW","description":"HIPPS-3AGNW","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-3CHL6","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"3CHL6","description":"HIPPS-3CHL6","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"No interv req for leak","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G9305","description":"No interv req for leak","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BGDC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JAPB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"HAOD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"HDWE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MDBC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Resect distal humerus tumor","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"24150","description":"Resect distal humerus tumor","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KFRF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GIBE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GIKB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BGUB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GEPE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"EIMC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BHLE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BITE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"EDBB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KELE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Analysis tumor","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"88358","description":"Analysis tumor","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KADD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OKBA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FIEC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CHGB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Patient achieves refraction +-1 d for the eye that underwent cataract surgery_ measured at the one month follow up visit","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G9391","description":"Patient achieves refraction +-1 d for the eye that underwent cataract surgery_ measured at the one month follow up visit","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CAQC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NGKE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KIIC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"AECE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MFEA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BGAD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BGMB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-1CGKT","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"1CGKT","description":"HIPPS-1CGKT","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RHA4A","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RHA4A","description":"HIPPS-RHA4A","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NBDE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FHDB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FCTD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CGMB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Hysteroscopy lysis","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"58559","description":"Hysteroscopy lysis","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Biliary endoscopy thru skin","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"47555","description":"Biliary endoscopy thru skin","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CHFC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NCCE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Art byp grft subclav-subclav","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"35511","description":"Art byp grft subclav-subclav","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Conform band s w <3in/yd","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"A6445","description":"Conform band s w <3in/yd","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"ODAE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-ES10A","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"ES10A","description":"HIPPS-ES10A","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HH PDGM","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"3FA11","description":"HH PDGM","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BADC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Patients 66 Years Of Age And Older With At Least One Claim/Encounter For Frailty During The Measurement Period And Either One Acute Inpatient Encounter With A Diagnosis Of Adv","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G2091","description":"Patients 66 Years Of Age And Older With At Least One Claim/Encounter For Frailty During The Measurement Period And Either One Acute Inpatient Encounter With A Diagnosis Of Adv","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-CC144","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"CC144","description":"HIPPS-CC144","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CFKE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Tracheal suction tube","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"A4624","description":"Tracheal suction tube","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FDUA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Wrist disart myoelectronic c","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"L6925","description":"Wrist disart myoelectronic c","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Wheelchair lightweight leg r","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"E1270","description":"Wheelchair lightweight leg r","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NLDC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Suction pump_ home model_ portable or stationary_ electric_ any type_ for use with external urine management system","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"K1006","description":"Suction pump_ home model_ portable or stationary_ electric_ any type_ for use with external urine management system","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Supply/ext inf pump syr type","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"K0552","description":"Supply/ext inf pump syr type","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Professional services for the administration of antiinfective_ pain management_ chelation_ pulmonary hypertension_ and/or inotr","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G0068","description":"Professional services for the administration of antiinfective_ pain management_ chelation_ pulmonary hypertension_ and/or inotr","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Eye exam & treatment","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"92019","description":"Eye exam & treatment","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BDLB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Ear and throat examination","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"92502","description":"Ear and throat examination","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NECD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GGVF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Partial proctectomy","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"45123","description":"Partial proctectomy","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Ajcc cln cncr stage 0 docd","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"3382F","description":"Ajcc cln cncr stage 0 docd","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-CE24B","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"CE24B","description":"HIPPS-CE24B","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"LFYC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NHLA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OINB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-3AHMV","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"3AHMV","description":"HIPPS-3AHMV","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OJSF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BBUE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Closd rductn splint alveolus","billing_code_type":"CDT","billing_code_type_version":"2024","billing_code":"D7670","description":"Closd rductn splint alveolus","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Lens sphcyl trifocal over 12","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"V2314","description":"Lens sphcyl trifocal over 12","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"IHDB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"CPT-1095T","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"1095T","description":"CPT-1095T","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GBVC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MHME0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Electroencephalogram With Video (Veeg)_ Review Of Data_ Technical Description By Eeg Technologist_ 2-12 Hours; With Intermittent Monitoring And Maintenance","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"95712","description":"Electroencephalogram With Video (Veeg)_ Review Of Data_ Technical Description By Eeg Technologist_ 2-12 Hours; With Intermittent Monitoring And Maintenance","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Cast sup lng leg splnt ped f","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"Q4044","description":"Cast sup lng leg splnt ped f","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NHVC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Treat humerus fracture","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"24579","description":"Treat humerus fracture","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KCFB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Oncology (papillary thyroid cancer)_ gene-expression profiling via targeted hybrid capture–enrichment RNA sequencing of 82 content genes and 10 housekeeping genes_ formalin-fi","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0362U","description":"Oncology (papillary thyroid cancer)_ gene-expression profiling via targeted hybrid capture–enrichment RNA sequencing of 82 content genes and 10 housekeeping genes_ formalin-fi","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Hearing aid_ contralateral routing system_ binaural_ ITC/ITC","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"V5214","description":"Hearing aid_ contralateral routing system_ binaural_ ITC/ITC","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-1AGMV","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"1AGMV","description":"HIPPS-1AGMV","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"AIAF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CBOD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Exhaled air analysis","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"94690","description":"Exhaled air analysis","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BIJA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Tc99m medronate","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"A9503","description":"Tc99m medronate","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Professional services for the administration of chemotherapy for each infusion drug administration calendar day in the individu","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G0070","description":"Professional services for the administration of chemotherapy for each infusion drug administration calendar day in the individu","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Scaling and debridement in the presence of inflammation or mucositis of a single implant_ including cleaning of the implant surfaces_ without flap entry and closure","billing_code_type":"CDT","billing_code_type_version":"2024","billing_code":"D6081","description":"Scaling and debridement in the presence of inflammation or mucositis of a single implant_ including cleaning of the implant surfaces_ without flap entry and closure","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BHAF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Sigmoidoscopy_ flexible; with transendoscopic stent placement (includes predilation)","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G6023","description":"Sigmoidoscopy_ flexible; with transendoscopic stent placement (includes predilation)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NLXE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Removal of foreign body","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"20525","description":"Removal of foreign body","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-PD18E","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"PD18E","description":"HIPPS-PD18E","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KIMD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CHDF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NDTA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Fludeoxyglucose f18 up to 15 millicuries","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"A9609","description":"Fludeoxyglucose f18 up to 15 millicuries","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JAEB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Oth resp proc_ indiv","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G0238","description":"Oth resp proc_ indiv","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OBLF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OCLE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KBQA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Chromosome analysis 100","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"88249","description":"Chromosome analysis 100","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Tmj cutting of a muscle","billing_code_type":"CDT","billing_code_type_version":"2024","billing_code":"D7856","description":"Tmj cutting of a muscle","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"HFQA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NKAD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Via matrix_ per square centimeter","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"Q4309","description":"Via matrix_ per square centimeter","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GAEA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Itch severity assessment score is reduced by 2 or more points from the initial (index) assessment score to the follow-up visit score","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"M1197","description":"Itch severity assessment score is reduced by 2 or more points from the initial (index) assessment score to the follow-up visit score","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-HC211","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"HC211","description":"HIPPS-HC211","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Kit gene targeted seq analys","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"81272","description":"Kit gene targeted seq analys","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KCXC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HH PDGM","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"3LA21","description":"HH PDGM","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-CA145","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"CA145","description":"HIPPS-CA145","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NAID0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OKTF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Application of pelvis brace","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"20662","description":"Application of pelvis brace","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MCUD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NABA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Crown 3/4 cast noble metal","billing_code_type":"CDT","billing_code_type_version":"2024","billing_code":"D6782","description":"Crown 3/4 cast noble metal","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CHWB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Exc forearm les sc 3 cm/>","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"25071","description":"Exc forearm les sc 3 cm/>","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MFTA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-2BFM6","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"2BFM6","description":"HIPPS-2BFM6","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FHTB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NHGE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Drug metabolism or processing (multiple conditions)_ whole blood or buccal specimen_ DNA analysis_ 25 gene report_ with variant analysis and reported phenotypes","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0348U","description":"Drug metabolism or processing (multiple conditions)_ whole blood or buccal specimen_ DNA analysis_ 25 gene report_ with variant analysis and reported phenotypes","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CELD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-5AFKT","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"5AFKT","description":"HIPPS-5AFKT","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Test urine urobilinogen","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"84578","description":"Test urine urobilinogen","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-HB24B","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"HB24B","description":"HIPPS-HB24B","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Minimally invasive direct co","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"S2209","description":"Minimally invasive direct co","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KIDD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GIPA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Osteogen ultrasound stimltor","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"E0760","description":"Osteogen ultrasound stimltor","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Fun stat score shdl not done","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G8666","description":"Fun stat score shdl not done","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GDHF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BEHF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OFTB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BGCA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Complex body section x-rays","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"76102","description":"Complex body section x-rays","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HH PDGM","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"1IA31","description":"HH PDGM","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-HE221","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"HE221","description":"HIPPS-HE221","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-2CHLX","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"2CHLX","description":"HIPPS-2CHLX","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-CB251","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"CB251","description":"HIPPS-CB251","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"ECCD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-CD236","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"CD236","description":"HIPPS-CD236","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"LIRD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OKEF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-4AFL4","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"4AFL4","description":"HIPPS-4AFL4","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GGGB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"2d tte w or w/o fol w/con_co","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"C8923","description":"2d tte w or w/o fol w/con_co","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CCGC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Financial management_ self-directed_ waiver; per diem","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"T2050","description":"Financial management_ self-directed_ waiver; per diem","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OKLA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Documentation of patient reason(s) for not performing a dilated macular examination","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G9976","description":"Documentation of patient reason(s) for not performing a dilated macular examination","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GBCA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-3BGM5","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"3BGM5","description":"HIPPS-3BGM5","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Core Needle Biopsy_ Lung Or Mediastinum_ Percutaneous_ Including Imaging Guidance_ When Performed","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"32408","description":"Core Needle Biopsy_ Lung Or Mediastinum_ Percutaneous_ Including Imaging Guidance_ When Performed","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RHB2C","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RHB2C","description":"HIPPS-RHB2C","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Repair/graft achilles tendon","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"27652","description":"Repair/graft achilles tendon","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BHJA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OAAD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Repair/svc dme non-oxygen eq","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"K0739","description":"Repair/svc dme non-oxygen eq","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Repair septal defect","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"33814","description":"Repair septal defect","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JFHF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RLB11","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RLB11","description":"HIPPS-RLB11","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BEDC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) (Coronavirus disease [COVID-19]) antibody_ quantitative","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"86413","description":"Severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) (Coronavirus disease [COVID-19]) antibody_ quantitative","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Tibial length sock fx or equ","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"L2840","description":"Tibial length sock fx or equ","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"X-rays for bone age","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"77072","description":"X-rays for bone age","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JGFD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GEEB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Cystoscopy implant stent","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"52282","description":"Cystoscopy implant stent","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NAUE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Patient received any pneumococcal conjugate or polysaccharide vaccine on or after their 60th birthday and before the end of the measurement period","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"M1177","description":"Patient received any pneumococcal conjugate or polysaccharide vaccine on or after their 60th birthday and before the end of the measurement period","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NJMB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Integrated lancing and blood sample testing cartridges for home blood glucose monitor_ per month","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"A4271","description":"Integrated lancing and blood sample testing cartridges for home blood glucose monitor_ per month","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Oral appliance therapy (OAT) titration visit","billing_code_type":"CDT","billing_code_type_version":"2024","billing_code":"D9955","description":"Oral appliance therapy (OAT) titration visit","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CIJD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NKPA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OCLB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"HEQB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Spinal orthosis nos","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"L1499","description":"Spinal orthosis nos","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-ES313","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"ES313","description":"HIPPS-ES313","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OACF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"DHYC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Replacement (including removal of existing device)_ osseointegrated implant_ skull; with magnetic transcutaneous attachment to external speech processor_ outside the mastoid a","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"69730","description":"Replacement (including removal of existing device)_ osseointegrated implant_ skull; with magnetic transcutaneous attachment to external speech processor_ outside the mastoid a","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Colonoscopy w/fb removal","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"45379","description":"Colonoscopy w/fb removal","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OIVA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Doc type nsm lung ca","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G9289","description":"Doc type nsm lung ca","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Lympho venereum antibody","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"86729","description":"Lympho venereum antibody","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KBVB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BCVD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Repair nonunion hand","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"26546","description":"Repair nonunion hand","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Immunohisto antb 1st stain","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"88342","description":"Immunohisto antb 1st stain","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MCBF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"DEQF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FGBA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JBIF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JHHB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CBPF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OIHB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BFHF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Catheter_ intradiscal","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"C1754","description":"Catheter_ intradiscal","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"PBSE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Incise flexor carpi radialis","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"25001","description":"Incise flexor carpi radialis","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Transvaginal us non-ob","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"76830","description":"Transvaginal us non-ob","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"AHTA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Ready gradient glove","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"S8427","description":"Ready gradient glove","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RUC12","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RUC12","description":"HIPPS-RUC12","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Plasma_ frz between 8-24hour","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"P9059","description":"Plasma_ frz between 8-24hour","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Noner transport meals escort","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"A0210","description":"Noner transport meals escort","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Hit tpn 3 liter diem","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"S9367","description":"Hit tpn 3 liter diem","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Free fascial flap microvasc","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"15758","description":"Free fascial flap microvasc","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Hgb lvl <11 g/dl","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"3281F","description":"Hgb lvl <11 g/dl","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"U1 sealed leadacid battery","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"E2365","description":"U1 sealed leadacid battery","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MDCD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FFVE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Nasal/sinus endoscopy_ surgical; with ligation of sphenopalatine artery","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"31241","description":"Nasal/sinus endoscopy_ surgical; with ligation of sphenopalatine artery","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-3AFPX","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"3AFPX","description":"HIPPS-3AFPX","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Injection_ levothyroxine sodium (fresenius kabi) not therapeutically equivalent to j0650_ 10 mcg","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"J0651","description":"Injection_ levothyroxine sodium (fresenius kabi) not therapeutically equivalent to j0650_ 10 mcg","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NHKF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CEVD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Foam drg >16<=48 sq in w/bdr","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"A6213","description":"Foam drg >16<=48 sq in w/bdr","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-LD130","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"LD130","description":"HIPPS-LD130","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Noninvasive estimate of absolute quantitation of myocardial blood flow (AQMBF)_ derived from assistive algorithmic analysis of the dataset acquired via contrast cardiac magnet","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0900T","description":"Noninvasive estimate of absolute quantitation of myocardial blood flow (AQMBF)_ derived from assistive algorithmic analysis of the dataset acquired via contrast cardiac magnet","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KFHC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"DERB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"IGLB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CCUC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"PIQF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"CPT-0598U","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"0598U","description":"CPT-0598U","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OKVC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Disconnect locking wrist uni","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"L6615","description":"Disconnect locking wrist uni","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Bk molded supracondylar susp","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"L5670","description":"Bk molded supracondylar susp","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"ICDF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KDKD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Injection_ eteplirsen_ 10mg","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"C9484","description":"Injection_ eteplirsen_ 10mg","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Colon ca screen;barium enema","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G0106","description":"Colon ca screen;barium enema","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BGHC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Injection_ teclistamab-cqyv_ 0.5 mg","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"J9380","description":"Injection_ teclistamab-cqyv_ 0.5 mg","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"CPT-01810","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"01810","description":"CPT-01810","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-A2050","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"A2050","description":"HCPCS-A2050","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HH PDGM","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"4EB21","description":"HH PDGM","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Injection_ factor VIII (antihemophilic factor_ recombinant) (Afstyla)_ 1 IU","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"C9140","description":"Injection_ factor VIII (antihemophilic factor_ recombinant) (Afstyla)_ 1 IU","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NHNA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-2CFMT","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"2CFMT","description":"HIPPS-2CFMT","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-CA144","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"CA144","description":"HIPPS-CA144","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Thawing cryopresrved oocyte","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"89356","description":"Thawing cryopresrved oocyte","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NKVE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Conductive gel or paste","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"A4558","description":"Conductive gel or paste","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-HD13C","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"HD13C","description":"HIPPS-HD13C","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BBDA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FCCF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Chemo iv push addl drug","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"96411","description":"Chemo iv push addl drug","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Upper extremity medical tubing/lines enclosure or covering device_ restricts elbow range of motion","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"E0711","description":"Upper extremity medical tubing/lines enclosure or covering device_ restricts elbow range of motion","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KAUD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Frenuloplasty","billing_code_type":"CDT","billing_code_type_version":"2024","billing_code":"D7963","description":"Frenuloplasty","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Pediatrics Mips Specialty Set","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G4024","description":"Pediatrics Mips Specialty Set","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BBXF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Exc f/e/e/n/l mal+mrg 3.1-4","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"11644","description":"Exc f/e/e/n/l mal+mrg 3.1-4","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Vitamin suppl 100 caps","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"S0194","description":"Vitamin suppl 100 caps","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Endovascular repair of iliac artery by deployment of an ilio-iliac tube endograft including pre-procedure sizing and device selection_ all nonselective catheterization(s)_ all","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"34708","description":"Endovascular repair of iliac artery by deployment of an ilio-iliac tube endograft including pre-procedure sizing and device selection_ all nonselective catheterization(s)_ all","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"CPT-00756","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"00756","description":"CPT-00756","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-4CGLX","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"4CGLX","description":"HIPPS-4CGLX","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"HAYC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"CDT-D0103","billing_code_type":"CDT","billing_code_type_version":"2026","billing_code":"D0103","description":"CDT-D0103","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JCBC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Abortion (mpr)","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"59866","description":"Abortion (mpr)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Apc gene known fam variants","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"81202","description":"Apc gene known fam variants","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KGLB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"CPT-01520","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"01520","description":"CPT-01520","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"LGOA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Ht hem horm inj diem","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"S9537","description":"Ht hem horm inj diem","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Omental flap extra-abdom","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"49904","description":"Omental flap extra-abdom","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GIGF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FEMC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CFJB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Foam drg <=16 sq in w/border","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"A6212","description":"Foam drg <=16 sq in w/border","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Functional status not performed_ reason not otherwise specified","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G9918","description":"Functional status not performed_ reason not otherwise specified","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Pt not trans to hosp at d/c","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G8915","description":"Pt not trans to hosp at d/c","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Revision of big toe","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"28310","description":"Revision of big toe","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Kidney endoscopy","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"50570","description":"Kidney endoscopy","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Open bone biopsy","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"20251","description":"Open bone biopsy","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"DGYC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Rsk fx ref w/n 24 hrs xray","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"5100F","description":"Rsk fx ref w/n 24 hrs xray","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"LHWF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Hyaluronan or derivative_ Hymovis_ for intra-articular injection_ 1 mg","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"C9471","description":"Hyaluronan or derivative_ Hymovis_ for intra-articular injection_ 1 mg","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"IDHF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Alginate dressing > 48 sq in","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"A6198","description":"Alginate dressing > 48 sq in","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MAME0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OETF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"ODWB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"IDID0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BDFA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JHHF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GIWA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-PA134","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"PA134","description":"HIPPS-PA134","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"ABTD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RVA34","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RVA34","description":"HIPPS-RVA34","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Odontics eposteal implant","billing_code_type":"CDT","billing_code_type_version":"2024","billing_code":"D6040","description":"Odontics eposteal implant","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RHC17","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RHC17","description":"HIPPS-RHC17","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Adult foster care per month","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"S5141","description":"Adult foster care per month","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"AIIA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HH PDGM","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"2FC31","description":"HH PDGM","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"LGQD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KFME1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Skn sub grft t/a/l child add","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"15274","description":"Skn sub grft t/a/l child add","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Uri episodes when the patient had a new or refill prescription of antibiotics (table 1) in the 30 days prior to or on the episode date","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G2174","description":"Uri episodes when the patient had a new or refill prescription of antibiotics (table 1) in the 30 days prior to or on the episode date","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RVB20","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RVB20","description":"HIPPS-RVB20","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Exc arm/elbow les sc < 3 cm","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"24075","description":"Exc arm/elbow les sc < 3 cm","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Injection_ infliximab-axxq_ biosimilar_ (AVSOLA)_ 10 mg","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"Q5121","description":"Injection_ infliximab-axxq_ biosimilar_ (AVSOLA)_ 10 mg","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"AHDE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Audiometry air & bone","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0209T","description":"Audiometry air & bone","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Functional status measurement with score was obtained utilizing the Oswestry Disability Index (ODI version 2.1a) patient report","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"M1048","description":"Functional status measurement with score was obtained utilizing the Oswestry Disability Index (ODI version 2.1a) patient report","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NEMC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CADE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"AHAA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GESB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CFCD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-Q4433","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"Q4433","description":"HCPCS-Q4433","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-Q9997","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"Q9997","description":"HCPCS-Q9997","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NJMF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Av fistula revision","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"36833","description":"Av fistula revision","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NAFB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NKGE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"X-ray guide gu dilation","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"74485","description":"X-ray guide gu dilation","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"EFHC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Targeted genomic sequence analysis panel_ acute myeloid leukemia_ myelodysplastic syndrome_ and myeloproliferative neoplasms_ DNA analysis_ 23 genes_ interrogation for sequenc","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0171U","description":"Targeted genomic sequence analysis panel_ acute myeloid leukemia_ myelodysplastic syndrome_ and myeloproliferative neoplasms_ DNA analysis_ 23 genes_ interrogation for sequenc","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FIIC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"PKRE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Resect phalanx of toe tumor","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"28175","description":"Resect phalanx of toe tumor","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Intro gastrointestinal tube","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"44500","description":"Intro gastrointestinal tube","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NAJC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Endovenous laser vein addon","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"36479","description":"Endovenous laser vein addon","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Excise intraspinl lesion crv","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"63265","description":"Excise intraspinl lesion crv","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GHEF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Fern test","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"Q0114","description":"Fern test","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OHWD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Tcranial magn stim tx plan","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"90867","description":"Tcranial magn stim tx plan","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Removal of kidney & ureter","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"50234","description":"Removal of kidney & ureter","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CFJF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-CE225","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"CE225","description":"HIPPS-CE225","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Removal of knee cartilage","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"27332","description":"Removal of knee cartilage","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Tlso rigid plastic custom fa","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"L0480","description":"Tlso rigid plastic custom fa","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"HIYC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RVC25","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RVC25","description":"HIPPS-RVC25","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KIUD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Injection_ aripiprazole lauroxil (Aristada Initio)_ 1 mg","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"C9035","description":"Injection_ aripiprazole lauroxil (Aristada Initio)_ 1 mg","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Optimal care for kidney health mips value pathways","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"M0002","description":"Optimal care for kidney health mips value pathways","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KBWD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KHPD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GGDE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OARD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OFIE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-HD25C","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"HD25C","description":"HIPPS-HD25C","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-M1439","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"M1439","description":"HCPCS-M1439","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JDPE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"DEYF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-3AGNX","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"3AGNX","description":"HIPPS-3AGNX","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GCKB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RUL42","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RUL42","description":"HIPPS-RUL42","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Assay blood carbon dioxide","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"82374","description":"Assay blood carbon dioxide","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GFWE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"PCQB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-PC212","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"PC212","description":"HIPPS-PC212","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Cath_ ep_ othr than cool-tip","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"C1733","description":"Cath_ ep_ othr than cool-tip","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KGRC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"PFQC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-LD105","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"LD105","description":"HIPPS-LD105","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"DEOC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Oncology (urothelial)_ mRNA_ gene-expression profiling by real-time quantitative PCR of 5 genes (MDK_ HOXA13_ CDC2 [CDK1]_ IGFBP5_ and CXCR2)_ utilizing urine_ algorithm incor","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0363U","description":"Oncology (urothelial)_ mRNA_ gene-expression profiling by real-time quantitative PCR of 5 genes (MDK_ HOXA13_ CDC2 [CDK1]_ IGFBP5_ and CXCR2)_ utilizing urine_ algorithm incor","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"HCSB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Intravenous infusion_ bamlanivimab and etesevimab_ includes infusion and post administration monitoring","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"M0245","description":"Intravenous infusion_ bamlanivimab and etesevimab_ includes infusion and post administration monitoring","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BIKA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Destruction of skin lesions","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"17273","description":"Destruction of skin lesions","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Inject spine w/cath crv/thrc","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"62318","description":"Inject spine w/cath crv/thrc","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Application of figure eight","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"29049","description":"Application of figure eight","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JIDA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Patient with transient or reversible cause of AF (e.g._ pneumonia_ hyperthyroidism_ pregnancy_ cardiac surgery)","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G9929","description":"Patient with transient or reversible cause of AF (e.g._ pneumonia_ hyperthyroidism_ pregnancy_ cardiac surgery)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Documentation of patient reason(s) for not prescribing warfarin or another FDA-approved oral anticoagulant that is FDA approved for the prevention of thromboembolism (e.g._ pa","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G8969","description":"Documentation of patient reason(s) for not prescribing warfarin or another FDA-approved oral anticoagulant that is FDA approved for the prevention of thromboembolism (e.g._ pa","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"EGHD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-LE20A","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"LE20A","description":"HIPPS-LE20A","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OKJA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"System reason for no beta","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G9192","description":"System reason for no beta","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GBGE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"EADA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Ablate atria x10sv endo","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"33266","description":"Ablate atria x10sv endo","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Blood transfusion service","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"36430","description":"Blood transfusion service","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OFAC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Elec stim unattend for press","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G0281","description":"Elec stim unattend for press","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-3AHL2","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"3AHL2","description":"HIPPS-3AHL2","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BADE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Peanut allergen specific IgE and quantitative assessment of 64 epitopes using enzyme-linked immunosorbent assay (ELISA)_ blood_ individual epitope results and interpretation","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0165U","description":"Peanut allergen specific IgE and quantitative assessment of 64 epitopes using enzyme-linked immunosorbent assay (ELISA)_ blood_ individual epitope results and interpretation","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"IHIB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Neg press wnd tx </=50 sq cm","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"97607","description":"Neg press wnd tx </=50 sq cm","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Microslide consultation","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"88321","description":"Microslide consultation","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Us guide intraop","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"76998","description":"Us guide intraop","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Establish brain cavity shunt","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"62180","description":"Establish brain cavity shunt","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NFID0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-Q4223","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"Q4223","description":"HCPCS-Q4223","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CERD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JICD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NHPF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"No antihist/decong rx/recom","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"4134F","description":"No antihist/decong rx/recom","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-HB18G","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"HB18G","description":"HIPPS-HB18G","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FEMF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Midface flap (ie_ zygomaticofacial flap) with preservation of vascular pedicle(s)","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"15730","description":"Midface flap (ie_ zygomaticofacial flap) with preservation of vascular pedicle(s)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Treatment of ankle fracture","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"27788","description":"Treatment of ankle fracture","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RUB0C","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RUB0C","description":"HIPPS-RUB0C","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OIDA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"HDQD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CHLF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Replace blood leak detector","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"E1560","description":"Replace blood leak detector","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-HB230","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"HB230","description":"HIPPS-HB230","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OBPF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Nerve pedicle transfer","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"64905","description":"Nerve pedicle transfer","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NCIF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BDCE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MFCE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-1AFK5","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"1AFK5","description":"HIPPS-1AFK5","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OHDE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Non-rad contrast materialnoc","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"A9698","description":"Non-rad contrast materialnoc","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BBNC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RMB3C","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RMB3C","description":"HIPPS-RMB3C","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OKWA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Fev >/=40% predicted value","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"3042F","description":"Fev >/=40% predicted value","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-LD23A","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"LD23A","description":"HIPPS-LD23A","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JBJC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KAGB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KFDE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OIAB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-2AFKS","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"2AFKS","description":"HIPPS-2AFKS","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Medication Assisted Treatment_ Buprenorphine (Oral); Weekly Bundle Including Dispensing And/Or Administration_ Substance Use Counseling_ Individual And Group Therapy_ And Toxi","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G2068","description":"Medication Assisted Treatment_ Buprenorphine (Oral); Weekly Bundle Including Dispensing And/Or Administration_ Substance Use Counseling_ Individual And Group Therapy_ And Toxi","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"AFCF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Cast sup gauntlet ped fbrgls","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"Q4016","description":"Cast sup gauntlet ped fbrgls","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Subtalar arthro w/fusion","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"29907","description":"Subtalar arthro w/fusion","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Vein x-ray liver w/hemodynam","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"75889","description":"Vein x-ray liver w/hemodynam","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MATE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GCBE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CIPC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"IHDA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-C8014","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"C8014","description":"HCPCS-C8014","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"CACNA1A (calcium voltage-gated channel subunit alpha 1A) (eg_ spinocerebellar ataxia)_ full gene analysis_ including small sequence changes in exonic and intronic regions_ del","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0231U","description":"CACNA1A (calcium voltage-gated channel subunit alpha 1A) (eg_ spinocerebellar ataxia)_ full gene analysis_ including small sequence changes in exonic and intronic regions_ del","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KBSC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Ostomy irrigation set","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"A4400","description":"Ostomy irrigation set","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Pres antibiotic","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G8711","description":"Pres antibiotic","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NDAE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Anesthesia for intracranial procedures; cranioplasty or elevation of depres","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0132U","description":"Anesthesia for intracranial procedures; cranioplasty or elevation of depres","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Parenteral sol carb > 50%","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"B4180","description":"Parenteral sol carb > 50%","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HH PDGM","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"3JC21","description":"HH PDGM","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-CB240","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"CB240","description":"HIPPS-CB240","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"EGLC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JFTE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OLLA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-HB117","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"HB117","description":"HIPPS-HB117","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GGWD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-1CGPS","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"1CGPS","description":"HIPPS-1CGPS","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Treatment of head injury","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"62010","description":"Treatment of head injury","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"IBEA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Drug assay_ definitive_ 60 or more drugs or metabolites_ urine_ quantitative liquid chromatography with tandem mass spectrometry (LC-MS/MS) using multiple reaction monitoring","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0149U","description":"Drug assay_ definitive_ 60 or more drugs or metabolites_ urine_ quantitative liquid chromatography with tandem mass spectrometry (LC-MS/MS) using multiple reaction monitoring","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OAYF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CBMB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JCGD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"CPT-1022T","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"1022T","description":"CPT-1022T","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GFCC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GBDC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Repair tunneled cv cath","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"36575","description":"Repair tunneled cv cath","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GBSA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Implant brain electrodes","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"61533","description":"Implant brain electrodes","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Colorectal cancer screening results were not documented and reviewed; reason not otherwise specified","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"M1315","description":"Colorectal cancer screening results were not documented and reviewed; reason not otherwise specified","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Pt disch home day #2 cea","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G8834","description":"Pt disch home day #2 cea","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Repair art intramural","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"33507","description":"Repair art intramural","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Mod sed diff phys/qhp<5 yrs","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"99148","description":"Mod sed diff phys/qhp<5 yrs","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-HD144","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"HD144","description":"HIPPS-HD144","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Clear outer ear canal","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"69205","description":"Clear outer ear canal","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KIVF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"LDYE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BBCB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"DAOC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GFVE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"LEYA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NCNC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CEEF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GDVC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Digitization of glass microscope slides for consultation and report on referred material requiring preparation of slides (List separately in addition to code for primary proce","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0839T","description":"Digitization of glass microscope slides for consultation and report on referred material requiring preparation of slides (List separately in addition to code for primary proce","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Novosorb Synpath Dermal Matrix_ Per Square Centimeter","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"A2006","description":"Novosorb Synpath Dermal Matrix_ Per Square Centimeter","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NFFF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Powered w/c cushion","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"E2610","description":"Powered w/c cushion","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"PHWB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"EFHE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"ABMC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Bone graft time of implant","billing_code_type":"CDT","billing_code_type_version":"2024","billing_code":"D6104","description":"Bone graft time of implant","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Medrsn >1 sinus ct w 90d dx","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G9353","description":"Medrsn >1 sinus ct w 90d dx","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-3BGMS","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"3BGMS","description":"HIPPS-3BGMS","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Protein analysis w/probe","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"88372","description":"Protein analysis w/probe","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-J2002","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"J2002","description":"HCPCS-J2002","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Radiologic examination_ chest; 4 or more views","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"71048","description":"Radiologic examination_ chest; 4 or more views","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GDXF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Esophagogastroduodenoscopy_ flexible_ transnasal; diagnostic_ including collection of specimen(s) by brushing or washing_ when performed (separate procedure)","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0652T","description":"Esophagogastroduodenoscopy_ flexible_ transnasal; diagnostic_ including collection of specimen(s) by brushing or washing_ when performed (separate procedure)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"CPT-00218","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"00218","description":"CPT-00218","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FBKC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Pt alive 3 mos post proc","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G9540","description":"Pt alive 3 mos post proc","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OGKC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HH PDGM","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"4IB21","description":"HH PDGM","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Auricular prosthesis","billing_code_type":"CDT","billing_code_type_version":"2024","billing_code":"D5914","description":"Auricular prosthesis","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CCYA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Ost skn barr extnd =4sq","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"A4411","description":"Ost skn barr extnd =4sq","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-ES360","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"ES360","description":"HIPPS-ES360","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BIKE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Bone imaging whole body","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"78306","description":"Bone imaging whole body","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"AGIB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CCYF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Transplantation of liver","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"47135","description":"Transplantation of liver","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BHVD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Desipramine","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G6032","description":"Desipramine","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Postop app non-wgt bear dsg","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"L5450","description":"Postop app non-wgt bear dsg","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Monosuspension arm/hand supp","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"E2630","description":"Monosuspension arm/hand supp","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GBFB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Gross exam prep & report","billing_code_type":"CDT","billing_code_type_version":"2024","billing_code":"D0472","description":"Gross exam prep & report","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Bone mineral dual photon","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"78351","description":"Bone mineral dual photon","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Repair blood vessel lesion","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"35190","description":"Repair blood vessel lesion","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JDJB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Remote body and limb kinematic measurement-based therapy ordered by a physician or other qualified health care professional; treatment management services by a physician or ot","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0734T","description":"Remote body and limb kinematic measurement-based therapy ordered by a physician or other qualified health care professional; treatment management services by a physician or ot","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Treat neck spine fracture","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"22326","description":"Treat neck spine fracture","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"IEDE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GCNE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"PBOC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Remove part lumbar vertebra","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"22114","description":"Remove part lumbar vertebra","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"IHLB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CCXF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CENE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MCLC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GDIC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Excise intrspinl lesion thrc","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"63271","description":"Excise intrspinl lesion thrc","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-CE235","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"CE235","description":"HIPPS-CE235","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Fem/popl revas w/tla","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"37224","description":"Fem/popl revas w/tla","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OIEA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NLFC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Nudge control elbow lock","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"L6637","description":"Nudge control elbow lock","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OBVE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"CPT-0963T","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"0963T","description":"CPT-0963T","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CEXB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-CA15D","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"CA15D","description":"HIPPS-CA15D","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RUC3C","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RUC3C","description":"HIPPS-RUC3C","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Infectious disease (bacterial)_ quantitative antimicrobial susceptibility reported as phenotypic minimum inhibitory concentration (MIC)–based antimicrobial susceptibility for","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0311U","description":"Infectious disease (bacterial)_ quantitative antimicrobial susceptibility reported as phenotypic minimum inhibitory concentration (MIC)–based antimicrobial susceptibility for","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GIDC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-1BHL5","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"1BHL5","description":"HIPPS-1BHL5","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GDVE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BGXE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JILB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-4AHMV","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"4AHMV","description":"HIPPS-4AHMV","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"AHTF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JFNA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Cholera vaccine for injectable use","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"90725","description":"Cholera vaccine for injectable use","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-3AFPU","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"3AFPU","description":"HIPPS-3AFPU","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Knee control full kneecap","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"L2795","description":"Knee control full kneecap","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"LDWD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MBBA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NEGE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Dermabrasion other than face","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"15782","description":"Dermabrasion other than face","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KBQB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-5AHKW","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"5AHKW","description":"HIPPS-5AHKW","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KEQE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"CPT-0627U","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"0627U","description":"CPT-0627U","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GDQC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GDUA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BBLA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"DHSE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"I131 tositumomab_ rx","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"A9545","description":"I131 tositumomab_ rx","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Plan caremng angnl symptdocd","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0557F","description":"Plan caremng angnl symptdocd","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-PE11C","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"PE11C","description":"HIPPS-PE11C","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Hydrogel drsg gel filler","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"A6248","description":"Hydrogel drsg gel filler","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CFFD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RUA50","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RUA50","description":"HIPPS-RUA50","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JDJD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RUL35","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RUL35","description":"HIPPS-RUL35","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Bk joint covers pair","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"L5678","description":"Bk joint covers pair","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Pwr standing","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"E2301","description":"Pwr standing","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"IEAB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MCDD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Chest x-ray and fluoroscopy","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"71023","description":"Chest x-ray and fluoroscopy","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KFDD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OBHA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-LE20D","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"LE20D","description":"HIPPS-LE20D","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BFUF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Repair Of Orthodontic Appliance - Maxillary","billing_code_type":"CDT","billing_code_type_version":"2024","billing_code":"D8696","description":"Repair Of Orthodontic Appliance - Maxillary","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Repair blood vessel lesion","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"35286","description":"Repair blood vessel lesion","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-2CGM1","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"2CGM1","description":"HIPPS-2CGM1","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"AEUB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NBXF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RLX8F","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RLX8F","description":"HIPPS-RLX8F","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"CDT-D0802","billing_code_type":"CDT","billing_code_type_version":"2026","billing_code":"D0802","description":"CDT-D0802","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BIXA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JEKE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JANE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Remove collar bone lesion","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"23170","description":"Remove collar bone lesion","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BCCD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Lens sphcyl bifocal over 12.","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"V2214","description":"Lens sphcyl bifocal over 12.","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BFNB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-4CGM1","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"4CGM1","description":"HIPPS-4CGM1","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NKCC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JABB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Longevity And Mortality Risk_ Mrna_ Gene Expression Profiling By Rna Sequencing Of 18 Genes_ Whole Blood_ Algorithm Reported As Predictive Risk Score","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0294U","description":"Longevity And Mortality Risk_ Mrna_ Gene Expression Profiling By Rna Sequencing Of 18 Genes_ Whole Blood_ Algorithm Reported As Predictive Risk Score","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"HFRB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CGOE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OCYF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RHA30","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RHA30","description":"HIPPS-RHA30","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Temple bne implnt w/stimulat","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"69715","description":"Temple bne implnt w/stimulat","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Oxy suppl heater for nebuliz","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"E1372","description":"Oxy suppl heater for nebuliz","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Injection_ apadamtase alfa_ 10 units","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"C9167","description":"Injection_ apadamtase alfa_ 10 units","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KIAF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Destroy vag lesions simple","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"57061","description":"Destroy vag lesions simple","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Exchange nephrostomy cath","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"50435","description":"Exchange nephrostomy cath","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Injection_ bimatoprost_ intracameral implant_ 1 microgram","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"J3751","description":"Injection_ bimatoprost_ intracameral implant_ 1 microgram","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JIHE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Candida dna quant","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"87482","description":"Candida dna quant","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Mthfr gene","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"81291","description":"Mthfr gene","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FATF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FAIA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Lens aniseikonic single","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"V2118","description":"Lens aniseikonic single","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OAAC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Revision of collar bone","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"23480","description":"Revision of collar bone","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JFEC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OGOF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OBUE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KGID1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BDXC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Vagotomy & pylorus repair","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"43641","description":"Vagotomy & pylorus repair","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GIJE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Seo mobile arm sup att to wc","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"E2626","description":"Seo mobile arm sup att to wc","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JGAB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Ak/knee disartic silesian ba","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"L5698","description":"Ak/knee disartic silesian ba","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Surgical boot each child","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"L3209","description":"Surgical boot each child","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"HARE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Bone cutting body mandible","billing_code_type":"CDT","billing_code_type_version":"2024","billing_code":"D7945","description":"Bone cutting body mandible","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BFEB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Injection_ pemetrexed (sandoz)_ not therapeutically equivalent to j9305_ 10 mg","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"J9297","description":"Injection_ pemetrexed (sandoz)_ not therapeutically equivalent to j9305_ 10 mg","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Dtap-ipv vaccine 4-6 yrs im","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"90696","description":"Dtap-ipv vaccine 4-6 yrs im","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-HC217","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"HC217","description":"HIPPS-HC217","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-BB22A","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"BB22A","description":"HIPPS-BB22A","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-PA10C","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"PA10C","description":"HIPPS-PA10C","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-PB13A","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"PB13A","description":"HIPPS-PB13A","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Amputation follow-up surgery","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"24930","description":"Amputation follow-up surgery","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GFDD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Patient is currently on a statin therapy","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G9796","description":"Patient is currently on a statin therapy","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Patient enrolled in hospice","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G9858","description":"Patient enrolled in hospice","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"CPT-98016","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"98016","description":"CPT-98016","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Patient admitted to a SPU or and ASC for a procedure which could not be certified as medically necessary for that place of service","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"X0596","description":"Patient admitted to a SPU or and ASC for a procedure which could not be certified as medically necessary for that place of service","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-1BFMV","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"1BFMV","description":"HIPPS-1BFMV","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Intra-atrial pacing","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"93610","description":"Intra-atrial pacing","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-CE24A","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"CE24A","description":"HIPPS-CE24A","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GGMB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Injection_ Dalbavancin_ 10 Mg","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"C9443","description":"Injection_ Dalbavancin_ 10 Mg","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"DBSC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KAAD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Insertion Or Replacement Of Implantable Cardioverter-Defibrillator System With Substernal Electrode(S)_ Including All Imaging Guidance And Electrophysiological Evaluation (Inc","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0571T","description":"Insertion Or Replacement Of Implantable Cardioverter-Defibrillator System With Substernal Electrode(S)_ Including All Imaging Guidance And Electrophysiological Evaluation (Inc","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Tee w or w/o fol w/cont_cong","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"C8926","description":"Tee w or w/o fol w/cont_cong","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Cryo embryo transf case rate","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"S4037","description":"Cryo embryo transf case rate","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CFFC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"IBIE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RML0A","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RML0A","description":"HIPPS-RML0A","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MADD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"MDPP session reported as a line-item on a claim for a payable MDPP Expanded Model (EM) HCPCS code for a session furnished by the billing supplier under the MDPP Expanded Model","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G9891","description":"MDPP session reported as a line-item on a claim for a payable MDPP Expanded Model (EM) HCPCS code for a session furnished by the billing supplier under the MDPP Expanded Model","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Remove electrode/thoracotomy","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"33236","description":"Remove electrode/thoracotomy","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RML8I","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RML8I","description":"HIPPS-RML8I","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"CPT-1012T","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"1012T","description":"CPT-1012T","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GDHB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Remv&replc pm gen mult leads","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"33229","description":"Remv&replc pm gen mult leads","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GHYF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CGWD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"ODDD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"ODEF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Arm trough each","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"E2209","description":"Arm trough each","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"DBWA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Treat thorax spine fracture","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"22327","description":"Treat thorax spine fracture","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Right And Left Heart Catheterization For Congenital Heart Defect(S) Including Imaging Guidance By The Proceduralist To Advance The Catheter To The Target Zone(S); Abnormal Nat","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"93597","description":"Right And Left Heart Catheterization For Congenital Heart Defect(S) Including Imaging Guidance By The Proceduralist To Advance The Catheter To The Target Zone(S); Abnormal Nat","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OIWD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Foam dressing wound filler","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"A6215","description":"Foam dressing wound filler","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Pov group 1 vhd 451-600 lbs","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"K0802","description":"Pov group 1 vhd 451-600 lbs","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OFSF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BAIF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BCHB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-J1612","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"J1612","description":"HCPCS-J1612","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BHHF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RUA15","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RUA15","description":"HIPPS-RUA15","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KANE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Revision of bladder/urethra","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"51800","description":"Revision of bladder/urethra","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KGCD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KGYF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-HC113","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"HC113","description":"HIPPS-HC113","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JDTE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Remove sutures diff surgeon","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"15851","description":"Remove sutures diff surgeon","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Musc tst done w/nerv tst lim","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"95885","description":"Musc tst done w/nerv tst lim","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Ko rigid w/o joints pre ots","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"L1836","description":"Ko rigid w/o joints pre ots","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Skin barrier solid 4x4 equiv","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"A4372","description":"Skin barrier solid 4x4 equiv","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OLPA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"ECID0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FIGB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OIGD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"IDDD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KBHE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Strapping of elbow or wrist","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"29260","description":"Strapping of elbow or wrist","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-BA245","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"BA245","description":"HIPPS-BA245","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Patient spent greater than or equal to three days in hospice care","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G9861","description":"Patient spent greater than or equal to three days in hospice care","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OLLC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Adhesive remover per ounce","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"A4455","description":"Adhesive remover per ounce","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-LE11A","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"LE11A","description":"HIPPS-LE11A","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Remove skin nerve lesion","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"64788","description":"Remove skin nerve lesion","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"O2 contents liquid lb","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"S8121","description":"O2 contents liquid lb","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MCHE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CDYE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OILB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Myelin Oligodendrocyte Glycoprotein (Mog-Igg1) Antibody; Flow Cytometry (Ie_ Fluorescence-Activated Cell Sorting [Facs])_ Each","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"86363","description":"Myelin Oligodendrocyte Glycoprotein (Mog-Igg1) Antibody; Flow Cytometry (Ie_ Fluorescence-Activated Cell Sorting [Facs])_ Each","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FHIF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GIAD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RUA8H","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RUA8H","description":"HIPPS-RUA8H","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Biopsy of salivary gland","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"42400","description":"Biopsy of salivary gland","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"EGEC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Revascularization_ endovascular_ open or percutaneous_ any vessel(s); with intravascular lithotripsy_ includes angiopla","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"C9764","description":"Revascularization_ endovascular_ open or percutaneous_ any vessel(s); with intravascular lithotripsy_ includes angiopla","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"CPT-37261","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"37261","description":"CPT-37261","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CIPE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Safety counseling dem order","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"6102F","description":"Safety counseling dem order","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OBVF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Onc dx multi myeloma stage i","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G9128","description":"Onc dx multi myeloma stage i","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"PLWE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Walker folding wheeled w/o s","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"E0143","description":"Walker folding wheeled w/o s","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HH PDGM","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"4CA21","description":"HH PDGM","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FBPB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-PB231","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"PB231","description":"HIPPS-PB231","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Abut support retainer titani","billing_code_type":"CDT","billing_code_type_version":"2024","billing_code":"D6194","description":"Abut support retainer titani","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RVA17","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RVA17","description":"HIPPS-RVA17","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NDPD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"IBME0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NBDB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Repair of anterior abdominal hernia(s) (ie_ epigastric_ incisional_ ventral_ umbilical_ spigelian)_ any approach (ie_ open_ laparoscopic_ robotic)_ recurrent_ including implan","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"49618","description":"Repair of anterior abdominal hernia(s) (ie_ epigastric_ incisional_ ventral_ umbilical_ spigelian)_ any approach (ie_ open_ laparoscopic_ robotic)_ recurrent_ including implan","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"DAOD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CBTC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GIWE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-2BGL4","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"2BGL4","description":"HIPPS-2BGL4","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FICA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-2BGL2","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"2BGL2","description":"HIPPS-2BGL2","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OJRE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Reconstruct head of radius","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"24365","description":"Reconstruct head of radius","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-J9187","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"J9187","description":"HCPCS-J9187","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"DBWF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RVX23","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RVX23","description":"HIPPS-RVX23","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Injection(S)_ Anesthetic Agent(S) And/Or Steroid; Nerves Innervating The Sacroiliac Joint_ With Image Guidance (Ie_ Fluoroscopy Or Computed Tomography)","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"64451","description":"Injection(S)_ Anesthetic Agent(S) And/Or Steroid; Nerves Innervating The Sacroiliac Joint_ With Image Guidance (Ie_ Fluoroscopy Or Computed Tomography)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"EHMD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Insj/rplc nstim apnea stm ld","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0426T","description":"Insj/rplc nstim apnea stm ld","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KCDF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Infectious agent detection by nucleic acid (DNA or RNA)_ genitourinary pathogens_ identification of 21 bacterial and fungal organisms and identification of 21 associated antib","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0374U","description":"Infectious agent detection by nucleic acid (DNA or RNA)_ genitourinary pathogens_ identification of 21 bacterial and fungal organisms and identification of 21 associated antib","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Singl prscrp lens","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"S0504","description":"Singl prscrp lens","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Ald blu tooth fm/dm receiver","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"V5286","description":"Ald blu tooth fm/dm receiver","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OGVD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OHIE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-CE240","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"CE240","description":"HIPPS-CE240","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Reconstruction of jaw","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"21249","description":"Reconstruction of jaw","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Soft protect helmet custom","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"A8002","description":"Soft protect helmet custom","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JFTB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NAPD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Carboplatin injection","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"J9045","description":"Carboplatin injection","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"IDCB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Breath tube kit","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"E2326","description":"Breath tube kit","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Colonoscopy for foreign body","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"44390","description":"Colonoscopy for foreign body","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Rad w/backup non inv intrfc","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"E0471","description":"Rad w/backup non inv intrfc","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RVA10","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RVA10","description":"HIPPS-RVA10","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"ACLE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Ligate/divide/excise vein","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"37785","description":"Ligate/divide/excise vein","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RHC8D","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RHC8D","description":"HIPPS-RHC8D","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NLAD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HTT (huntingtin) (eg_ Huntington disease) gene analysis; characterization of alleles (eg_ expanded size)","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"81274","description":"HTT (huntingtin) (eg_ Huntington disease) gene analysis; characterization of alleles (eg_ expanded size)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Surgical preparation and cannulation of marginal (extended) cadaver donor lung(s) to ex vivo organ perfusion system_ including decannulation_ separation from the perfusion sys","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0494T","description":"Surgical preparation and cannulation of marginal (extended) cadaver donor lung(s) to ex vivo organ perfusion system_ including decannulation_ separation from the perfusion sys","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Immune globulin","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"90399","description":"Immune globulin","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"IHCA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NJXD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OGSA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Removal of urethra lesion","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"53235","description":"Removal of urethra lesion","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"PKRF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Treat toe dislocation","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"28666","description":"Treat toe dislocation","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OBDB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KIMF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Injection_ calaspargase pegol-mknl_ 10 units","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"J9118","description":"Injection_ calaspargase pegol-mknl_ 10 units","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MBUD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OLBC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CFQD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Endo knee-shin polyc mch sta","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"L5816","description":"Endo knee-shin polyc mch sta","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FEAA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"CT/MRI chest/neck no thy nod","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G9557","description":"CT/MRI chest/neck no thy nod","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Cath impl vasc access portal","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"A4300","description":"Cath impl vasc access portal","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Removal of artery clot","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"34101","description":"Removal of artery clot","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GHMB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BCTE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CGEA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KGVD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CHSD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Repair/graft hand tendon","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"26412","description":"Repair/graft hand tendon","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Injection treatment of nerve","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"64680","description":"Injection treatment of nerve","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CAXC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GHCF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Radiation tx management x5","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"77427","description":"Radiation tx management x5","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-4AFK5","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"4AFK5","description":"HIPPS-4AFK5","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"EDMC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GGUF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GILA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BHJE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JACB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JAHA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"EDLC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Injection_ reslizumab_ 1 mg","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"J2786","description":"Injection_ reslizumab_ 1 mg","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"CDT-D0205","billing_code_type":"CDT","billing_code_type_version":"2026","billing_code":"D0205","description":"CDT-D0205","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MEBF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GEYD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OHUF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OGCD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Simult panc kidn trans","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"S2065","description":"Simult panc kidn trans","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Coronary artery graft","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"33504","description":"Coronary artery graft","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GFSB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Home visit new patient","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"99343","description":"Home visit new patient","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Support broker waiver/15 min","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"T2041","description":"Support broker waiver/15 min","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"CPT-0507U","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"0507U","description":"CPT-0507U","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Pre-surg eye measures docd","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"3073F","description":"Pre-surg eye measures docd","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Oncology (prostate)_ promoter methylation profiling by real-time PCR of 3 genes (GSTP1_ APC_ RASSF1)_ utilizing formalin-fixed paraffin-embedded tissue_ algorithm reported as","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"81551","description":"Oncology (prostate)_ promoter methylation profiling by real-time PCR of 3 genes (GSTP1_ APC_ RASSF1)_ utilizing formalin-fixed paraffin-embedded tissue_ algorithm reported as","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NKAF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-PE24C","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"PE24C","description":"HIPPS-PE24C","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RMA24","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RMA24","description":"HIPPS-RMA24","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-PB201","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"PB201","description":"HIPPS-PB201","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FGVB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Endometrial sampling or hysteroscopy with biopsy and results not documented","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G9824","description":"Endometrial sampling or hysteroscopy with biopsy and results not documented","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Stocking sup grips 4 pre ots","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"L0982","description":"Stocking sup grips 4 pre ots","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GGBF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Rem endovas vena cava filter","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"37193","description":"Rem endovas vena cava filter","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"ECDB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"PFRD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"EICE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CHJC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Patient not eligible due to active diagnosis of hypertension","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"M1290","description":"Patient not eligible due to active diagnosis of hypertension","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-PC18D","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"PC18D","description":"HIPPS-PC18D","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MHDF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Onc dx cml blast phase","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G9125","description":"Onc dx cml blast phase","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RUL30","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RUL30","description":"HIPPS-RUL30","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"LAWE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"ODGE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Repair of urethral lesion","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"57230","description":"Repair of urethral lesion","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Oncology_ pharmacogenomic analysis of single-nucleotide polymorphism (SNP) genotyping by real-time PCR of 24 genes_ whole blood or buccal swab_ with variant analysis_ includin","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0461U","description":"Oncology_ pharmacogenomic analysis of single-nucleotide polymorphism (SNP) genotyping by real-time PCR of 24 genes_ whole blood or buccal swab_ with variant analysis_ includin","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"IEHA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OFIA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"ABUC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Jak2 (Janus Kinase 2) (Eg_ Myeloproliferative Disorder) Targeted Sequence Analysis (Eg_ Exons 12 And 13)","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"81279","description":"Jak2 (Janus Kinase 2) (Eg_ Myeloproliferative Disorder) Targeted Sequence Analysis (Eg_ Exons 12 And 13)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Onlay cst hgh nbl mtl 2 srfc","billing_code_type":"CDT","billing_code_type_version":"2024","billing_code":"D6610","description":"Onlay cst hgh nbl mtl 2 srfc","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RHL56","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RHL56","description":"HIPPS-RHL56","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RMX3A","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RMX3A","description":"HIPPS-RMX3A","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RUC3B","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RUC3B","description":"HIPPS-RUC3B","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Trichomonas vagin dir probe","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"87660","description":"Trichomonas vagin dir probe","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OIFF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OHHE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GFXD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"EFBE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"ODYB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"DDQE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"AAMD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"IBAB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Incise spin&cord 2 stgs thrc","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"63199","description":"Incise spin&cord 2 stgs thrc","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"No bld inj at surg/1mos post","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G9627","description":"No bld inj at surg/1mos post","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-PC241","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"PC241","description":"HIPPS-PC241","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HH PDGM","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"4KC21","description":"HH PDGM","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Transurethral rf treatment","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"53860","description":"Transurethral rf treatment","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JFGF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"CPT-70473","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"70473","description":"CPT-70473","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Muscle-skin graft trunk","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"15734","description":"Muscle-skin graft trunk","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-BA25D","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"BA25D","description":"HIPPS-BA25D","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Matrl for vocal cord","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"C1878","description":"Matrl for vocal cord","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"ADLD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-LD156","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"LD156","description":"HIPPS-LD156","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Oncology (colorectal) screening_ biochemical enzyme-linked immunosorbent assay (ELISA) of 3 plasma or serum proteins (teratocarcinoma derived growth factor-1 [TDGF-1_ Cripto-1","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0163U","description":"Oncology (colorectal) screening_ biochemical enzyme-linked immunosorbent assay (ELISA) of 3 plasma or serum proteins (teratocarcinoma derived growth factor-1 [TDGF-1_ Cripto-1","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Intradermal Cancer Immunotherapy; Preparation And Initial Injection","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0708T","description":"Intradermal Cancer Immunotherapy; Preparation And Initial Injection","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Inj codeine phosphate /30 mg","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"J0745","description":"Inj codeine phosphate /30 mg","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GDIA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MKAA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JCJD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KERF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"ODSD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"ECAE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"AHTD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JIUD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RMC55","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RMC55","description":"HIPPS-RMC55","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Dil retina exam interp rev","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"2022F","description":"Dil retina exam interp rev","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RLX15","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RLX15","description":"HIPPS-RLX15","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BHDC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KBGB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Patient did not receive at least 2 prophylactic pharmacologic anti-emetic agents of different classes preoperatively and/or intraoperatively","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G9777","description":"Patient did not receive at least 2 prophylactic pharmacologic anti-emetic agents of different classes preoperatively and/or intraoperatively","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MDHA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Vitamin B-12 absorption studies combined_ with and without intrinsic factor","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"78272","description":"Vitamin B-12 absorption studies combined_ with and without intrinsic factor","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CHRC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"C-reactive protein hs","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"86141","description":"C-reactive protein hs","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Non-expandable controller","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"E2375","description":"Non-expandable controller","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Spirom fev/fvc>/=70%/w/ocopd","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"3027F","description":"Spirom fev/fvc>/=70%/w/ocopd","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Red blood cells unit","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"P9021","description":"Red blood cells unit","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BHEE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Tracheostomy tube collar","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"A7526","description":"Tracheostomy tube collar","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FFKD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NANB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NCGE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"ABTC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KFSC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"AABD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MBME0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Incise inner ear","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"69801","description":"Incise inner ear","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Alcohol and/or substance (other than tobacco) abuse structured assessment (e.g._ audit_ DAST)_ and brief intervention_ 5-14 min","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G2011","description":"Alcohol and/or substance (other than tobacco) abuse structured assessment (e.g._ audit_ DAST)_ and brief intervention_ 5-14 min","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FHTC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Chemotx Adm Iv Inf Tech; Ini Inf Office/Clin Set","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G0498","description":"Chemotx Adm Iv Inf Tech; Ini Inf Office/Clin Set","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Fluoroguide for spine inject","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"77003","description":"Fluoroguide for spine inject","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CCEE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"ODTD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KAXA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Assay of homovanillic acid","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"83150","description":"Assay of homovanillic acid","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KIME0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MIDF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CAKD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OAHD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Acesso tl_ per square centimeter","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"Q4300","description":"Acesso tl_ per square centimeter","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MILB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"HEQC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CBCF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Doc >1 sinus ct w 90d dx","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G9351","description":"Doc >1 sinus ct w 90d dx","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-4CFMX","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"4CFMX","description":"HIPPS-4CFMX","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Diphtheria toxoid_ for intramuscular use","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"90719","description":"Diphtheria toxoid_ for intramuscular use","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OCLB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Nuclr rx interstit colloid","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"79300","description":"Nuclr rx interstit colloid","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-4BHK2","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"4BHK2","description":"HIPPS-4BHK2","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Tracheostoma hmes filter","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"A7504","description":"Tracheostoma hmes filter","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BEGC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"CPT-00902","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"00902","description":"CPT-00902","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CFJC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Shave skin lesion >2.0 cm","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"11313","description":"Shave skin lesion >2.0 cm","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"DFWE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BCLA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CBYE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"ODNC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-CD251","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"CD251","description":"HIPPS-CD251","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Gene test sickle cell","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"S3850","description":"Gene test sickle cell","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OLDD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Tx/pro/dx inj new drug addon","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"96375","description":"Tx/pro/dx inj new drug addon","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FAHA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Service for diagnosis_ evaluation_ or treatment of a mental health or substance use disorder_ each additional 15 minutes_ provided remotely by hospital staff who are licensed","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"C7902","description":"Service for diagnosis_ evaluation_ or treatment of a mental health or substance use disorder_ each additional 15 minutes_ provided remotely by hospital staff who are licensed","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MECD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KFRD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KEVD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KDUB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Repair esophagus and fistula","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"43312","description":"Repair esophagus and fistula","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Repair bronchus add-on","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"32501","description":"Repair bronchus add-on","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Patient is using hospice services any time during the measurement period","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G9714","description":"Patient is using hospice services any time during the measurement period","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Pmp22 gene full sequence","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"81325","description":"Pmp22 gene full sequence","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"ODDC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CCND0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KBBF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NEJA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"CPT-90613","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"90613","description":"CPT-90613","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JIHD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-CC28E","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"CC28E","description":"HIPPS-CC28E","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Laparo partial colectomy","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"44204","description":"Laparo partial colectomy","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Assay phosphohexose enzymes","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"84087","description":"Assay phosphohexose enzymes","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Human Platelet Antigen 2 genotyping (HPA-2)_ GP1BA (glycoprotein Ib [platelet]_ alpha polypeptide [GPIba]) (eg_ neonatal alloimmune thrombocytopenia [NAIT]_ post-transfusion p","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"81106","description":"Human Platelet Antigen 2 genotyping (HPA-2)_ GP1BA (glycoprotein Ib [platelet]_ alpha polypeptide [GPIba]) (eg_ neonatal alloimmune thrombocytopenia [NAIT]_ post-transfusion p","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CIYB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-CC220","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"CC220","description":"HIPPS-CC220","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Injection_ plazomicin_ 5 mg","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"J0291","description":"Injection_ plazomicin_ 5 mg","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-LD116","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"LD116","description":"HIPPS-LD116","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OEBA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Assay of triglycerides","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"84478","description":"Assay of triglycerides","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OHKE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OGHD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JDTA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BCTE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"AIHC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"HGOF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OJKE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BEPC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Speech screening","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"V5362","description":"Speech screening","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Misoprostol_ oral_ 200 mcg","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"S0191","description":"Misoprostol_ oral_ 200 mcg","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-3CFP1","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"3CFP1","description":"HIPPS-3CFP1","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-3BFPV","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"3BFPV","description":"HIPPS-3BFPV","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KAVF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"CPT-64567","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"64567","description":"CPT-64567","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"EICD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FGDF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-J0175","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"J0175","description":"HCPCS-J0175","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-PD28F","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"PD28F","description":"HIPPS-PD28F","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OEXF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Regadenoson injection","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"J2785","description":"Regadenoson injection","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Thoracoscopy w/pleurectomy","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"32656","description":"Thoracoscopy w/pleurectomy","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RUB30","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RUB30","description":"HIPPS-RUB30","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NCLA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OAWA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RHC52","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RHC52","description":"HIPPS-RHC52","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GEEC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Loudness balance test","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"92562","description":"Loudness balance test","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Initial observation care_ per day_ for the evaluation and management of a patient_ which requires these 3 key components: A comprehensive history; A comprehensive examination;","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"99219","description":"Initial observation care_ per day_ for the evaluation and management of a patient_ which requires these 3 key components: A comprehensive history; A comprehensive examination;","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OBQA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BBNE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GDUF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Omeza Collagen Matrix_ per 100 mg","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"A2014","description":"Omeza Collagen Matrix_ per 100 mg","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Rad w/o backup non-inv intfc","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"E0470","description":"Rad w/o backup non-inv intfc","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GHQE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"TAG_ per sq cm","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"Q4261","description":"TAG_ per sq cm","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-LC215","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"LC215","description":"HIPPS-LC215","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JGHA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-CE14B","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"CE14B","description":"HIPPS-CE14B","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Press pad alternating w/ pum","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"E0181","description":"Press pad alternating w/ pum","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Small bowel endoscopy","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"44372","description":"Small bowel endoscopy","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GCRB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Drainage of bursa of foot","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"28001","description":"Drainage of bursa of foot","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Removable Unilateral Partial Denture - One Piece Flexible Base - Per Quadrant","billing_code_type":"CDT","billing_code_type_version":"2024","billing_code":"D5284","description":"Removable Unilateral Partial Denture - One Piece Flexible Base - Per Quadrant","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KBVE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Screen c/v thin layer by md","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G0124","description":"Screen c/v thin layer by md","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Art byp grft aorcel/aormesen","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"35531","description":"Art byp grft aorcel/aormesen","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JCEA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BAHC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"L hrt artery/ventricle angio","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"93458","description":"L hrt artery/ventricle angio","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Delayed placement of distal or proximal extension prosthesis for endovascular repair of infrarenal abdominal aortic or iliac aneurysm_ false aneurysm_ dissection_ endoleak_ or","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"34710","description":"Delayed placement of distal or proximal extension prosthesis for endovascular repair of infrarenal abdominal aortic or iliac aneurysm_ false aneurysm_ dissection_ endoleak_ or","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BBXB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Documentation of medical reason(s) for not naming ct studies according to a standardized nomenclature provided (eg_CT studies performed for radiation treatment planning)","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G9320","description":"Documentation of medical reason(s) for not naming ct studies according to a standardized nomenclature provided (eg_CT studies performed for radiation treatment planning)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"EIEA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HH PDGM","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"4BB31","description":"HH PDGM","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Exome sequence analysis","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"81416","description":"Exome sequence analysis","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OEHE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Hkafo torsion cable hip pelv","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"L2050","description":"Hkafo torsion cable hip pelv","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Art trnsposj subclav carotid","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"35694","description":"Art trnsposj subclav carotid","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"In Hospice Or Using Hospice Services During The Measurement Period","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G2153","description":"In Hospice Or Using Hospice Services During The Measurement Period","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"IEAD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Incision of midfoot bones","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"28304","description":"Incision of midfoot bones","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FATD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HH PDGM","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"4EC31","description":"HH PDGM","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Injection for breast x-ray","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"19030","description":"Injection for breast x-ray","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KISE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-3BGK3","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"3BGK3","description":"HIPPS-3BGK3","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CCUE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-3CHK6","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"3CHK6","description":"HIPPS-3CHK6","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"IDLA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Exc rect tum transanal full","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"45172","description":"Exc rect tum transanal full","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CFPB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Vitamin b-12","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"82607","description":"Vitamin b-12","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OETD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KAAD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Topical anesthetic_ per gram","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"A4736","description":"Topical anesthetic_ per gram","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CISD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CDEC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Elevat proximal arm support","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"E2631","description":"Elevat proximal arm support","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"ABAD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Treatment of ankle fracture","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"28435","description":"Treatment of ankle fracture","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BIEE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"ACUD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-ES28I","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"ES28I","description":"HIPPS-ES28I","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Sho insert w arch toe filler","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"L5000","description":"Sho insert w arch toe filler","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NEFD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Centruroides immune f(ab)","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"J0716","description":"Centruroides immune f(ab)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Hearing aid_ disp_ monaural","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"V5262","description":"Hearing aid_ disp_ monaural","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Speech therapy_ re-eval","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"S9152","description":"Speech therapy_ re-eval","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MCMF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KHLD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JIIC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Incise skull/brain biopsy","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"61750","description":"Incise skull/brain biopsy","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Documentation of medical reason(s) for not prescribing/administering androgen deprivation therapy in combination with external beam radiotherapy to the prostate (e.g._ salvage","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G9895","description":"Documentation of medical reason(s) for not prescribing/administering androgen deprivation therapy in combination with external beam radiotherapy to the prostate (e.g._ salvage","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NFKC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"CPT-0674U","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"0674U","description":"CPT-0674U","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Nervous system nuclear exam","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"78699","description":"Nervous system nuclear exam","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-1BHKU","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"1BHKU","description":"HIPPS-1BHKU","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Financial mgt waiver/15min","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"T2040","description":"Financial mgt waiver/15min","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JEVE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-AAA31","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"AAA31","description":"HIPPS-AAA31","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"AHMC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HH PDGM","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"2FB11","description":"HH PDGM","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Medical testimony","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"99075","description":"Medical testimony","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Trach/laryn tube cuffed","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"A7521","description":"Trach/laryn tube cuffed","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Glasses binaural hearing aid","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"V5150","description":"Glasses binaural hearing aid","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BITD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BDKD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Patient is not dysarthric","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"3763F","description":"Patient is not dysarthric","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Patient Already Receiving Physical/Occupational/Speech/Recreational Therapy During The Measurement Period","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G0040","description":"Patient Already Receiving Physical/Occupational/Speech/Recreational Therapy During The Measurement Period","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"EEIF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NDLA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Digitization of glass microscope slides for cytopathology_ selective-cellular enhancement technique with interpretation (eg_ liquid-based slide preparation method)_ except cer","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0830T","description":"Digitization of glass microscope slides for cytopathology_ selective-cellular enhancement technique with interpretation (eg_ liquid-based slide preparation method)_ except cer","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Graft hand or finger tendon","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"26416","description":"Graft hand or finger tendon","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FEFE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"ODEC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GDFC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"LDSF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Doc pt dischg >2d","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G9254","description":"Doc pt dischg >2d","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Implant neuroelectrodes","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"63650","description":"Implant neuroelectrodes","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JDPD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Ost pch for bar w lk fl/fltr","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"A4423","description":"Ost pch for bar w lk fl/fltr","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-1AGKV","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"1AGKV","description":"HIPPS-1AGKV","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OIEA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-4AGK5","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"4AGK5","description":"HIPPS-4AGK5","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Initial hospital care","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"99223","description":"Initial hospital care","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Online service by hc pro","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"98969","description":"Online service by hc pro","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"LGRB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Strapping of toes","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"29550","description":"Strapping of toes","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GAYE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Reagent strip/blood glucose","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"82948","description":"Reagent strip/blood glucose","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BCCD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CDNC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OKAC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"EABE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"EHUD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"CPT-00630","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"00630","description":"CPT-00630","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"PCOA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"ECEF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"PFYC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"EECD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MJAD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Extensive surgery of throat","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"42842","description":"Extensive surgery of throat","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BBPA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Self-adher band w <3in/yd","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"A6453","description":"Self-adher band w <3in/yd","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Intraoperative visual axis identification using patient fixation (List separately in addition to code for primary procedure)","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0514T","description":"Intraoperative visual axis identification using patient fixation (List separately in addition to code for primary procedure)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OBHE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"CPT-92634","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"92634","description":"CPT-92634","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Vital capacity test","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"94150","description":"Vital capacity test","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JHVA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RHC16","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RHC16","description":"HIPPS-RHC16","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Abscess imaging ltd area","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"78805","description":"Abscess imaging ltd area","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Icut allergy test drug/bug","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"95024","description":"Icut allergy test drug/bug","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CIAE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CDSF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MCDB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BICD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OFFA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"CPT-00537","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"00537","description":"CPT-00537","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CGCF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Injection_ brexanolone_ 1 mg","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"J1632","description":"Injection_ brexanolone_ 1 mg","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GALF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-PD28C","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"PD28C","description":"HIPPS-PD28C","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-M1408","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"M1408","description":"HCPCS-M1408","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JIED1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"EBBD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CHSE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NDGB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OCSC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FEJA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GHGD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Removal of artery clot","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"34001","description":"Removal of artery clot","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KFEF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GDMF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Chest x-ray 1 view frontal","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"71010","description":"Chest x-ray 1 view frontal","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"EEHA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Composite byp grft 3/> segmt","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"35683","description":"Composite byp grft 3/> segmt","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Continuous recording of movement disorder symptoms_ including bradykinesia_ dyskinesia_ and tremor for 6 days up to 10 days; includes set-up_ patient training_ configuration o","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0533T","description":"Continuous recording of movement disorder symptoms_ including bradykinesia_ dyskinesia_ and tremor for 6 days up to 10 days; includes set-up_ patient training_ configuration o","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CDDC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Gene test hippel-lindau","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"S3842","description":"Gene test hippel-lindau","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Transcatheter superior and inferior vena cava prosthetic valve implantation (ie_ caval valve implantation [CAVI]); open femoral vein approach","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0806T","description":"Transcatheter superior and inferior vena cava prosthetic valve implantation (ie_ caval valve implantation [CAVI]); open femoral vein approach","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Programming Device Evaluation (In-Person) With Iterative Adjustment Of The Implantable Device To Test The Function Of The Device And Select Optimal Permanent Programmed Values","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0683T","description":"Programming Device Evaluation (In-Person) With Iterative Adjustment Of The Implantable Device To Test The Function Of The Device And Select Optimal Permanent Programmed Values","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SARSCOV2 VAC 25MCG/0.25ML IM","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"91311","description":"SARSCOV2 VAC 25MCG/0.25ML IM","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Crutch forearm pair","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"E0110","description":"Crutch forearm pair","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OGBF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GAUF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HH PDGM","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"2KB31","description":"HH PDGM","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"DAWA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Perq art m-thrombect &/nfs","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"61645","description":"Perq art m-thrombect &/nfs","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Coronary artery correction","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"33502","description":"Coronary artery correction","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"CPT-82234","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"82234","description":"CPT-82234","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JITF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Extended culture of oocytes","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"89272","description":"Extended culture of oocytes","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BBTD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FIDE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RHB1C","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RHB1C","description":"HIPPS-RHB1C","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Singl visn sphere 7.12-20.00","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"V2102","description":"Singl visn sphere 7.12-20.00","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FALE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-B1302","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"B1302","description":"HCPCS-B1302","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"LBYF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KGJE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"DEQA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Oxford w/ supinat/pronator c","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"L3202","description":"Oxford w/ supinat/pronator c","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FIPC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OJWA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OBUB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"DDOE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GEEA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Iliac aneurysm endovas rpr","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"75954","description":"Iliac aneurysm endovas rpr","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Patient did not have at least two HPV vaccines (with at least 146 days between the two) or three HPV vaccines on or between the patient_s 9th and 13th birthdays","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G9763","description":"Patient did not have at least two HPV vaccines (with at least 146 days between the two) or three HPV vaccines on or between the patient_s 9th and 13th birthdays","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"HASC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NJIC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MAEA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Hospice or home hlth in home","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"Q5001","description":"Hospice or home hlth in home","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-CE28H","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"CE28H","description":"HIPPS-CE28H","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FFFA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HH PDGM","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"2JC31","description":"HH PDGM","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"IBLF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Sip and puff interface","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"E2325","description":"Sip and puff interface","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CFOD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-LD28H","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"LD28H","description":"HIPPS-LD28H","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FBLC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OKQD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NCNE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Urinary leg bag","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"A5112","description":"Urinary leg bag","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"LBWC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"BTK (Bruton_s tyrosine kinase) (eg_ chronic lymphocytic leukemia) gene analysis_ common variants (eg_ C481S_ C481R_ C481F)","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"81233","description":"BTK (Bruton_s tyrosine kinase) (eg_ chronic lymphocytic leukemia) gene analysis_ common variants (eg_ C481S_ C481R_ C481F)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Ra disease activity low","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"3470F","description":"Ra disease activity low","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"IEHF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Tantalum ring application","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"S8030","description":"Tantalum ring application","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Dialys sol fld vol > 2999cc","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"A4723","description":"Dialys sol fld vol > 2999cc","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"HCYC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"IDLC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"AAHF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"MRI fetal sngl/1st gestation","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"74712","description":"MRI fetal sngl/1st gestation","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"CPT-55869","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"55869","description":"CPT-55869","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Remove vertebral body add-on","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"63086","description":"Remove vertebral body add-on","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NILA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-4AFKU","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"4AFKU","description":"HIPPS-4AFKU","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OHMD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NLDF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GCMB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RLX51","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RLX51","description":"HIPPS-RLX51","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BIIE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Remove eyelid lining lesion","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"68135","description":"Remove eyelid lining lesion","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Brachytx_ ns_ non-hdrir-192","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"C1719","description":"Brachytx_ ns_ non-hdrir-192","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Cardiac acoustic waveform recording with automated analysis and generation of coronary artery disease risk score","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0716T","description":"Cardiac acoustic waveform recording with automated analysis and generation of coronary artery disease risk score","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MBME1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BBVA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Cystoscopy and treatment","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"52305","description":"Cystoscopy and treatment","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Part hand no fingers","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"L6020","description":"Part hand no fingers","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BAFB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Lumbar spine fusion combined","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"22633","description":"Lumbar spine fusion combined","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Orthodontic procedure","billing_code_type":"CDT","billing_code_type_version":"2024","billing_code":"D8999","description":"Orthodontic procedure","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GDFE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Injection_ teplizumab-mzwv_ 5 mcg","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"C9149","description":"Injection_ teplizumab-mzwv_ 5 mcg","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"EBAA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NFCA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JCIF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"AHBF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FABE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-PD117","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"PD117","description":"HIPPS-PD117","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RLX26","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RLX26","description":"HIPPS-RLX26","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Non-traumatic spinal cord injury with Motor <23.75._without comorbidities","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"A0506","description":"Non-traumatic spinal cord injury with Motor <23.75._without comorbidities","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OAJB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RMA45","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RMA45","description":"HIPPS-RMA45","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Psytx pt&/family 60 minutes","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"90837","description":"Psytx pt&/family 60 minutes","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-PE140","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"PE140","description":"HIPPS-PE140","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"AIBB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Treatment of heel fracture","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"28400","description":"Treatment of heel fracture","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Acesso dl_ per square centimeter","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"Q4293","description":"Acesso dl_ per square centimeter","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-PB24D","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"PB24D","description":"HIPPS-PB24D","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RHX52","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RHX52","description":"HIPPS-RHX52","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CHAC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"PGWB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"AHEB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NLJC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Antibody_ severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) (Coronavirus disease [COVID-19])_ includes titer(s)_ when performed","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0224U","description":"Antibody_ severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) (Coronavirus disease [COVID-19])_ includes titer(s)_ when performed","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Physical Medicine Mips Specialty Set","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G4025","description":"Physical Medicine Mips Specialty Set","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OFJE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GBUA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-450U5","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"450U5","description":"HIPPS-450U5","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"EICB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"X-ray exam si joints 3/> vws","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"72202","description":"X-ray exam si joints 3/> vws","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GEEB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-3CHN4","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"3CHN4","description":"HIPPS-3CHN4","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Chore services per 15 min","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"S5120","description":"Chore services per 15 min","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Prolotherapy","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"M0076","description":"Prolotherapy","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JIVC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OCQF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OCCC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KHXE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Apically positioned flap","billing_code_type":"CDT","billing_code_type_version":"2024","billing_code":"D4245","description":"Apically positioned flap","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CAPB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FBVB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"CPT-1000T","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"1000T","description":"CPT-1000T","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Walker_ battery powered_ wheeled_ folding_ adjustable or fixed height","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"E0152","description":"Walker_ battery powered_ wheeled_ folding_ adjustable or fixed height","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Med record copy admin","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"S9981","description":"Med record copy admin","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-PB212","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"PB212","description":"HIPPS-PB212","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CDDF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Excision of bowel lesion(s)","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"44111","description":"Excision of bowel lesion(s)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"ECBD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Treat knee dislocation","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"27556","description":"Treat knee dislocation","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GAAB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"CPT-00103","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"00103","description":"CPT-00103","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Drug assay_ definitive_ 120 or more drugs or metabolites_ urine_ quantitative liquid chromatography with tandem mass spectrometry (LC-MS/MS) using multiple reaction monitoring","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0150U","description":"Drug assay_ definitive_ 120 or more drugs or metabolites_ urine_ quantitative liquid chromatography with tandem mass spectrometry (LC-MS/MS) using multiple reaction monitoring","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"AEIA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-PB28E","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"PB28E","description":"HIPPS-PB28E","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KIMF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FHAD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Tibper revasc w/ather add-on","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"37233","description":"Tibper revasc w/ather add-on","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"AGMF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FCME1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BCGD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-CD20D","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"CD20D","description":"HIPPS-CD20D","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GILB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NBDD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-PB20C","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"PB20C","description":"HIPPS-PB20C","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GGCC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-3AHN6","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"3AHN6","description":"HIPPS-3AHN6","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Ongoing Care Not Indicated_ Patient Seen Only 1-2 Visits (E.G._ Home Program Only_ Referred To Another Provider Or Facility_ Consultation Only)","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"M1123","description":"Ongoing Care Not Indicated_ Patient Seen Only 1-2 Visits (E.G._ Home Program Only_ Referred To Another Provider Or Facility_ Consultation Only)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Auditory Evoked Potentials; Screening Of Auditory Potential With Broadband Stimuli_ Automated Analysis","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"92650","description":"Auditory Evoked Potentials; Screening Of Auditory Potential With Broadband Stimuli_ Automated Analysis","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"EILF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Treat humerus fracture","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"24515","description":"Treat humerus fracture","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-PD112","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"PD112","description":"HIPPS-PD112","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KEWA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Kidney endoscopy & biopsy","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"50574","description":"Kidney endoscopy & biopsy","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Aphakia prosth service temp","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"92358","description":"Aphakia prosth service temp","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CCLA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CCDD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JGGD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"ECIE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Sinus surgery procedure","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"31299","description":"Sinus surgery procedure","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NEIB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NEAB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RMC05","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RMC05","description":"HIPPS-RMC05","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GCSC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NGCF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-2CGMT","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"2CGMT","description":"HIPPS-2CGMT","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-CD230","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"CD230","description":"HIPPS-CD230","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HH PDGM","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"2GB31","description":"HH PDGM","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FDXF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RVB35","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RVB35","description":"HIPPS-RVB35","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CHJE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FCAF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-4AFMT","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"4AFMT","description":"HIPPS-4AFMT","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"LAQC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JHFB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Totazoline hcl injection","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"J2670","description":"Totazoline hcl injection","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FBTC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"PFOD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"LGSB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RLX36","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RLX36","description":"HIPPS-RLX36","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Tongue removal neck surgery","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"41145","description":"Tongue removal neck surgery","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Treatment of foot infection","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"28003","description":"Treatment of foot infection","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GBOE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Biopsy of tear sac","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"68525","description":"Biopsy of tear sac","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FFDB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-3AGLW","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"3AGLW","description":"HIPPS-3AGLW","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"IBEB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Prehensile actuator","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"L7040","description":"Prehensile actuator","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Removal of nerve lesion","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"64790","description":"Removal of nerve lesion","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Cpap full face mask","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"A7030","description":"Cpap full face mask","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MJDA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NKPB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BDTC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NFED0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Pwr seat recline mech","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"E1004","description":"Pwr seat recline mech","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Long chain fatty acids","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"82726","description":"Long chain fatty acids","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GCHE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GHKC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-3AHP3","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"3AHP3","description":"HIPPS-3AHP3","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Belt_ strap_ sleeve_ garment_ or covering_ any type","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"A4467","description":"Belt_ strap_ sleeve_ garment_ or covering_ any type","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"ECTD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OBNC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NKPE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Cms medical evidence form 2728 for dialysis patients: initial form completed","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"M1265","description":"Cms medical evidence form 2728 for dialysis patients: initial form completed","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NKNC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"CPT-01480","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"01480","description":"CPT-01480","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FFCE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KBNB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OLLF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-CE15A","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"CE15A","description":"HIPPS-CE15A","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Minor blunt trauma w/head ct","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G9529","description":"Minor blunt trauma w/head ct","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Collagen dressing >48 sq in","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"A6023","description":"Collagen dressing >48 sq in","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Insert/place heart catheter","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"93503","description":"Insert/place heart catheter","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Injection_ coagulation Factor Xa (recombinant)_ inactivated-zhzo (Andexxa)_ 10 mg","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"J7169","description":"Injection_ coagulation Factor Xa (recombinant)_ inactivated-zhzo (Andexxa)_ 10 mg","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"CDT-D9936","billing_code_type":"CDT","billing_code_type_version":"2026","billing_code":"D9936","description":"CDT-D9936","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Bone strength and fracture risk using finite element analysis of functional data_ and bone-mineral density_ utilizing data from a computed tomography scan; assessment of bone","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0556T","description":"Bone strength and fracture risk using finite element analysis of functional data_ and bone-mineral density_ utilizing data from a computed tomography scan; assessment of bone","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RUB0B","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RUB0B","description":"HIPPS-RUB0B","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"PJSD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KEJA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BIGB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Oncology (hematolymphoid neoplasia)_ JAK2 mutation_ DNA_ PCR amplification of exons 12-14 and sequence analysis_ blood or bone marrow_ report of JAK2 mutation not detected or","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0017U","description":"Oncology (hematolymphoid neoplasia)_ JAK2 mutation_ DNA_ PCR amplification of exons 12-14 and sequence analysis_ blood or bone marrow_ report of JAK2 mutation not detected or","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Periacetabular osteotomy","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"S2115","description":"Periacetabular osteotomy","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KDWD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HH PDGM","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"4LB31","description":"HH PDGM","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NJXA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"IDLC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Revise spine cord vsl thrlmb","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"63252","description":"Revise spine cord vsl thrlmb","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CBCA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Doc fx & test/txmnt for op","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"5015F","description":"Doc fx & test/txmnt for op","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NDAD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Growth hormone antibody","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"86277","description":"Growth hormone antibody","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KGAD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Drainage of arm lesion","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"23930","description":"Drainage of arm lesion","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OJXC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"ICIA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Lymphocyte culture primed","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"86822","description":"Lymphocyte culture primed","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"DIYF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GBJF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CGVF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CABF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"ECDD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-J1947","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"J1947","description":"HCPCS-J1947","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-HB154","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"HB154","description":"HIPPS-HB154","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CBFE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FBCD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"LHQB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Harvest allogeneic stem cell","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"38205","description":"Harvest allogeneic stem cell","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"guided tissue regeneration - resorbable barrier_ per implant","billing_code_type":"CDT","billing_code_type_version":"2024","billing_code":"D6106","description":"guided tissue regeneration - resorbable barrier_ per implant","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MDBF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Store prev froz embryos","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"S4027","description":"Store prev froz embryos","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Flotufolastat F-18_ diagnostic_ 1 mCi","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"C9156","description":"Flotufolastat F-18_ diagnostic_ 1 mCi","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"EEHB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Injection_ teplizumab-mzwv_ 5 mcg","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"J9381","description":"Injection_ teplizumab-mzwv_ 5 mcg","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OBKB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Removal of clot in graft","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"35875","description":"Removal of clot in graft","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Nras gene variants exon 2&3","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"81311","description":"Nras gene variants exon 2&3","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"IIEF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JAAA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"PIYA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Collect sweat for test","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"89230","description":"Collect sweat for test","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HH PDGM","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"3GA31","description":"HH PDGM","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OBKC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OEDC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Mohs 1 stage t/a/l","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"17313","description":"Mohs 1 stage t/a/l","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JCME1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HBB (hemoglobin_ subunit beta) (eg_ sickle cell anemia_ beta thalassemia_ hemoglobinopathy); full gene sequence","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"81364","description":"HBB (hemoglobin_ subunit beta) (eg_ sickle cell anemia_ beta thalassemia_ hemoglobinopathy); full gene sequence","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Inj sulf hexa lipid microsph","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"Q9950","description":"Inj sulf hexa lipid microsph","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Removal of eye","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"65110","description":"Removal of eye","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RVL53","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RVL53","description":"HIPPS-RVL53","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MLUE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Brachytx_ stranded_ p-103","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"C2640","description":"Brachytx_ stranded_ p-103","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Prep ak ischial laminated","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"L5590","description":"Prep ak ischial laminated","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Biopsy of penis","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"54105","description":"Biopsy of penis","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Incise spine & cord thoracic","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"63195","description":"Incise spine & cord thoracic","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Place device impacted tooth","billing_code_type":"CDT","billing_code_type_version":"2024","billing_code":"D7283","description":"Place device impacted tooth","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BCBA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-3BGPW","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"3BGPW","description":"HIPPS-3BGPW","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CIAA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JGFC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BALE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GALD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"AAHB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Treat knee fracture","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"27532","description":"Treat knee fracture","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Remove/graft hip bone lesion","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"27067","description":"Remove/graft hip bone lesion","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Ercp lesion ablate w/dilate","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"43278","description":"Ercp lesion ablate w/dilate","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KCWF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"HBWB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Assay of blood lipoprotein","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"83721","description":"Assay of blood lipoprotein","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NABB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Special eye exam initial","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"92225","description":"Special eye exam initial","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"ODUB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Osteopath manj 7-8 regions","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"98928","description":"Osteopath manj 7-8 regions","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Automated Quantification And Characterization Of Coronary Atherosclerotic Plaque To Assess Severity Of Coronary Disease_ Using Data From Coronary Computed Tomographic Angiogra","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0626T","description":"Automated Quantification And Characterization Of Coronary Atherosclerotic Plaque To Assess Severity Of Coronary Disease_ Using Data From Coronary Computed Tomographic Angiogra","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FGDD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Crown 3/4 cast based metal","billing_code_type":"CDT","billing_code_type_version":"2024","billing_code":"D6781","description":"Crown 3/4 cast based metal","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"No disc tx choices","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G9401","description":"No disc tx choices","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"IMM ADMN SARSCOV2 100 MCG/0.5 ML 1ST DOSE","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0011A","description":"IMM ADMN SARSCOV2 100 MCG/0.5 ML 1ST DOSE","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Albumin; urine (eg_ microalbumin)_ semiquantitative (eg_ reagent strip assay)","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"82044","description":"Albumin; urine (eg_ microalbumin)_ semiquantitative (eg_ reagent strip assay)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KEFD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JADA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-B1806","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"B1806","description":"HCPCS-B1806","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GILE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Cardiac surgery procedure","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"33999","description":"Cardiac surgery procedure","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Islet Cell Transplant_ Includes Portal Vein Catheterization And Infusion_ Including All Imaging_ Including Guidance_ And Radiological Supervision And Interpretation_ When Perf","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0586T","description":"Islet Cell Transplant_ Includes Portal Vein Catheterization And Infusion_ Including All Imaging_ Including Guidance_ And Radiological Supervision And Interpretation_ When Perf","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Release of ureter","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"50722","description":"Release of ureter","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KCHC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KFNC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FFCF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"PBOD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Immunization administration by intramuscular injection of severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) (coronavirus disease [COVID-19]) vaccine_ mRNA-LNP_ biva","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0172A","description":"Immunization administration by intramuscular injection of severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) (coronavirus disease [COVID-19]) vaccine_ mRNA-LNP_ biva","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Sec art thrombectomy add-on","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"37186","description":"Sec art thrombectomy add-on","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Injection_ Lefamulin (Xenleta)_ 1 Mg","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"C9054","description":"Injection_ Lefamulin (Xenleta)_ 1 Mg","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CIYD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-CD18C","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"CD18C","description":"HIPPS-CD18C","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JIFA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MICB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FANF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KBJA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-E1826","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"E1826","description":"HCPCS-E1826","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"HFYC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Injection_ mirvetuximab soravtansine-gynx_ 1 mg","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"J9063","description":"Injection_ mirvetuximab soravtansine-gynx_ 1 mg","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Assay of iron","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"83540","description":"Assay of iron","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GATF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Non-cov surg proc_clin trial","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G0293","description":"Non-cov surg proc_clin trial","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Arch suprt att to sho longit","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"L3070","description":"Arch suprt att to sho longit","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RMX23","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RMX23","description":"HIPPS-RMX23","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Splint elbow","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"S8452","description":"Splint elbow","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"HGWC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Drnble ostomy pouch w/o barr","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"A5062","description":"Drnble ostomy pouch w/o barr","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Zidovudine_ oral_ 100 mg","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"S0104","description":"Zidovudine_ oral_ 100 mg","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FHUD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FIDA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OGNA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NEMA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Endovenous laser 1st vein","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"36478","description":"Endovenous laser 1st vein","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Artificial larynx_ accessory","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"L8505","description":"Artificial larynx_ accessory","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-4AGK1","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"4AGK1","description":"HIPPS-4AGK1","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Tissue culture placenta","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"88235","description":"Tissue culture placenta","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Rubella virus vaccine_ live_ for subcutaneous or jet injection use","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"90706","description":"Rubella virus vaccine_ live_ for subcutaneous or jet injection use","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Comprehensive (60 minutes) in-home visit for a new patient post-discharge. For use only in a Medicare-approved CMMI model. (Services must be furnished within a beneficiary’s h","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G2004","description":"Comprehensive (60 minutes) in-home visit for a new patient post-discharge. For use only in a Medicare-approved CMMI model. (Services must be furnished within a beneficiary’s h","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-1AHP3","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"1AHP3","description":"HIPPS-1AHP3","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GAVB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-PE215","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"PE215","description":"HIPPS-PE215","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Repair upper jaw fistula","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"30580","description":"Repair upper jaw fistula","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CBIE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OJHD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OBYC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"CPT-01996","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"01996","description":"CPT-01996","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Unexplained constitutional or other heritable disorders or syndromes_ tissue-specific gene expression by whole-transcriptome and next-generation sequencing_ blood_ formalin-fi","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0266U","description":"Unexplained constitutional or other heritable disorders or syndromes_ tissue-specific gene expression by whole-transcriptome and next-generation sequencing_ blood_ formalin-fi","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FGAB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JFAD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-PC231","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"PC231","description":"HIPPS-PC231","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KGWF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OJCB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Upper extremity study","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"93930","description":"Upper extremity study","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Space maintainer_ fixed_ bilateral_ maxillary","billing_code_type":"CDT","billing_code_type_version":"2024","billing_code":"D1516","description":"Space maintainer_ fixed_ bilateral_ maxillary","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BAAE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"IEUE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"EDLC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Shortening of hand tendon","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"26479","description":"Shortening of hand tendon","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FEDE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CHPA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Apply forearm splint","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"29125","description":"Apply forearm splint","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-PA10A","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"PA10A","description":"HIPPS-PA10A","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"HERA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Injection_ belinostat_ 10mg","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"J9032","description":"Injection_ belinostat_ 10mg","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Insert nasal septal button","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"30220","description":"Insert nasal septal button","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"PKWB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KCLD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FGGB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"N-et; stretcher van_ mileage","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"T2049","description":"N-et; stretcher van_ mileage","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Paraffin bath unit portable","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"E0235","description":"Paraffin bath unit portable","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GGEF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-LE241","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"LE241","description":"HIPPS-LE241","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Bone strength and fracture risk using finite element analysis of functional data_ and bone-mineral density_ utilizing data from a computed tomography scan; retrieval and trans","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0555T","description":"Bone strength and fracture risk using finite element analysis of functional data_ and bone-mineral density_ utilizing data from a computed tomography scan; retrieval and trans","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Injection_ faricimab-svoa_ 0.1 mg","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"C9097","description":"Injection_ faricimab-svoa_ 0.1 mg","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KIWD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FFNE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Remove sympathetic nerves","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"64804","description":"Remove sympathetic nerves","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CEWA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"EIED1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JELF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OAWD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Anesth major vein ligation","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"88251","description":"Anesth major vein ligation","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-HD245","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"HD245","description":"HIPPS-HD245","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GFKC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-4AGLV","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"4AGLV","description":"HIPPS-4AGLV","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"IACA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BHBB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FITA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OHOA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JHKB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Penicillin g benzathine inj","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"J0561","description":"Penicillin g benzathine inj","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OGCF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BGXF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MBDD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"The Start Of An Episode Of Care Documented In The Medical Record","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"M1135","description":"The Start Of An Episode Of Care Documented In The Medical Record","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"CPT-49187","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"49187","description":"CPT-49187","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Repair of perineum","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"56810","description":"Repair of perineum","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Osteopath manj 5-6 regions","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"98927","description":"Osteopath manj 5-6 regions","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GCDD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BBCF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-1CHL4","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"1CHL4","description":"HIPPS-1CHL4","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-A1804","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"A1804","description":"HCPCS-A1804","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Exposure impact tooth orthod","billing_code_type":"CDT","billing_code_type_version":"2024","billing_code":"D7280","description":"Exposure impact tooth orthod","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Hyqvia 100mg immuneglobulin","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"J1575","description":"Hyqvia 100mg immuneglobulin","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Onlay porc/crmc >=3 surfaces","billing_code_type":"CDT","billing_code_type_version":"2024","billing_code":"D6609","description":"Onlay porc/crmc >=3 surfaces","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CHOF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Fix partial denture section","billing_code_type":"CDT","billing_code_type_version":"2024","billing_code":"D9120","description":"Fix partial denture section","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Cdifficile testing performed","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"3520F","description":"Cdifficile testing performed","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"EDTA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Endovasc taa repr incl subcl","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"33880","description":"Endovasc taa repr incl subcl","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Platelet pheres leukoreduced","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"P9035","description":"Platelet pheres leukoreduced","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Alefacept","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"J0215","description":"Alefacept","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CHAC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"DIOA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-LE215","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"LE215","description":"HIPPS-LE215","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NALC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"AELA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"ACIF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Power adapter_ combo vad","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"Q0478","description":"Power adapter_ combo vad","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Infectious Agent Detection By Nucleic Acid (Dna Or Rna); Mycoplasma Genitalium_ Amplified Probe Technique","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"87563","description":"Infectious Agent Detection By Nucleic Acid (Dna Or Rna); Mycoplasma Genitalium_ Amplified Probe Technique","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CGBE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Total cortisol","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"82533","description":"Total cortisol","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Home health care supervision","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"99374","description":"Home health care supervision","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Injection_ Factor IX (antihemophilic factor_ recombinant)_ glycopegylated_ Rebinyn_ 1 IU","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"C9468","description":"Injection_ Factor IX (antihemophilic factor_ recombinant)_ glycopegylated_ Rebinyn_ 1 IU","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NAAB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NGLD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"PDSF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OBQE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Syst corticosteroids not rx","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"4136F","description":"Syst corticosteroids not rx","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JEKB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-J9062","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"J9062","description":"HCPCS-J9062","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NIFA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GCQE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Placement of drain pancreas","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"48001","description":"Placement of drain pancreas","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"DEYB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CDDD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"EEDB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MBHE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-2BGMS","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"2BGMS","description":"HIPPS-2BGMS","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KFHE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-3AGL2","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"3AGL2","description":"HIPPS-3AGL2","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GBXE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KDUC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"F9 (coagulation factor IX) (eg_ hemophilia B)_ full gene sequence","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"81238","description":"F9 (coagulation factor IX) (eg_ hemophilia B)_ full gene sequence","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RUX33","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RUX33","description":"HIPPS-RUX33","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Explore/biopsy eye socket","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"67450","description":"Explore/biopsy eye socket","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FHDD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Removal of thyroid","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"60252","description":"Removal of thyroid","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FICB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"CDT-D0902","billing_code_type":"CDT","billing_code_type_version":"2026","billing_code":"D0902","description":"CDT-D0902","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Specimen fat stain","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"89125","description":"Specimen fat stain","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Injection_ buprenorphine extended release (brixadi)_ greater than 7 days and up to 28 days of therapy","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"J0578","description":"Injection_ buprenorphine extended release (brixadi)_ greater than 7 days and up to 28 days of therapy","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GFTF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MCED0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CCAA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"CPT-0592U","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"0592U","description":"CPT-0592U","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OFUF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"PESB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Statin presc disch","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G9441","description":"Statin presc disch","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Noninvasive assessment of blood oxygenation_ gas exchange efficiency_ and cardiorespiratory status_ with physician or other qualified health care professional interpretation a","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0893T","description":"Noninvasive assessment of blood oxygenation_ gas exchange efficiency_ and cardiorespiratory status_ with physician or other qualified health care professional interpretation a","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MCHF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Mra w/o fol w/cont_ pelvis","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"C8920","description":"Mra w/o fol w/cont_ pelvis","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-LB13D","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"LB13D","description":"HIPPS-LB13D","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MHBC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Implant Supported Crown - Porcelain Fused To Noble Alloys","billing_code_type":"CDT","billing_code_type_version":"2024","billing_code":"D6083","description":"Implant Supported Crown - Porcelain Fused To Noble Alloys","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NIFD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OJSF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Pontic - Porcelain Fused To Titanium And Titanium Alloys","billing_code_type":"CDT","billing_code_type_version":"2024","billing_code":"D6243","description":"Pontic - Porcelain Fused To Titanium And Titanium Alloys","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Prepare fecal microbiota","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"44705","description":"Prepare fecal microbiota","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Ct chest spine w/o dye","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"72128","description":"Ct chest spine w/o dye","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Polysom <6 yrs cpap/bilvl","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"95783","description":"Polysom <6 yrs cpap/bilvl","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Suspension of uterus","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"58410","description":"Suspension of uterus","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Basic life support mileage","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"A0380","description":"Basic life support mileage","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Segmentectomy","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"32484","description":"Segmentectomy","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Reinforce/graft eye wall","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"67255","description":"Reinforce/graft eye wall","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-CD18H","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"CD18H","description":"HIPPS-CD18H","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MEID0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NKMC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GEYF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KHYB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Thigh length surg stocking","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"A4495","description":"Thigh length surg stocking","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Cd4+ cell >=15% (hiv)","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"3498F","description":"Cd4+ cell >=15% (hiv)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Egd balloon dil esoph30 mm/>","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"43233","description":"Egd balloon dil esoph30 mm/>","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-4AFK1","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"4AFK1","description":"HIPPS-4AFK1","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MATB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GEJA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-LB115","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"LB115","description":"HIPPS-LB115","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CGNB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HH PDGM","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"1AB21","description":"HH PDGM","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RVA0D","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RVA0D","description":"HIPPS-RVA0D","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RHC03","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RHC03","description":"HIPPS-RHC03","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GHMF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Legg perthes orth scottish r","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"L1730","description":"Legg perthes orth scottish r","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RLB3C","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RLB3C","description":"HIPPS-RLB3C","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GALD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FCME0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RLX4B","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RLX4B","description":"HIPPS-RLX4B","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Removal of ovary(s)","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"58943","description":"Removal of ovary(s)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NITF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"CPT-01462","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"01462","description":"CPT-01462","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KCTB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Missed appointment","billing_code_type":"CDT","billing_code_type_version":"2024","billing_code":"D9986","description":"Missed appointment","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CIGA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Custom item","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"S1002","description":"Custom item","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KEFF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Remove eyelid lesion","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"67800","description":"Remove eyelid lesion","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NJTC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Hydroxychloroquine","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"80220","description":"Hydroxychloroquine","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BAXB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Njx tfrml eprl w/us lumb/sac","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0230T","description":"Njx tfrml eprl w/us lumb/sac","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NEKE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GIEA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Eye mvmt alys w/o calbrj i&r","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0615T","description":"Eye mvmt alys w/o calbrj i&r","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Removal Of Drug-Delivery Device(S)_ Deep (Eg_ Subfascial) (List Separately In Addition To Code For Primary Procedure)","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"20701","description":"Removal Of Drug-Delivery Device(S)_ Deep (Eg_ Subfascial) (List Separately In Addition To Code For Primary Procedure)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Antihemophilic viii/vwf comp","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"J7186","description":"Antihemophilic viii/vwf comp","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"HARB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"IEUA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Pet image ltd area","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"78811","description":"Pet image ltd area","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CEQF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Human Platelet Antigen 4 genotyping (HPA-4)_ ITGB3 (integrin_ beta 3 [platelet glycoprotein IIIa]_ antigen CD61 [GPIIIa]) (eg_ neonatal alloimmune thrombocytopenia [NAIT]_ pos","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"81108","description":"Human Platelet Antigen 4 genotyping (HPA-4)_ ITGB3 (integrin_ beta 3 [platelet glycoprotein IIIa]_ antigen CD61 [GPIIIa]) (eg_ neonatal alloimmune thrombocytopenia [NAIT]_ pos","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Paraffin bath therapy","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"97018","description":"Paraffin bath therapy","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OBHD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CFCC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-C9307","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"C9307","description":"HCPCS-C9307","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-B0204","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"B0204","description":"HCPCS-B0204","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FIHC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RUC3D","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RUC3D","description":"HIPPS-RUC3D","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-C0501","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"C0501","description":"HCPCS-C0501","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"PAQD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MLMB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RUX32","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RUX32","description":"HIPPS-RUX32","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BAJD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Patient not screened for tobacco use_ reason not given","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G9905","description":"Patient not screened for tobacco use_ reason not given","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HH PDGM","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"3DC21","description":"HH PDGM","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"EIEB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OHLF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Inj_ ziv-aflibercept_ 1mg","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"J9400","description":"Inj_ ziv-aflibercept_ 1mg","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Application of body cast","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"29015","description":"Application of body cast","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Alveolus open reduction","billing_code_type":"CDT","billing_code_type_version":"2024","billing_code":"D7671","description":"Alveolus open reduction","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Infectious agent antigen detection by immunoassay with direct optical (ie_ visual) observation; severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2)","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"87811","description":"Infectious agent antigen detection by immunoassay with direct optical (ie_ visual) observation; severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Inject/treat eye socket","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"67505","description":"Inject/treat eye socket","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KBVD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Amputate lower leg at knee","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"27598","description":"Amputate lower leg at knee","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Lso sc r ant/pos pnl pre ots","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"L0650","description":"Lso sc r ant/pos pnl pre ots","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"ODFE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"DGSD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CHBA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Pwr seat combo w/shear","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"E1007","description":"Pwr seat combo w/shear","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"ECDF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"ODND1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FBJE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"DHSB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FGIF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RLX3B","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RLX3B","description":"HIPPS-RLX3B","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Laryngoscopy and dilation","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"31528","description":"Laryngoscopy and dilation","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RVL8D","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RVL8D","description":"HIPPS-RVL8D","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-PD131","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"PD131","description":"HIPPS-PD131","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CGNF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-C0702","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"C0702","description":"HCPCS-C0702","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BFGC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BBCC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OAKB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-C9807","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"C9807","description":"HCPCS-C9807","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NAPD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Assay of chloramphenicol","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"82415","description":"Assay of chloramphenicol","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OAJA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CIVF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RVC01","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RVC01","description":"HIPPS-RVC01","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Cystoscopy and treatment","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"52330","description":"Cystoscopy and treatment","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Injection_ ranibizumab-eqrn (cimerli)_ biosimilar_ 0.1 mg","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"Q5128","description":"Injection_ ranibizumab-eqrn (cimerli)_ biosimilar_ 0.1 mg","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Drainage ext line_ dialysis","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"A4672","description":"Drainage ext line_ dialysis","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Hydrogel dsg<=16 sq in","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"A6231","description":"Hydrogel dsg<=16 sq in","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JFVE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Immunoglobulin assay","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"86023","description":"Immunoglobulin assay","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Repair of ruptured uterus","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"58520","description":"Repair of ruptured uterus","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NECF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JFKF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MKEC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FGGD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"IGAF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"AHLC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-BB15C","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"BB15C","description":"HIPPS-BB15C","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"HFQB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Pulmonary tissue ventilation analysis using software-based processing of data from separately captured cinefluorograph images; in combination with previously acquired computed","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0807T","description":"Pulmonary tissue ventilation analysis using software-based processing of data from separately captured cinefluorograph images; in combination with previously acquired computed","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Emerge matrix_ per square centimeter","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"Q4297","description":"Emerge matrix_ per square centimeter","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-CC124","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"CC124","description":"HIPPS-CC124","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BIMC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-PB254","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"PB254","description":"HIPPS-PB254","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FHXE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FGJE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RMB54","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RMB54","description":"HIPPS-RMB54","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Xray endovasc thor ao repr","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"75956","description":"Xray endovasc thor ao repr","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FIUE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"N-et; encounter/trip","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"T2003","description":"N-et; encounter/trip","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Transcatheter removal or debulking of intracardiac mass (eg_ vegetations_ thrombus) via suction (eg_ vacuum_ aspiration) device_ percutaneous approach_ w/ intraoperative reinf","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0644T","description":"Transcatheter removal or debulking of intracardiac mass (eg_ vegetations_ thrombus) via suction (eg_ vacuum_ aspiration) device_ percutaneous approach_ w/ intraoperative reinf","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FGKD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Home visit new patient","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"99344","description":"Home visit new patient","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Digitization of glass microscope slides for morphometric analysis_ in situ hybridization (quantitative or semiquantitative)_ manual_ per specimen; each multiplex probe stain p","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0853T","description":"Digitization of glass microscope slides for morphometric analysis_ in situ hybridization (quantitative or semiquantitative)_ manual_ per specimen; each multiplex probe stain p","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-ES115","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"ES115","description":"HIPPS-ES115","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Home visit est patient","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"99347","description":"Home visit est patient","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-3AHK5","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"3AHK5","description":"HIPPS-3AHK5","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Torsion mechanism knee/ankle","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"L2861","description":"Torsion mechanism knee/ankle","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BCEF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Shoulder arthroscopy/surgery","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"29826","description":"Shoulder arthroscopy/surgery","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OBFD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Warfarin or another FDA-approved anticoagulant not prescribed_ reason not given","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G9928","description":"Warfarin or another FDA-approved anticoagulant not prescribed_ reason not given","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GEQA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GGNF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Place gastrostomy tube perc","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"49440","description":"Place gastrostomy tube perc","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Immunfix e-phorsis/urine/csf","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"86335","description":"Immunfix e-phorsis/urine/csf","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Breast gap flap reconst","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"S2066","description":"Breast gap flap reconst","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Hospice services received by patient any time during the measurement period","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G9692","description":"Hospice services received by patient any time during the measurement period","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-5AFKX","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"5AFKX","description":"HIPPS-5AFKX","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Mdd moderate","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"3089F","description":"Mdd moderate","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CDFE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OKGF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Transcyte_ per sq cm","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"Q4182","description":"Transcyte_ per sq cm","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JDUD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Endometrial sampling or hysteroscopy with biopsy and results documented","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G9823","description":"Endometrial sampling or hysteroscopy with biopsy and results documented","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Custom grad sleeve heavy","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"S8423","description":"Custom grad sleeve heavy","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-2BHK6","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"2BHK6","description":"HIPPS-2BHK6","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) (coronavirus disease [COVID-19]) vaccine_ mRNA-LNP_ spike protein_ 30 mcg/0.3 mL dosage_ tris-sucrose formulation_","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"91320","description":"Severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) (coronavirus disease [COVID-19]) vaccine_ mRNA-LNP_ spike protein_ 30 mcg/0.3 mL dosage_ tris-sucrose formulation_","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Evaluation by ocularist","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"S9150","description":"Evaluation by ocularist","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Genetic counseling 30 min","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"96040","description":"Genetic counseling 30 min","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FCHA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"G6PD (glucose-6-phosphate dehydrogenase) (eg_ hemolytic anemia_ jaundice)_ gene analysis; common variant(s) (eg_ A_ A-)","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"81247","description":"G6PD (glucose-6-phosphate dehydrogenase) (eg_ hemolytic anemia_ jaundice)_ gene analysis; common variant(s) (eg_ A_ A-)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"EEDD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GHVE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Anesth bladder stone surg","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"87051","description":"Anesth bladder stone surg","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Albuterol non-comp con","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"J7611","description":"Albuterol non-comp con","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Radiographic procedure","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"76499","description":"Radiographic procedure","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Complete cbc w/auto diff wbc","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"85025","description":"Complete cbc w/auto diff wbc","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Pt recvd aspirin w/in 24 hrs","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"4563F","description":"Pt recvd aspirin w/in 24 hrs","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-LD15A","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"LD15A","description":"HIPPS-LD15A","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Onc dx ovarian recurrence","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G9116","description":"Onc dx ovarian recurrence","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CFMA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Anoscopy_ high resolution (hra) (with magnification and chemical agent enhancement); with biopsy(ies)","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G6028","description":"Anoscopy_ high resolution (hra) (with magnification and chemical agent enhancement); with biopsy(ies)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OEKC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-LC154","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"LC154","description":"HIPPS-LC154","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Esoph fundoplasty lap","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"43327","description":"Esoph fundoplasty lap","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Mens shoes hightop depth inl","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"L3222","description":"Mens shoes hightop depth inl","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-PE244","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"PE244","description":"HIPPS-PE244","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KAGF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"IELB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OAGA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Cardiac focal ablation utilizing radiation therapy for arrhythmia; noninvasive arrhythmia localization and mapping of arrhythmia site (nidus)_ derived from anatomical image da","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0745T","description":"Cardiac focal ablation utilizing radiation therapy for arrhythmia; noninvasive arrhythmia localization and mapping of arrhythmia site (nidus)_ derived from anatomical image da","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Repair of ureter lesion","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"51535","description":"Repair of ureter lesion","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OGAF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-M1479","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"M1479","description":"HCPCS-M1479","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Psychiatric symptoms assessed","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G9742","description":"Psychiatric symptoms assessed","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-CC140","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"CC140","description":"HIPPS-CC140","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Borrelia antibody","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"86619","description":"Borrelia antibody","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BAEB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RMA4B","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RMA4B","description":"HIPPS-RMA4B","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Gear reduction drive wheel","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"E2227","description":"Gear reduction drive wheel","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Remove shoulder bone part","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"23130","description":"Remove shoulder bone part","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"IEEE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NBLA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-G0555","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"G0555","description":"HCPCS-G0555","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BBBF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CEBB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-3CHN5","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"3CHN5","description":"HIPPS-3CHN5","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Injection_ bortezomib (fresenius kabi)_ not therapeutically equivalent to j9041_ 0.1 mg","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"J9048","description":"Injection_ bortezomib (fresenius kabi)_ not therapeutically equivalent to j9041_ 0.1 mg","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MKCA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OAED0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"EDEA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Current percep threshold tst","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G0255","description":"Current percep threshold tst","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Non-surg tx root canal obs","billing_code_type":"CDT","billing_code_type_version":"2024","billing_code":"D3331","description":"Non-surg tx root canal obs","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RUC3A","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RUC3A","description":"HIPPS-RUC3A","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Adult electric hook","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"L7009","description":"Adult electric hook","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Eval amniotic fluid protein","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"84112","description":"Eval amniotic fluid protein","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Release/revise ureter","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"50725","description":"Release/revise ureter","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RLB24","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RLB24","description":"HIPPS-RLB24","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BDTA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CEPD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"LAWF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GBGF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FIKB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"PIWB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BCHF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Cabg artery-vein five","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"33522","description":"Cabg artery-vein five","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BGKE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"ECUA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JHTB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JHPF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KEOD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"ECEE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Gasket or seal_ for use with prosthetic socket insert_ any type_ each","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"L7700","description":"Gasket or seal_ for use with prosthetic socket insert_ any type_ each","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Extended steel shank","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"L2360","description":"Extended steel shank","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JHGF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JCKA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KFID1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NJAE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-1CFKW","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"1CFKW","description":"HIPPS-1CFKW","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BENB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Assay of serum albumin","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"82040","description":"Assay of serum albumin","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BDCA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Antithromb thx presc","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G8696","description":"Antithromb thx presc","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Treat ectopic pregnancy","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"59120","description":"Treat ectopic pregnancy","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-LE12A","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"LE12A","description":"HIPPS-LE12A","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BFTE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-2BGLX","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"2BGLX","description":"HIPPS-2BGLX","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NFXE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OARC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JCCE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"CYP2D6 (cytochrome P450_ family 2_ subfamily D_ polypeptide 6) (eg_ drug metabolism) gene analysis_ common and select rare variants (ie_ *2_ *3_ *4_ *4N_ *5_ *6_ *7_ *8_ *9_ *","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0070U","description":"CYP2D6 (cytochrome P450_ family 2_ subfamily D_ polypeptide 6) (eg_ drug metabolism) gene analysis_ common and select rare variants (ie_ *2_ *3_ *4_ *4N_ *5_ *6_ *7_ *8_ *9_ *","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-BA18H","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"BA18H","description":"HIPPS-BA18H","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GFHE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RMA0D","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RMA0D","description":"HIPPS-RMA0D","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"CPT-15012","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"15012","description":"CPT-15012","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-PB28X","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"PB28X","description":"HIPPS-PB28X","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HH PDGM","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"2DB31","description":"HH PDGM","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RUB13","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RUB13","description":"HIPPS-RUB13","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JFLB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MGHF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BHIF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RHX07","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RHX07","description":"HIPPS-RHX07","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KINE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"EGTD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Alcohol and/or drug preventi","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"H0026","description":"Alcohol and/or drug preventi","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"EBMC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Destroy vulva lesion/s compl","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"56515","description":"Destroy vulva lesion/s compl","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Cer post col occ/man sup adj","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"L0180","description":"Cer post col occ/man sup adj","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Limb nerve surgery add-on","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"64783","description":"Limb nerve surgery add-on","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Application of leg cast","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"29450","description":"Application of leg cast","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Functional neuromuscularstim","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"E0764","description":"Functional neuromuscularstim","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Intraoperative therapeutic electrical stimulation of peripheral nerve to promote nerve regeneration_ including lead placement and removal_ upper extremity_ minimum of 10 minut","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0883T","description":"Intraoperative therapeutic electrical stimulation of peripheral nerve to promote nerve regeneration_ including lead placement and removal_ upper extremity_ minimum of 10 minut","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"ECMF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Ostomy irrig cone/cath w brs","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"A4399","description":"Ostomy irrig cone/cath w brs","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NKNB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Anesth procedure on mouth","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"17051","description":"Anesth procedure on mouth","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Revision of amputation","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"24935","description":"Revision of amputation","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Ambulatory setting substance","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"S9475","description":"Ambulatory setting substance","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RVC55","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RVC55","description":"HIPPS-RVC55","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Knee-shin exo fluid swing ph","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"L5724","description":"Knee-shin exo fluid swing ph","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GHLB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Doc med reas no follow imag","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G9549","description":"Doc med reas no follow imag","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JILE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-HB24A","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"HB24A","description":"HIPPS-HB24A","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Endovenous ablation therapy of incompetent vein_ extremity_ by transcatheter delivery of a chemical adhesive (eg_ cyanoacrylate) remote from the access site_ inclusive of all","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"36483","description":"Endovenous ablation therapy of incompetent vein_ extremity_ by transcatheter delivery of a chemical adhesive (eg_ cyanoacrylate) remote from the access site_ inclusive of all","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JACD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Ntrk3 (Neurotrophic Receptor Tyrosine Kinase 3) (Eg_ Solid Tumors) Translocation Analysis","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"81193","description":"Ntrk3 (Neurotrophic Receptor Tyrosine Kinase 3) (Eg_ Solid Tumors) Translocation Analysis","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Onlay cst nbl mtl 2 surfaces","billing_code_type":"CDT","billing_code_type_version":"2024","billing_code":"D6614","description":"Onlay cst nbl mtl 2 surfaces","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Imatinib 100 mg","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"S0088","description":"Imatinib 100 mg","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Rem oct rta dev setup&educaj","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0604T","description":"Rem oct rta dev setup&educaj","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BGDA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OHRC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Perc rf ablate renal tumor","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"50592","description":"Perc rf ablate renal tumor","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GCRC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Activity therapy_ per 15 min","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"H2032","description":"Activity therapy_ per 15 min","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Excise epiphyseal bar","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"20150","description":"Excise epiphyseal bar","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OJJA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-1CFKU","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"1CFKU","description":"HIPPS-1CFKU","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Mr angio upr extr w/o&w/dye","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"73225","description":"Mr angio upr extr w/o&w/dye","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GAMA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"IHUE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"IAAD IA SARSCOV & INFLUENZA VIRUS TYPES A&B","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"87428","description":"IAAD IA SARSCOV & INFLUENZA VIRUS TYPES A&B","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"DEWB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-BB18H","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"BB18H","description":"HIPPS-BB18H","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OKSB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Ear microscopy examination","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"92504","description":"Ear microscopy examination","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FHAC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Drug assay everolimus","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"80169","description":"Drug assay everolimus","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Endo below knee alignable sy","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"L5910","description":"Endo below knee alignable sy","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"LHSA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Bronchoscopy_ rigid or flexible_ including fluoroscopic guidance_ when performed; with therapeutic aspiration of tracheobronchial tree_ subsequent_ same hospital stay","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"31646","description":"Bronchoscopy_ rigid or flexible_ including fluoroscopic guidance_ when performed; with therapeutic aspiration of tracheobronchial tree_ subsequent_ same hospital stay","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-HC215","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"HC215","description":"HIPPS-HC215","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Repair lip","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"40654","description":"Repair lip","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Hepatology (nonalcoholic fatty liver disease [NAFLD])_ semiquantitative evaluation of 28 lipid markers by liquid chromatography with tandem mass spectrometry (LC-MS/MS)_ serum","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0344U","description":"Hepatology (nonalcoholic fatty liver disease [NAFLD])_ semiquantitative evaluation of 28 lipid markers by liquid chromatography with tandem mass spectrometry (LC-MS/MS)_ serum","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Anoscopy remove lesions","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"46612","description":"Anoscopy remove lesions","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OHRF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Explore/treat finger joint","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"26080","description":"Explore/treat finger joint","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Needle Insertion(S) Without Injection(S); 1 Or 2 Muscle(S)","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"20560","description":"Needle Insertion(S) Without Injection(S); 1 Or 2 Muscle(S)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CGCB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CGBF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Dentures rebase cmplt mand","billing_code_type":"CDT","billing_code_type_version":"2024","billing_code":"D5711","description":"Dentures rebase cmplt mand","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-4BGMV","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"4BGMV","description":"HIPPS-4BGMV","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Fit spectacles bifocal","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"92341","description":"Fit spectacles bifocal","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Lysis of labial lesion(s)","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"56441","description":"Lysis of labial lesion(s)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Group adaptive behavior treatment by protocol_ administered by technician under the direction of a physician or other qualified health care professional_ face-to-face with two","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"97154","description":"Group adaptive behavior treatment by protocol_ administered by technician under the direction of a physician or other qualified health care professional_ face-to-face with two","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"META1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CDOC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Denosumab injection","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"J0897","description":"Denosumab injection","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"ABLF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OALC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"ADLC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-BB120","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"BB120","description":"HIPPS-BB120","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JEXB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"IHAD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NCAF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JBUE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JFTA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KHED1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FDMB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"ODMB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CAAF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"CDT-D1004","billing_code_type":"CDT","billing_code_type_version":"2026","billing_code":"D1004","description":"CDT-D1004","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Nitroblue tetrazolium dye","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"86384","description":"Nitroblue tetrazolium dye","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"ABDB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NLXC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GBWD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BFHA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"EAUA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Tmj unspecified therapy","billing_code_type":"CDT","billing_code_type_version":"2024","billing_code":"D7899","description":"Tmj unspecified therapy","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Non-pneumatic sequential compression garment_ half leg","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"E0679","description":"Non-pneumatic sequential compression garment_ half leg","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"ADM SARSCOV2 5MCG/.5ML AS03B","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0104A","description":"ADM SARSCOV2 5MCG/.5ML AS03B","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RHL51","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RHL51","description":"HIPPS-RHL51","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OEED0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Biopsy of vagina","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"57100","description":"Biopsy of vagina","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MELE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CFSF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"LEOE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CBLF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"CPT-01200","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"01200","description":"CPT-01200","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OFHE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Drug test presump optical","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G0477","description":"Drug test presump optical","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Mlh1 gene","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"81288","description":"Mlh1 gene","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Close tear duct opening","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"68761","description":"Close tear duct opening","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KAQE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MBUB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Quantitative computed tomography (CT) tissue characterization_ including interpretation and report_ obtained with concurrent CT examination of any structure contained in the c","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0722T","description":"Quantitative computed tomography (CT) tissue characterization_ including interpretation and report_ obtained with concurrent CT examination of any structure contained in the c","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OKPC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KFQE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-PC216","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"PC216","description":"HIPPS-PC216","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"PFSE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Hit antibiotic q4h diem","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"S9504","description":"Hit antibiotic q4h diem","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"HDWA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Treatment of penis lesion","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"54200","description":"Treatment of penis lesion","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Sugars single qual","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"84376","description":"Sugars single qual","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Treat knuckle dislocation","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"26700","description":"Treat knuckle dislocation","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"HARF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-4BFMT","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"4BFMT","description":"HIPPS-4BFMT","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Hemoglobin chromotography","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"83021","description":"Hemoglobin chromotography","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-ES15A","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"ES15A","description":"HIPPS-ES15A","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"ODEB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"EAEE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Ven blood coll snf/hha","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G0471","description":"Ven blood coll snf/hha","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Replacement diaphragm/fplate","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"A7502","description":"Replacement diaphragm/fplate","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Lap enterolysis","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"44180","description":"Lap enterolysis","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Adjustment of custom sleep apnea appliance","billing_code_type":"CDT","billing_code_type_version":"2024","billing_code":"D9948","description":"Adjustment of custom sleep apnea appliance","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OLXA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FGVA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"AmnioCyte Plus_ per 0.5 cc","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"Q4242","description":"AmnioCyte Plus_ per 0.5 cc","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KGTC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FHMA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OLGB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Cryosurgery penis lesion(s)","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"54056","description":"Cryosurgery penis lesion(s)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CFBC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Colonoscopy w/lesion removal","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"45385","description":"Colonoscopy w/lesion removal","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"EFCB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Sigmoidoscopy w/ablation","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"45346","description":"Sigmoidoscopy w/ablation","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Remove sacrum pressure sore","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"15931","description":"Remove sacrum pressure sore","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OEHE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KHKB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Add mech leg elevation","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"E1009","description":"Add mech leg elevation","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Catheter_ occlusion","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"C2628","description":"Catheter_ occlusion","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Pwc harness_ expand control","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"E2313","description":"Pwc harness_ expand control","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BCTC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Patient responded completely true for the question of patient felt this provider and team understood what is important to me in my life","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"M1249","description":"Patient responded completely true for the question of patient felt this provider and team understood what is important to me in my life","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Doc 2x re-assess filt remov","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G9543","description":"Doc 2x re-assess filt remov","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"CPT-1062T","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"1062T","description":"CPT-1062T","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"DGYB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JFED1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Assay of free thyroxine","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"84439","description":"Assay of free thyroxine","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CEQE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BGUD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Injection_ moxifloxacin (fresenius kabi) not therapeutically equivalent to j2280_ 100 mg","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"J2281","description":"Injection_ moxifloxacin (fresenius kabi) not therapeutically equivalent to j2280_ 100 mg","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Blood typing serologic abo","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"86900","description":"Blood typing serologic abo","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GIYB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Treat pelvic ring fracture","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"27194","description":"Treat pelvic ring fracture","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Donor hysterectomy (including cold preservation); open_ from living donor","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0665T","description":"Donor hysterectomy (including cold preservation); open_ from living donor","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MBBA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-B0701","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"B0701","description":"HCPCS-B0701","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Incision of eyelid fold","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"67715","description":"Incision of eyelid fold","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CEWB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Amino acids quant 2-5","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"82136","description":"Amino acids quant 2-5","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Revise eye muscle(s)","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"67318","description":"Revise eye muscle(s)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Stationary o2 contents_ liq","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"E0442","description":"Stationary o2 contents_ liq","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"EEUF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Hib prp-t vaccine 4 dose im","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"90648","description":"Hib prp-t vaccine 4 dose im","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MIAF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Upper extremity study","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"93931","description":"Upper extremity study","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NDKA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Treat clavicle dislocation","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"23525","description":"Treat clavicle dislocation","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Insulin cartridge 300 u","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"S5566","description":"Insulin cartridge 300 u","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-L6037","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"L6037","description":"HCPCS-L6037","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Implant ventricular device","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"33975","description":"Implant ventricular device","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Bronchoscopy_ rigid or flexible_ diagnostic with cell washing(s) when performed_ with computer-assisted image-guided navigation_ including fluoroscopic guidance when performed","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"C7509","description":"Bronchoscopy_ rigid or flexible_ diagnostic with cell washing(s) when performed_ with computer-assisted image-guided navigation_ including fluoroscopic guidance when performed","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GBRD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BAAD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Repair hallux rigidus","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"28289","description":"Repair hallux rigidus","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Percutaneous transcatheter closure of paravalvular leak; initial occlusion device_ mitral valve","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"93590","description":"Percutaneous transcatheter closure of paravalvular leak; initial occlusion device_ mitral valve","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Reconstruction of chin","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"21120","description":"Reconstruction of chin","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Treat ectopic pregnancy","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"59150","description":"Treat ectopic pregnancy","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Wheelchair lightweight det a","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"E1090","description":"Wheelchair lightweight det a","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CGUD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HH PDGM","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"2LB21","description":"HH PDGM","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"HGYA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Correction of astigmatism","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"65775","description":"Correction of astigmatism","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Reinforce tibia","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"27745","description":"Reinforce tibia","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MAIE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CIMB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-2CGL6","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"2CGL6","description":"HIPPS-2CGL6","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GCKC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"PGWA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Injection_ Factor VIII (antihemophiliac factor_ recombinant) PEGylated_ 1 I.U.","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"C9137","description":"Injection_ Factor VIII (antihemophiliac factor_ recombinant) PEGylated_ 1 I.U.","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"EIEB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KEHE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OHTD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Doc medrsn no hist type rpt","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G9288","description":"Doc medrsn no hist type rpt","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Intermittent asthma","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"1039F","description":"Intermittent asthma","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Assay of urine/uric acid","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"84560","description":"Assay of urine/uric acid","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"X-ray exam of spine 1 view","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"72020","description":"X-ray exam of spine 1 view","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-HD205","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"HD205","description":"HIPPS-HD205","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Patient Received At Least One Dose Of The Herpes Zoster Live Vaccine Or Two Doses Of The Herpes Zoster Recombinant Vaccine (At Least 28 Days Apart) Anytime On Or After The Pat","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G2160","description":"Patient Received At Least One Dose Of The Herpes Zoster Live Vaccine Or Two Doses Of The Herpes Zoster Recombinant Vaccine (At Least 28 Days Apart) Anytime On Or After The Pat","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RVA8I","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RVA8I","description":"HIPPS-RVA8I","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Pt inelig neg scrn depres","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G8510","description":"Pt inelig neg scrn depres","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-4CFL3","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"4CFL3","description":"HIPPS-4CFL3","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Revise major vessel","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"33824","description":"Revise major vessel","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"AJCC stage at breast cancer diagnosis = II or III","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G9831","description":"AJCC stage at breast cancer diagnosis = II or III","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"LGYC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Drainage of salivary gland","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"42300","description":"Drainage of salivary gland","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Electrocochleography","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"92584","description":"Electrocochleography","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Drop lock knee","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"L2182","description":"Drop lock knee","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Receiver/transmitter_ neuro","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"C1816","description":"Receiver/transmitter_ neuro","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Destruction of skin lesions","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"17262","description":"Destruction of skin lesions","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-LE115","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"LE115","description":"HIPPS-LE115","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NANF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BILA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"IDCA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CIKA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"IABF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-LE120","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"LE120","description":"HIPPS-LE120","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JBKC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-1BFPT","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"1BFPT","description":"HIPPS-1BFPT","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CEUF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NECD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"CPT-0481U","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"0481U","description":"CPT-0481U","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RVC07","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RVC07","description":"HIPPS-RVC07","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"DCQA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OHOF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FATC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Renal abscess open drain","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"50020","description":"Renal abscess open drain","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Proctosigmoidoscopy removal","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"45309","description":"Proctosigmoidoscopy removal","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OBKA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JDHD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KHFE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"ODMC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-HD231","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"HD231","description":"HIPPS-HD231","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"HGQB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-PB11B","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"PB11B","description":"HIPPS-PB11B","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JEID1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NCGB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NDXA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FGLF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MACA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Patients who did not have a suicide safety plan initiated_ reviewed_ or updated or reviewed and updated in collaboration with the patient and their clinician concurrent or wit","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"M1354","description":"Patients who did not have a suicide safety plan initiated_ reviewed_ or updated or reviewed and updated in collaboration with the patient and their clinician concurrent or wit","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Medication Assisted Treatment_ Medication Not Otherwise Specified; Weekly Bundle Including Dispensing And/Or Administration_ Substance Use Counseling_ Individual And Group The","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G2075","description":"Medication Assisted Treatment_ Medication Not Otherwise Specified; Weekly Bundle Including Dispensing And/Or Administration_ Substance Use Counseling_ Individual And Group The","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FHIE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JEND1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"ODXA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Immunoelectrophoresis assay","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"86327","description":"Immunoelectrophoresis assay","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-HD121","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"HD121","description":"HIPPS-HD121","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NGVE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MAIA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"EGHA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GBTB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"CPT-01180","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"01180","description":"CPT-01180","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Pet not otherwise specified","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G0235","description":"Pet not otherwise specified","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OAME0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HH PDGM","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"3DC31","description":"HH PDGM","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CIOD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-ES246","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"ES246","description":"HIPPS-ES246","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Doc no comp or mort w in 30d","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G9269","description":"Doc no comp or mort w in 30d","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FGUD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MFUC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Exc tr-ext b9+marg 0.5 cm<","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"11400","description":"Exc tr-ext b9+marg 0.5 cm<","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JAEA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NKLE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NLBD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-AAA4C","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"AAA4C","description":"HIPPS-AAA4C","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"PHOF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BFME1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CGNC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"HDRB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NBVC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GBGF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OJDD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-CA246","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"CA246","description":"HIPPS-CA246","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GGQA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Radiation physics consult","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"77370","description":"Radiation physics consult","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BBAE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"EIUC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RUB41","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RUB41","description":"HIPPS-RUB41","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GHMD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"HHRE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RMB8A","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RMB8A","description":"HIPPS-RMB8A","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GEID1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-ES305","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"ES305","description":"HIPPS-ES305","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OGJA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Opn tx orbit fx transantral","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"21385","description":"Opn tx orbit fx transantral","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KIND0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OAJC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Repeat control of nosebleed","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"30906","description":"Repeat control of nosebleed","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Crutch underarm each wood","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"E0113","description":"Crutch underarm each wood","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"PHYA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KAQD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OKNA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"IAIF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JCNC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Hydroxyzine pamoate 25mg","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"Q0177","description":"Hydroxyzine pamoate 25mg","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Adj chem pres ajcc iii","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G8927","description":"Adj chem pres ajcc iii","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"IMM ADMN SARSCOV2 100 MCG/0.5 ML 3RD DOSE MODERNA","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0013A","description":"IMM ADMN SARSCOV2 100 MCG/0.5 ML 3RD DOSE MODERNA","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Insulin tolerance panel","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"80435","description":"Insulin tolerance panel","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Cbt each addl hour","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"94645","description":"Cbt each addl hour","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OALD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RML2B","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RML2B","description":"HIPPS-RML2B","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RUB16","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RUB16","description":"HIPPS-RUB16","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Alcohol and/or drug services","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"H0010","description":"Alcohol and/or drug services","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BHDA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"AHUD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BCDB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NGFE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FFUF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Mastoid surgery revision","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"69601","description":"Mastoid surgery revision","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KBPB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KHMD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OJXA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Gradient compression garment_ torso and shoulder_ each","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"A6568","description":"Gradient compression garment_ torso and shoulder_ each","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Enclosed ped crib hosp grade","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"E0300","description":"Enclosed ped crib hosp grade","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CBVC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"AHMF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"PARC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Pwc gp 2 hd sing pow opt s/b","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"K0837","description":"Pwc gp 2 hd sing pow opt s/b","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-J3291","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"J3291","description":"HCPCS-J3291","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-4AHKT","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"4AHKT","description":"HIPPS-4AHKT","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FHBE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"DGSB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MBUE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Patients with a diagnosis of lumbar spine region cancer at the time of the procedure","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"M1037","description":"Patients with a diagnosis of lumbar spine region cancer at the time of the procedure","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MBLD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CEXF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Remove limb nerve lesion","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"64782","description":"Remove limb nerve lesion","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BIEF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GHSC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BEIF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Repair palate","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"42235","description":"Repair palate","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Otolaryngology Mips Specialty Set","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G4022","description":"Otolaryngology Mips Specialty Set","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Post >=4srfc resinbase cmpst","billing_code_type":"CDT","billing_code_type_version":"2024","billing_code":"D2394","description":"Post >=4srfc resinbase cmpst","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KCXC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"HGRA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"PKYE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JHCC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-1BGK4","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"1BGK4","description":"HIPPS-1BGK4","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RUB8G","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RUB8G","description":"HIPPS-RUB8G","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"AIUD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"EFBC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"ABME0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Evaluation cervical mucus","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"89330","description":"Evaluation cervical mucus","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Parvovirus antibody","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"86747","description":"Parvovirus antibody","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FEVE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Radiation tx delivery imrt","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G6015","description":"Radiation tx delivery imrt","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"No qual card diag prior12mon","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"1461F","description":"No qual card diag prior12mon","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GBYB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KCEE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Parenteral sol renal-amirosy","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"B5000","description":"Parenteral sol renal-amirosy","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BGTC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GFXC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Fresh frozen plasma_ high titer COVID-19 convalescent_ frozen within 8 hours of collection_ each unit","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"C9507","description":"Fresh frozen plasma_ high titer COVID-19 convalescent_ frozen within 8 hours of collection_ each unit","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KCFC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Hiv-1 probe&reverse trnscrpj","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"87535","description":"Hiv-1 probe&reverse trnscrpj","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JBME0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-CE13B","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"CE13B","description":"HIPPS-CE13B","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GEQE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RHB10","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RHB10","description":"HIPPS-RHB10","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BINA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MJEF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CIPF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"ONC BRST CA AI ASSMT 12 FEAT","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0220U","description":"ONC BRST CA AI ASSMT 12 FEAT","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NJKB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Post chmbr intraocular lens","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"V2632","description":"Post chmbr intraocular lens","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MEMA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OJME0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Sup fee antiem_antica_immuno","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"Q0511","description":"Sup fee antiem_antica_immuno","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-CD116","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"CD116","description":"HIPPS-CD116","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"EIUF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"AGCD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JGND0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Prepare face/oral prosthesis","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"21085","description":"Prepare face/oral prosthesis","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BGIE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Fibrin degradation products","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"85362","description":"Fibrin degradation products","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JHKF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Oral hygiene instruction","billing_code_type":"CDT","billing_code_type_version":"2024","billing_code":"D1330","description":"Oral hygiene instruction","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Lens sphc trifocal 4.25-7/2.","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"V2308","description":"Lens sphc trifocal 4.25-7/2.","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Calculus assay quant","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"82360","description":"Calculus assay quant","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BGJC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Pt/caregiver queried falls","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"6080F","description":"Pt/caregiver queried falls","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GEED1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Amputation follow-up surgery","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"27886","description":"Amputation follow-up surgery","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-CC25B","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"CC25B","description":"HIPPS-CC25B","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Prgrmg eval implantable dfb","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"93284","description":"Prgrmg eval implantable dfb","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FGCB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-G0544","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"G0544","description":"HCPCS-G0544","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Oncology (solid organ)_ targeted genomic sequence analysis_ formalin-fixed paraffin-embedded (FFPE) tumor tissue_ DNA analysis_ 84 or more genes_ interrogation for sequence va","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0334U","description":"Oncology (solid organ)_ targeted genomic sequence analysis_ formalin-fixed paraffin-embedded (FFPE) tumor tissue_ DNA analysis_ 84 or more genes_ interrogation for sequence va","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"DEOA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JIUC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"No pt category on report","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G9293","description":"No pt category on report","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FABD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JFFD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OAMF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Sialolithotomy","billing_code_type":"CDT","billing_code_type_version":"2024","billing_code":"D7980","description":"Sialolithotomy","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JINA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GFTD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Cysto/uretero w/lithotripsy","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"52356","description":"Cysto/uretero w/lithotripsy","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Esrd serv 1 visit p mo <2yrs","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"90953","description":"Esrd serv 1 visit p mo <2yrs","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CDYC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-PD221","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"PD221","description":"HIPPS-PD221","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JELB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"HASC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NCNB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Lg vol nebulizer disposable","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"A7007","description":"Lg vol nebulizer disposable","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Percutaneous Injection Of Allogeneic Cellular And/Or Tissue-Based Product_ Intervertebral Disc_ Unilateral Or Bilateral Injection_ With Fluoroscopic Guidance_ Lumbar; First Le","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0627T","description":"Percutaneous Injection Of Allogeneic Cellular And/Or Tissue-Based Product_ Intervertebral Disc_ Unilateral Or Bilateral Injection_ With Fluoroscopic Guidance_ Lumbar; First Le","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Shlder disart int lock elbow","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"L6300","description":"Shlder disart int lock elbow","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KIWE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Repair of leg epiphyses","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"27740","description":"Repair of leg epiphyses","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KCHD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"AGCC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Replacement breastpump tube","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"A4281","description":"Replacement breastpump tube","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Ewhfo w/joint(s) cf","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"L3766","description":"Ewhfo w/joint(s) cf","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Apply rigid leg cast","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"29445","description":"Apply rigid leg cast","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FITA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"No implantable/insertable device used with device-intensive procedures","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"C1890","description":"No implantable/insertable device used with device-intensive procedures","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GIOC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-HB131","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"HB131","description":"HIPPS-HB131","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Foot_ adductus positioning device_ adjustable","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"L3161","description":"Foot_ adductus positioning device_ adjustable","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FCNF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GHWB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KHWB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"EEUC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OCKA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CFSB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RUX05","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RUX05","description":"HIPPS-RUX05","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JFHA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Treat hip dislocation","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"27253","description":"Treat hip dislocation","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-LE117","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"LE117","description":"HIPPS-LE117","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OLEC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Inj desmopressin acetate","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"J2597","description":"Inj desmopressin acetate","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Rollabout chair with casters","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"E1031","description":"Rollabout chair with casters","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Radiologic examination_ femur_ two views","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"73550","description":"Radiologic examination_ femur_ two views","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-1AHNS","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"1AHNS","description":"HIPPS-1AHNS","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"PIWF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Air polymer-type A intrauterine foam_ 0.1 ml","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"A9574","description":"Air polymer-type A intrauterine foam_ 0.1 ml","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Acetylcysteine comp unit","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"J7604","description":"Acetylcysteine comp unit","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NAKB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Esophagoscp rig trnso rem fb","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"43194","description":"Esophagoscp rig trnso rem fb","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GCEE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KDIE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Right And Left Heart Catheterization For Congenital Heart Defect(S) Including Imaging Guidance By The Proceduralist To Advance The Catheter To The Target Zone(S); Normal Nativ","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"93596","description":"Right And Left Heart Catheterization For Congenital Heart Defect(S) Including Imaging Guidance By The Proceduralist To Advance The Catheter To The Target Zone(S); Normal Nativ","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-LC115","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"LC115","description":"HIPPS-LC115","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Assay of creatine","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"82540","description":"Assay of creatine","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Upr/l xtremity art 2 levels","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"93922","description":"Upr/l xtremity art 2 levels","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"HHSC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Foot single axis ankle/foot","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"L5974","description":"Foot single axis ankle/foot","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HH PDGM","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"1CA11","description":"HH PDGM","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JHXE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MIEA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Pwc gp3 std mult pow opt s/b","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"K0861","description":"Pwc gp3 std mult pow opt s/b","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RUX45","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RUX45","description":"HIPPS-RUX45","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Lso sag-coronal panel custom","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"L0638","description":"Lso sag-coronal panel custom","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Rsa upper extr exam","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0349T","description":"Rsa upper extr exam","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Ablate heart dysrhythm focus","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"33250","description":"Ablate heart dysrhythm focus","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JEJC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GCTF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Levonorgestrel iu 52mg 3 yr","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"J7297","description":"Levonorgestrel iu 52mg 3 yr","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Rmvl/rplc nstim apnea pls gn","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0431T","description":"Rmvl/rplc nstim apnea pls gn","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CDAF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Lap inc hernia repair recur","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"49656","description":"Lap inc hernia repair recur","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"IEDB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"TB screening performed and results interpreted within 12 months prior to initiation of first-time biologic disease modifying an","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"M1003","description":"TB screening performed and results interpreted within 12 months prior to initiation of first-time biologic disease modifying an","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Tte w or wo fol wcon_doppler","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"C8929","description":"Tte w or wo fol wcon_doppler","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Electroretinography (ERG)_ with interpretation and report; multifocal (mfERG)","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"92274","description":"Electroretinography (ERG)_ with interpretation and report; multifocal (mfERG)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"HBOC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Bx breast add lesion strtctc","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"19082","description":"Bx breast add lesion strtctc","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BDCD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FFAA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Doc reas no 30 day f/u","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G9403","description":"Doc reas no 30 day f/u","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Treatment mouth roof lesion","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"42160","description":"Treatment mouth roof lesion","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GCBD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GFKB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-4BFLT","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"4BFLT","description":"HIPPS-4BFLT","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KBFE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Muscle transfer shoulder/arm","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"23395","description":"Muscle transfer shoulder/arm","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"PIWC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CFEA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-PD120","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"PD120","description":"HIPPS-PD120","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Drain bladder by needle","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"51100","description":"Drain bladder by needle","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KFPB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Implt/rpl crtd sns dev gen","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0268T","description":"Implt/rpl crtd sns dev gen","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Succinycholine chloride inj","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"J0330","description":"Succinycholine chloride inj","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Clinical Decision Support Mechanism Test Appropriate_ As Defined By The Medicare Appropriate Use Criteria Program","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G1006","description":"Clinical Decision Support Mechanism Test Appropriate_ As Defined By The Medicare Appropriate Use Criteria Program","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Req ret or w/in 90d of surg","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G9514","description":"Req ret or w/in 90d of surg","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Splint digit","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"S8450","description":"Splint digit","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BHGC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GASE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-4BGL5","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"4BGL5","description":"HIPPS-4BGL5","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Amputation of upper arm","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"24900","description":"Amputation of upper arm","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Ef ped fluid and electrolyte","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"B4103","description":"Ef ped fluid and electrolyte","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NDCF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-2BGK4","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"2BGK4","description":"HIPPS-2BGK4","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Nelarabine injection","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"J9261","description":"Nelarabine injection","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Chromatography_ qualitative; thin layer_ analyte not elsewhere specified","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"82489","description":"Chromatography_ qualitative; thin layer_ analyte not elsewhere specified","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OGDA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MAED0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MBAC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"IGEA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-HE101","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"HE101","description":"HIPPS-HE101","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Documentation of medical reason(s) for not providing tobacco cessation intervention if identified as a tobacco user (e.g._ limited life expectancy_ other medical reason)","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G9909","description":"Documentation of medical reason(s) for not providing tobacco cessation intervention if identified as a tobacco user (e.g._ limited life expectancy_ other medical reason)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"AGIB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JGUE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CBNB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NABF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KFFD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FHKD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Release palm contracture","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"26040","description":"Release palm contracture","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FAPD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"IDMD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Bronch ebus samplng 3/> node","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"31653","description":"Bronch ebus samplng 3/> node","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NENC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-1CHK2","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"1CHK2","description":"HIPPS-1CHK2","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HH PDGM","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"2FB31","description":"HH PDGM","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CCEA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NEXA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Gi tract capsule endoscopy","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"91110","description":"Gi tract capsule endoscopy","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FECE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Bordetella antibody","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"86615","description":"Bordetella antibody","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Amputation of forearm","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"25905","description":"Amputation of forearm","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JHPD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Doc fcn/care plan w/30 days","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G8942","description":"Doc fcn/care plan w/30 days","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GEOF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BFJC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Nasal/sinus endoscopy surg","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"31287","description":"Nasal/sinus endoscopy surg","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BGLC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GBOB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"PDOA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Mass spectrometry qual/quan","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"83789","description":"Mass spectrometry qual/quan","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-A0406","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"A0406","description":"HCPCS-A0406","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GFPC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"PDQD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RVC34","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RVC34","description":"HIPPS-RVC34","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-HE126","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"HE126","description":"HIPPS-HE126","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Oxygen probe used w oximeter","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"A4606","description":"Oxygen probe used w oximeter","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Excision of rectal lesion","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"45160","description":"Excision of rectal lesion","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RLX1C","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RLX1C","description":"HIPPS-RLX1C","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KGTB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NEUC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"METE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Exc shoulder les sc < 3 cm","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"23075","description":"Exc shoulder les sc < 3 cm","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RUA2D","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RUA2D","description":"HIPPS-RUA2D","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KIHD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"HDSB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JIJC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Treat humerus fracture","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"23620","description":"Treat humerus fracture","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KHFF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Extensive chest wall surgery","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"19272","description":"Extensive chest wall surgery","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Mycobacteria dna quant","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"87552","description":"Mycobacteria dna quant","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"EFDA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"CPT-0638U","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"0638U","description":"CPT-0638U","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Laparo sling operation","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"51992","description":"Laparo sling operation","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NFHD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"IHDA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FITD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Intraoperative epicardial cardiac ultrasound (ie_ echocardiography) for congenital heart disease_ diagnostic; including placement and manipulation of transducer_ image acquisi","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"76987","description":"Intraoperative epicardial cardiac ultrasound (ie_ echocardiography) for congenital heart disease_ diagnostic; including placement and manipulation of transducer_ image acquisi","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OIPA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Release of skull seams","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"61552","description":"Release of skull seams","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NHEC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Rbc_ frz/deg/wsh_ l/r_ irrad","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"P9057","description":"Rbc_ frz/deg/wsh_ l/r_ irrad","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Drainage of bone lesion","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"26992","description":"Drainage of bone lesion","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"X-ray exam breastbone 2/>vws","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"71120","description":"X-ray exam breastbone 2/>vws","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CHQB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OLSA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Bl exchange/transfuse nb","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"36450","description":"Bl exchange/transfuse nb","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-M1459","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"M1459","description":"HCPCS-M1459","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RVL3C","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RVL3C","description":"HIPPS-RVL3C","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Injection_ givosiran_ 0.5 mg","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"J0223","description":"Injection_ givosiran_ 0.5 mg","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Gastrointestinal Tract Imaging_ Intraluminal (Eg_ Capsule Endoscopy)_ Colon_ With Interpretation And Report","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"91113","description":"Gastrointestinal Tract Imaging_ Intraluminal (Eg_ Capsule Endoscopy)_ Colon_ With Interpretation And Report","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RVX35","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RVX35","description":"HIPPS-RVX35","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"HFRE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"ECBB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OGQD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"IIIC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Mononuclear cell antigen","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"86356","description":"Mononuclear cell antigen","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OCYE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"DESE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RUC53","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RUC53","description":"HIPPS-RUC53","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Remote real-time interactive video-conferenced critical care_ evaluation and management of the critically ill or critically injured patient; each additional 30 minutes (List s","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0189T","description":"Remote real-time interactive video-conferenced critical care_ evaluation and management of the critically ill or critically injured patient; each additional 30 minutes (List s","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-BB13B","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"BB13B","description":"HIPPS-BB13B","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-3AFN2","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"3AFN2","description":"HIPPS-3AFN2","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Bartonella dna quant","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"87472","description":"Bartonella dna quant","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JEEE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Enterovirus antibody","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"86658","description":"Enterovirus antibody","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MALE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BGJF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NAKD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BAEB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Injection_ inclisiran_ 1 mg","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"J1306","description":"Injection_ inclisiran_ 1 mg","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CESF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FGDE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-3AHNU","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"3AHNU","description":"HIPPS-3AHNU","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"CDT-D0303","billing_code_type":"CDT","billing_code_type_version":"2026","billing_code":"D0303","description":"CDT-D0303","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GBMA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-PE13C","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"PE13C","description":"HIPPS-PE13C","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"ICBE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Rare diseases (constitutional/heritable disorders)_ whole genome sequence analysis for chromosomal abnormalities_ copy number variants_ duplications/deletions_ inversions_ unb","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0469U","description":"Rare diseases (constitutional/heritable disorders)_ whole genome sequence analysis for chromosomal abnormalities_ copy number variants_ duplications/deletions_ inversions_ unb","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-CE206","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"CE206","description":"HIPPS-CE206","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RHL0B","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RHL0B","description":"HIPPS-RHL0B","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RLX10","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RLX10","description":"HIPPS-RLX10","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JCMF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Covers for upright each","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"L1120","description":"Covers for upright each","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Place needle in vein","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"36000","description":"Place needle in vein","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NAFB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Ablate inf turbinate submuc","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"30802","description":"Ablate inf turbinate submuc","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-HE10A","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"HE10A","description":"HIPPS-HE10A","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OCUC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Levonorgestrel implant sys","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"J7306","description":"Levonorgestrel implant sys","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"IDTA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Ctr mount pwr elev leg rest","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"E1012","description":"Ctr mount pwr elev leg rest","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OHOB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Iloprost non-comp unit dose","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"Q4074","description":"Iloprost non-comp unit dose","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JGNE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RHX2C","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RHX2C","description":"HIPPS-RHX2C","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Knee lift loop drop lock rin","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"L2492","description":"Knee lift loop drop lock rin","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GFPF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Endocrinology Mips Specialty Set","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G4004","description":"Endocrinology Mips Specialty Set","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GHJB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Rebond/cement/repair retain","billing_code_type":"CDT","billing_code_type_version":"2024","billing_code":"D8693","description":"Rebond/cement/repair retain","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NCEE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CACA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Long qt syn gene dup/dlt var","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"81282","description":"Long qt syn gene dup/dlt var","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Patients 66 Years Of Age And Older With At Least One Claim/Encounter For Frailty During The Measurement Period And Either One Acute Inpatient Encounter With A Diagnosis Of Adv","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G2116","description":"Patients 66 Years Of Age And Older With At Least One Claim/Encounter For Frailty During The Measurement Period And Either One Acute Inpatient Encounter With A Diagnosis Of Adv","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"IFHA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Offset/lat rocker arm w/ela","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"E2632","description":"Offset/lat rocker arm w/ela","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RHL32","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RHL32","description":"HIPPS-RHL32","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Revision of penis","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"54304","description":"Revision of penis","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Dvt prophylx recvd day 2","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"4070F","description":"Dvt prophylx recvd day 2","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NIXD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JBNE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Community Transition Svcs (Moving Expenses)","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"W7333","description":"Community Transition Svcs (Moving Expenses)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NJCE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"AAUF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"EBCC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JGNA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Remove foreign body larynx","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"31511","description":"Remove foreign body larynx","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RUA5A","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RUA5A","description":"HIPPS-RUA5A","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-Q5141","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"Q5141","description":"HCPCS-Q5141","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Hemophilus influenza b vaccine (hib)_ hboc conjugate (4 dose schedule)_for intramuscular use","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"90645","description":"Hemophilus influenza b vaccine (hib)_ hboc conjugate (4 dose schedule)_for intramuscular use","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-2AGK1","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"2AGK1","description":"HIPPS-2AGK1","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CDYC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"CPT-76016","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"76016","description":"CPT-76016","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BALE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JHND1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JBXF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BBXD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JDFD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Visual evoked potential (VEP) checkerboard or flash testing_ central nervous system except glaucoma_ with interpretation and report","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"95930","description":"Visual evoked potential (VEP) checkerboard or flash testing_ central nervous system except glaucoma_ with interpretation and report","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Partial removal tear gland","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"68505","description":"Partial removal tear gland","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NLHF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Hiv-1 antibody testing of or","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"S3645","description":"Hiv-1 antibody testing of or","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-CD23D","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"CD23D","description":"HIPPS-CD23D","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-PA12A","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"PA12A","description":"HIPPS-PA12A","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RLX8I","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RLX8I","description":"HIPPS-RLX8I","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JCKA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-3CGM2","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"3CGM2","description":"HIPPS-3CGM2","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"AHCE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Nebulizer for use w/ regulat","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"E0580","description":"Nebulizer for use w/ regulat","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Injection_ travoprost_ intracameral implant_ 1 mcg","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"J7355","description":"Injection_ travoprost_ intracameral implant_ 1 mcg","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-HE204","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"HE204","description":"HIPPS-HE204","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"IECA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-5AHK6","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"5AHK6","description":"HIPPS-5AHK6","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-1AHPW","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"1AHPW","description":"HIPPS-1AHPW","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"IFEA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GABA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Excise anal ext tag/papilla","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"46220","description":"Excise anal ext tag/papilla","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Amino acids mult qual","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"82128","description":"Amino acids mult qual","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"IDUC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MIBD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GBQB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Cath indw foley 3 way","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"A4346","description":"Cath indw foley 3 way","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BBTE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Continuous recording of movement disorder symptoms_ including bradykinesia_ dyskinesia_ and tremor for 6 days up to 10 days; download review_ interpretation and report","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0536T","description":"Continuous recording of movement disorder symptoms_ including bradykinesia_ dyskinesia_ and tremor for 6 days up to 10 days; download review_ interpretation and report","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-C9170","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"C9170","description":"HCPCS-C9170","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Inlay titanium","billing_code_type":"CDT","billing_code_type_version":"2024","billing_code":"D6624","description":"Inlay titanium","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-AAA30","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"AAA30","description":"HIPPS-AAA30","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FGMB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-3CHNS","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"3CHNS","description":"HIPPS-3CHNS","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Hepatobiliary system imaging","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"78226","description":"Hepatobiliary system imaging","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CGMC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FEBB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GEMD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Injection_ phenylephrine hydrochloride_ 20 micrograms","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"J2371","description":"Injection_ phenylephrine hydrochloride_ 20 micrograms","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Thoracic pad","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"L1060","description":"Thoracic pad","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"LBYE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RVL41","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RVL41","description":"HIPPS-RVL41","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Assay blood catecholamines","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"82383","description":"Assay blood catecholamines","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JBHE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Dexmedetomidine_ oral_ 1 mcg","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"J1105","description":"Dexmedetomidine_ oral_ 1 mcg","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HER2/neu negative or undocumented/unknown","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G9825","description":"HER2/neu negative or undocumented/unknown","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Pt no ref oto reas no spec","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G8563","description":"Pt no ref oto reas no spec","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MGBE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RVA44","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RVA44","description":"HIPPS-RVA44","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Position back cush wd <22in","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"E2613","description":"Position back cush wd <22in","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"ECAE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"LARC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Removal of bladder lesion","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"51520","description":"Removal of bladder lesion","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JIUF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"ABTD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Artery x-rays lung","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"75746","description":"Artery x-rays lung","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Platelets leukoreduced irrad","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"P9033","description":"Platelets leukoreduced irrad","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Copd mg qual act perform","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G8757","description":"Copd mg qual act perform","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GGVB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CHKE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NFGD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-C0406","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"C0406","description":"HCPCS-C0406","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CHFA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OFJF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Diet counsel at hospice","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G9474","description":"Diet counsel at hospice","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"IDHC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NHKB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RVX5A","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RVX5A","description":"HIPPS-RVX5A","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MEDA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Assay carbamazepine total","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"80156","description":"Assay carbamazepine total","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Inpt/tele follow up 25","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G0407","description":"Inpt/tele follow up 25","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GFVC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Lens sphcy bifocal 4.25-7d/.","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"V2207","description":"Lens sphcy bifocal 4.25-7d/.","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Cytopath concentrate tech","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"88108","description":"Cytopath concentrate tech","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"LCSE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BIBB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GAEC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Tc99m pentetate","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"A9539","description":"Tc99m pentetate","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KEOA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CHDB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Drainage of pelvic abscess","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"45000","description":"Drainage of pelvic abscess","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-5CFK6","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"5CFK6","description":"HIPPS-5CFK6","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CGWA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MDCC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"EAMD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FHDD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"CPT-98008","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"98008","description":"CPT-98008","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BAIA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KFVD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Excision of salivary gland","billing_code_type":"CDT","billing_code_type_version":"2024","billing_code":"D7981","description":"Excision of salivary gland","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Knee arthroscopy dx","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"29870","description":"Knee arthroscopy dx","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"AGDF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"EABD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CGDA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CADD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Patients 66 Years Of Age And Older With At Least One Claim/Encounter For Frailty During The Measurement Period And Either One Acute Inpatient Encounter With A Diagnosis Of Adv","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G2107","description":"Patients 66 Years Of Age And Older With At Least One Claim/Encounter For Frailty During The Measurement Period And Either One Acute Inpatient Encounter With A Diagnosis Of Adv","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KASA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Removal of ovary(s)","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"58940","description":"Removal of ovary(s)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GEKB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Rv1 vacc 2 dose live oral","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"90681","description":"Rv1 vacc 2 dose live oral","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KGSE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Administration of home sleep apnea test","billing_code_type":"CDT","billing_code_type_version":"2024","billing_code":"D9956","description":"Administration of home sleep apnea test","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"PASC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FGUC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"IBBC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Doc pt no ther chg or contra","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G9650","description":"Doc pt no ther chg or contra","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FHHE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"HHWC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"LHOD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Open drainage liver lesion","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"47010","description":"Open drainage liver lesion","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FGJC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Anesth amputation of penis","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"93251","description":"Anesth amputation of penis","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-3CHMW","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"3CHMW","description":"HIPPS-3CHMW","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NCLF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-CD13C","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"CD13C","description":"HIPPS-CD13C","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Nasopharyngoscopy","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"92511","description":"Nasopharyngoscopy","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FGHD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MJUD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"EGUB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NAPC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Colonoscopy with biopsy","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"44389","description":"Colonoscopy with biopsy","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Amputation of lower leg","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"27881","description":"Amputation of lower leg","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CIAF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-A0205","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"A0205","description":"HCPCS-A0205","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-CA111","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"CA111","description":"HIPPS-CA111","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BFIE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Self care current status","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G8987","description":"Self care current status","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KDMB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GDNE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"HBYB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-PC28B","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"PC28B","description":"HIPPS-PC28B","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Injection for tear sac x-ray","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"68850","description":"Injection for tear sac x-ray","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NKLD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"IGBC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Lumbar or lumbar rib pad","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"L1040","description":"Lumbar or lumbar rib pad","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Parenteral sol 52-73 gm prot","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"B4193","description":"Parenteral sol 52-73 gm prot","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"LERC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Contrst x-ray uppr gi tract","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"74249","description":"Contrst x-ray uppr gi tract","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"FlowerDerm_ per sq cm","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"Q4179","description":"FlowerDerm_ per sq cm","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Attendant control","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"E2331","description":"Attendant control","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"EEAC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-ES125","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"ES125","description":"HIPPS-ES125","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NECE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NLBE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-BB240","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"BB240","description":"HIPPS-BB240","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Excision of skull tumor","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"61564","description":"Excision of skull tumor","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JCLE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MHTB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Spine disk surgery thorax","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"63077","description":"Spine disk surgery thorax","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MJAE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-CD28G","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"CD28G","description":"HIPPS-CD28G","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-PC226","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"PC226","description":"HIPPS-PC226","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HH PDGM","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"2IB11","description":"HH PDGM","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BHXE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-CB220","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"CB220","description":"HIPPS-CB220","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KFTD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"No sleep apnea assess","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G8841","description":"No sleep apnea assess","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Myelography neck spine","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"72240","description":"Myelography neck spine","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Sensorineural acuity test","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"92575","description":"Sensorineural acuity test","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JAPD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"ODKF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-2BGM6","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"2BGM6","description":"HIPPS-2BGM6","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-PA131","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"PA131","description":"HIPPS-PA131","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Eye surgery follow-up add-on","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"67331","description":"Eye surgery follow-up add-on","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GDFD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KIXD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GEHE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KGWC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Patient transfer system >300","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"E1036","description":"Patient transfer system >300","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FHNB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Angiotensin Converting Enzyme (Ace) Inhibitor Or Angiotensin Receptor Blocker (Arb) Or Angiotensin Receptor-Neprilysin Inhibitor (Arni) Therapy Was Not Prescribed_ Reason Not","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G2096","description":"Angiotensin Converting Enzyme (Ace) Inhibitor Or Angiotensin Receptor Blocker (Arb) Or Angiotensin Receptor-Neprilysin Inhibitor (Arni) Therapy Was Not Prescribed_ Reason Not","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Elective surgery","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G9643","description":"Elective surgery","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"ABEB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Ekg interpret & report preve","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G0405","description":"Ekg interpret & report preve","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NIMF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"PDYE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Magnetic source imaging","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"S8035","description":"Magnetic source imaging","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Phosphatase forensic exam","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"84061","description":"Phosphatase forensic exam","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"IBBA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Fragmenting of kidney stone","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"50590","description":"Fragmenting of kidney stone","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Onc dx ovarian stg3/4 noprog","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G9115","description":"Onc dx ovarian stg3/4 noprog","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Asthma risk assessed","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"2016F","description":"Asthma risk assessed","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Injection_ clindamycin phosp","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"S0077","description":"Injection_ clindamycin phosp","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CBPE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Clean rem part denture mand","billing_code_type":"CDT","billing_code_type_version":"2024","billing_code":"D9935","description":"Clean rem part denture mand","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Wbc antibody identification","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"86021","description":"Wbc antibody identification","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OANA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"ACLC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Dental house call","billing_code_type":"CDT","billing_code_type_version":"2024","billing_code":"D9410","description":"Dental house call","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-PE18G","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"PE18G","description":"HIPPS-PE18G","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JDKF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Day habil waiver per 15 min","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"T2021","description":"Day habil waiver per 15 min","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FBCF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NIPE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OATC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CCWC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-3BFLV","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"3BFLV","description":"HIPPS-3BFLV","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"AIEF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"PJWC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Assay of estradiol","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"82670","description":"Assay of estradiol","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Repair finger tendon","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"26433","description":"Repair finger tendon","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-CE245","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"CE245","description":"HIPPS-CE245","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"CPT-0535U","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"0535U","description":"CPT-0535U","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CCVA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GHRF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Replantation digit complete","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"20822","description":"Replantation digit complete","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-E1828","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"E1828","description":"HCPCS-E1828","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OKUA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Treat thigh fx growth plate","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"27517","description":"Treat thigh fx growth plate","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Tr retinal les preterm inf","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"67229","description":"Tr retinal les preterm inf","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Continuous ppi or h2ra rcvd","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"4185F","description":"Continuous ppi or h2ra rcvd","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Bmi calc_ pt no f/u plan elg","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G8938","description":"Bmi calc_ pt no f/u plan elg","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Repair blood vessel lesion","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"35180","description":"Repair blood vessel lesion","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-1BHNW","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"1BHNW","description":"HIPPS-1BHNW","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CDJF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-M1407","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"M1407","description":"HCPCS-M1407","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GCDB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KHIE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OJYD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Intensive outpatient psychia","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"S9480","description":"Intensive outpatient psychia","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Sheath above knee","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"L8410","description":"Sheath above knee","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"PAYB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Hsv dna dir probe","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"87528","description":"Hsv dna dir probe","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Psychotherapy for crisis furnished in an applicable site of service (any place of service at which the non-facility rate for psychotherapy for crisis services applies_ other t","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G0017","description":"Psychotherapy for crisis furnished in an applicable site of service (any place of service at which the non-facility rate for psychotherapy for crisis services applies_ other t","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OCMD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KHBF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GIKF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FEDD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"AFLA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"PDRD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-M1426","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"M1426","description":"HCPCS-M1426","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Trach/laryn tube non-cuffed","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"A7520","description":"Trach/laryn tube non-cuffed","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"PARB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JGVD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"IHUF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GECF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GHWE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-PC105","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"PC105","description":"HIPPS-PC105","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Pwc gp4 std sing pow opt s/b","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"K0877","description":"Pwc gp4 std sing pow opt s/b","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Anti-phospholipid antibody","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"86148","description":"Anti-phospholipid antibody","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NGLB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"DFOC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-BA18B","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"BA18B","description":"HIPPS-BA18B","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CIBD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JFUC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JFFC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FDJA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OHRD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Suture bile duct injury","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"47900","description":"Suture bile duct injury","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Pt notrcvng1st antitnf txmnt","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"6150F","description":"Pt notrcvng1st antitnf txmnt","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"IIIB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Sys bp > or = 140","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G8753","description":"Sys bp > or = 140","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Lysis + lavage w catheters","billing_code_type":"CDT","billing_code_type_version":"2024","billing_code":"D7871","description":"Lysis + lavage w catheters","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"T-cell depletion of harvest","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"38210","description":"T-cell depletion of harvest","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Drug metabolism (adverse drug reactions and drug response)_ targeted sequence analysis (ie_ CYP1A2_ CYP2C19_ CYP2C9_ CYP2D6_ CYP3A4_ CYP3A5_ CYP4F2_ SLCO1B1_ VKORC1 and rs1277","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0029U","description":"Drug metabolism (adverse drug reactions and drug response)_ targeted sequence analysis (ie_ CYP1A2_ CYP2C19_ CYP2C9_ CYP2D6_ CYP3A4_ CYP3A5_ CYP4F2_ SLCO1B1_ VKORC1 and rs1277","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-LB25D","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"LB25D","description":"HIPPS-LB25D","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Anemia plan of care docd","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0516F","description":"Anemia plan of care docd","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-4CFL4","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"4CFL4","description":"HIPPS-4CFL4","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OEBB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Med record copy per page","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"S9982","description":"Med record copy per page","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OIHD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Removal of lens material","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"66840","description":"Removal of lens material","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Knee jnt ratchet lock ea jnt","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"L2430","description":"Knee jnt ratchet lock ea jnt","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"AFTD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Hospital Special Treatment Room Support Component (Hstrsc) Fetal Monitoring Procedures","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"X0621","description":"Hospital Special Treatment Room Support Component (Hstrsc) Fetal Monitoring Procedures","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"EADC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JHBD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-HE135","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"HE135","description":"HIPPS-HE135","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Intmd rpr s/a/t/ext 20.1-30","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"12036","description":"Intmd rpr s/a/t/ext 20.1-30","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"LESA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"ECEC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JBFD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BEVB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BBUE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Patients with a history of heart transplant or with a left ventricular assist device (lvad)","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"M1151","description":"Patients with a history of heart transplant or with a left ventricular assist device (lvad)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Electroencephalogram (Eeg)_ Continuous Recording_ Physician Or Other Qualified Health Care Professional Review Of Recorded Events_ Analysis Of Spike And Seizure Detection_ Int","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"95725","description":"Electroencephalogram (Eeg)_ Continuous Recording_ Physician Or Other Qualified Health Care Professional Review Of Recorded Events_ Analysis Of Spike And Seizure Detection_ Int","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JDGF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NCLD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-1BHKV","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"1BHKV","description":"HIPPS-1BHKV","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"MRI brain stem w/dye","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"70552","description":"MRI brain stem w/dye","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NIHC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-4CFKS","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"4CFKS","description":"HIPPS-4CFKS","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Transplantation medicine (allograft rejection_ renal)_ measurement of donor and third-party-induced CD154+T-cytotoxic memory cells_ utilizing whole peripheral blood_ algorithm","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0018M","description":"Transplantation medicine (allograft rejection_ renal)_ measurement of donor and third-party-induced CD154+T-cytotoxic memory cells_ utilizing whole peripheral blood_ algorithm","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CDEC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"CPT-1019T","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"1019T","description":"CPT-1019T","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Hep c genotype prior to med","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G9207","description":"Hep c genotype prior to med","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"CDT-D0101","billing_code_type":"CDT","billing_code_type_version":"2026","billing_code":"D0101","description":"CDT-D0101","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Revise middle ear & mastoid","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"69643","description":"Revise middle ear & mastoid","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"DDSE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KFSA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Doc funct no deficiencies","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G8542","description":"Doc funct no deficiencies","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HH PDGM","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"3BC31","description":"HH PDGM","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GFOA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GIDE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BDUD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KDQA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HH PDGM","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"1GB21","description":"HH PDGM","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GCVE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Pt reason for no beta","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G9191","description":"Pt reason for no beta","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MHTC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Scan proc cranial intra","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"61781","description":"Scan proc cranial intra","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FGHA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Signs of melanoma absent","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G8749","description":"Signs of melanoma absent","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Knee-shin exo variable frict","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"L5714","description":"Knee-shin exo variable frict","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-1CFP3","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"1CFP3","description":"HIPPS-1CFP3","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Change of nephrostomy or pyelostomy tube","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"50398","description":"Change of nephrostomy or pyelostomy tube","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KDVF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RVX44","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RVX44","description":"HIPPS-RVX44","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BAUF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-CA13B","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"CA13B","description":"HIPPS-CA13B","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BAJD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Hysteroscope procedure","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"58579","description":"Hysteroscope procedure","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JFBC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Attempted vbac delivery only","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"59620","description":"Attempted vbac delivery only","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Treat forearm bone lesion","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"25035","description":"Treat forearm bone lesion","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KBME1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JHMF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GIKB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Exam of vulva w/scope","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"56820","description":"Exam of vulva w/scope","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"EBHB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"LDRB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NJNC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Prim art m-thrmbc sbsq vsl","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"37185","description":"Prim art m-thrmbc sbsq vsl","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Drug assay_ definitive_ 120 or more drugs and metabolites_ urine_ quantitative liquid chromatography with tandem mass spectrometry (LC-MS/MS)_ includes specimen validity and a","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0328U","description":"Drug assay_ definitive_ 120 or more drugs and metabolites_ urine_ quantitative liquid chromatography with tandem mass spectrometry (LC-MS/MS)_ includes specimen validity and a","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CFKE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Art byp grft aortofemoral","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"35539","description":"Art byp grft aortofemoral","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OGKB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"AECF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OKLD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JHID0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CCEC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"ICIC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MJIC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-1AGKW","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"1AGKW","description":"HIPPS-1AGKW","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KCIA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-LD23B","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"LD23B","description":"HIPPS-LD23B","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JGLE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Anesth pelvis surgery","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"84451","description":"Anesth pelvis surgery","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OAOF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Revision of heart chamber","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"33736","description":"Revision of heart chamber","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NLBC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GEYA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Psychological testing (includes psychodiagnostic assessment of emotionality_ intellectual abilities_ personality and psychopathology_ eg_ MMPI and WAIS)_ with qualified health","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"96102","description":"Psychological testing (includes psychodiagnostic assessment of emotionality_ intellectual abilities_ personality and psychopathology_ eg_ MMPI and WAIS)_ with qualified health","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MJTF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Partial removal of esophagus","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"43123","description":"Partial removal of esophagus","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GBID0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Exome re-evaluation","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"81417","description":"Exome re-evaluation","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GHKA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GDUD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Bmi not documented and no reason is given","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"M1314","description":"Bmi not documented and no reason is given","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BEID0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Hemin_ 1 mg","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"J1640","description":"Hemin_ 1 mg","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Dexrazoxane hcl injection","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"J1190","description":"Dexrazoxane hcl injection","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-A0501","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"A0501","description":"HCPCS-A0501","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Repair blood vessel lesion","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"35236","description":"Repair blood vessel lesion","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-3BHN2","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"3BHN2","description":"HIPPS-3BHN2","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Alcohol/subs interv 15-30mn","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G0396","description":"Alcohol/subs interv 15-30mn","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HH PDGM","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"1EC31","description":"HH PDGM","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CFLC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Low-intensity extracorporeal shock wave therapy involving corpus cavernosum_ low energy","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0864T","description":"Low-intensity extracorporeal shock wave therapy involving corpus cavernosum_ low energy","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"PAYB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NELF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Blood ketone test or strip","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"A4252","description":"Blood ketone test or strip","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JAKA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Amifostine","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"J0207","description":"Amifostine","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Biopsy eyelid & lid margin","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"67810","description":"Biopsy eyelid & lid margin","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Implantation of subcutaneous peritoneal ascites pump system_ percutaneous_ including pump-pocket creation_ insertion of tunneled indwelling bladder and peritoneal catheters wi","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0870T","description":"Implantation of subcutaneous peritoneal ascites pump system_ percutaneous_ including pump-pocket creation_ insertion of tunneled indwelling bladder and peritoneal catheters wi","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"EBLA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FIGE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"EGAB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CAYB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Doc stroke after cea","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G9258","description":"Doc stroke after cea","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"CDT-D9225","billing_code_type":"CDT","billing_code_type_version":"2026","billing_code":"D9225","description":"CDT-D9225","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MHUA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RUX17","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RUX17","description":"HIPPS-RUX17","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"A/d tx program_ per diem","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"H2036","description":"A/d tx program_ per diem","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Rpr fe/e/en/l/m 12.6-20.0 cm","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"12016","description":"Rpr fe/e/en/l/m 12.6-20.0 cm","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Pneumatic appliance full arm","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"E0665","description":"Pneumatic appliance full arm","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FDGC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"IEDD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CENB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NDAF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BELA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"IHLB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-HB18C","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"HB18C","description":"HIPPS-HB18C","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Remove eyelid foreign body","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"67938","description":"Remove eyelid foreign body","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Chromatography_ quantitative_ column (eg_ gas liquid or hplc); multiple analytes_ single stationary and mobile phase","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"82492","description":"Chromatography_ quantitative_ column (eg_ gas liquid or hplc); multiple analytes_ single stationary and mobile phase","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Dynamic surface emg","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"96002","description":"Dynamic surface emg","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-PA135","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"PA135","description":"HIPPS-PA135","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Srs cranial lesion simple","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"61796","description":"Srs cranial lesion simple","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-A1601","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"A1601","description":"HCPCS-A1601","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HH PDGM","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"4CB11","description":"HH PDGM","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BAHA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MFAB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GAUC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Oncology (prostate)_ mRNA gene expression profiling by real-time RT-PCR of 46 genes (31 content and 15 housekeeping)_ utilizing formalin-fixed paraffin-embedded tissue_ algori","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"81541","description":"Oncology (prostate)_ mRNA gene expression profiling by real-time RT-PCR of 46 genes (31 content and 15 housekeeping)_ utilizing formalin-fixed paraffin-embedded tissue_ algori","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JBAD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Enterostomal therapy by a re","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"S9474","description":"Enterostomal therapy by a re","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OGPF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Online Digital Evaluation And Management Service_ For An Established Patient_ For Up To 7 Days_ Cumulative Time During The 7 Days; 11-20 Minutes","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"99422","description":"Online Digital Evaluation And Management Service_ For An Established Patient_ For Up To 7 Days_ Cumulative Time During The 7 Days; 11-20 Minutes","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GFHF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Fuse esophagus & intestine","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"43341","description":"Fuse esophagus & intestine","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NGGE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FGMF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-G0553","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"G0553","description":"HCPCS-G0553","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-HB18I","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"HB18I","description":"HIPPS-HB18I","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JIXE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JHME1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Sacral nerve stim test lead","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"A4290","description":"Sacral nerve stim test lead","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-LB25A","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"LB25A","description":"HIPPS-LB25A","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Dornase alfa non-comp unit","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"J7639","description":"Dornase alfa non-comp unit","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"PuraPly_ per sq cm","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"Q4195","description":"PuraPly_ per sq cm","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Injection_ ravulizumab-cwvz_ 10 mg","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"J1303","description":"Injection_ ravulizumab-cwvz_ 10 mg","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Overdenture partial mandib","billing_code_type":"CDT","billing_code_type_version":"2024","billing_code":"D5866","description":"Overdenture partial mandib","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JIPF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-3BFP3","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"3BFP3","description":"HIPPS-3BFP3","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Sgmdsc w/band ligation","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"45350","description":"Sgmdsc w/band ligation","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JEMF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"EFDF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JBIB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Oth resp proc_ group","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G0239","description":"Oth resp proc_ group","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GHKC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KGLD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-PE101","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"PE101","description":"HIPPS-PE101","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"PFRF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KAGE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Application of hydroxyapatite regeneration medicament - per tooth","billing_code_type":"CDT","billing_code_type_version":"2024","billing_code":"D2991","description":"Application of hydroxyapatite regeneration medicament - per tooth","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Other bone graft microvasc","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"20962","description":"Other bone graft microvasc","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JBAA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RLB42","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RLB42","description":"HIPPS-RLB42","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Perq vertebral augmentation","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"22513","description":"Perq vertebral augmentation","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Bmi is documented as being outside of normal parameters_ follow-up plan is not completed for documented medical reason","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"M1286","description":"Bmi is documented as being outside of normal parameters_ follow-up plan is not completed for documented medical reason","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JGGB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Removal of ethmoid sinus","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"31205","description":"Removal of ethmoid sinus","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-B1704","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"B1704","description":"HCPCS-B1704","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MCIF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Exc abd les sc 3 cm/>","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"22903","description":"Exc abd les sc 3 cm/>","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CFYC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CFDC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GBXA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Stereotactic biopsy_ aspiration_ or excision of lesion_ spinal cord","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"63615","description":"Stereotactic biopsy_ aspiration_ or excision of lesion_ spinal cord","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RML06","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RML06","description":"HIPPS-RML06","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Scr c/v cyto_autosys and md","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G0141","description":"Scr c/v cyto_autosys and md","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BFEA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JHAF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BAUD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FBDA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Human Platelet Antigen 5 genotyping (HPA-5)_ ITGA2 (integrin_ alpha 2 [CD49B_ alpha 2 subunit of VLA-2 receptor] [GPIa]) (eg_ neonatal alloimmune thrombocytopenia [NAIT]_ post","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"81109","description":"Human Platelet Antigen 5 genotyping (HPA-5)_ ITGA2 (integrin_ alpha 2 [CD49B_ alpha 2 subunit of VLA-2 receptor] [GPIa]) (eg_ neonatal alloimmune thrombocytopenia [NAIT]_ post","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OACC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Tongue mouth neck surgery","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"41153","description":"Tongue mouth neck surgery","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OADA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JEFC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"ODXC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Removal Of Substernal Implantable Defibrillator Electrode","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0573T","description":"Removal Of Substernal Implantable Defibrillator Electrode","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"No doc sinus ct 28d or dx","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G9350","description":"No doc sinus ct 28d or dx","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-CB145","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"CB145","description":"HIPPS-CB145","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Immunoassay tumor ca 125","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"86304","description":"Immunoassay tumor ca 125","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GCWB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Musculoskeletal nuclear exam","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"78399","description":"Musculoskeletal nuclear exam","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Observational behavioral follow-up assessment_ includes physician or other qualified health care professional direction with interpretation and report_ administered by one tec","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0361T","description":"Observational behavioral follow-up assessment_ includes physician or other qualified health care professional direction with interpretation and report_ administered by one tec","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"IBCD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Front castr compl pneum tire","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"K0071","description":"Front castr compl pneum tire","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"ABAB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CCKA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Repair of heart defects","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"33702","description":"Repair of heart defects","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KDJE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MBTB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Brake for wheeled walker","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"E0159","description":"Brake for wheeled walker","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Forearm or wrist surgery","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"25999","description":"Forearm or wrist surgery","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Bone imaging limited area","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"78300","description":"Bone imaging limited area","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MBCD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Tumor immunohistochem/comput","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"88361","description":"Tumor immunohistochem/comput","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Electronic analysis of implanted neurostimulator pulse generator/transmitter (eg_ contact group[s]_ interleaving_ amplitude_ pulse width_ frequency [Hz]_ on/off cycling_ burst","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"95977","description":"Electronic analysis of implanted neurostimulator pulse generator/transmitter (eg_ contact group[s]_ interleaving_ amplitude_ pulse width_ frequency [Hz]_ on/off cycling_ burst","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RUB8I","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RUB8I","description":"HIPPS-RUB8I","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FBEA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Ra tracer id of sentinl node","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"38792","description":"Ra tracer id of sentinl node","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OLHF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-ES38G","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"ES38G","description":"HIPPS-ES38G","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-G0542","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"G0542","description":"HCPCS-G0542","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"EECE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"HFWD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Inc for vagus n elect impl","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"64568","description":"Inc for vagus n elect impl","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"PKRB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OJMB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"PFSB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Assay of galactose","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"82760","description":"Assay of galactose","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OCRA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"CDT-D0104","billing_code_type":"CDT","billing_code_type_version":"2026","billing_code":"D0104","description":"CDT-D0104","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Explore/drain eye socket","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"67405","description":"Explore/drain eye socket","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OHYA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OFFE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Tone decay hearing test","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"92563","description":"Tone decay hearing test","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KGXA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Corneal trnspl endothelial","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"65756","description":"Corneal trnspl endothelial","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Index assessment during the denominator period when the suicidal ideation and/or behavior symptoms or increased suicide risk by clinician determination occurs and a non-zero c","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"M1359","description":"Index assessment during the denominator period when the suicidal ideation and/or behavior symptoms or increased suicide risk by clinician determination occurs and a non-zero c","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-BA10D","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"BA10D","description":"HIPPS-BA10D","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OBED1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Insulin dispos pen 3 ml","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"S5571","description":"Insulin dispos pen 3 ml","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OCPA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NHJB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Cabg art-vein six or more","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"33523","description":"Cabg art-vein six or more","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"ODIF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Construction of absent anus","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"46740","description":"Construction of absent anus","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Cast sup shrt leg fiberglass","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"Q4038","description":"Cast sup shrt leg fiberglass","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FBEE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Rcmnd flw-up 10 yrs docd","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0528F","description":"Rcmnd flw-up 10 yrs docd","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"L hrt art/grft angio","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"93459","description":"L hrt art/grft angio","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Assay of urine phosphorus","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"84105","description":"Assay of urine phosphorus","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BCNB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Socket insert knee articulat","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"L5656","description":"Socket insert knee articulat","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Alginate drsg >16 <=48 sq in","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"A6197","description":"Alginate drsg >16 <=48 sq in","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BAHE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CEJC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-A0403","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"A0403","description":"HCPCS-A0403","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OBOF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-PD126","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"PD126","description":"HIPPS-PD126","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JENB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Gr27 non-sealed leadacid","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"E2372","description":"Gr27 non-sealed leadacid","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"ABTB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OBTE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-BB15A","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"BB15A","description":"HIPPS-BB15A","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Documentation of one of the following medical reason(s) for not achieving at least 1 body temperature measurement equal to or greater than 35.5 degrees celsius (or 95.9 degree","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G9772","description":"Documentation of one of the following medical reason(s) for not achieving at least 1 body temperature measurement equal to or greater than 35.5 degrees celsius (or 95.9 degree","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Shoe styled positioning dev","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"L3160","description":"Shoe styled positioning dev","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Mra_ w/dye_ upper extremity","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"C8934","description":"Mra_ w/dye_ upper extremity","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Ethchlorvynol","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G6050","description":"Ethchlorvynol","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KFFA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Sterile water/saline_ 10 ml","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"A4216","description":"Sterile water/saline_ 10 ml","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KCBD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Anesth blepharoplasty","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"10351","description":"Anesth blepharoplasty","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KAYC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"DDOD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-2AHMX","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"2AHMX","description":"HIPPS-2AHMX","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BGIA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KAQA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-PC20B","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"PC20B","description":"HIPPS-PC20B","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CGNC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KIIA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-2AFL2","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"2AFL2","description":"HIPPS-2AFL2","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Conform band s w >=5in/yd","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"A6447","description":"Conform band s w >=5in/yd","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RML26","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RML26","description":"HIPPS-RML26","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"LEQF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Semi-precision attachment - placement","billing_code_type":"CDT","billing_code_type_version":"2024","billing_code":"D6192","description":"Semi-precision attachment - placement","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OINC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RMC8F","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RMC8F","description":"HIPPS-RMC8F","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GEGC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FADB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Mast simple complete","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"19303","description":"Mast simple complete","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Nasal endoscopy_ surgical_ ethmoid sinus_ placement of drug eluting implant;","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0406T","description":"Nasal endoscopy_ surgical_ ethmoid sinus_ placement of drug eluting implant;","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CGVF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"ONC NONSM CLL LNG CA ALYS 23","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0179U","description":"ONC NONSM CLL LNG CA ALYS 23","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"CPT-00100","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"00100","description":"CPT-00100","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OAYC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KIGB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HH PDGM","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"1BB31","description":"HH PDGM","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-1AGKU","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"1AGKU","description":"HIPPS-1AGKU","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Reconstruction of mouth","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"40843","description":"Reconstruction of mouth","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BFXD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"HGQD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NFAA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Gi nuclear procedure","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"78299","description":"Gi nuclear procedure","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Bleeding time test","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"85002","description":"Bleeding time test","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Packing strips_ non-impreg","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"A6407","description":"Packing strips_ non-impreg","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Hgb quant transcutaneous","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"88738","description":"Hgb quant transcutaneous","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HH PDGM","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"1KA31","description":"HH PDGM","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Treat elbow fracture","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"24620","description":"Treat elbow fracture","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Skills train and dev_ 15 min","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"H2014","description":"Skills train and dev_ 15 min","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CIDE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"ODTB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"LFSF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GGTB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"PJOF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NKIE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Colpopexy extraperitoneal","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"57282","description":"Colpopexy extraperitoneal","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-CE155","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"CE155","description":"HIPPS-CE155","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"EECC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Circumcision w/regionl block","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"54150","description":"Circumcision w/regionl block","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Remove abdomen lymph nodes","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"38780","description":"Remove abdomen lymph nodes","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KAPE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Rbc pretx incubatj w/density","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"86972","description":"Rbc pretx incubatj w/density","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Abdom aneurysm endovas rpr","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"75953","description":"Abdom aneurysm endovas rpr","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Tlso 4mod sacro-scap pre","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"L0464","description":"Tlso 4mod sacro-scap pre","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JAUE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-5BGK2","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"5BGK2","description":"HIPPS-5BGK2","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GGEC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Manual therapy 1/> regions","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"97140","description":"Manual therapy 1/> regions","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BGJA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Surgical placement: zygomatic implant","billing_code_type":"CDT","billing_code_type_version":"2024","billing_code":"D7994","description":"Surgical placement: zygomatic implant","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Fusion of foot bones","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"28705","description":"Fusion of foot bones","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CEGF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"LGQB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Bed board","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"E0273","description":"Bed board","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KFDA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Positron emission tomography radiopharmaceutical_ diagnostic_ for non-tumor identification_ not otherwise classified","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"A9598","description":"Positron emission tomography radiopharmaceutical_ diagnostic_ for non-tumor identification_ not otherwise classified","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CESA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-LD15D","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"LD15D","description":"HIPPS-LD15D","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"PCOB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"IFTC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Solid skin barrier","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"A4362","description":"Solid skin barrier","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BIDA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-CE11A","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"CE11A","description":"HIPPS-CE11A","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MKBB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"AHDF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Hematology_ Red Blood Cell (Rbc) Functionality And Deformity As A Function Of Shear Stress_ Whole Blood_ Reported As A Maximum Elongation Index","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0305U","description":"Hematology_ Red Blood Cell (Rbc) Functionality And Deformity As A Function Of Shear Stress_ Whole Blood_ Reported As A Maximum Elongation Index","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GDLC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Repair oviduct","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"58750","description":"Repair oviduct","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Kras gene addl variants","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"81276","description":"Kras gene addl variants","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NCPF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GIGD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RUB8D","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RUB8D","description":"HIPPS-RUB8D","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Doc reas no disc tx opt","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G9400","description":"Doc reas no disc tx opt","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-E0788","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"E0788","description":"HCPCS-E0788","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Denervation of hip joint","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"27035","description":"Denervation of hip joint","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KGYE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"EFTA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Cysto w/prst8 commissurotomy","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0619T","description":"Cysto w/prst8 commissurotomy","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BHKC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Diphtheria_ tetanus toxoids_ and acellular pertussis vaccine andhemophilus influenza b vaccine (dtap-hib)_ for intramsucular use","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"90721","description":"Diphtheria_ tetanus toxoids_ and acellular pertussis vaccine andhemophilus influenza b vaccine (dtap-hib)_ for intramsucular use","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KCPE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MJBC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Elbow mold outsid lock hinge","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"L6200","description":"Elbow mold outsid lock hinge","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RHB4D","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RHB4D","description":"HIPPS-RHB4D","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MJIE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Injection for salivary x-ray","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"42550","description":"Injection for salivary x-ray","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JDNA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RLA5B","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RLA5B","description":"HIPPS-RLA5B","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NJPC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JIKE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NFMD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"EBHD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Slitting of prepuce","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"54000","description":"Slitting of prepuce","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OBEF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"HHQE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KGQF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"DDWB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JCPB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NBAB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GAVD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CDLD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Knee arthroscopy/surgery","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"29885","description":"Knee arthroscopy/surgery","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Orbital prosthesis","billing_code_type":"CDT","billing_code_type_version":"2024","billing_code":"D5915","description":"Orbital prosthesis","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Remove hip pressure sore","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"15944","description":"Remove hip pressure sore","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Perq transcath closure pda","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"93582","description":"Perq transcath closure pda","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-CC225","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"CC225","description":"HIPPS-CC225","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"EAHB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Surgical revision procedure","billing_code_type":"CDT","billing_code_type_version":"2024","billing_code":"D4268","description":"Surgical revision procedure","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Excision malig les complicat","billing_code_type":"CDT","billing_code_type_version":"2024","billing_code":"D7415","description":"Excision malig les complicat","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"IAUF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Patients with a diagnosis of chronic kidney disease (ckd) stage 5","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"M1188","description":"Patients with a diagnosis of chronic kidney disease (ckd) stage 5","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FHGD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RMX3B","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RMX3B","description":"HIPPS-RMX3B","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Partial removal of toe","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"28124","description":"Partial removal of toe","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OHRE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Replace tunneled cv cath","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"36582","description":"Replace tunneled cv cath","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RHL55","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RHL55","description":"HIPPS-RHL55","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Valvuloplasty tricuspid","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"33464","description":"Valvuloplasty tricuspid","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FCAD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NIJE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Injection_ cyclophosphamide_ (dr. reddy_s)_ 5 mg","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"J9072","description":"Injection_ cyclophosphamide_ (dr. reddy_s)_ 5 mg","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Repl zinc air battery","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"L8621","description":"Repl zinc air battery","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-1BGLS","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"1BGLS","description":"HIPPS-1BGLS","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NLEE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RMX8A","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RMX8A","description":"HIPPS-RMX8A","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Art byp grft contral carotid","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"35509","description":"Art byp grft contral carotid","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FCTB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KISE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BAND1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NAAA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JIIA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"EILF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"ODPD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CGDB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-PE18I","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"PE18I","description":"HIPPS-PE18I","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Dilate urethra stricture","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"53600","description":"Dilate urethra stricture","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KCEB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KCXF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RVC2C","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RVC2C","description":"HIPPS-RVC2C","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Drug screen class list a","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"80301","description":"Drug screen class list a","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Placement of seton","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"46020","description":"Placement of seton","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-PE10C","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"PE10C","description":"HIPPS-PE10C","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Respiratory syncytial virus vaccine_ preF_ subunit_ bivalent_ for intramuscular use","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"90678","description":"Respiratory syncytial virus vaccine_ preF_ subunit_ bivalent_ for intramuscular use","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RVA8G","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RVA8G","description":"HIPPS-RVA8G","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NLGC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-HC12D","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"HC12D","description":"HIPPS-HC12D","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Resource-intensive services for patients for whom the use of specialized mobility-assistive technology (such as adjustable height chairs or tables_ patient lift_ and adjustabl","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G0501","description":"Resource-intensive services for patients for whom the use of specialized mobility-assistive technology (such as adjustable height chairs or tables_ patient lift_ and adjustabl","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Sugars multiple quant","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"84379","description":"Sugars multiple quant","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MGDF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Design mlc device for imrt","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"77338","description":"Design mlc device for imrt","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Remote in-home visit for the e&m of an estab patient for use only in the Medicare-approved Comprehensive Care for Joint Replacement model_ which requires 2 of 3 key components","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G9487","description":"Remote in-home visit for the e&m of an estab patient for use only in the Medicare-approved Comprehensive Care for Joint Replacement model_ which requires 2 of 3 key components","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-3BFPW","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"3BFPW","description":"HIPPS-3BFPW","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-1BHK2","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"1BHK2","description":"HIPPS-1BHK2","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Oncology (Thyroid)_ Mrna_ Gene Expression Analysis Of 10_196 Genes_ Utilizing Fine Needle Aspirate_ Algorithm Reported As A Categorical Result (Eg_ Benign Or Suspicious)","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"81546","description":"Oncology (Thyroid)_ Mrna_ Gene Expression Analysis Of 10_196 Genes_ Utilizing Fine Needle Aspirate_ Algorithm Reported As A Categorical Result (Eg_ Benign Or Suspicious)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FFHC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-CB24B","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"CB24B","description":"HIPPS-CB24B","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OHJE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Contrast x-ray exam of colon","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"74280","description":"Contrast x-ray exam of colon","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"CPT-01430","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"01430","description":"CPT-01430","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NHUB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Hyperphenylalaninemia monitoring by patient-collected blood card sample_ quantitative measurement of phenylalanine and tyrosine_ liquid chromatography with tandem mass spectro","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0382U","description":"Hyperphenylalaninemia monitoring by patient-collected blood card sample_ quantitative measurement of phenylalanine and tyrosine_ liquid chromatography with tandem mass spectro","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KAXF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CHNE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Cptr dbs alys car elec dta","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0206T","description":"Cptr dbs alys car elec dta","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FBEB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Ivf package","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"S4011","description":"Ivf package","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BIUE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-G0661","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"G0661","description":"HCPCS-G0661","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Interim crown-further treatment or completion of diagnosis necessary prior to final impression","billing_code_type":"CDT","billing_code_type_version":"2024","billing_code":"D2799","description":"Interim crown-further treatment or completion of diagnosis necessary prior to final impression","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KCGD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"PFOC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KERF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Behavior counsel obesity 15m","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G0447","description":"Behavior counsel obesity 15m","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"EFTC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-HD134","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"HD134","description":"HIPPS-HD134","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"AETF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-HD246","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"HD246","description":"HIPPS-HD246","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FGVB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Transplantation of multivisc","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"S2054","description":"Transplantation of multivisc","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-CA28E","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"CA28E","description":"HIPPS-CA28E","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KCNC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-BB136","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"BB136","description":"HIPPS-BB136","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JADD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-PB126","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"PB126","description":"HIPPS-PB126","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Documentation of medical reason(s) for not providing brief counseling (e.g._ limited life expectancy_ other medical reasons)","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G2201","description":"Documentation of medical reason(s) for not providing brief counseling (e.g._ limited life expectancy_ other medical reasons)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"EGHF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CFRA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MGHB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NATE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JALD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Total or near total esophagectomy_ with thoracotomy; with pharyngogastrostomy or cervical esophagogastrostomy_ with or without pyloroplasty (ie_ McKeown esophagectomy or tri-i","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"43112","description":"Total or near total esophagectomy_ with thoracotomy; with pharyngogastrostomy or cervical esophagogastrostomy_ with or without pyloroplasty (ie_ McKeown esophagectomy or tri-i","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Rotation wrst w/ cable lock","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"L6625","description":"Rotation wrst w/ cable lock","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JBJD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JCPC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GCGA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-PD15D","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"PD15D","description":"HIPPS-PD15D","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Brief communication technology-based service_ e.g. virtual check-in_ by a qualified health care professional who cannot report evaluation and management services_ provided to","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G2251","description":"Brief communication technology-based service_ e.g. virtual check-in_ by a qualified health care professional who cannot report evaluation and management services_ provided to","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Foot_ adductus positioning device_ adjustable","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"K1015","description":"Foot_ adductus positioning device_ adjustable","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Family psytx w/o patient","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"90846","description":"Family psytx w/o patient","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"HHWD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-3AFKT","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"3AFKT","description":"HIPPS-3AFKT","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Cerv cancer screen docd","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"3015F","description":"Cerv cancer screen docd","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GHGE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RHX13","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RHX13","description":"HIPPS-RHX13","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Denture interm cmplt maxill","billing_code_type":"CDT","billing_code_type_version":"2024","billing_code":"D5810","description":"Denture interm cmplt maxill","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-CC241","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"CC241","description":"HIPPS-CC241","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OFMD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OFGC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"DIWE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Medical foods for inborn err","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"S9435","description":"Medical foods for inborn err","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Obstetric panel","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"80081","description":"Obstetric panel","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Psytx crisis initial 60 min","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"90839","description":"Psytx crisis initial 60 min","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BAPB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"PEWE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-HE20C","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"HE20C","description":"HIPPS-HE20C","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Respiratory virus antibody","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"86756","description":"Respiratory virus antibody","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Open Implantation Of Hypoglossal Nerve Neurostimulator Array_ Pulse Generator_ And Distal Respiratory Sensor Electrode Or Electrode Array","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"64582","description":"Open Implantation Of Hypoglossal Nerve Neurostimulator Array_ Pulse Generator_ And Distal Respiratory Sensor Electrode Or Electrode Array","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KEJB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Ct maxillofacial w/dye","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"70487","description":"Ct maxillofacial w/dye","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Medical Physics Dose Evaluation For Radiation Exposure That Exceeds Institutional Review Threshold_ Including Report","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"76145","description":"Medical Physics Dose Evaluation For Radiation Exposure That Exceeds Institutional Review Threshold_ Including Report","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Injection_ phenylephrine HCl (Immphentiv)_ 20 mcg","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"J2373","description":"Injection_ phenylephrine HCl (Immphentiv)_ 20 mcg","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Parenteral sol 74-100 gm pro","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"B4197","description":"Parenteral sol 74-100 gm pro","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-PE260","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"PE260","description":"HIPPS-PE260","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OLLE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CCHC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CAUE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KCFD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NADE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Anesth abdominal wall surg","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"73051","description":"Anesth abdominal wall surg","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FALD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FFMA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CEED1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CEGB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KGEB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Non-covered item or service","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"A9270","description":"Non-covered item or service","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OBMD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Revise eyelashes","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"67820","description":"Revise eyelashes","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Janssen Covid-19 Vaccine Administration","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0031A","description":"Janssen Covid-19 Vaccine Administration","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"PJQB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"AAAF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NBND1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-2CFK6","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"2CFK6","description":"HIPPS-2CFK6","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"EACD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Dialys sol fld vol > 4999cc","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"A4725","description":"Dialys sol fld vol > 4999cc","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KEQC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-CC14C","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"CC14C","description":"HIPPS-CC14C","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GDYF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OGGB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BBPD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Pt/caregiver counsel safety","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"6090F","description":"Pt/caregiver counsel safety","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-3BGKV","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"3BGKV","description":"HIPPS-3BGKV","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Ny heart assoc class docd","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"3118F","description":"Ny heart assoc class docd","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FIUC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Parenteral sol amino acid 3.","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"B4168","description":"Parenteral sol amino acid 3.","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Speech lang goal status","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G9175","description":"Speech lang goal status","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GGAD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KIAA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OIXC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FHXC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NFBB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Microbe susceptible disk","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"87184","description":"Microbe susceptible disk","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Sinus augmentation vertical","billing_code_type":"CDT","billing_code_type_version":"2024","billing_code":"D7952","description":"Sinus augmentation vertical","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JEAC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BEMF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KHYE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Perc d-e cor revasc chro sin","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"C9607","description":"Perc d-e cor revasc chro sin","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KEBE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Inj dihydroergotamine mesylt","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"J1110","description":"Inj dihydroergotamine mesylt","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Indic for head ct valid","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G9531","description":"Indic for head ct valid","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FAPF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Pump uninterrupted infusion","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"K0455","description":"Pump uninterrupted infusion","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Assay of urine urobilinogen","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"84583","description":"Assay of urine urobilinogen","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Annual nursing fac assessmnt","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"99318","description":"Annual nursing fac assessmnt","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Mdd in remission","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"3092F","description":"Mdd in remission","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Technetium tc-99m auto wbc","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"A9569","description":"Technetium tc-99m auto wbc","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MBMA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Onc expectant management pt","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G9053","description":"Onc expectant management pt","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GCYE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NEPC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Rbc sed rate nonautomated","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"85651","description":"Rbc sed rate nonautomated","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Glycine receptor alpha1 IgG_ serum or cerebrospinal fluid (CSF)_ live cell-binding assay (LCBA)_ qualitative","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0431U","description":"Glycine receptor alpha1 IgG_ serum or cerebrospinal fluid (CSF)_ live cell-binding assay (LCBA)_ qualitative","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Injection_ ramucirumab","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"J9308","description":"Injection_ ramucirumab","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Domicil/r-home care supervis","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"99340","description":"Domicil/r-home care supervis","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KDYC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OCLD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-G0551","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"G0551","description":"HCPCS-G0551","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"ICIE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Revise spermatic cord veins","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"55535","description":"Revise spermatic cord veins","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Place gastrostomy tube","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"43832","description":"Place gastrostomy tube","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-LE125","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"LE125","description":"HIPPS-LE125","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FFPC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KGMD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Remove spine lamina 1/2 thrc","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"63003","description":"Remove spine lamina 1/2 thrc","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GBFF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Application of a modality to 1 or more areas; low-level laser therapy (ie_ nonthermal and non-ablative) for post-operative pain reduction","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"97037","description":"Application of a modality to 1 or more areas; low-level laser therapy (ie_ nonthermal and non-ablative) for post-operative pain reduction","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"In-line cartridge containing digestive enzyme(s) for enteral feeding_ each","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"B4105","description":"In-line cartridge containing digestive enzyme(s) for enteral feeding_ each","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KBEC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RUA05","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RUA05","description":"HIPPS-RUA05","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Duration of monitored anesthesia care (mac) or peripheral nerve block (pnb) without the use of general anesthesia during an applicable procedure 60 minutes or longer","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G9362","description":"Duration of monitored anesthesia care (mac) or peripheral nerve block (pnb) without the use of general anesthesia during an applicable procedure 60 minutes or longer","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NHIC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FCXC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FGBE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-LB144","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"LB144","description":"HIPPS-LB144","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KEEC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"ADAC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Removal of gallbladder","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"47620","description":"Removal of gallbladder","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HH PDGM","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"4LA21","description":"HH PDGM","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RMC8X","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RMC8X","description":"HIPPS-RMC8X","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Remote in-home visit for the e&m of a new patient for use only in the Medicare-approved Comprehensive Care for Joint Replacement model_ which requires these 3 key components","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G9485","description":"Remote in-home visit for the e&m of a new patient for use only in the Medicare-approved Comprehensive Care for Joint Replacement model_ which requires these 3 key components","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Functional status measurement with score was not obtained utilizing the Oswestry Disability Index (ODI version 2.1a) patient re","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"M1049","description":"Functional status measurement with score was not obtained utilizing the Oswestry Disability Index (ODI version 2.1a) patient re","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OFKE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CCND1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GIEE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Gene test retinoblastoma","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"S3841","description":"Gene test retinoblastoma","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Iiv3 vaccine 6-35 months im","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"90657","description":"Iiv3 vaccine 6-35 months im","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BGPA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"EGEA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Redo endovas vena cava filtr","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"37192","description":"Redo endovas vena cava filtr","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Ptnot rcvng anti-rhm thxpyra","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"4196F","description":"Ptnot rcvng anti-rhm thxpyra","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NDIF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NGKF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Ankle arthroscopy/surgery","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"29891","description":"Ankle arthroscopy/surgery","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FDJC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Exc foot/toe tum dep 1.5cm/>","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"28041","description":"Exc foot/toe tum dep 1.5cm/>","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NEJA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"EEAF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NDGF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"CPT-0523U","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"0523U","description":"CPT-0523U","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Incision of anal abscess","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"46050","description":"Incision of anal abscess","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KHGD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Trach-esoph voice pros md in","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"L8509","description":"Trach-esoph voice pros md in","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Creation of subcutaneous pocket with insertion of 180 day implantable interstitial glucose sensor_ including system activation and patient training","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G0308","description":"Creation of subcutaneous pocket with insertion of 180 day implantable interstitial glucose sensor_ including system activation and patient training","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RML41","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RML41","description":"HIPPS-RML41","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OJTB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RHA53","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RHA53","description":"HIPPS-RHA53","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-PA25D","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"PA25D","description":"HIPPS-PA25D","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Obstetrics/Gynecology Mips Specialty Set","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G4018","description":"Obstetrics/Gynecology Mips Specialty Set","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Repair of humerus","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"24430","description":"Repair of humerus","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"IDEE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GEUA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Digoxin thxpy for 6 mos/>","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"4220F","description":"Digoxin thxpy for 6 mos/>","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Cryopreservation embryo(s)","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"89258","description":"Cryopreservation embryo(s)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GDVB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Release elbow joint","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"24006","description":"Release elbow joint","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"IAUC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-CD15B","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"CD15B","description":"HIPPS-CD15B","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Assay toxin or antitoxin","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"87230","description":"Assay toxin or antitoxin","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Ther/proph/diag inj iv push","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"96374","description":"Ther/proph/diag inj iv push","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Intraoral - bitewing radiographic image - image capture only","billing_code_type":"CDT","billing_code_type_version":"2024","billing_code":"D0708","description":"Intraoral - bitewing radiographic image - image capture only","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RML3B","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RML3B","description":"HIPPS-RML3B","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OGPE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-CD25C","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"CD25C","description":"HIPPS-CD25C","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-2AFL6","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"2AFL6","description":"HIPPS-2AFL6","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Device evaluation_ interrogation_ and initial programming of intraocular retinal electrode array (eg_ retinal prosthesis)_ in person_ with iterative adjustment of the implanta","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0472T","description":"Device evaluation_ interrogation_ and initial programming of intraocular retinal electrode array (eg_ retinal prosthesis)_ in person_ with iterative adjustment of the implanta","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-2CFLW","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"2CFLW","description":"HIPPS-2CFLW","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Small bowel endoscopy","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"44364","description":"Small bowel endoscopy","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Ostomy pouch liq deodorant","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"A4394","description":"Ostomy pouch liq deodorant","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Incision of windpipe","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"31603","description":"Incision of windpipe","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"PDWB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Mast rad urban type","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"19306","description":"Mast rad urban type","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Establish inner ear window","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"69820","description":"Establish inner ear window","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JEIB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RMC4C","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RMC4C","description":"HIPPS-RMC4C","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KGAA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Nasal application device","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"A7034","description":"Nasal application device","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CAHA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KBLC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Cardiology (coronary artery disease [CAD])_ analysis of 3 proteins (high sensitivity [hs] troponin_ adiponectin_ and kidney injury molecule-1 [KIM-1])_ plasma_ algorithm repor","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0308U","description":"Cardiology (coronary artery disease [CAD])_ analysis of 3 proteins (high sensitivity [hs] troponin_ adiponectin_ and kidney injury molecule-1 [KIM-1])_ plasma_ algorithm repor","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-PC10B","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"PC10B","description":"HIPPS-PC10B","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JGPC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RUC40","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RUC40","description":"HIPPS-RUC40","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Special radiation dosimetry","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"77331","description":"Special radiation dosimetry","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GIKC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Collagen drsg>16<=48 sq in","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"A6022","description":"Collagen drsg>16<=48 sq in","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"HHSB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OBAD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Replc sockt above elbow disa","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"L6884","description":"Replc sockt above elbow disa","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-PD21C","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"PD21C","description":"HIPPS-PD21C","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"DHSA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Elbow arthroscopy/surgery","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"29838","description":"Elbow arthroscopy/surgery","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KEVE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KCKC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Antigen therapy services","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"95165","description":"Antigen therapy services","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CAFF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Radiologic examination_ abdomen; 3 or more views","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"74021","description":"Radiologic examination_ abdomen; 3 or more views","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-Q4412","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"Q4412","description":"HCPCS-Q4412","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"IV injection_ bebtelovimab_ include injection and post administration monitoring in the patient’s home","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"M0223","description":"IV injection_ bebtelovimab_ include injection and post administration monitoring in the patient’s home","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OEWC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Repair blood vessel lesion","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"35226","description":"Repair blood vessel lesion","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GANC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Assay of calcium in urine","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"82340","description":"Assay of calcium in urine","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OBNA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Dstrj neurofibromata xtnsv","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0420T","description":"Dstrj neurofibromata xtnsv","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OLLC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GEAB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"PEWC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Crisis intervention per hour","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"S9484","description":"Crisis intervention per hour","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-CD221","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"CD221","description":"HIPPS-CD221","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FIBA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BIJF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KAFE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Denture interm part mandbl","billing_code_type":"CDT","billing_code_type_version":"2024","billing_code":"D5821","description":"Denture interm part mandbl","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-LE236","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"LE236","description":"HIPPS-LE236","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OFFF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Laser surgery of cervix","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"57513","description":"Laser surgery of cervix","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GFXD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Triflupromazine hcl inj","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"J3400","description":"Triflupromazine hcl inj","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RUL3A","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RUL3A","description":"HIPPS-RUL3A","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Cone beam ct interprete man","billing_code_type":"CDT","billing_code_type_version":"2024","billing_code":"D0365","description":"Cone beam ct interprete man","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OCQE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"HEWC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Unlisted px small intestine","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"44799","description":"Unlisted px small intestine","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-CD146","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"CD146","description":"HIPPS-CD146","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CDTB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Drain bl w/cath insertion","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"51102","description":"Drain bl w/cath insertion","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Rebuild eardrum structures","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"69633","description":"Rebuild eardrum structures","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Incision of achilles tendon","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"27605","description":"Incision of achilles tendon","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Larynscop w/tumr exc + scope","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"31541","description":"Larynscop w/tumr exc + scope","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BINA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"HISF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RVA11","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RVA11","description":"HIPPS-RVA11","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"R & l heart cath congenital","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"93532","description":"R & l heart cath congenital","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RHA56","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RHA56","description":"HIPPS-RHA56","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Therapeutic interventions that focus on cognitive function (eg_ attention_ memory_ reasoning_ executive function_ problem solving_ and/or pragmatic functioning) and compensato","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"97127","description":"Therapeutic interventions that focus on cognitive function (eg_ attention_ memory_ reasoning_ executive function_ problem solving_ and/or pragmatic functioning) and compensato","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Forehead flap w/vasc pedicle","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"15731","description":"Forehead flap w/vasc pedicle","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NBKD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OFHA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GIHB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-3CFP3","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"3CFP3","description":"HIPPS-3CFP3","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Immunization administration by intramuscular injection of severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) (coronavirus disease [COVID-19]) vaccine_ mRNA-LNP_ biva","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0151A","description":"Immunization administration by intramuscular injection of severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) (coronavirus disease [COVID-19]) vaccine_ mRNA-LNP_ biva","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JAGC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"PKSB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RML4D","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RML4D","description":"HIPPS-RML4D","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Pt no ref otolo no spec","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G8568","description":"Pt no ref otolo no spec","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CCJB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Cytopath fl nongyn filter","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"88106","description":"Cytopath fl nongyn filter","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Flu vacc iiv4 no preserv id","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"90630","description":"Flu vacc iiv4 no preserv id","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Biopsy of neck/chest","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"21550","description":"Biopsy of neck/chest","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JDCB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"ODVE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-HB130","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"HB130","description":"HIPPS-HB130","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MELE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Implt neurostim radiofq rec","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"L8682","description":"Implt neurostim radiofq rec","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Open tx nose fx uncomplicatd","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"21325","description":"Open tx nose fx uncomplicatd","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FCHA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Remove/replace ur sphincter","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"53447","description":"Remove/replace ur sphincter","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GFGB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GDVE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-4BGLS","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"4BGLS","description":"HIPPS-4BGLS","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Insertion catheter artery","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"36625","description":"Insertion catheter artery","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"IFAF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Most Recent Hemoglobin A1C (Hba1C) Level 7.0 To 9.0%","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G2089","description":"Most Recent Hemoglobin A1C (Hba1C) Level 7.0 To 9.0%","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Shldr disartic myoelectronic","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"L6965","description":"Shldr disartic myoelectronic","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"ODYA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Growth hormone panel","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"80428","description":"Growth hormone panel","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"ICHC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Combo ankle/foot prosthesis","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"L5975","description":"Combo ankle/foot prosthesis","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NIMC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OJQC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-C9806","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"C9806","description":"HCPCS-C9806","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"CPT-00840","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"00840","description":"CPT-00840","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-PC28C","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"PC28C","description":"HIPPS-PC28C","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NEBC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-HB160","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"HB160","description":"HIPPS-HB160","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-3AFPV","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"3AFPV","description":"HIPPS-3AFPV","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RLA30","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RLA30","description":"HIPPS-RLA30","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FGKB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"HERC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-2AGKW","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"2AGKW","description":"HIPPS-2AGKW","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Ultrasound_ nerve(s) and accompanying structures throughout their entire anatomic course in one extremity_ comprehensive_ including real-time cine imaging with image documenta","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"76883","description":"Ultrasound_ nerve(s) and accompanying structures throughout their entire anatomic course in one extremity_ comprehensive_ including real-time cine imaging with image documenta","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Injection_ calcium gluconate (wg critical care)_ per 10 mg","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"J0613","description":"Injection_ calcium gluconate (wg critical care)_ per 10 mg","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Review/report bp recording","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"93790","description":"Review/report bp recording","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-HD211","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"HD211","description":"HIPPS-HD211","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Injection_ dexamethasone 9%_ intraocular_ 1 mcg","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"C9034","description":"Injection_ dexamethasone 9%_ intraocular_ 1 mcg","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KDFB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Cystoscopy & revise urethra","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"52270","description":"Cystoscopy & revise urethra","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Injection_ moxetumomab pasudotox-tdfk_ 0.01 mg","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"J9313","description":"Injection_ moxetumomab pasudotox-tdfk_ 0.01 mg","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Injection_ pegfilgrastim-apgf_ biosimilar_ (nyvepria)_ 0.5 mg","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"Q5122","description":"Injection_ pegfilgrastim-apgf_ biosimilar_ (nyvepria)_ 0.5 mg","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OBIB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"ODEE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MBTD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Insert multi-comp penis pros","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"54405","description":"Insert multi-comp penis pros","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JCCF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FDDE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JECB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FAEB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Syph scrng docd as done","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"3512F","description":"Syph scrng docd as done","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MDCB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BFVB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OLAD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-Q4391","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"Q4391","description":"HCPCS-Q4391","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Wheelchair spec sz spec ht a","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"E1227","description":"Wheelchair spec sz spec ht a","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Respirator motion mgmt simul","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"77293","description":"Respirator motion mgmt simul","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"AHBC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Correct rectal prolapse","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"45541","description":"Correct rectal prolapse","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Amputate leg at thigh","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"27592","description":"Amputate leg at thigh","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Exc tr-ext mal+marg 0.6-1 cm","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"11601","description":"Exc tr-ext mal+marg 0.6-1 cm","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OLRA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KIGF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Chromosome analysis 5","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"88261","description":"Chromosome analysis 5","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Levalbuterol comp unit","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"J7615","description":"Levalbuterol comp unit","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NAAC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OFPC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BFIA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Tens suppl 2 lead per month","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"A4595","description":"Tens suppl 2 lead per month","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BDGB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NCAE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"LEQB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Fit spectacles compound lens","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"92355","description":"Fit spectacles compound lens","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OHLE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Partial removal donor liver","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"47140","description":"Partial removal donor liver","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CBGF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Transplt allo hct/donor","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"38240","description":"Transplt allo hct/donor","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Blood platelet aggregation","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"85576","description":"Blood platelet aggregation","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CEDA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OEOF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Mis sup/ac imp vad nopay med","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"Q0509","description":"Mis sup/ac imp vad nopay med","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"CPT-01932","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"01932","description":"CPT-01932","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"IDID1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BHBA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"PGRD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GGSF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FGCD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RHB0D","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RHB0D","description":"HIPPS-RHB0D","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Mlh1 gene dup/delete variant","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"81294","description":"Mlh1 gene dup/delete variant","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NEFB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-CB10C","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"CB10C","description":"HIPPS-CB10C","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NCJD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RLX32","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RLX32","description":"HIPPS-RLX32","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Family training & counseling","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"T1027","description":"Family training & counseling","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Full mouth debridement","billing_code_type":"CDT","billing_code_type_version":"2024","billing_code":"D4355","description":"Full mouth debridement","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Remove/graft leg bone lesion","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"27637","description":"Remove/graft leg bone lesion","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Documentation Stating Patient Has A Diagnosis Of A Degenerative Neurological Condition Such As Als_ Ms_ Or Parkinson_S Diagnosed At Any Time Before Or During The Episode Of Ca","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"M1122","description":"Documentation Stating Patient Has A Diagnosis Of A Degenerative Neurological Condition Such As Als_ Ms_ Or Parkinson_S Diagnosed At Any Time Before Or During The Episode Of Ca","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NAEA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-3BFP6","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"3BFP6","description":"HIPPS-3BFP6","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JGMB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NBDF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Colonoscopy w/balloon dilat","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"45386","description":"Colonoscopy w/balloon dilat","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Epoetin alfa_ 100 units esrd","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"Q4081","description":"Epoetin alfa_ 100 units esrd","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-BB110","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"BB110","description":"HIPPS-BB110","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Apheresis platelets","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"36513","description":"Apheresis platelets","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-5CHKV","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"5CHKV","description":"HIPPS-5CHKV","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OHGF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GDAB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-HE104","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"HE104","description":"HIPPS-HE104","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"HCSE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OBVA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OERF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CEPC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RUA25","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RUA25","description":"HIPPS-RUA25","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OIED1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MHCB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"AHME0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KBOD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-1CFN6","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"1CFN6","description":"HIPPS-1CFN6","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"EGAD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JGFD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Vestibuloplasty ridge extens","billing_code_type":"CDT","billing_code_type_version":"2024","billing_code":"D7340","description":"Vestibuloplasty ridge extens","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"ECUF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NGUC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OJYA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CIOF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Laryngoplasty; for laryngeal stenosis_ with graft_ without indwelling stent placement_ younger than 12 years of age","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"31551","description":"Laryngoplasty; for laryngeal stenosis_ with graft_ without indwelling stent placement_ younger than 12 years of age","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Verteporfin injection","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"J3396","description":"Verteporfin injection","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"HHWE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MDIC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-PD134","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"PD134","description":"HIPPS-PD134","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Y90 ibritumomab_ rx","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"A9543","description":"Y90 ibritumomab_ rx","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"IHHA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Mod sed diff phys/qhp add on","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"99150","description":"Mod sed diff phys/qhp add on","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OGUE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-5BFK6","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"5BFK6","description":"HIPPS-5BFK6","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Incision of lip fold","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"40806","description":"Incision of lip fold","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NIDE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RMC41","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RMC41","description":"HIPPS-RMC41","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Infectious agent detection by nucleic acid (DNA and RNA)_ central nervous system pathogen_ metagenomic next-generation sequencing_ cerebrospinal fluid (CSF)_ identification of","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0323U","description":"Infectious agent detection by nucleic acid (DNA and RNA)_ central nervous system pathogen_ metagenomic next-generation sequencing_ cerebrospinal fluid (CSF)_ identification of","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MELD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Idet 1 or more levels","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"22527","description":"Idet 1 or more levels","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CBKC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KADE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Domicil/r-home visit new pat","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"99328","description":"Domicil/r-home visit new pat","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OKXF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Manual wc accessory_ handrim","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"E2205","description":"Manual wc accessory_ handrim","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Injection_ trastuzumab-dkst_ biosimilar_ (Ogivri)_ 10 mg","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"Q5114","description":"Injection_ trastuzumab-dkst_ biosimilar_ (Ogivri)_ 10 mg","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Echo exam of head","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"76506","description":"Echo exam of head","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NICA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-LB220","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"LB220","description":"HIPPS-LB220","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KAMC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Onc dx nhl relapse/refractor","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G9137","description":"Onc dx nhl relapse/refractor","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Implant supported mtl crown","billing_code_type":"CDT","billing_code_type_version":"2024","billing_code":"D6066","description":"Implant supported mtl crown","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"AELC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Injection_ dostarlimab-gxly_ 100 mg","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"C9082","description":"Injection_ dostarlimab-gxly_ 100 mg","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CAGA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-HE112","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"HE112","description":"HIPPS-HE112","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Wrist/elbow bowden cbl dir f","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"L6582","description":"Wrist/elbow bowden cbl dir f","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Phone e/m phys/qhp 11-20 min","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"99442","description":"Phone e/m phys/qhp 11-20 min","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Urgent Care Mips Specialty Set","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G4036","description":"Urgent Care Mips Specialty Set","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CELC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NGLD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-M1434","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"M1434","description":"HCPCS-M1434","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CEXD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Repair multi-comp penis pros","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"54408","description":"Repair multi-comp penis pros","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Myelin Oligodendrocyte Glycoprotein (Mog-Igg1) Antibody; Cell-Based Immunofluorescence Assay (Cba)_ Each","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"86362","description":"Myelin Oligodendrocyte Glycoprotein (Mog-Igg1) Antibody; Cell-Based Immunofluorescence Assay (Cba)_ Each","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Patient did not receive at least one well-child visit with PCP during the performance period","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G9965","description":"Patient did not receive at least one well-child visit with PCP during the performance period","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"CPT-37256","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"37256","description":"CPT-37256","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Tactile breast img uni/bi","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0422T","description":"Tactile breast img uni/bi","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"AAHB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Accessories for patient inserted indwelling intraurethral drainage device with valve_ replacement only_ each","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"A4342","description":"Accessories for patient inserted indwelling intraurethral drainage device with valve_ replacement only_ each","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CDYA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OFWB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RML33","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RML33","description":"HIPPS-RML33","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Virus inoculate eggs/animal","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"87250","description":"Virus inoculate eggs/animal","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MGUB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Onc prostate prob score","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0010M","description":"Onc prostate prob score","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BEUA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RUC30","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RUC30","description":"HIPPS-RUC30","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Wheelchair amputee detach ar","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"E1172","description":"Wheelchair amputee detach ar","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Skn sub grft f/n/hf/g ch add","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"15278","description":"Skn sub grft f/n/hf/g ch add","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OBBC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Human ig im","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"90281","description":"Human ig im","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"IHBE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MCME1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Polarization_ any lens","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"V2762","description":"Polarization_ any lens","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Coupling gel or paste","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"A4559","description":"Coupling gel or paste","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Partial removal of vulva","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"56620","description":"Partial removal of vulva","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Injection_ mosunetuzumab-axgb_ 1 mg","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"J9350","description":"Injection_ mosunetuzumab-axgb_ 1 mg","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"IGCC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GARE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KFMD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Ald fm/dm aud input receiver","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"V5285","description":"Ald fm/dm aud input receiver","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Knee orthosis (KO)_ double upright_ thigh and calf_ with adjustable flexion and extension joint (unicentric or polycentric)_ medial-lateral and rotation control_ with or witho","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"L1852","description":"Knee orthosis (KO)_ double upright_ thigh and calf_ with adjustable flexion and extension joint (unicentric or polycentric)_ medial-lateral and rotation control_ with or witho","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NLVE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RHL3A","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RHL3A","description":"HIPPS-RHL3A","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MJID1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BHKE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Ecallantide injection","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"J1290","description":"Ecallantide injection","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Close bronchial fistula","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"32815","description":"Close bronchial fistula","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Revision of cornea","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"65600","description":"Revision of cornea","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Drug scrn quant oxcarbazepin","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"80183","description":"Drug scrn quant oxcarbazepin","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NIXF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BAUB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"EIDF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Radiation therapy planning","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"77261","description":"Radiation therapy planning","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-PE22A","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"PE22A","description":"HIPPS-PE22A","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OLVE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Esoph balloon distension tst","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"91040","description":"Esoph balloon distension tst","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Excision of tonsil tags","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"42860","description":"Excision of tonsil tags","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Breast cancer dx min invsive","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G8875","description":"Breast cancer dx min invsive","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JCXD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Pm phone r-strip device eval","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"93293","description":"Pm phone r-strip device eval","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"CPT-1088T","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"1088T","description":"CPT-1088T","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"AFMB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"CDT-D6280","billing_code_type":"CDT","billing_code_type_version":"2026","billing_code":"D6280","description":"CDT-D6280","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-2AHMW","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"2AHMW","description":"HIPPS-2AHMW","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OFPD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CBFB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Fetal biophys profil w/o nst","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"76819","description":"Fetal biophys profil w/o nst","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CCLD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JEHC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Gad-base mr contrast nos_1ml","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"A9579","description":"Gad-base mr contrast nos_1ml","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Reclining back add ped w/c","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"E1014","description":"Reclining back add ped w/c","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OJKD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BEEE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NDAC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"IMM ADMN SARSCOV2 BIVALENT 10 MCG/0.2 ML ADDL","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0154A","description":"IMM ADMN SARSCOV2 BIVALENT 10 MCG/0.2 ML ADDL","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Surgical splint","billing_code_type":"CDT","billing_code_type_version":"2024","billing_code":"D5988","description":"Surgical splint","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CHSE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JGPB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NJHB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OIWA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Gradient compression bandage roll_ inelastic short stretch_ per linear yard_ any width_ each","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"A6599","description":"Gradient compression bandage roll_ inelastic short stretch_ per linear yard_ any width_ each","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Re-Exploration Of Pelvic Wound With Removal Of Preperitoneal Pelvic Packing_ Including Repacking_ When Performed","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"49014","description":"Re-Exploration Of Pelvic Wound With Removal Of Preperitoneal Pelvic Packing_ Including Repacking_ When Performed","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GCXC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"LCQE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Removal of cervix radical","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"57531","description":"Removal of cervix radical","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KFMB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NANC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BAJC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-C0304","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"C0304","description":"HCPCS-C0304","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Lip surgery procedure","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"40799","description":"Lip surgery procedure","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Insulin (fiasp) for administration through dme (i.e._ insulin pump) per 50 units","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"J1811","description":"Insulin (fiasp) for administration through dme (i.e._ insulin pump) per 50 units","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CHMD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OHNA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Each additional 15 minutes of chronic pain management and treatment by a physician or other qualified health care professional_ per calendar month. (list separately in additio","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G3003","description":"Each additional 15 minutes of chronic pain management and treatment by a physician or other qualified health care professional_ per calendar month. (list separately in additio","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Insrt/redo spine n generator","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"63685","description":"Insrt/redo spine n generator","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MKBC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RVA2B","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RVA2B","description":"HIPPS-RVA2B","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-HB241","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"HB241","description":"HIPPS-HB241","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"IFHD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Skin tissue procedure","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"17999","description":"Skin tissue procedure","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MKIC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Diabetic deluxe shoe","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"A5508","description":"Diabetic deluxe shoe","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-1CHNX","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"1CHNX","description":"HIPPS-1CHNX","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Injection_ adalimumab-afzb (abrilada)_ biosimilar_ 10 mg","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"Q5132","description":"Injection_ adalimumab-afzb (abrilada)_ biosimilar_ 10 mg","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KBBE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JHVE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Fibrinolytic plasminogen","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"85420","description":"Fibrinolytic plasminogen","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-LE160","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"LE160","description":"HIPPS-LE160","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-HD116","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"HD116","description":"HIPPS-HD116","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-CB18C","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"CB18C","description":"HIPPS-CB18C","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NFIB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FBGD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"DEQC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FEAA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KHIB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NGTB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Amputation of foot at ankle","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"27888","description":"Amputation of foot at ankle","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Fusion of foot bones","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"28715","description":"Fusion of foot bones","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OJJD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Cytomeg dna amp probe","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"87496","description":"Cytomeg dna amp probe","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"CPT-0634U","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"0634U","description":"CPT-0634U","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OCQC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"HDRA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"CPT-01999","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"01999","description":"CPT-01999","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Counseling for the control and prevention of adverse oral_ behavioral_ and systemic health effects associated with high-risk substance use","billing_code_type":"CDT","billing_code_type_version":"2024","billing_code":"D1321","description":"Counseling for the control and prevention of adverse oral_ behavioral_ and systemic health effects associated with high-risk substance use","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Initial observation care_ per day_ for the evaluation and management of a patient which requires these 3 key components: A detailed or comprehensive history; A detailed or com","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"99218","description":"Initial observation care_ per day_ for the evaluation and management of a patient which requires these 3 key components: A detailed or comprehensive history; A detailed or com","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"IBUD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Psychiatry (eg_ depression_ anxiety_ attention deficit hyperactivity disorder [ADHD])_ genomic analysis panel_ variant analysis of 15 genes_ including deletion/duplication ana","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0345U","description":"Psychiatry (eg_ depression_ anxiety_ attention deficit hyperactivity disorder [ADHD])_ genomic analysis panel_ variant analysis of 15 genes_ including deletion/duplication ana","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Fuse liver ducts & bowel","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"47765","description":"Fuse liver ducts & bowel","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CBJC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"LAQD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"EACA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CHIC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OAUB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Autologous Cellular Implant Derived From Adipose Tissue For The Treatment Of Osteoarthritis Of The Knees; Injection Of Cellular Implant Into Knee Joint Including Ultrasound Gu","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0566T","description":"Autologous Cellular Implant Derived From Adipose Tissue For The Treatment Of Osteoarthritis Of The Knees; Injection Of Cellular Implant Into Knee Joint Including Ultrasound Gu","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"ABIF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RHX32","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RHX32","description":"HIPPS-RHX32","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"ATXN7 (ataxin 7) (eg_ spinocerebellar ataxia) gene analysis_ evaluation to detect abnormal (eg_ expanded) alleles","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"81181","description":"ATXN7 (ataxin 7) (eg_ spinocerebellar ataxia) gene analysis_ evaluation to detect abnormal (eg_ expanded) alleles","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-3CGPS","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"3CGPS","description":"HIPPS-3CGPS","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OKWD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CBKD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Lev 4 hosp type b ed visit","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G0383","description":"Lev 4 hosp type b ed visit","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NIGD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"CPT-01382","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"01382","description":"CPT-01382","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Revision of upper eyelid","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"15822","description":"Revision of upper eyelid","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Subs eval for condition","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"1121F","description":"Subs eval for condition","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"CPT-1110T","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"1110T","description":"CPT-1110T","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-G0677","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"G0677","description":"HCPCS-G0677","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OBEE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"removal of fixed orthodontic appliances for reasons other than completion of treatm","billing_code_type":"CDT","billing_code_type_version":"2024","billing_code":"D8695","description":"removal of fixed orthodontic appliances for reasons other than completion of treatm","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Cystoscopy chemodenervation","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"52287","description":"Cystoscopy chemodenervation","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Portable liquid oxygen sys","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"E0433","description":"Portable liquid oxygen sys","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JDPE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GCUF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"AEHD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BCND0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Cell marker study","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"88182","description":"Cell marker study","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-G0571","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"G0571","description":"HCPCS-G0571","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-3BHLV","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"3BHLV","description":"HIPPS-3BHLV","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OBYA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Intravenous infusion_ bamlanivimab and etesevimab_ includes infusion and post administration monitoring in the home or residence; this includes a beneficiary’s home.","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"M0246","description":"Intravenous infusion_ bamlanivimab and etesevimab_ includes infusion and post administration monitoring in the home or residence; this includes a beneficiary’s home.","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Injection_ evinacumab-dgnb_ 5 mg","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"C9079","description":"Injection_ evinacumab-dgnb_ 5 mg","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Revision of bladder neck","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"52500","description":"Revision of bladder neck","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Special med equip_ noswaiver","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"T2029","description":"Special med equip_ noswaiver","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Repair artery rupture spleen","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"35112","description":"Repair artery rupture spleen","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NJAD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OIAA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MFHD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Incompl donor egg case rate","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"S4023","description":"Incompl donor egg case rate","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KIVC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Kidney endoscopy & treatment","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"50561","description":"Kidney endoscopy & treatment","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"CPT-0652U","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"0652U","description":"CPT-0652U","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Assay of digoxin total","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"80162","description":"Assay of digoxin total","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Insertion or replacement of intracardiac ischemia monitoring system_ including testing of the lead and monitor_ initial system programming_ and imaging supervision and interpr","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0527T","description":"Insertion or replacement of intracardiac ischemia monitoring system_ including testing of the lead and monitor_ initial system programming_ and imaging supervision and interpr","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FHVD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Adjust knee ext/flex device","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"E1810","description":"Adjust knee ext/flex device","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Immunodiffusion nes","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"86329","description":"Immunodiffusion nes","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MFCD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NFLC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Cath_ pacing_ transesoph","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"C1756","description":"Cath_ pacing_ transesoph","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Afo spiral molded to pt plas","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"L1950","description":"Afo spiral molded to pt plas","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Pwc gp 2 std port seat/back","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"K0820","description":"Pwc gp 2 std port seat/back","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CBJB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-PB245","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"PB245","description":"HIPPS-PB245","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Assay of phenylketones","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"84035","description":"Assay of phenylketones","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"EAUC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Removal of pancreatic duct","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"48148","description":"Removal of pancreatic duct","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"IDBA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"ODBF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Hearing aid_ contralateral routing system_ binaural_ ITE/ITC","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"V5212","description":"Hearing aid_ contralateral routing system_ binaural_ ITE/ITC","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Injection treatment of nerve","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"64620","description":"Injection treatment of nerve","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Reconstruct lip with flap","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"40527","description":"Reconstruct lip with flap","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Erwinaze injection","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"J9019","description":"Erwinaze injection","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Mold socket bent knee shin s","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"L5160","description":"Mold socket bent knee shin s","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MDME1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"LBWA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-ES230","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"ES230","description":"HIPPS-ES230","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BDLD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Release of ureter","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"50940","description":"Release of ureter","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JHTD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"AHHF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Resect recurrent gyn mal","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"58957","description":"Resect recurrent gyn mal","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GFHB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FITD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KGJE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Assay of estrogen","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"84233","description":"Assay of estrogen","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OFVD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OBDF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Eval for deep sed/gen anesth","billing_code_type":"CDT","billing_code_type_version":"2024","billing_code":"D9219","description":"Eval for deep sed/gen anesth","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Prev visit new age 12-17","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"99384","description":"Prev visit new age 12-17","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-ES18B","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"ES18B","description":"HIPPS-ES18B","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Two Medica re Diabetes Prevention Program (MDPP) core maintenance sessi on s (MS) were attended by an MDPP beneficiary in months (mo) 10-12 under the MDPP Expanded Model (EM).","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G9879","description":"Two Medica re Diabetes Prevention Program (MDPP) core maintenance sessi on s (MS) were attended by an MDPP beneficiary in months (mo) 10-12 under the MDPP Expanded Model (EM).","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NDDB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Laa closure w/implant","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0281T","description":"Laa closure w/implant","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MKUE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Doc pt reas not rec hcv srn","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G9385","description":"Doc pt reas not rec hcv srn","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KIVD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Onlay cst hgh nbl mtl >=3srf","billing_code_type":"CDT","billing_code_type_version":"2024","billing_code":"D6611","description":"Onlay cst hgh nbl mtl >=3srf","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Fine needle aspiration biopsy_ including MR guidance; each additional lesion (List separately in addition to code for primary procedure)","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"10012","description":"Fine needle aspiration biopsy_ including MR guidance; each additional lesion (List separately in addition to code for primary procedure)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Msh6 gene full seq","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"81298","description":"Msh6 gene full seq","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OKWA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-ES30A","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"ES30A","description":"HIPPS-ES30A","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Ascent_ 0.5mg","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"Q4213","description":"Ascent_ 0.5mg","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MHAE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JBGE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CFTC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FGLC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BATE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OBMB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Treatment of ankle fracture","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"27818","description":"Treatment of ankle fracture","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Repair paravag defect lap","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"57423","description":"Repair paravag defect lap","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OLHA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Autologous adipose-derived regenerative cell therapy for scleroderma in the hands; adipose tissue harvesting_ isolation and preparation of harvested cells including incubation","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0489T","description":"Autologous adipose-derived regenerative cell therapy for scleroderma in the hands; adipose tissue harvesting_ isolation and preparation of harvested cells including incubation","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NAUA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OFCB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Bath/shower chair","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"E0240","description":"Bath/shower chair","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HH PDGM","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"3AC21","description":"HH PDGM","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Alpha-fetoprotein l3","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"82107","description":"Alpha-fetoprotein l3","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GHOD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Orthopedic shoe modifica nos","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"L3649","description":"Orthopedic shoe modifica nos","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MIHE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FHCB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Cryoprecipitated fibrinogen complex_ pathogen reduced_ eachunit","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"P9026","description":"Cryoprecipitated fibrinogen complex_ pathogen reduced_ eachunit","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"EBIC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"LIWD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Underarm crutch pad","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"A4635","description":"Underarm crutch pad","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-5BHKS","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"5BHKS","description":"HIPPS-5BHKS","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-CC234","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"CC234","description":"HIPPS-CC234","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OKUB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"IGCE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FDPE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GIYC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"IBUB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Ct lumbar spine w/o dye","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"72131","description":"Ct lumbar spine w/o dye","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OLHE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-BB25C","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"BB25C","description":"HIPPS-BB25C","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"IBUA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Double transfer toe-hand","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"26554","description":"Double transfer toe-hand","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RVB0B","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RVB0B","description":"HIPPS-RVB0B","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Giardia ag if","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"87269","description":"Giardia ag if","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Rt heart cath congenital","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"93530","description":"Rt heart cath congenital","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-LC113","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"LC113","description":"HIPPS-LC113","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Art byp grft axill-femoral","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"35521","description":"Art byp grft axill-femoral","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Apc gene dup/delet variants","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"81203","description":"Apc gene dup/delet variants","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Replace part denture teeth","billing_code_type":"CDT","billing_code_type_version":"2024","billing_code":"D5640","description":"Replace part denture teeth","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MFMD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OBKE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MDUD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Onc gastro 51 gene nomogram","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0007M","description":"Onc gastro 51 gene nomogram","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Proctosigmoidoscopy w/bx","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"45305","description":"Proctosigmoidoscopy w/bx","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Doc reass appr remo filt 3ms","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G9542","description":"Doc reass appr remo filt 3ms","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Digitization of glass microscope slides for pathology consultation during surgery; each additional tissue block with frozen section(s) (List separately in addition to code for","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0842T","description":"Digitization of glass microscope slides for pathology consultation during surgery; each additional tissue block with frozen section(s) (List separately in addition to code for","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FGKD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GEDA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BEBB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OESC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RVX07","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RVX07","description":"HIPPS-RVX07","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Suction socket","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"L6686","description":"Suction socket","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Parenteral supply kit homemi","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"B4222","description":"Parenteral supply kit homemi","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Family homecare train/sessio","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"S5111","description":"Family homecare train/sessio","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-M1435","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"M1435","description":"HCPCS-M1435","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NGME0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"PDWC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-4CGLW","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"4CGLW","description":"HIPPS-4CGLW","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Implant neuroelectrodes","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"61870","description":"Implant neuroelectrodes","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-CC18B","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"CC18B","description":"HIPPS-CC18B","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RHL44","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RHL44","description":"HIPPS-RHL44","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"EDTD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Injection_ tisotumab vedotin-tftv_ 1 mg","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"J9273","description":"Injection_ tisotumab vedotin-tftv_ 1 mg","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Fuse liver duct & intestine","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"47802","description":"Fuse liver duct & intestine","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MFTE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"ADUE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Oncology_ RNA_ gene expression by whole transcriptome sequencing_ formalin-","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0128U","description":"Oncology_ RNA_ gene expression by whole transcriptome sequencing_ formalin-","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Replace vad intra w/bp","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"33983","description":"Replace vad intra w/bp","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OCSD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"IDCF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HH PDGM","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"1HA11","description":"HH PDGM","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JFKE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Psytx pt&/family 45 minutes","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"90834","description":"Psytx pt&/family 45 minutes","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Foam stability fetal lung","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"83662","description":"Foam stability fetal lung","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Amobarbital 125 mg inj","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"J0300","description":"Amobarbital 125 mg inj","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GBJD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"CPT-0965T","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"0965T","description":"CPT-0965T","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BGHF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NIPF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Injection_ Asparaginase_ Recombinant_ (Rylaze)_ 0.1 Mg","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"J9021","description":"Injection_ Asparaginase_ Recombinant_ (Rylaze)_ 0.1 Mg","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Methotrexate (Jylamvo)_ oral_ 2.5 mg","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"J8611","description":"Methotrexate (Jylamvo)_ oral_ 2.5 mg","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Transperineal laser ablation of benign prostatic hyperplasia_ including imaging guidance; prostate volume greater or equal to 50 mL","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0867T","description":"Transperineal laser ablation of benign prostatic hyperplasia_ including imaging guidance; prostate volume greater or equal to 50 mL","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OFLC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FDLE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Pjp proph ordered low cd4","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G9222","description":"Pjp proph ordered low cd4","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JBPC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JEUC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JDXA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BIKA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OFUE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Motion test w/ft press meas","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"96001","description":"Motion test w/ft press meas","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Implant auditory brain imp","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"S2235","description":"Implant auditory brain imp","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KCMB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"X-ray strenoclavic jt 3/>vws","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"71130","description":"X-ray strenoclavic jt 3/>vws","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Immunoassay tumor other","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"86316","description":"Immunoassay tumor other","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OKDE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Pierce skull for drainage","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"61156","description":"Pierce skull for drainage","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-CE24C","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"CE24C","description":"HIPPS-CE24C","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"ADUC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"PDQB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Wheelchair spec size w/ leg","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"E1222","description":"Wheelchair spec size w/ leg","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Ncntc r-t fluor wnd img ea","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0599T","description":"Ncntc r-t fluor wnd img ea","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-PB156","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"PB156","description":"HIPPS-PB156","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-BA14C","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"BA14C","description":"HIPPS-BA14C","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Gluc monitor rental","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"S1031","description":"Gluc monitor rental","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NACA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GBWE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Aspa gene","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"81200","description":"Aspa gene","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-L1972","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"L1972","description":"HCPCS-L1972","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-Q4401","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"Q4401","description":"HCPCS-Q4401","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RLB10","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RLB10","description":"HIPPS-RLB10","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CEYB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CEBD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"ODLF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Pm device progr eval sngl","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"93279","description":"Pm device progr eval sngl","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Amputation follow-up surgery","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"27594","description":"Amputation follow-up surgery","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Biopsy elbow joint lining","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"24100","description":"Biopsy elbow joint lining","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Hep c therapy started","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G9206","description":"Hep c therapy started","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HH PDGM","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"3EB11","description":"HH PDGM","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Tubing (oxygen) per foot","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"A4616","description":"Tubing (oxygen) per foot","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Spoke protectors","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"K0065","description":"Spoke protectors","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GAIF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Nerve graft add-on","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"64901","description":"Nerve graft add-on","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Photosensitivity tests","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"95056","description":"Photosensitivity tests","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GESB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FENC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"HDSE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-5BFK3","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"5BFK3","description":"HIPPS-5BFK3","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"CPT-00140","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"00140","description":"CPT-00140","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-4CHL4","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"4CHL4","description":"HIPPS-4CHL4","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MBEA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-CA141","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"CA141","description":"HIPPS-CA141","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BGLA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"IFIA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Ligation of neck artery","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"37606","description":"Ligation of neck artery","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Immunoassay tumor ca 19-9","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"86301","description":"Immunoassay tumor ca 19-9","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KBEF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BDEB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Anesth 60 min/> as docd","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"4255F","description":"Anesth 60 min/> as docd","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"IDMF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Office Or Other Outpatient Visit For The Evaluation And Management Of An Established Patient That Requires The Supervision Of A Physician Or Other Qualified Health Care Profes","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G2082","description":"Office Or Other Outpatient Visit For The Evaluation And Management Of An Established Patient That Requires The Supervision Of A Physician Or Other Qualified Health Care Profes","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Autologous adipose-derived regenerative cell (ADRC) therapy for partial thickness rotator cuff tear; adipose tissue harvesting_ isolation and preparation of harvested cells_ i","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0717T","description":"Autologous adipose-derived regenerative cell (ADRC) therapy for partial thickness rotator cuff tear; adipose tissue harvesting_ isolation and preparation of harvested cells_ i","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Treatment of bone cyst","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"20615","description":"Treatment of bone cyst","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Low pecarn ped head trauma","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G9593","description":"Low pecarn ped head trauma","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Partial removal of colon","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"44143","description":"Partial removal of colon","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Repair artery rupture neck","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"35002","description":"Repair artery rupture neck","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GFGD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-1CFN2","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"1CFN2","description":"HIPPS-1CFN2","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-1BHP3","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"1BHP3","description":"HIPPS-1BHP3","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NKPF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MDLA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Palliative care services provided to patient any time during the measurement period","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"M1309","description":"Palliative care services provided to patient any time during the measurement period","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NLCD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GBJD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-ES35B","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"ES35B","description":"HIPPS-ES35B","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Hospice routine home care","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"T2042","description":"Hospice routine home care","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Nephrology Mips Specialty Set","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G4014","description":"Nephrology Mips Specialty Set","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Individual counseling for pre-exposure prophylaxis (prep) by clinical staff to prevent human immunodeficiency virus (hiv)_ includes: hiv risk assessment (initial or continued","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G0013","description":"Individual counseling for pre-exposure prophylaxis (prep) by clinical staff to prevent human immunodeficiency virus (hiv)_ includes: hiv risk assessment (initial or continued","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Heart first pass single","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"78481","description":"Heart first pass single","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GHAE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KBSB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-4CGLU","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"4CGLU","description":"HIPPS-4CGLU","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Cancer stage docd metast","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"3301F","description":"Cancer stage docd metast","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Assistive algorithmic electrocardiogram risk-based assessment for cardiac dysfunction (eg_ low-ejection fraction_ pulmonary hypertension_ hypertrophic cardiomyopathy); related","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0764T","description":"Assistive algorithmic electrocardiogram risk-based assessment for cardiac dysfunction (eg_ low-ejection fraction_ pulmonary hypertension_ hypertrophic cardiomyopathy); related","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"LCRF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Rx cntact lens aphakia 2 eye","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"92316","description":"Rx cntact lens aphakia 2 eye","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-3BGM6","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"3BGM6","description":"HIPPS-3BGM6","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Thromblytic art/ven therapy","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"37213","description":"Thromblytic art/ven therapy","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NBCB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GBCA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-B1603","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"B1603","description":"HCPCS-B1603","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Locm 200-299mg/ml iodine_1ml","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"Q9966","description":"Locm 200-299mg/ml iodine_1ml","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Coccidioides antibody","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"86635","description":"Coccidioides antibody","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Domicil/r-home visit new pat","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"99325","description":"Domicil/r-home visit new pat","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Repair eyelid wound","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"67930","description":"Repair eyelid wound","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"IAIC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Anoscpy inj agent for incont","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0377T","description":"Anoscpy inj agent for incont","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Telehealth consultation_ critical care_ subsequent_ physicians typically spend 50 minutes communicating with the patient and providers via telehealth","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G0509","description":"Telehealth consultation_ critical care_ subsequent_ physicians typically spend 50 minutes communicating with the patient and providers via telehealth","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NLUA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"AAIB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GAMC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Aed garment w elec analysis","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"K0606","description":"Aed garment w elec analysis","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"IGEC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KIBB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JDGA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GHHC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Pre-op asst doc","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G9615","description":"Pre-op asst doc","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OJVC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-AAA55","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"AAA55","description":"HIPPS-AAA55","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OIXA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Guided tiss regen nonresorb","billing_code_type":"CDT","billing_code_type_version":"2024","billing_code":"D4267","description":"Guided tiss regen nonresorb","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Adjust max prost appliance","billing_code_type":"CDT","billing_code_type_version":"2024","billing_code":"D5992","description":"Adjust max prost appliance","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OELC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Pamidronate disodium /30 mg","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"J2430","description":"Pamidronate disodium /30 mg","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FCAB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GFGE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Urinary pouch w/o barrier","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"A5072","description":"Urinary pouch w/o barrier","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Pt rcvng epo thxpy","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"4090F","description":"Pt rcvng epo thxpy","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OAEF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KAJF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Md recertification hha pt","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G0179","description":"Md recertification hha pt","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Repl batt pulse gen sys","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"A4638","description":"Repl batt pulse gen sys","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"ODEA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"HCRD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GDEF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-BA151","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"BA151","description":"HIPPS-BA151","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NCXF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Cranial remolding orthosis","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"S1040","description":"Cranial remolding orthosis","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-1CGK3","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"1CGK3","description":"HIPPS-1CGK3","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Medication Assisted Treatment_ Methadone; Weekly Bundle Including Dispensing And/Or Administration_ Substance Use Counseling_ Individual And Group Therapy_ And Toxicology Test","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G2067","description":"Medication Assisted Treatment_ Methadone; Weekly Bundle Including Dispensing And/Or Administration_ Substance Use Counseling_ Individual And Group Therapy_ And Toxicology Test","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RUC20","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RUC20","description":"HIPPS-RUC20","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Plague vaccine_ for intramuscular use","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"90727","description":"Plague vaccine_ for intramuscular use","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Biopsy abdominal mass","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"49180","description":"Biopsy abdominal mass","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Hit interim cath care","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"S5502","description":"Hit interim cath care","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NCPB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Assay of procainamide","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"80192","description":"Assay of procainamide","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Bx/exc xdrl spine lesn lmbr","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"63277","description":"Bx/exc xdrl spine lesn lmbr","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-CC28X","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"CC28X","description":"HIPPS-CC28X","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Inpatient consultation","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"99253","description":"Inpatient consultation","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-AAA5D","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"AAA5D","description":"HIPPS-AAA5D","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"MRI abdomen w/o dye","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"74181","description":"MRI abdomen w/o dye","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"EEMB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-HC144","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"HC144","description":"HIPPS-HC144","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FEMC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NCLC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Removal of tonsils","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"42826","description":"Removal of tonsils","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Immunization admin","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"90471","description":"Immunization admin","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Diast bp 80-89 mm hg","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"3079F","description":"Diast bp 80-89 mm hg","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KDEB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Lipid profile not perf","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G8728","description":"Lipid profile not perf","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GEAE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Lens spher bifoc plano 4.00d","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"V2200","description":"Lens spher bifoc plano 4.00d","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Extensive vulva surgery","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"56632","description":"Extensive vulva surgery","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"PGSA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Assay of topiramate","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"80201","description":"Assay of topiramate","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KCLA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Sewhfo cap desgn w/jnt(s) cf","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"L3977","description":"Sewhfo cap desgn w/jnt(s) cf","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Knee-shin fluid swg & stance","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"L5728","description":"Knee-shin fluid swg & stance","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GFFC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NJBC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MLTC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BELC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Removal of thyroid","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"60240","description":"Removal of thyroid","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FIKE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CCOB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BBJD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-HC28E","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"HC28E","description":"HIPPS-HC28E","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FAJB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Liver imaging (3d)","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"78205","description":"Liver imaging (3d)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CBOD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OEWA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"CPT-37260","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"37260","description":"CPT-37260","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KAVA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Remove armpit lymph nodes","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"38740","description":"Remove armpit lymph nodes","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OCWC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RMC8H","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RMC8H","description":"HIPPS-RMC8H","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"DGOA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"ADM SARSCOV2 50MCG/0.25MLBST","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0064A","description":"ADM SARSCOV2 50MCG/0.25MLBST","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NGCA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Digoxin immune fab (ovine)","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"J1162","description":"Digoxin immune fab (ovine)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OHDF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-1CHM3","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"1CHM3","description":"HIPPS-1CHM3","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Mccd_phys coor-care ovrsght","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G9008","description":"Mccd_phys coor-care ovrsght","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Gradient  compression arm sleeve_ each","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"A6578","description":"Gradient  compression arm sleeve_ each","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"EALC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SARSCOV2 VACCINE BIVALENT 25 MCG/0.25 ML IM USE","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"91314","description":"SARSCOV2 VACCINE BIVALENT 25 MCG/0.25 ML IM USE","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-J1553","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"J1553","description":"HCPCS-J1553","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Excise excessive skin hip","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"15834","description":"Excise excessive skin hip","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OHGE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"EHCE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NGCD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NICF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"HIRB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FCIC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KDYF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-4AFLX","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"4AFLX","description":"HIPPS-4AFLX","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Diagnosticmammographydigital","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G0206","description":"Diagnosticmammographydigital","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Removal of permanently implantable aortic counterpulsation ventricular assist system; mechano-electrical skin interface","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0457T","description":"Removal of permanently implantable aortic counterpulsation ventricular assist system; mechano-electrical skin interface","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Excision of bile duct tumor","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"47711","description":"Excision of bile duct tumor","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"DHOB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JDVE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"AAAB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Remove spine eltrd plate","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"63662","description":"Remove spine eltrd plate","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-LC13C","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"LC13C","description":"HIPPS-LC13C","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MEBE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NHIC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Replcmnt breast pump shield","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"A4284","description":"Replcmnt breast pump shield","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NJVD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Continuous in-person monitoring and intervention (eg_ psychotherapy_ crisis intervention)_ as needed_ during psychedelic medication therapy; first physician or other qualified","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0820T","description":"Continuous in-person monitoring and intervention (eg_ psychotherapy_ crisis intervention)_ as needed_ during psychedelic medication therapy; first physician or other qualified","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"EDDB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"1 cc sterile syringe&needle","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"A4206","description":"1 cc sterile syringe&needle","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Wound prep addl 100 cm","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"15003","description":"Wound prep addl 100 cm","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KADA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NEIA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CDPF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Repair blood vessel lesion","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"35216","description":"Repair blood vessel lesion","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-BB23B","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"BB23B","description":"HIPPS-BB23B","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"PDYC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RMC01","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RMC01","description":"HIPPS-RMC01","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"EAHC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Injection_ levothyroxine sodium_ not otherwise specified_ 10 mcg","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"J0650","description":"Injection_ levothyroxine sodium_ not otherwise specified_ 10 mcg","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Sterile eye pad","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"A6410","description":"Sterile eye pad","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"CDT-D9247","billing_code_type":"CDT","billing_code_type_version":"2026","billing_code":"D9247","description":"CDT-D9247","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Inpnt stay radiolabeled item","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"C9898","description":"Inpnt stay radiolabeled item","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-3AFLX","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"3AFLX","description":"HIPPS-3AFLX","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Ini phq9 >9 remiss <5","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G9393","description":"Ini phq9 >9 remiss <5","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Eeg awake and drowsy","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"95816","description":"Eeg awake and drowsy","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Ablate pulm tumors extnsn","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0340T","description":"Ablate pulm tumors extnsn","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NIXE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-3CFLV","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"3CFLV","description":"HIPPS-3CFLV","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Fetal aneuploidy (trisomy 21_ 18_ and 13) DNA sequence analysis of selected regions using maternal plasma without fetal fraction cutoff_ algorithm reported as a risk score for","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0168U","description":"Fetal aneuploidy (trisomy 21_ 18_ and 13) DNA sequence analysis of selected regions using maternal plasma without fetal fraction cutoff_ algorithm reported as a risk score for","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Major vessel shunt","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"33750","description":"Major vessel shunt","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"HHYE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GHXB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"DGQB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Auditor evoke potent limit","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"92586","description":"Auditor evoke potent limit","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Interv req for leak","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G9306","description":"Interv req for leak","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Shoulder universal joint","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"L6650","description":"Shoulder universal joint","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Rmvl nstim apnea pls gen","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0428T","description":"Rmvl nstim apnea pls gen","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"CPT-00702","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"00702","description":"CPT-00702","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Gsc >15 & hd ct by ed md","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G9594","description":"Gsc >15 & hd ct by ed md","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OEJF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KAKF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KCGE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CANA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Destruction of skin lesions","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"17260","description":"Destruction of skin lesions","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"AGBB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-1CFLT","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"1CFLT","description":"HIPPS-1CFLT","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JGJE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"AAAB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"LDQC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CCFE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NFPB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NEGD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"PDSB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NCFD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OAVE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Bso omentectomy w/tah","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"58956","description":"Bso omentectomy w/tah","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RHA20","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RHA20","description":"HIPPS-RHA20","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OEDD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"AEDE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"AGBC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Assay of ethosuximide","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"80168","description":"Assay of ethosuximide","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Fluoroguide for vein device","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"77001","description":"Fluoroguide for vein device","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-LC136","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"LC136","description":"HIPPS-LC136","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Injection_ sodium nitrite 3 mg and sodium thiosulfate 125 mg (Nithiodote)","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"J0211","description":"Injection_ sodium nitrite 3 mg and sodium thiosulfate 125 mg (Nithiodote)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Remove mastoid air cells","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"69670","description":"Remove mastoid air cells","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Toc tool incl elem not used","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G9658","description":"Toc tool incl elem not used","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CETB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Non-heu tc-99m add-on/dose","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"Q9969","description":"Non-heu tc-99m add-on/dose","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Injection_ cimetidine hydroc","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"S0023","description":"Injection_ cimetidine hydroc","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NCAF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CGSF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"LHSA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"ECTB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Repair bladder/vagina lesion","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"51900","description":"Repair bladder/vagina lesion","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"PLWE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Peak expiratory flow rate (p","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"S8110","description":"Peak expiratory flow rate (p","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NBTF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JIAE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OAIF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HH PDGM","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"3LC11","description":"HH PDGM","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RMA30","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RMA30","description":"HIPPS-RMA30","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KEBF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RUX8G","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RUX8G","description":"HIPPS-RUX8G","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JCLF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Plt_ pher_ l/r cmv-neg_ irr","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"P9053","description":"Plt_ pher_ l/r cmv-neg_ irr","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"CPT-37270","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"37270","description":"CPT-37270","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Oral function therapy","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"92526","description":"Oral function therapy","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OLVA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Treat hip dislocation","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"27254","description":"Treat hip dislocation","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GCOE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Glaucoma surgery","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"66160","description":"Glaucoma surgery","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MDUF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OIVF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BAXE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-CA11A","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"CA11A","description":"HIPPS-CA11A","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"MRI w/cont_ breast_  bi","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"C8906","description":"MRI w/cont_ breast_  bi","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KFXF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Trim nail(s)","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G0127","description":"Trim nail(s)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"AHHC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Implant spine infusion pump","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"62362","description":"Implant spine infusion pump","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"AFMF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Hysteroscopy dx sep proc","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"58555","description":"Hysteroscopy dx sep proc","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"LFSB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JICB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GFUA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NCXB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-1CFMW","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"1CFMW","description":"HIPPS-1CFMW","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RHA42","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RHA42","description":"HIPPS-RHA42","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MKTA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"IDUD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RMB4A","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RMB4A","description":"HIPPS-RMB4A","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"CPT-0538U","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"0538U","description":"CPT-0538U","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"CPT-0662U","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"0662U","description":"CPT-0662U","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"CPT-00870","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"00870","description":"CPT-00870","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NHVD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Pulp cap indirect","billing_code_type":"CDT","billing_code_type_version":"2024","billing_code":"D3120","description":"Pulp cap indirect","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NHVD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BIIC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BCKD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OGTB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GIQB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RUL22","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RUL22","description":"HIPPS-RUL22","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-BB215","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"BB215","description":"HIPPS-BB215","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Laryngoscopy_ flexible; with therapeutic injection(s) (eg_ chemodenervation agent or corticosteroid_ injected percutaneous_ transoral_ or via endoscope channel)_ unilateral","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"31573","description":"Laryngoscopy_ flexible; with therapeutic injection(s) (eg_ chemodenervation agent or corticosteroid_ injected percutaneous_ transoral_ or via endoscope channel)_ unilateral","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KEYA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"EDUD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NCAA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CFVC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"PEQB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MDMB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NDMF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OINA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Removal of omentum","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"49255","description":"Removal of omentum","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GDJC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-PD10C","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"PD10C","description":"HIPPS-PD10C","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JEFA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Repair umbilical lesion","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"49600","description":"Repair umbilical lesion","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GEFB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Bx breast 1st lesion us imag","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"19083","description":"Bx breast 1st lesion us imag","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JAPB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"PAWB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OHFA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Leuprolide acetate suspnsion","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"J9217","description":"Leuprolide acetate suspnsion","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GDUE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OAUA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-BB260","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"BB260","description":"HIPPS-BB260","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Trach supply noc","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"S8189","description":"Trach supply noc","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Amnioexcel or biodexcel_ 1cm","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"Q4137","description":"Amnioexcel or biodexcel_ 1cm","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FIJD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OIPE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BGPD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"EBHD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Assay of thiocyanate","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"84430","description":"Assay of thiocyanate","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"CPT-37259","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"37259","description":"CPT-37259","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BHGE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"CDT-D1804","billing_code_type":"CDT","billing_code_type_version":"2026","billing_code":"D1804","description":"CDT-D1804","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OLCD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"PHWE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NABD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"CDT-D9244","billing_code_type":"CDT","billing_code_type_version":"2026","billing_code":"D9244","description":"CDT-D9244","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Hand restoration multiple fi","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"L6905","description":"Hand restoration multiple fi","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Patient recorded spirometry","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"94015","description":"Patient recorded spirometry","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BBJF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OLHB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"AACF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-C9306","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"C9306","description":"HCPCS-C9306","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Coagulation time lee & white","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"85345","description":"Coagulation time lee & white","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GECB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Oral hiv-1/hiv-2 screen","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G0435","description":"Oral hiv-1/hiv-2 screen","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Administration of caregiver-focused health risk assessment instrument (eg_ depression inventory) for the benefit of the patient_ with scoring and documentation_ per standardiz","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"96161","description":"Administration of caregiver-focused health risk assessment instrument (eg_ depression inventory) for the benefit of the patient_ with scoring and documentation_ per standardiz","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NFGE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Traumatic brain injury with Motor <22.05._comorbidity in tier 1","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"B0207","description":"Traumatic brain injury with Motor <22.05._comorbidity in tier 1","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KHXB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Abltj Perc Cryoabltj Img Gdn Lxtr/Perph Nerve","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0441T","description":"Abltj Perc Cryoabltj Img Gdn Lxtr/Perph Nerve","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Strapping of hip","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"29520","description":"Strapping of hip","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GHRC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Budesonide comp unit","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"J7627","description":"Budesonide comp unit","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FBLF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Partial removal of radius","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"24145","description":"Partial removal of radius","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NFTC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MFUB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"AADE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RML2C","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RML2C","description":"HIPPS-RML2C","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"LBQA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Indwelling intraurethral drainage device with valve_ patient inserted_ replacement only_ each","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"K1010","description":"Indwelling intraurethral drainage device with valve_ patient inserted_ replacement only_ each","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GCHF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Interscap-thor myoelectronic","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"L6975","description":"Interscap-thor myoelectronic","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-LD120","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"LD120","description":"HIPPS-LD120","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-3BGN5","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"3BGN5","description":"HIPPS-3BGN5","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"CPT-01464","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"01464","description":"CPT-01464","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JAVA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Suprv interfac trnsport addl","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"99486","description":"Suprv interfac trnsport addl","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Nfct agent detection gi","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"87505","description":"Nfct agent detection gi","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-CA24B","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"CA24B","description":"HIPPS-CA24B","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"EECB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"AECB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Fetal aneuploidy trisom risk","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"81507","description":"Fetal aneuploidy trisom risk","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"DBRB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Anesthesia for reconstructive procedures of eyelid (eg_ blepharoplasty_ pto","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0114U","description":"Anesthesia for reconstructive procedures of eyelid (eg_ blepharoplasty_ pto","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KABC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GEPB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Internal eye photography","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"92286","description":"Internal eye photography","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BHCA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FFDD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Prepare embryo for transfer","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"89255","description":"Prepare embryo for transfer","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-LC124","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"LC124","description":"HIPPS-LC124","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CBQF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Extensive vulva surgery","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"56637","description":"Extensive vulva surgery","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-LC12B","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"LC12B","description":"HIPPS-LC12B","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MIBF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FFEE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CDHD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Suction lipectomy upr extrem","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"15878","description":"Suction lipectomy upr extrem","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CFDD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-3AGK1","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"3AGK1","description":"HIPPS-3AGK1","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NBEB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-B1303","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"B1303","description":"HCPCS-B1303","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OBYE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Gi protein loss exam","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"78282","description":"Gi protein loss exam","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"EBCF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KFXC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CDFC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"One way chest drain valve","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"A7040","description":"One way chest drain valve","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CADF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-PE18X","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"PE18X","description":"HIPPS-PE18X","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"O2 saturation >88%/pao>55 hg","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"3037F","description":"O2 saturation >88%/pao>55 hg","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Fuse bile ducts and bowel","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"47785","description":"Fuse bile ducts and bowel","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Influenza virus vaccine_ quadrivalent (qIRV)_ mRNA; 60 mcg/0.5 mL dosage_ for intramuscular use","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"90638","description":"Influenza virus vaccine_ quadrivalent (qIRV)_ mRNA; 60 mcg/0.5 mL dosage_ for intramuscular use","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Repair eardrum structures","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"69631","description":"Repair eardrum structures","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OLNF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Injection_ paclitaxel protein-bound particles (american regent) not therapeutically equivalent to j9264_ 1 mg","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"J9259","description":"Injection_ paclitaxel protein-bound particles (american regent) not therapeutically equivalent to j9264_ 1 mg","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"LAOD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Anoscopy remove for body","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"46608","description":"Anoscopy remove for body","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-B2005","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"B2005","description":"HCPCS-B2005","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GDJE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Cmplx rpr trunk 2.6-7.5 cm","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"13101","description":"Cmplx rpr trunk 2.6-7.5 cm","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Correction of bunion","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"28297","description":"Correction of bunion","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Insert spine infusion device","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"62360","description":"Insert spine infusion device","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-1BHMT","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"1BHMT","description":"HIPPS-1BHMT","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Injection_ velmanase alfa-tycv_ 1 mg","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"J0217","description":"Injection_ velmanase alfa-tycv_ 1 mg","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Penicillin g potassium inj","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"J2540","description":"Penicillin g potassium inj","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Repair of uterus","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"59350","description":"Repair of uterus","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Mra w/o cont_ lwr ext","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"C8913","description":"Mra w/o cont_ lwr ext","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Incision of metatarsals","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"28309","description":"Incision of metatarsals","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Recement inlay onlay or part","billing_code_type":"CDT","billing_code_type_version":"2024","billing_code":"D2910","description":"Recement inlay onlay or part","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BEPD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OETB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-CE116","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"CE116","description":"HIPPS-CE116","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Injection_ vutrisiran_ 1 mg","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"J0225","description":"Injection_ vutrisiran_ 1 mg","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Partial removal of tongue","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"41130","description":"Partial removal of tongue","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BFVD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-M1413","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"M1413","description":"HCPCS-M1413","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FHFF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FEHF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RLB12","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RLB12","description":"HIPPS-RLB12","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Procenta_ per 200 mg","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"Q4244","description":"Procenta_ per 200 mg","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-J2361","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"J2361","description":"HCPCS-J2361","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GEUF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CAQA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BGDE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Granisetron 1mg","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"S0091","description":"Granisetron 1mg","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"PEWA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Ergonovine maleate injection","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"J1330","description":"Ergonovine maleate injection","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Pwc gp 3 xhd seat/back","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"K0854","description":"Pwc gp 3 xhd seat/back","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-C9301","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"C9301","description":"HCPCS-C9301","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BBVC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"ABAE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Removal of foot joint lining","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"28070","description":"Removal of foot joint lining","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Repair of circumcision","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"54163","description":"Repair of circumcision","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NGLE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"ADAE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Hemodialysis via catheter","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"4054F","description":"Hemodialysis via catheter","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"The MDPP b eneficiary achieved at least 9% weight loss (WL) from his/he r baseline weight in months 1-24 under the MDPP Expanded Model (EM). This is a one-time payment","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G9881","description":"The MDPP b eneficiary achieved at least 9% weight loss (WL) from his/he r baseline weight in months 1-24 under the MDPP Expanded Model (EM). This is a one-time payment","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KCRA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CILF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FGEC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-CA214","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"CA214","description":"HIPPS-CA214","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GIAE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-1AHN4","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"1AHN4","description":"HIPPS-1AHN4","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Acylcarnitines quant","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"82017","description":"Acylcarnitines quant","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CEMD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RML12","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RML12","description":"HIPPS-RML12","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Repair shoulder capsule","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"23462","description":"Repair shoulder capsule","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KAEB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Iiv vacc pandemic adjuvt im","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"90667","description":"Iiv vacc pandemic adjuvt im","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"DCOE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NGFB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Esophagus endoscopy/ligation","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"43205","description":"Esophagus endoscopy/ligation","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NCME1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FFID0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-Q4438","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"Q4438","description":"HCPCS-Q4438","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JCAF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NAEC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JAPF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"X-ray urethra/bladder","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"74455","description":"X-ray urethra/bladder","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"PESD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OBUD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"CPT-01935","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"01935","description":"CPT-01935","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BHUB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Resect radius tumor","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"24152","description":"Resect radius tumor","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BDJB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OIXB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FIFA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Exploration of toe joint","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"28024","description":"Exploration of toe joint","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"PKQB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"No trnsfr from anesth to cc","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0582F","description":"No trnsfr from anesth to cc","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NCKC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RUX01","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RUX01","description":"HIPPS-RUX01","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CFFE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Lanreotide injection","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"J1930","description":"Lanreotide injection","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RLA31","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RLA31","description":"HIPPS-RLA31","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Treatment planning for magnetic field induction ablation of malignant prostate tissue_ using data from previously performed magnetic resonance imaging (MRI) examination","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0738T","description":"Treatment planning for magnetic field induction ablation of malignant prostate tissue_ using data from previously performed magnetic resonance imaging (MRI) examination","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Revise ureter","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"50727","description":"Revise ureter","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Fusion of tendons at wrist","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"25300","description":"Fusion of tendons at wrist","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"ADMD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BAXE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Injection_ immune globulin (asceniv)_ 500 mg","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"C9072","description":"Injection_ immune globulin (asceniv)_ 500 mg","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Chemotx admn prtl cavity","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"96446","description":"Chemotx admn prtl cavity","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"alloPLY_ per sq cm","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"Q4323","description":"alloPLY_ per sq cm","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BHTB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NKCA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Pneumatic appliance half arm","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"E0655","description":"Pneumatic appliance half arm","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MEMC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RVA42","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RVA42","description":"HIPPS-RVA42","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Biovance tri-layer or biovance 3l_ per square centimeter","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"Q4283","description":"Biovance tri-layer or biovance 3l_ per square centimeter","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GHHD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Reconstruction tongue fold","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"41520","description":"Reconstruction tongue fold","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"AHTF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Hypothermia ill neonate","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"99184","description":"Hypothermia ill neonate","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KIND1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-1AFNX","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"1AFNX","description":"HIPPS-1AFNX","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"IBDD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-CA250","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"CA250","description":"HIPPS-CA250","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-2AFLX","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"2AFLX","description":"HIPPS-2AFLX","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BHCE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KCIB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Complex rehabilitative power wheelchair accessory_ power seat elevation system_ any type","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"E2298","description":"Complex rehabilitative power wheelchair accessory_ power seat elevation system_ any type","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JEUF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GICA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"N-et; stretcher van","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"T2005","description":"N-et; stretcher van","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OHDC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RVL8I","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RVL8I","description":"HIPPS-RVL8I","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Patient receiving an anti-TNF agent","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G9914","description":"Patient receiving an anti-TNF agent","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Inj w/fluor eval cv device","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"36598","description":"Inj w/fluor eval cv device","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OEOE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"DDWF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OLPD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Onsite Ac Tx Nsg Fac Res Fl/Elct Do/Deh Bill Sid","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G9683","description":"Onsite Ac Tx Nsg Fac Res Fl/Elct Do/Deh Bill Sid","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CHRE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-M1437","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"M1437","description":"HCPCS-M1437","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-G0562","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"G0562","description":"HCPCS-G0562","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OAMD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Art byp aortobi-iliac","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"35638","description":"Art byp aortobi-iliac","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GEDB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Inj testostero enanthate 1mg","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"J3121","description":"Inj testostero enanthate 1mg","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KIKE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Urinary cath anchor device","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"A4333","description":"Urinary cath anchor device","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KHKF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Hep c screen high risk/other","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G0472","description":"Hep c screen high risk/other","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"DARC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-M1414","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"M1414","description":"HCPCS-M1414","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KBAD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"AHUD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KDQB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"CSTB (cystatin B) (eg_ Unverricht-Lundborg disease) gene analysis; evaluation to detect abnormal (eg_ expanded) alleles","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"81188","description":"CSTB (cystatin B) (eg_ Unverricht-Lundborg disease) gene analysis; evaluation to detect abnormal (eg_ expanded) alleles","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Treat shoulder blade fx","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"23575","description":"Treat shoulder blade fx","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Gen use back cush wdth <22in","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"E2611","description":"Gen use back cush wdth <22in","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OJTB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"HDOE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Wrist arthroscopy/surgery","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"29844","description":"Wrist arthroscopy/surgery","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-PB134","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"PB134","description":"HIPPS-PB134","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RUC56","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RUC56","description":"HIPPS-RUC56","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OBTF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BCKC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HH PDGM","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"3DA31","description":"HH PDGM","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Pt inelig bmi calculation","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G8422","description":"Pt inelig bmi calculation","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FDCB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Magnetic resonance imaging without contrast_ breast; unilateral","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"C8904","description":"Magnetic resonance imaging without contrast_ breast; unilateral","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"DDRF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Drainage of mouth lesion","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"41006","description":"Drainage of mouth lesion","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-5BGK1","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"5BGK1","description":"HIPPS-5BGK1","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JFIC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-2AGLU","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"2AGLU","description":"HIPPS-2AGLU","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Penis study","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"54250","description":"Penis study","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OHOD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Injection into hemorrhoid(s)","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"46500","description":"Injection into hemorrhoid(s)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Fecal blood scrn immunoassay","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G0328","description":"Fecal blood scrn immunoassay","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Plas shoe insert w ank joint","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"L2180","description":"Plas shoe insert w ank joint","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-B0303","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"B0303","description":"HCPCS-B0303","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GBUF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OLPB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-PC15B","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"PC15B","description":"HIPPS-PC15B","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-ES20C","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"ES20C","description":"HIPPS-ES20C","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-2BFM4","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"2BFM4","description":"HIPPS-2BFM4","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KDYD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KIMA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MJIC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KFSE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BAGE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"PGOE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GBRA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Paramed intrcept nonvol","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"S0208","description":"Paramed intrcept nonvol","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"CPT-01991","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"01991","description":"CPT-01991","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OBOD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Exc face-mm b9+marg 1.1-2 cm","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"11442","description":"Exc face-mm b9+marg 1.1-2 cm","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JDUF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Assay of folic acid serum","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"82746","description":"Assay of folic acid serum","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-5BHKV","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"5BHKV","description":"HIPPS-5BHKV","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RVL42","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RVL42","description":"HIPPS-RVL42","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OLGD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"DFSD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Fibrinolytic plasmin","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"85400","description":"Fibrinolytic plasmin","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Idursulfase injection","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"J1743","description":"Idursulfase injection","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Oral antiplatelet therapy rx","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"4011F","description":"Oral antiplatelet therapy rx","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CAOD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-A9154","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"A9154","description":"HCPCS-A9154","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Revise eyelid defect","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"67911","description":"Revise eyelid defect","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Patients who had documentation of use of anticoagulant medications overlapping the measurement year","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G9724","description":"Patients who had documentation of use of anticoagulant medications overlapping the measurement year","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GIXC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BADD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BBGE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Tlso rigid plastic pre one","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"L0490","description":"Tlso rigid plastic pre one","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"X-ray for pancreas endoscopy","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"74329","description":"X-ray for pancreas endoscopy","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MEDF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OAKD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JBVB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Overdenture partial max","billing_code_type":"CDT","billing_code_type_version":"2024","billing_code":"D5864","description":"Overdenture partial max","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"IAAD IA ASPERGILLUS","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"87305","description":"IAAD IA ASPERGILLUS","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-PE206","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"PE206","description":"HIPPS-PE206","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JBXA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OAUC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"AIAA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Insert subq exten to ip cath","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"49435","description":"Insert subq exten to ip cath","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JEMD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Birthing class","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"S9442","description":"Birthing class","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-BB211","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"BB211","description":"HIPPS-BB211","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RLA0A","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RLA0A","description":"HIPPS-RLA0A","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Oncology/Hematology Mips Specialty Set","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G4019","description":"Oncology/Hematology Mips Specialty Set","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GGXA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Artery x-rays pelvis","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"75736","description":"Artery x-rays pelvis","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NGKA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Remote in-home visit for the e&m of an estab patient for use only in the Medicare-approved Comprehensive Care for Joint Replacement model_ which requires 2 of 3 key components","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G9486","description":"Remote in-home visit for the e&m of an estab patient for use only in the Medicare-approved Comprehensive Care for Joint Replacement model_ which requires 2 of 3 key components","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GBYD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"MRI lumbar spine w/o dye","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"72148","description":"MRI lumbar spine w/o dye","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Imuglucerase injection","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"J1786","description":"Imuglucerase injection","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"IFHF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BIED0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"EEEE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Skin test candida","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"86485","description":"Skin test candida","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"X-ray of mammary ducts","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"77054","description":"X-ray of mammary ducts","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"ODJD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Care management services for behavioral health conditions_ at least 20 minutes of clinical psychologist or clinical social worker time_ per calendar month. (these services inc","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G0323","description":"Care management services for behavioral health conditions_ at least 20 minutes of clinical psychologist or clinical social worker time_ per calendar month. (these services inc","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-4BHLX","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"4BHLX","description":"HIPPS-4BHLX","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BHEA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-PA28X","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"PA28X","description":"HIPPS-PA28X","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Patient identified as an unhealthy alcohol user received brief counseling","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G2200","description":"Patient identified as an unhealthy alcohol user received brief counseling","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Egd lesion ablation","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"43270","description":"Egd lesion ablation","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"CPT-01320","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"01320","description":"CPT-01320","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Perphenazine 4mg oral","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"Q0175","description":"Perphenazine 4mg oral","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MKMB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Prescription drug monitoring_ evaluation of drugs present by LC-MS/MS_ urine_ 31 drug panel_ reported as quantitative results_ detected or not detected_ per date of service","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0051U","description":"Prescription drug monitoring_ evaluation of drugs present by LC-MS/MS_ urine_ 31 drug panel_ reported as quantitative results_ detected or not detected_ per date of service","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GEEE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GAWD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OLUF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OHTE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Kerecis Omega3_ per sq cm","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"Q4158","description":"Kerecis Omega3_ per sq cm","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-B1002","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"B1002","description":"HCPCS-B1002","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Repair tear ducts","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"68700","description":"Repair tear ducts","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OGUB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NLMB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Demo-smoking cessation coun","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G9016","description":"Demo-smoking cessation coun","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JFGC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Denture interm cmplt mandbl","billing_code_type":"CDT","billing_code_type_version":"2024","billing_code":"D5811","description":"Denture interm cmplt mandbl","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Psychiatry (Mood Disorders)_ Mrna_ Gene Expression Profiling By Rna Sequencing Of 144 Genes_ Whole Blood_ Algorithm Reported As Predictive Risk Score","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0291U","description":"Psychiatry (Mood Disorders)_ Mrna_ Gene Expression Profiling By Rna Sequencing Of 144 Genes_ Whole Blood_ Algorithm Reported As Predictive Risk Score","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Head control interface mech","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"E2327","description":"Head control interface mech","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-1CGKW","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"1CGKW","description":"HIPPS-1CGKW","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NBCD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"PHOC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"IAEF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JGTF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Patients on active status on any kidney or kidney-pancreas transplant waitlist as of the last day of each month during the measurement period","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"M1268","description":"Patients on active status on any kidney or kidney-pancreas transplant waitlist as of the last day of each month during the measurement period","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Arthrodesis_ pre-sacral interbody technique_ disc space preparation_ discectomy_ without instrumentation_ with image guidance_ includes bone graft when performed; L5-S1 inters","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0195T","description":"Arthrodesis_ pre-sacral interbody technique_ disc space preparation_ discectomy_ without instrumentation_ with image guidance_ includes bone graft when performed; L5-S1 inters","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Powered pressure reducing underlay/pad_ alternating_ with pump_ inc heavy duty","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"E0183","description":"Powered pressure reducing underlay/pad_ alternating_ with pump_ inc heavy duty","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JILA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Integra drt","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"Q4105","description":"Integra drt","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Cilastatin sodium injection","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"J0743","description":"Cilastatin sodium injection","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Treat fracture of radius","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"25515","description":"Treat fracture of radius","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CGOB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-LB260","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"LB260","description":"HIPPS-LB260","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Neuropsychi sympt 1+present","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"1182F","description":"Neuropsychi sympt 1+present","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-1AHM5","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"1AHM5","description":"HIPPS-1AHM5","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Dental onlay porc 3/more sur","billing_code_type":"CDT","billing_code_type_version":"2024","billing_code":"D2630","description":"Dental onlay porc 3/more sur","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Lvef >/=40% systolic","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"3022F","description":"Lvef >/=40% systolic","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-L5992","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"L5992","description":"HCPCS-L5992","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Psych hlth fac svc_ per diem","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"H2013","description":"Psych hlth fac svc_ per diem","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GAND1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NLDB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MLTF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HH PDGM","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"4GC21","description":"HH PDGM","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NJMA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NCJB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FDUB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GHQD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"CPT-1026T","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"1026T","description":"CPT-1026T","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-LC201","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"LC201","description":"HIPPS-LC201","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HH PDGM","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"2DA31","description":"HH PDGM","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"DISB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CBJC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"EFHD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-3AHKT","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"3AHKT","description":"HIPPS-3AHKT","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"FMRI brain by tech","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"70554","description":"FMRI brain by tech","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Composite byp grft pros&vein","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"35681","description":"Composite byp grft pros&vein","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Injection glatiramer acetate","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"J1595","description":"Injection glatiramer acetate","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"CPT-00848","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"00848","description":"CPT-00848","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"CDT-D6193","billing_code_type":"CDT","billing_code_type_version":"2026","billing_code":"D6193","description":"CDT-D6193","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Asympt carot/vrtbrbas sten","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"9005F","description":"Asympt carot/vrtbrbas sten","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NFAE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"DHOF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NLHE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Computed Tomography_ Breast_ Including 3D Rendering_ When Performed_ Unilateral; Without Contrast Material","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0633T","description":"Computed Tomography_ Breast_ Including 3D Rendering_ When Performed_ Unilateral; Without Contrast Material","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Group adaptive behavior treatment with protocol modification_ administered by physician or other qualified health care professional_ face-to-face with multiple patients_ each","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"97158","description":"Group adaptive behavior treatment with protocol modification_ administered by physician or other qualified health care professional_ face-to-face with multiple patients_ each","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OJSD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"IEHC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"EATE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NJED0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"ECUD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Dilated macular exam was not performed_ reason not otherwise specified","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G9893","description":"Dilated macular exam was not performed_ reason not otherwise specified","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KDYD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HH PDGM","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"3CC31","description":"HH PDGM","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"EEUD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"PKSA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Urinary plastic pouch w/o fp","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"A4381","description":"Urinary plastic pouch w/o fp","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"AIDE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Position back cush wd>=22in","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"E2614","description":"Position back cush wd>=22in","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Assay of ck (cpk)","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"82550","description":"Assay of ck (cpk)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Init ak ischal plstr direct","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"L5505","description":"Init ak ischal plstr direct","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FFLA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CGGE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OHPD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OGRD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"O shoe add instep extension","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"L3570","description":"O shoe add instep extension","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RUL46","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RUL46","description":"HIPPS-RUL46","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Alprostadil urethral suppos","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"J0275","description":"Alprostadil urethral suppos","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Reconstruct cleft palate","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"42200","description":"Reconstruct cleft palate","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"DHQC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KHHB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"EEEB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Ef spec metabolic noninherit","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"B4154","description":"Ef spec metabolic noninherit","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"CDT-D1102","billing_code_type":"CDT","billing_code_type_version":"2026","billing_code":"D1102","description":"CDT-D1102","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MAAC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RMX5A","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RMX5A","description":"HIPPS-RMX5A","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Endovasc prosth delayed","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"33886","description":"Endovasc prosth delayed","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-M1372","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"M1372","description":"HCPCS-M1372","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NKFF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Blood_ l/r_ cmv-neg","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"P9051","description":"Blood_ l/r_ cmv-neg","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KCWA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Hosp bed var ht w/o rail w/o","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"E0292","description":"Hosp bed var ht w/o rail w/o","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GASC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Liver allotransplantation; heterotopic_ partial or whole_ from cadaver or living donor_ any age","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"47136","description":"Liver allotransplantation; heterotopic_ partial or whole_ from cadaver or living donor_ any age","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"ICUB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"LBRF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Enterectomy cadaver donor","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"44132","description":"Enterectomy cadaver donor","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-C8001","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"C8001","description":"HCPCS-C8001","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OCEA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OCAA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-4BFL6","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"4BFL6","description":"HIPPS-4BFL6","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-PC22B","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"PC22B","description":"HIPPS-PC22B","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Prednisolone oral per 5 mg","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"J7510","description":"Prednisolone oral per 5 mg","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OAWB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FGBD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"CPT-0670U","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"0670U","description":"CPT-0670U","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BEFF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Removable prosthodontic proc","billing_code_type":"CDT","billing_code_type_version":"2024","billing_code":"D5899","description":"Removable prosthodontic proc","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NGAA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Generator_ neurostimulator (implantable)_ non-rechargeable_ with transvenous sensing and stimulation leads","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"C1823","description":"Generator_ neurostimulator (implantable)_ non-rechargeable_ with transvenous sensing and stimulation leads","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Hydrocolld drg >16<=48 w/o b","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"A6235","description":"Hydrocolld drg >16<=48 w/o b","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Pt rec ace/arb","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G8506","description":"Pt rec ace/arb","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OJXF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Assist oocyte fertilization","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"89280","description":"Assist oocyte fertilization","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Hosp bed semi-electr w/o mat","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"E0261","description":"Hosp bed semi-electr w/o mat","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CDPA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MFLC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CGJD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"X-ray exam of heel","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"73650","description":"X-ray exam of heel","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CFDC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GAEC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KGIE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NDJC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CBJF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Ostomy supply misc","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"A4421","description":"Ostomy supply misc","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-LE250","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"LE250","description":"HIPPS-LE250","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-3BFM1","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"3BFM1","description":"HIPPS-3BFM1","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Drug-Induced Sleep Endoscopy_ With Dynamic Evaluation Of Velum_ Pharynx_ Tongue Base_ And Larynx For Evaluation Of Sleep-Disordered Breathing_ Flexible_ Diagnostic","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"42975","description":"Drug-Induced Sleep Endoscopy_ With Dynamic Evaluation Of Velum_ Pharynx_ Tongue Base_ And Larynx For Evaluation Of Sleep-Disordered Breathing_ Flexible_ Diagnostic","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Limited (30 minutes) in-home visit for a new patient post-discharge. For use only in a Medicare-approved CMMI model. (Services must be furnished within a beneficiary’s home_ d","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G2002","description":"Limited (30 minutes) in-home visit for a new patient post-discharge. For use only in a Medicare-approved CMMI model. (Services must be furnished within a beneficiary’s home_ d","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Other pt/ot goal status","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G8991","description":"Other pt/ot goal status","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Dermabind sl_ per square centimeter","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"Q4284","description":"Dermabind sl_ per square centimeter","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BDHB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"HAOC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-CB136","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"CB136","description":"HIPPS-CB136","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-1CGKU","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"1CGKU","description":"HIPPS-1CGKU","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Hyaluronan (sodium hyaluronate) or derivative_ durolane_ intra-articular injection_ 1 mg","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"J7318","description":"Hyaluronan (sodium hyaluronate) or derivative_ durolane_ intra-articular injection_ 1 mg","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FBGF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-AAA35","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"AAA35","description":"HIPPS-AAA35","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JDFA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"CPT-0562U","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"0562U","description":"CPT-0562U","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Excision pericoronal gingiva","billing_code_type":"CDT","billing_code_type_version":"2024","billing_code":"D7971","description":"Excision pericoronal gingiva","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RVA8A","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RVA8A","description":"HIPPS-RVA8A","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-CC224","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"CC224","description":"HIPPS-CC224","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FIHF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OKGE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Prevocational services","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"W6107","description":"Prevocational services","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"AHIE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"At least two orders for the same high-risk medications not ordered","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G9638","description":"At least two orders for the same high-risk medications not ordered","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MLAC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OADB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Ost pch clsd w/o bar w filtr","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"A4418","description":"Ost pch clsd w/o bar w filtr","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-CC235","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"CC235","description":"HIPPS-CC235","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JITD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Single pivot hinge pair","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"L6605","description":"Single pivot hinge pair","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"AAUF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Insert prost urethral stent","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"53855","description":"Insert prost urethral stent","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KCFD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Repair lip","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"40650","description":"Repair lip","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"HHRF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Rem oct rta techl sprt min 8","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0605T","description":"Rem oct rta techl sprt min 8","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Revise radius & ulna","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"25375","description":"Revise radius & ulna","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Inj_ bupivacaine liposome","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"C9290","description":"Inj_ bupivacaine liposome","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KFDD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GCAE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Repair defect of artery","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"35131","description":"Repair defect of artery","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NJGD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CCIB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Multi-durometer below knee","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"L5665","description":"Multi-durometer below knee","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Drug screen non tlc devices","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"80300","description":"Drug screen non tlc devices","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Biopsy of cornea","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"65410","description":"Biopsy of cornea","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"App topical fluoride varnish","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"99188","description":"App topical fluoride varnish","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"IHTF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-B0804","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"B0804","description":"HCPCS-B0804","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GIDF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BBND1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-3AHLW","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"3AHLW","description":"HIPPS-3AHLW","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"In-home respite care_ 4-hour unit_ for use in CMMI model","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G0529","description":"In-home respite care_ 4-hour unit_ for use in CMMI model","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Assay carbamazepine free","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"80157","description":"Assay carbamazepine free","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Patients who did not have a reduction in suicidal ideation and/or behavior upon follow-up assessment within 120 days of index assessment","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"M1358","description":"Patients who did not have a reduction in suicidal ideation and/or behavior upon follow-up assessment within 120 days of index assessment","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Laparoscopy salpingostomy","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"58673","description":"Laparoscopy salpingostomy","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CBUF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FCEA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Replace tunneled cv cath","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"36578","description":"Replace tunneled cv cath","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"AAMC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Ceftazidime and avibactam","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"J0714","description":"Ceftazidime and avibactam","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Bridge porcelain base metal","billing_code_type":"CDT","billing_code_type_version":"2024","billing_code":"D6241","description":"Bridge porcelain base metal","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Documentation of CHA2DS2-VASc risk score of 0 or 1","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G9931","description":"Documentation of CHA2DS2-VASc risk score of 0 or 1","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Inject/aspirate liver cyst","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"47015","description":"Inject/aspirate liver cyst","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"CDT-D6180","billing_code_type":"CDT","billing_code_type_version":"2026","billing_code":"D6180","description":"CDT-D6180","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Chromosome count additional","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"88285","description":"Chromosome count additional","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NHJE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JEAA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Ibd mg qual act perform","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G8758","description":"Ibd mg qual act perform","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-LB13B","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"LB13B","description":"HIPPS-LB13B","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"HFRA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Insert 2 electrode pm-defib","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"33217","description":"Insert 2 electrode pm-defib","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Harvest eye tissue alograft","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"68371","description":"Harvest eye tissue alograft","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Replace vad intra w/o bp","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"33982","description":"Replace vad intra w/o bp","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JDKC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"CPT-16372","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"16372","description":"CPT-16372","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Screening pap smear by phys","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"P3001","description":"Screening pap smear by phys","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Revision of kidney/ureter","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"50400","description":"Revision of kidney/ureter","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Construct thumb replacement","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"26550","description":"Construct thumb replacement","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Drug test presump not opt","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G0479","description":"Drug test presump not opt","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Partial removal donor liver","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"47141","description":"Partial removal donor liver","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Sleeve pneumonectomy","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"32442","description":"Sleeve pneumonectomy","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Plastic mold recipro hip & c","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"L2627","description":"Plastic mold recipro hip & c","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MLMC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GFRC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BGGB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-CA24A","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"CA24A","description":"HIPPS-CA24A","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KFMC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"AHID1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MJUD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Assay of osteocalcin","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"83937","description":"Assay of osteocalcin","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Incision of lymph channels","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"38308","description":"Incision of lymph channels","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CCUD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OIVC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-4CHM2","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"4CHM2","description":"HIPPS-4CHM2","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-M1421","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"M1421","description":"HCPCS-M1421","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Work hardening","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"97545","description":"Work hardening","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RLB5A","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RLB5A","description":"HIPPS-RLB5A","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-G0537","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"G0537","description":"HCPCS-G0537","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Image test ref carot diam","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"3100F","description":"Image test ref carot diam","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-HD28B","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"HD28B","description":"HIPPS-HD28B","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-1AFL4","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"1AFL4","description":"HIPPS-1AFL4","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"DHRE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Gen use back cush wdth>=22in","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"E2612","description":"Gen use back cush wdth>=22in","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BBFC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NKXF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Endoscopy of bowel pouch","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"44385","description":"Endoscopy of bowel pouch","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-P9027","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"P9027","description":"HCPCS-P9027","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JBXF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Occult bld feces 1-3 tests","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"82272","description":"Occult bld feces 1-3 tests","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BIGF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"IFHA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GCLF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"HDRE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-LE206","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"LE206","description":"HIPPS-LE206","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Hand/chin ctrl spec joystick","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"E2373","description":"Hand/chin ctrl spec joystick","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"PKRF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NCGD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OKUD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"EDED0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-M1475","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"M1475","description":"HCPCS-M1475","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"CPT-0536U","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"0536U","description":"CPT-0536U","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JBUC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GGBC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"EALA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FDLE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Derm autograft trnk/arm/leg","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"15130","description":"Derm autograft trnk/arm/leg","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Gradient compression bandaging supply_ bandage liner_ upper extremity_ any size or length_ each","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"A6595","description":"Gradient compression bandaging supply_ bandage liner_ upper extremity_ any size or length_ each","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"CPT-1048T","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"1048T","description":"CPT-1048T","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OGIC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BBIB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Removal of rectum","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"45110","description":"Removal of rectum","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JHNC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MKEE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Syst bp lt 130 mm hg","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"3074F","description":"Syst bp lt 130 mm hg","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"EACD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OEHB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Lockingelbow forearm cntrbal","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"L6693","description":"Lockingelbow forearm cntrbal","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BBDD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-CD28B","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"CD28B","description":"HIPPS-CD28B","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Tlso rigidlined cust fab two","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"L0486","description":"Tlso rigidlined cust fab two","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CHIF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Inpatient Respite Care - A flat per diem rate before area wage adjustment paid for each day on which the patient is in an inpatient facility and is receiving respite care.","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"W0604","description":"Inpatient Respite Care - A flat per diem rate before area wage adjustment paid for each day on which the patient is in an inpatient facility and is receiving respite care.","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CHXF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CIGE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FFVA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MFDF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MBMF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RMX44","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RMX44","description":"HIPPS-RMX44","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CAEF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Ongoing Care Not Indicated_ Patient Seen Only 1-2 Visits (E.G._ Home Program Only_ Referred To Another Provider Or Facility_ Consultation Only)","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"M1118","description":"Ongoing Care Not Indicated_ Patient Seen Only 1-2 Visits (E.G._ Home Program Only_ Referred To Another Provider Or Facility_ Consultation Only)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-3AHK2","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"3AHK2","description":"HIPPS-3AHK2","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NEVC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FFFF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KGHE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Treat wrist bone fracture","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"25645","description":"Treat wrist bone fracture","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"IGHB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Noncontact near-infrared spectroscopy (eg_ for measurement of deoxyhemoglobin_ oxyhemoglobin_ and ratio of tissue oxygenation)_ other than for screening for peripheral arteria","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0859T","description":"Noncontact near-infrared spectroscopy (eg_ for measurement of deoxyhemoglobin_ oxyhemoglobin_ and ratio of tissue oxygenation)_ other than for screening for peripheral arteria","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Each addtnl prefab post","billing_code_type":"CDT","billing_code_type_version":"2024","billing_code":"D2957","description":"Each addtnl prefab post","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NEEE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"LERD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Us exam pelvic limited","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"76857","description":"Us exam pelvic limited","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GEGC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Radiotherapy dose plan imrt","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"77301","description":"Radiotherapy dose plan imrt","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CDRD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BIPC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Acp discuss-no dscnmkr docd","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"1124F","description":"Acp discuss-no dscnmkr docd","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BBBD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NCCD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KDHF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JHNA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-HC22C","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"HC22C","description":"HIPPS-HC22C","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Revise urethra stage 1","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"53400","description":"Revise urethra stage 1","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Excise inferior turbinate","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"30130","description":"Excise inferior turbinate","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FIIE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OEJC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Anesth removal of adrenal","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"86651","description":"Anesth removal of adrenal","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CCYE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GGIA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FBCE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"ADHA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Fun stat score knee pt noelg","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G8649","description":"Fun stat score knee pt noelg","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GBAB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Remove collar bone lesion","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"23180","description":"Remove collar bone lesion","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Remove forearm bone lesion","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"25145","description":"Remove forearm bone lesion","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-1BHNX","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"1BHNX","description":"HIPPS-1BHNX","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FEAC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Audiology mips specialty set","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G0062","description":"Audiology mips specialty set","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-PC28X","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"PC28X","description":"HIPPS-PC28X","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"DDRE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Cervical cap contraceptive","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"A4261","description":"Cervical cap contraceptive","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RHC4A","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RHC4A","description":"HIPPS-RHC4A","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Prepare face/oral prosthesis","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"21080","description":"Prepare face/oral prosthesis","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FDTD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"LASC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"IDED1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Endovasc repair abdom aorta","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"75952","description":"Endovasc repair abdom aorta","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GFHA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OEEE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OAPD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Most recent hemoblobin A1c (HbA1c) level greater than or equal to 7.0% and less than 8.0% (DM)","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"3051F","description":"Most recent hemoblobin A1c (HbA1c) level greater than or equal to 7.0% and less than 8.0% (DM)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Hip clevis type 2 posit jnt","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"L2570","description":"Hip clevis type 2 posit jnt","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FGTC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MHTB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CDHF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OFXB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Ercp w/optical endomicroscpy","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0397T","description":"Ercp w/optical endomicroscpy","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CDFA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FBGE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Hyalomatrix","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"Q4117","description":"Hyalomatrix","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Anatomic guide 3D-printed and designed from image data set(s); first anatomic guide","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0561T","description":"Anatomic guide 3D-printed and designed from image data set(s); first anatomic guide","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OICC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"IGTD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"IADB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Im b1 mrw cel ther cmpl","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0263T","description":"Im b1 mrw cel ther cmpl","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-4CFMV","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"4CFMV","description":"HIPPS-4CFMV","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Repair of diaphragm hernia","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"39541","description":"Repair of diaphragm hernia","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MFEA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JDMB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RHC10","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RHC10","description":"HIPPS-RHC10","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"LDYD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JFIB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"CPT-01482","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"01482","description":"CPT-01482","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-LB140","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"LB140","description":"HIPPS-LB140","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-LE14A","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"LE14A","description":"HIPPS-LE14A","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Warming card for nwt","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"E0232","description":"Warming card for nwt","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Ext ecg recording","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0296T","description":"Ext ecg recording","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-Q5099","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"Q5099","description":"HCPCS-Q5099","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FAAC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-CD244","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"CD244","description":"HIPPS-CD244","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FDHF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"HHOA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"EDTD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Treat humerus fracture","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"24535","description":"Treat humerus fracture","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Nonrandomized_ nonblinded procedure for NYHA Class II_ III_ IV heart failure; transcatheter implantation of interatrial","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"C9760","description":"Nonrandomized_ nonblinded procedure for NYHA Class II_ III_ IV heart failure; transcatheter implantation of interatrial","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"AGDF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JCAF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GECC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"CPT-1050T","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"1050T","description":"CPT-1050T","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KFQB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NEAD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CDMC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JBJA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FEVA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"PDWA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GHQA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FGXB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RHC23","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RHC23","description":"HIPPS-RHC23","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Hit simple cath care","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"S5498","description":"Hit simple cath care","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MBHC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-PC10A","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"PC10A","description":"HIPPS-PC10A","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-ES33C","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"ES33C","description":"HIPPS-ES33C","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"IBIB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RHC4C","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RHC4C","description":"HIPPS-RHC4C","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RVB33","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RVB33","description":"HIPPS-RVB33","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GINC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GIVE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Oncology (pan-solid tumor)_ analysis of DNA biomarker response to anti-cancer therapy using cell-free circulating DNA_ biomarker comparison to a previous baseline pre-treatmen","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0422U","description":"Oncology (pan-solid tumor)_ analysis of DNA biomarker response to anti-cancer therapy using cell-free circulating DNA_ biomarker comparison to a previous baseline pre-treatmen","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Thoracic duct procedure","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"38382","description":"Thoracic duct procedure","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Hsv dna amp probe","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"87529","description":"Hsv dna amp probe","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OKRC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KGQD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"CPT-76015","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"76015","description":"CPT-76015","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OAOE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Infectious agent detection by nucleic acid (DNA or RNA); Anaplasma phagocytophilum_ amplified probe technique","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"87468","description":"Infectious agent detection by nucleic acid (DNA or RNA); Anaplasma phagocytophilum_ amplified probe technique","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-ES154","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"ES154","description":"HIPPS-ES154","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Excise wrist tendon sheath","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"25118","description":"Excise wrist tendon sheath","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FFGA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Sigmoidoscopy w/submuc inj","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"45335","description":"Sigmoidoscopy w/submuc inj","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Abutment supported mtl crown","billing_code_type":"CDT","billing_code_type_version":"2024","billing_code":"D6060","description":"Abutment supported mtl crown","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Home injectable therapy_ palivizumab_ including administrative services_ professional pharmacy services_ care coordination_ and all necessary supplies an","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"S9562","description":"Home injectable therapy_ palivizumab_ including administrative services_ professional pharmacy services_ care coordination_ and all necessary supplies an","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FCEE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GHCB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GCLE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Gc stocking waistlngth 40-50","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"A6541","description":"Gc stocking waistlngth 40-50","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Add ue prost a/e acrylic","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"L7404","description":"Add ue prost a/e acrylic","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"LHRD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Mrs disc pain alg alys data","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0611T","description":"Mrs disc pain alg alys data","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Rickettsia antibody","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"86757","description":"Rickettsia antibody","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NJBF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MLID0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Dexamethasone comp con","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"J7637","description":"Dexamethasone comp con","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GHRD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"HDYA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Ecmo/ecls insj prph cannula","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"33952","description":"Ecmo/ecls insj prph cannula","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KBBE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MKHA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-2AGLX","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"2AGLX","description":"HIPPS-2AGLX","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CGRE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Repair of eye wound","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"65273","description":"Repair of eye wound","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KDAB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Ablation therapy for reduction or eradication of 1 or more pulmonary tumor(s) including pleura or chest wall when involved by tumor extension_ percutaneous_ including imaging","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"32994","description":"Ablation therapy for reduction or eradication of 1 or more pulmonary tumor(s) including pleura or chest wall when involved by tumor extension_ percutaneous_ including imaging","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Remove & graft wrist lesion","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"25136","description":"Remove & graft wrist lesion","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Off assis eol iss","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G9380","description":"Off assis eol iss","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BFPB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"AICE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Injection_ spesolimab-sbzo_ 1 mg","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"J1747","description":"Injection_ spesolimab-sbzo_ 1 mg","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JADB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GHBA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Lumbar artif diskectomy","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"22857","description":"Lumbar artif diskectomy","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"X-ray bile duct dilation","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"74363","description":"X-ray bile duct dilation","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MEAA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KEBA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KAGB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Remove & treat brain lesion","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"61544","description":"Remove & treat brain lesion","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OJPC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NGFF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-3CFM5","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"3CFM5","description":"HIPPS-3CFM5","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KHRE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Assay test for blood fecal","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"82274","description":"Assay test for blood fecal","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Remv&replc pm gen dual lead","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"33228","description":"Remv&replc pm gen dual lead","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Post 1 srfc resinbased cmpst","billing_code_type":"CDT","billing_code_type_version":"2024","billing_code":"D2391","description":"Post 1 srfc resinbased cmpst","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HH PDGM","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"2CA31","description":"HH PDGM","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MLDA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KIOB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Incise skull (press relief)","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"61343","description":"Incise skull (press relief)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OFLF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RML8C","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RML8C","description":"HIPPS-RML8C","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"CPT-0659U","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"0659U","description":"CPT-0659U","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BBIC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Clinical decision support mechanism ehealthline clinical decision support mechanism_ as defined by the medicare appropriate use criteria program","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G1021","description":"Clinical decision support mechanism ehealthline clinical decision support mechanism_ as defined by the medicare appropriate use criteria program","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"IIUF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NJNB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"DBSC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Eye photography","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"92285","description":"Eye photography","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GIRB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OKVD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Patients who use hospice services any time during the measurement period","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G9819","description":"Patients who use hospice services any time during the measurement period","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FDNC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BDFD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Clin tx mdd comm to tx clin","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G8959","description":"Clin tx mdd comm to tx clin","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Pulpal regeneration interim","billing_code_type":"CDT","billing_code_type_version":"2024","billing_code":"D3356","description":"Pulpal regeneration interim","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Exam feces for meat fibers","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"89160","description":"Exam feces for meat fibers","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Prev cardrehab qualcardevent","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"4510F","description":"Prev cardrehab qualcardevent","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Drug assay_ definitive_ 160 or more drugs or metabolites_ urine_ quantitative liquid chromatography with tandem mass spectrometry (LC-MS/MS) using multiple reaction monitoring","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0144U","description":"Drug assay_ definitive_ 160 or more drugs or metabolites_ urine_ quantitative liquid chromatography with tandem mass spectrometry (LC-MS/MS) using multiple reaction monitoring","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Myomectomy abdom complex","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"58146","description":"Myomectomy abdom complex","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Incision of esophagus","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"43020","description":"Incision of esophagus","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Prep ak ischial direct form","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"L5570","description":"Prep ak ischial direct form","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Hfo nontorsion jnts pre cst","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"L3929","description":"Hfo nontorsion jnts pre cst","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-ES126","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"ES126","description":"HIPPS-ES126","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"ICED1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Treat each add spine fx","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"22328","description":"Treat each add spine fx","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JAHD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Drain bladder by trocar/cath","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"51101","description":"Drain bladder by trocar/cath","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OCYA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"CPT-00626","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"00626","description":"CPT-00626","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NGID0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Insert and remove bone pin","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"20650","description":"Insert and remove bone pin","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HH PDGM","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"4CC21","description":"HH PDGM","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"I&d p-spine c/t/cerv-thor","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"22010","description":"I&d p-spine c/t/cerv-thor","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NEGC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"CPT-90382","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"90382","description":"CPT-90382","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Vte prophylaxis rcvd","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"4069F","description":"Vte prophylaxis rcvd","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-CE211","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"CE211","description":"HIPPS-CE211","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Phys exam for college","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"S0622","description":"Phys exam for college","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OIWA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Ortho dvc repair per 15 min","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"L4205","description":"Ortho dvc repair per 15 min","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Echo guide ova aspiration","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"76948","description":"Echo guide ova aspiration","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Repair of skull defect","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"62141","description":"Repair of skull defect","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"AHAA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"HBQD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MFUE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-2BGL5","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"2BGL5","description":"HIPPS-2BGL5","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"PLOE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"EDCB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BHKB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JCVD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Rx tst def 09+ rx/sbsts ur reprt pres/abs ea rx","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0082U","description":"Rx tst def 09+ rx/sbsts ur reprt pres/abs ea rx","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Revise middle ear & mastoid","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"69646","description":"Revise middle ear & mastoid","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-3CFN5","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"3CFN5","description":"HIPPS-3CFN5","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"EGLB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RLA35","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RLA35","description":"HIPPS-RLA35","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GHEE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Dental onlay resin 2 surface","billing_code_type":"CDT","billing_code_type_version":"2024","billing_code":"D2662","description":"Dental onlay resin 2 surface","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Docrsn for cath maint dia","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G9264","description":"Docrsn for cath maint dia","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BEXB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JDTE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-4AHL1","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"4AHL1","description":"HIPPS-4AHL1","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Parotid duct diversion","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"42510","description":"Parotid duct diversion","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MFTC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"IIIC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"CPT-00212","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"00212","description":"CPT-00212","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-CB254","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"CB254","description":"HIPPS-CB254","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-HD256","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"HD256","description":"HIPPS-HD256","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Replacement pressure alarm","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"E1540","description":"Replacement pressure alarm","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Influenza virus vaccine_ quadrivalent (ccIIV4)_ derived from cell cultures_ subunit_ preservative and antibiotic free_ 0.5 mL dosage_ for intramuscular use","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"90674","description":"Influenza virus vaccine_ quadrivalent (ccIIV4)_ derived from cell cultures_ subunit_ preservative and antibiotic free_ 0.5 mL dosage_ for intramuscular use","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Duration of monitored anesthesia care(mac)or peripheral nerve block(pnb)without the use of general anesthesia during an applicable procedure or general or neuraxial anesthesia","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G9363","description":"Duration of monitored anesthesia care(mac)or peripheral nerve block(pnb)without the use of general anesthesia during an applicable procedure or general or neuraxial anesthesia","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CEEB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"IBAA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Ivig non-lyophilized_ nos","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"J1599","description":"Ivig non-lyophilized_ nos","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Probe nasolacrimal duct","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"68815","description":"Probe nasolacrimal duct","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BFPC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"IICA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MHHE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KDNC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Documentation stating the patient has received or is currently receiving palliative or hospice care","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"M1307","description":"Documentation stating the patient has received or is currently receiving palliative or hospice care","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Pt recvd inhal anesthetic","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"4554F","description":"Pt recvd inhal anesthetic","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Neuropsychia sympts assessed","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"1181F","description":"Neuropsychia sympts assessed","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RVA24","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RVA24","description":"HIPPS-RVA24","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Injection_ Patisiran_ 0.1 mg","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"J0222","description":"Injection_ Patisiran_ 0.1 mg","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-PD18A","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"PD18A","description":"HIPPS-PD18A","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"AAAF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BHTA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"HGYD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Screening of a patient","billing_code_type":"CDT","billing_code_type_version":"2024","billing_code":"D0190","description":"Screening of a patient","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-2BFK5","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"2BFK5","description":"HIPPS-2BFK5","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Repair of heart defects","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"33697","description":"Repair of heart defects","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Treatment of fibula fracture","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"27781","description":"Treatment of fibula fracture","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NLFE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GBFF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Nasal/sinus endoscopy dx","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"31233","description":"Nasal/sinus endoscopy dx","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-LE217","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"LE217","description":"HIPPS-LE217","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Fusion of knuckle with graft","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"26852","description":"Fusion of knuckle with graft","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RUB55","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RUB55","description":"HIPPS-RUB55","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NHPF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CGAA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KIWB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CEOE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"ABIB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Inj foramen epidural add-on","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"64484","description":"Inj foramen epidural add-on","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"EHLE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Injection_ lumasiran_ 0.5mg","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"C9074","description":"Injection_ lumasiran_ 0.5mg","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CDIF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BBHC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Lso sc r pos/lat pnl pre ots","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"L0649","description":"Lso sc r pos/lat pnl pre ots","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GGME0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Revision of neck muscle","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"21700","description":"Revision of neck muscle","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FEGB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Extraction erupted tooth/exr","billing_code_type":"CDT","billing_code_type_version":"2024","billing_code":"D7140","description":"Extraction erupted tooth/exr","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"IDIB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JFEC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GFFD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Flu vac pandem prsrv free im","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"90666","description":"Flu vac pandem prsrv free im","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NILD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Remove thyroid lesion","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"60200","description":"Remove thyroid lesion","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Treat humerus fracture","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"24505","description":"Treat humerus fracture","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"DESE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"HDSF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JCBE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"CPT-00211","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"00211","description":"CPT-00211","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Rbc leukoreduced irradiated","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"P9040","description":"Rbc leukoreduced irradiated","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KCGB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"IECA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KDQE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NCVE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-PB217","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"PB217","description":"HIPPS-PB217","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FCTB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-3AGK3","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"3AGK3","description":"HIPPS-3AGK3","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CIUF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NDBF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NLGC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Drain thyroid/tongue cyst","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"60000","description":"Drain thyroid/tongue cyst","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"FY GNOTYP ACKR1 EXONS 1-2","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0187U","description":"FY GNOTYP ACKR1 EXONS 1-2","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GDVD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Glycosylated hemoglobin test","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"83036","description":"Glycosylated hemoglobin test","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"EGUE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KINE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Dronabinol 2.5mg oral","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"Q0167","description":"Dronabinol 2.5mg oral","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GEAB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Peripheral nerve block (PNB)","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G9770","description":"Peripheral nerve block (PNB)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Pwc gp2 hd mult pow opt s/b","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"K0843","description":"Pwc gp2 hd mult pow opt s/b","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Decompress spinal cord lmbr","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"63056","description":"Decompress spinal cord lmbr","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-CE22C","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"CE22C","description":"HIPPS-CE22C","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Ost skn barr extnd >4 sq","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"A4410","description":"Ost skn barr extnd >4 sq","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JCXA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Mra w/o fol w/cont_ lwr ext","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"C8914","description":"Mra w/o fol w/cont_ lwr ext","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NLIF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-2AHMV","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"2AHMV","description":"HIPPS-2AHMV","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-3CHKS","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"3CHKS","description":"HIPPS-3CHKS","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CCMD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GDVB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-2BFK1","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"2BFK1","description":"HIPPS-2BFK1","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"CPT-01360","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"01360","description":"CPT-01360","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Insert tunneled cv cath","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"36565","description":"Insert tunneled cv cath","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-PD18X","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"PD18X","description":"HIPPS-PD18X","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GHLA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Excise excessive skin buttck","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"15835","description":"Excise excessive skin buttck","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JFIF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OHMC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GEQE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Mometasone furoate sinus implant_ 10 mcg (Sinuva)","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"C9122","description":"Mometasone furoate sinus implant_ 10 mcg (Sinuva)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GDGE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-PE25B","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"PE25B","description":"HIPPS-PE25B","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Documentation of patient pregnancy anytime during the measurement period prior to and including the current encounter","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"M1298","description":"Documentation of patient pregnancy anytime during the measurement period prior to and including the current encounter","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Ue fx orth shoul cap forearm","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"L3981","description":"Ue fx orth shoul cap forearm","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Flowcytometry/read 9-15","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"88188","description":"Flowcytometry/read 9-15","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Fetal chromosomal microdeletion(s) genomic sequence analysis (eg_ DiGeorge syndrome_ Cri-du-chat syndrome)_ circulating cell-free fetal DNA in maternal blood","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"81422","description":"Fetal chromosomal microdeletion(s) genomic sequence analysis (eg_ DiGeorge syndrome_ Cri-du-chat syndrome)_ circulating cell-free fetal DNA in maternal blood","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Manual cell count each","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"85032","description":"Manual cell count each","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"DEWA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"IEDE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GCDA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KAIF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-HB10C","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"HB10C","description":"HIPPS-HB10C","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FENC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Onsite nursing facility conference_ that is separate and distinct from an Evaluation and Management visit_ including qualified","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G9686","description":"Onsite nursing facility conference_ that is separate and distinct from an Evaluation and Management visit_ including qualified","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"EHLF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OADC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Pwc gp3 vhd sing pow opt s/b","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"K0860","description":"Pwc gp3 vhd sing pow opt s/b","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JEVA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NJDC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Hydrogel drg > 48 sq in w/b","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"A6247","description":"Hydrogel drg > 48 sq in w/b","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"EEAB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Replc sockt shldr dis/interc","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"L6885","description":"Replc sockt shldr dis/interc","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"DIYE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Drainage of mouth lesion","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"41007","description":"Drainage of mouth lesion","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CAUA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Destruction of skin lesions","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"17266","description":"Destruction of skin lesions","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RVA2C","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RVA2C","description":"HIPPS-RVA2C","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Dicyclomine injection","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"J0500","description":"Dicyclomine injection","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Hast w/report","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"94452","description":"Hast w/report","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"PGOD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Repair of imperforated anus","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"46742","description":"Repair of imperforated anus","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"PKSD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BBTA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Disposable endoscope sheath","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"A4270","description":"Disposable endoscope sheath","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Clot inhibit prot c antigen","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"85302","description":"Clot inhibit prot c antigen","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OFMD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Intravenous infusion_ sotrovimab_ includes infusion and post administration monitoring","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"M0247","description":"Intravenous infusion_ sotrovimab_ includes infusion and post administration monitoring","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Assay of 17-hydroxypregneno","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"84143","description":"Assay of 17-hydroxypregneno","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-C9309","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"C9309","description":"HCPCS-C9309","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Injection_ etranacogene dezaparvovec-drlb_ per therapeutic dose","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"J1411","description":"Injection_ etranacogene dezaparvovec-drlb_ per therapeutic dose","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-CE224","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"CE224","description":"HIPPS-CE224","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CHAB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-LD121","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"LD121","description":"HIPPS-LD121","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KHQE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"TERT (telomerase reverse transcriptase) (eg_ thyroid carcinoma_ glioblastoma multiforme) gene analysis_ targeted sequence analysis (eg_ promoter region)","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"81345","description":"TERT (telomerase reverse transcriptase) (eg_ thyroid carcinoma_ glioblastoma multiforme) gene analysis_ targeted sequence analysis (eg_ promoter region)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CDEE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Removal of artery clot","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"34051","description":"Removal of artery clot","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CGAE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Inhibin a","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"86336","description":"Inhibin a","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MGED0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FEJF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Laparoscopy lymphadenectomy","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"38572","description":"Laparoscopy lymphadenectomy","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Subepithelial tissue graft","billing_code_type":"CDT","billing_code_type_version":"2024","billing_code":"D4273","description":"Subepithelial tissue graft","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NHVF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"CPT-37273","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"37273","description":"CPT-37273","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Incision of thigh","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"27448","description":"Incision of thigh","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FCXC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"EACE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Embryo hatching","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"89253","description":"Embryo hatching","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BDDC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-B1601","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"B1601","description":"HCPCS-B1601","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Dt vaccine under 7 yrs im","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"90702","description":"Dt vaccine under 7 yrs im","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OIJC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JIAE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-L6034","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"L6034","description":"HCPCS-L6034","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"LCOA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Eribulin mesylate injection","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"J9179","description":"Eribulin mesylate injection","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-4CGLT","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"4CGLT","description":"HIPPS-4CGLT","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Hit tpn over 3l diem","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"S9368","description":"Hit tpn over 3l diem","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OCHD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"AICE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BFKE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NKUC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OLJC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"LCYD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CGJF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KDYE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"PFRC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NFFD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"AHHE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-2AFKU","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"2AFKU","description":"HIPPS-2AFKU","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"ABLE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NDCE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Injection_ dalbavancin","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"J0875","description":"Injection_ dalbavancin","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OHXF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OLUA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Explore/treat eye socket","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"67420","description":"Explore/treat eye socket","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CDGB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MCDF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OHYE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Remove sciatic nerve lesion","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"64786","description":"Remove sciatic nerve lesion","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Injection_ trastuzumab_ 10 mg and hyaluronidase-oysk","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"J9356","description":"Injection_ trastuzumab_ 10 mg and hyaluronidase-oysk","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Remove hip foreign body","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"27086","description":"Remove hip foreign body","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"HHWC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Sgd w multi methods msg/accs","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"E2510","description":"Sgd w multi methods msg/accs","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"X-ray exam of collar bone","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"73000","description":"X-ray exam of collar bone","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FGFF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Esophagectomy_ total or near total_ with laparoscopic mobilization of the abdominal and mediastinal esophagus and proximal gastrectomy_ with laparoscopic pyloric drainage proc","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"43286","description":"Esophagectomy_ total or near total_ with laparoscopic mobilization of the abdominal and mediastinal esophagus and proximal gastrectomy_ with laparoscopic pyloric drainage proc","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"X-ray exam of toe(s)","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"73660","description":"X-ray exam of toe(s)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GDCD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-BA11A","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"BA11A","description":"HIPPS-BA11A","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"LFSB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NGGE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Hepatitis b dna amp probe","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"87516","description":"Hepatitis b dna amp probe","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Genome (eg_ unexplained constitutional or heritable disorder or syndrome)_ rapid sequence analysis","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0094U","description":"Genome (eg_ unexplained constitutional or heritable disorder or syndrome)_ rapid sequence analysis","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JDAB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-CD15A","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"CD15A","description":"HIPPS-CD15A","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"PFYB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"HCQB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RMA56","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RMA56","description":"HIPPS-RMA56","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OICA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Indium in-111 pentetreotide","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"A9572","description":"Indium in-111 pentetreotide","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Cholangiography and/or pancreatography; through existing catheter_ radiological supervision and interpretation","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"74305","description":"Cholangiography and/or pancreatography; through existing catheter_ radiological supervision and interpretation","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Revise stomach-bowel fusion","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"43865","description":"Revise stomach-bowel fusion","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GBDC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Reconstruct orbit/forehead","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"21175","description":"Reconstruct orbit/forehead","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BHTE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GAWA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OJXE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Introduction of needle(s) and/or catheter(s)_ dialysis circuit_ with diagnostic angiography of the dialysis circuit_ including all direct puncture(s) and catheter placement(s)","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"36903","description":"Introduction of needle(s) and/or catheter(s)_ dialysis circuit_ with diagnostic angiography of the dialysis circuit_ including all direct puncture(s) and catheter placement(s)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Pd mg qual act perform","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G8762","description":"Pd mg qual act perform","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-1AHK3","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"1AHK3","description":"HIPPS-1AHK3","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Orchiopexy (fowler-stephens)","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"54650","description":"Orchiopexy (fowler-stephens)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"IDME0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Apply intrcav radiat interm","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"77762","description":"Apply intrcav radiat interm","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OLAE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-2CFK3","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"2CFK3","description":"HIPPS-2CFK3","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OLXE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"HIRD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KEKD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OGLE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CDHD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"IHEE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Repl nasal pillow comb mask","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"A7029","description":"Repl nasal pillow comb mask","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NAHB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OBKE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MAUF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Hit hydra over 3l diem","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"S9377","description":"Hit hydra over 3l diem","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Extensive prostate surgery","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"55815","description":"Extensive prostate surgery","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Additional spinal fusion","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"22585","description":"Additional spinal fusion","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OENC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Alpha-1-antitrypsin pheno","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"82104","description":"Alpha-1-antitrypsin pheno","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GCAB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"X-ray bile ducts/pancreas","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"74300","description":"X-ray bile ducts/pancreas","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-PD21A","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"PD21A","description":"HIPPS-PD21A","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JDAE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NCNA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CCGB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-2AFM4","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"2AFM4","description":"HIPPS-2AFM4","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Fluoro exam of g/colon tube","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"49465","description":"Fluoro exam of g/colon tube","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JFAA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RMB17","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RMB17","description":"HIPPS-RMB17","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Magnetic image bone marrow","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"77084","description":"Magnetic image bone marrow","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Amputation thru metatarsal","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"28805","description":"Amputation thru metatarsal","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-1BHL3","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"1BHL3","description":"HIPPS-1BHL3","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Patients on peritoneal dialysis for any portion of the reporting month","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G0052","description":"Patients on peritoneal dialysis for any portion of the reporting month","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Complete aca_ per square centimeter","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"Q4302","description":"Complete aca_ per square centimeter","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"No f/u eval q3mo opiod tx","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G9563","description":"No f/u eval q3mo opiod tx","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Treat hip dislocation","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"27265","description":"Treat hip dislocation","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GCTA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Apnea monitor","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"E0618","description":"Apnea monitor","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-J2003","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"J2003","description":"HCPCS-J2003","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Onc supervision palliative","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G9054","description":"Onc supervision palliative","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Biopsy of uterus lining","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"58100","description":"Biopsy of uterus lining","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CEPC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Prescription digital behavioral therapy_ FDA-cleared_ per course of treatment","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"A9291","description":"Prescription digital behavioral therapy_ FDA-cleared_ per course of treatment","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-PE18H","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"PE18H","description":"HIPPS-PE18H","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NDCF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"IBDE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Injection_ atezolizumab_ 10 mg (Tecentriq)","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"C9483","description":"Injection_ atezolizumab_ 10 mg (Tecentriq)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NAGE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RLA4D","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RLA4D","description":"HIPPS-RLA4D","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NGGA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BHBF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Digitization of glass microscope slides for special stain_ including interpretation and report_ group II_ all other (eg_ iron_ trichrome)_ except stain for microorganisms_ sta","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0757T","description":"Digitization of glass microscope slides for special stain_ including interpretation and report_ group II_ all other (eg_ iron_ trichrome)_ except stain for microorganisms_ sta","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BFCC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-PE20D","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"PE20D","description":"HIPPS-PE20D","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"AFMA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CGED1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RVB10","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RVB10","description":"HIPPS-RVB10","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-2AFL1","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"2AFL1","description":"HIPPS-2AFL1","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Patients who were not appropriately evaluated during the initial exam and/or who were not re-evaluated within 8 weeks","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"M1327","description":"Patients who were not appropriately evaluated during the initial exam and/or who were not re-evaluated within 8 weeks","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-3CHL3","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"3CHL3","description":"HIPPS-3CHL3","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MGAF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"DGOF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"CPT-0644U","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"0644U","description":"CPT-0644U","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"IDTA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Screening for sleep related breathing disorders","billing_code_type":"CDT","billing_code_type_version":"2024","billing_code":"D9957","description":"Screening for sleep related breathing disorders","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MIEC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Ct angiography chest","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"71275","description":"Ct angiography chest","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CDDB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Renal biopsy open","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"50205","description":"Renal biopsy open","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Sunglass frames","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"S0518","description":"Sunglass frames","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Mr angio spine w/o&w/dye","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"72159","description":"Mr angio spine w/o&w/dye","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"The Start Of An Episode Of Care Documented In The Medical Record","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"M1121","description":"The Start Of An Episode Of Care Documented In The Medical Record","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"HDSC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Non-sterile eye pad","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"A6411","description":"Non-sterile eye pad","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GFKF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Repair/graft radius or ulna","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"25405","description":"Repair/graft radius or ulna","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"CDT-D1002","billing_code_type":"CDT","billing_code_type_version":"2026","billing_code":"D1002","description":"CDT-D1002","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"AHDE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-PA212","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"PA212","description":"HIPPS-PA212","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Intermittent measurement of wheeze rate for bronchodilator or bronchial-challenge diagnostic evaluation(s)_ with interpretation and report","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0243T","description":"Intermittent measurement of wheeze rate for bronchodilator or bronchial-challenge diagnostic evaluation(s)_ with interpretation and report","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-HC11B","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"HC11B","description":"HIPPS-HC11B","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"CPT-00410","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"00410","description":"CPT-00410","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NLCC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HH PDGM","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"2BA31","description":"HH PDGM","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"repair cast partial framework_ maxillary","billing_code_type":"CDT","billing_code_type_version":"2024","billing_code":"D5622","description":"repair cast partial framework_ maxillary","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FAMC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Cd4+ cell count >= 500 cells","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"3496F","description":"Cd4+ cell count >= 500 cells","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KBGA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"PDSA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Ecmo/ecls rmvl ctr cannula","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"33986","description":"Ecmo/ecls rmvl ctr cannula","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Rcm celulr subcelulr img skn","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"96931","description":"Rcm celulr subcelulr img skn","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MLLC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Prepare face/oral prosthesis","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"21089","description":"Prepare face/oral prosthesis","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Patients Age 66 Or Older In Institutional Special Needs Plans (Snp) Or Residing In Long-Term Care With Pos Code 32_ 33_ 34_ 54 Or 56 For More Than 90 Days During The Measureme","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G2108","description":"Patients Age 66 Or Older In Institutional Special Needs Plans (Snp) Or Residing In Long-Term Care With Pos Code 32_ 33_ 34_ 54 Or 56 For More Than 90 Days During The Measureme","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Lap inc hernia repair","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"49654","description":"Lap inc hernia repair","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CHGC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Treat shoulder dislocation","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"23660","description":"Treat shoulder dislocation","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Immunotherapy 2/> injections","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"95125","description":"Immunotherapy 2/> injections","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"IBEA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"EAED1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CBKB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NGLC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Wireless Skin Sensor Thermal Anisotropy Measurement(S) And Assessment Of Flow In Cerebrospinal Fluid Shunt_ Including Ultrasound Guidance_ When Performed","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0639T","description":"Wireless Skin Sensor Thermal Anisotropy Measurement(S) And Assessment Of Flow In Cerebrospinal Fluid Shunt_ Including Ultrasound Guidance_ When Performed","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KCHB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OACA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"AIIF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Amputation of lower leg","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"27882","description":"Amputation of lower leg","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Oral device/appliance used to reduce upper airway collapsibility_ without fixed mechanical hinge_ custom fabricated_ includes fitting and adjustment","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"K1027","description":"Oral device/appliance used to reduce upper airway collapsibility_ without fixed mechanical hinge_ custom fabricated_ includes fitting and adjustment","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Revascularization_ endovascular_ open or percutaneous_ tibial/peroneal artery(ies); with intravascular lithotripsy and transluminal stent placement(s)_ and atherectomy_ includ","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"C9775","description":"Revascularization_ endovascular_ open or percutaneous_ tibial/peroneal artery(ies); with intravascular lithotripsy and transluminal stent placement(s)_ and atherectomy_ includ","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"W/c seat lift mechanism","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"E0985","description":"W/c seat lift mechanism","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NIXF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Admin + supply_ tositumomab","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G3001","description":"Admin + supply_ tositumomab","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NJDA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Repair of windpipe defect","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"31825","description":"Repair of windpipe defect","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"AIHF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Assay of corticosterone","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"82528","description":"Assay of corticosterone","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GFAB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KBMC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OGHF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Idecabtagene vicleucel_ up to 460 million autologous anti-BCMA CAR-positive viable T cells_ including leukapheresis and dose preparation procedures_ per therapeutic dose","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"C9081","description":"Idecabtagene vicleucel_ up to 460 million autologous anti-BCMA CAR-positive viable T cells_ including leukapheresis and dose preparation procedures_ per therapeutic dose","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Tissue exam by pathologist","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"88305","description":"Tissue exam by pathologist","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CERE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"IBEC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"DHSC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KGTA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Drain lower leg bursa","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"27604","description":"Drain lower leg bursa","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NDVB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JEUC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KEAD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"EHID0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"ADTD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GIMA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KDXF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"LGWA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-2BGK6","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"2BGK6","description":"HIPPS-2BGK6","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-BA11C","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"BA11C","description":"HIPPS-BA11C","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"AGMA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RVB54","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RVB54","description":"HIPPS-RVB54","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RVL2B","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RVL2B","description":"HIPPS-RVL2B","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"IDAD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Pwc gp 2 hd seat/back","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"K0824","description":"Pwc gp 2 hd seat/back","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RVC0A","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RVC0A","description":"HIPPS-RVC0A","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GHCD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-B0704","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"B0704","description":"HCPCS-B0704","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BEDE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-5CHK3","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"5CHK3","description":"HIPPS-5CHK3","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-PE245","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"PE245","description":"HIPPS-PE245","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"ADIE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"PHRB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Palliative Care Services Used By Patient Any Time During The Measurement Period","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G9992","description":"Palliative Care Services Used By Patient Any Time During The Measurement Period","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Door to punc time <2hrs","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G9580","description":"Door to punc time <2hrs","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Copy number (EG_ intellectual disability_ dysmorphology)_ sequence analysis","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0156U","description":"Copy number (EG_ intellectual disability_ dysmorphology)_ sequence analysis","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Oncology (breast cancer)_ S100A8 and S100A9_ by enzyme-linked immunosorbent assay (ELISA)_ tear fluid with age_ algorithm reported as a risk score","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0458U","description":"Oncology (breast cancer)_ S100A8 and S100A9_ by enzyme-linked immunosorbent assay (ELISA)_ tear fluid with age_ algorithm reported as a risk score","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Transperineal periurethral balloon continence device; adjustment of balloon(s) fluid volume","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0551T","description":"Transperineal periurethral balloon continence device; adjustment of balloon(s) fluid volume","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Vaccine toxoid","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"90749","description":"Vaccine toxoid","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"EBCB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Prq revasc byp graft 1 vsl","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"92937","description":"Prq revasc byp graft 1 vsl","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JBFA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FHLD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Cast sup hip spica ped fbrgl","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"Q4028","description":"Cast sup hip spica ped fbrgl","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HH PDGM","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"1JC21","description":"HH PDGM","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Noninvasive Arterial Plaque Analysis Using Software Processing Of Data From Non-Coronary Computerized Tomography Angiography; Including Data Preparation And Transmission_ Quan","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0710T","description":"Noninvasive Arterial Plaque Analysis Using Software Processing Of Data From Non-Coronary Computerized Tomography Angiography; Including Data Preparation And Transmission_ Quan","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HH PDGM","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"3JA31","description":"HH PDGM","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KBBB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"deep sedation/general anesthesia each subsequent 15 minute increment","billing_code_type":"CDT","billing_code_type_version":"2024","billing_code":"D9223","description":"deep sedation/general anesthesia each subsequent 15 minute increment","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"AHEA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KDOA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-PC11A","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"PC11A","description":"HIPPS-PC11A","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-1CHNW","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"1CHNW","description":"HIPPS-1CHNW","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-PD234","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"PD234","description":"HIPPS-PD234","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JFBC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Cranial electrotherapy stimulation (CES) system supplies and accessories_ per month","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"A4596","description":"Cranial electrotherapy stimulation (CES) system supplies and accessories_ per month","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RMA2A","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RMA2A","description":"HIPPS-RMA2A","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Complete occlusal adjustment","billing_code_type":"CDT","billing_code_type_version":"2024","billing_code":"D9952","description":"Complete occlusal adjustment","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NCLC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BGTC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Injection_ bupivicaine hydro","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"S0020","description":"Injection_ bupivicaine hydro","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"P2y inhib presc","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G9438","description":"P2y inhib presc","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BAEA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FFIC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MAUC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KIQA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FIBE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Femoral endovas graft add-on","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"34813","description":"Femoral endovas graft add-on","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BBVB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"DFOA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Max MRI image capture","billing_code_type":"CDT","billing_code_type_version":"2024","billing_code":"D0385","description":"Max MRI image capture","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-5CHK1","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"5CHK1","description":"HIPPS-5CHK1","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OJJD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"HGRF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Resect nasopharynx skull","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"61586","description":"Resect nasopharynx skull","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NJBC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KCQA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NCGB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Irrigation tray","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"A4320","description":"Irrigation tray","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Disposable catheter tips","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"A4860","description":"Disposable catheter tips","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-PE25C","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"PE25C","description":"HIPPS-PE25C","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Nos flu vacc_ 3 yrs & >_ im","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"Q2039","description":"Nos flu vacc_ 3 yrs & >_ im","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Treat eyelid by injection","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"68200","description":"Treat eyelid by injection","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GCNB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FHCC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Gradient compression garment_ genital region_ custom_ each","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"A6571","description":"Gradient compression garment_ genital region_ custom_ each","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Compression stocking bk40-50","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"A6532","description":"Compression stocking bk40-50","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Cmprs burngarment foot-thigh","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"A6508","description":"Cmprs burngarment foot-thigh","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-2AFLU","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"2AFLU","description":"HIPPS-2AFLU","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MDBA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Repair gum","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"41872","description":"Repair gum","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NJNE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-1AGP6","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"1AGP6","description":"HIPPS-1AGP6","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NGLA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"ECUF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Amputation follow-up surgery","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"25924","description":"Amputation follow-up surgery","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JBVC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"IADNA SARSCOV2& INF A&B MULT AMPLIFIED PROBE TQ","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"87636","description":"IADNA SARSCOV2& INF A&B MULT AMPLIFIED PROBE TQ","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Continuous Home Care - A flat per hourly rate before area wage adjustment for intensive home nursing care delivered by personnel when the need for such care exceeds 8 hours","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"W0603","description":"Continuous Home Care - A flat per hourly rate before area wage adjustment for intensive home nursing care delivered by personnel when the need for such care exceeds 8 hours","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RMA23","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RMA23","description":"HIPPS-RMA23","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GHID0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NBAA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Tlh w/t/o 250 g or less","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"58571","description":"Tlh w/t/o 250 g or less","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HH PDGM","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"4HB21","description":"HH PDGM","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Dexamethasone intra implant","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"J7312","description":"Dexamethasone intra implant","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NKDE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"CPT-01500","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"01500","description":"CPT-01500","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FDND0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"CPT-0920T","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"0920T","description":"CPT-0920T","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Remote Therapeutic Monitoring (Eg_ Respiratory System Status_ Musculoskeletal System Status_ Therapy Adherence_ Therapy Response); Device(S) Supply With Scheduled (Eg_ Daily)","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"98976","description":"Remote Therapeutic Monitoring (Eg_ Respiratory System Status_ Musculoskeletal System Status_ Therapy Adherence_ Therapy Response); Device(S) Supply With Scheduled (Eg_ Daily)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CBKB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RUB0D","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RUB0D","description":"HIPPS-RUB0D","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Knee arthroscopy/surgery","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"29875","description":"Knee arthroscopy/surgery","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Fee covid-19 vac 3 booster","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0023A","description":"Fee covid-19 vac 3 booster","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GGUB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"DGSE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Tinnitus assessment","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"92625","description":"Tinnitus assessment","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MIED0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OAUB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Nasal/sinus endoscopy_ surgical; with destruction by radiofrequency ablation_ posterior nasal nerve","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"31242","description":"Nasal/sinus endoscopy_ surgical; with destruction by radiofrequency ablation_ posterior nasal nerve","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NKBE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Cannabinoids natural","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"80349","description":"Cannabinoids natural","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KABB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Revise/repl vagus n eltrd","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"64569","description":"Revise/repl vagus n eltrd","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Change of ureter tube/stent","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"50688","description":"Change of ureter tube/stent","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BBNC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Injection_ bevacizumab-adcd (vegzelma)_ biosimilar_ 10 mg","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"Q5129","description":"Injection_ bevacizumab-adcd (vegzelma)_ biosimilar_ 10 mg","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CDYE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FIEC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"IHEB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Sewho cap design w/jnt(s) cf","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"L3971","description":"Sewho cap design w/jnt(s) cf","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-2BGL1","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"2BGL1","description":"HIPPS-2BGL1","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RVX34","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RVX34","description":"HIPPS-RVX34","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"AFUE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"AGHF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NBGD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Amantadine hcl 100mg oral","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G9017","description":"Amantadine hcl 100mg oral","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OCIA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KERA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Assay of citrate","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"82507","description":"Assay of citrate","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Tissue Transglutaminase_ Each Immunoglobulin (Ig) Class","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"86364","description":"Tissue Transglutaminase_ Each Immunoglobulin (Ig) Class","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"EHDE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OAKB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"CPT-49190","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"49190","description":"CPT-49190","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NAAA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Complex body section x-ray","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"76101","description":"Complex body section x-ray","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NHUF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"LESC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Colorectal scrn; hi risk ind","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G0105","description":"Colorectal scrn; hi risk ind","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Hit blood products diem","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"S9538","description":"Hit blood products diem","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GIMD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FBBC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Insert endovasc prosth taa","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"33883","description":"Insert endovasc prosth taa","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NBXE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FFDA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KGSC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-PA10D","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"PA10D","description":"HIPPS-PA10D","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Incise/drain tear sac","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"68420","description":"Incise/drain tear sac","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MLEF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-1CFM2","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"1CFM2","description":"HIPPS-1CFM2","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"HAWC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"DBWF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Injection_ durvalumab_ 10 mg","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"J9173","description":"Injection_ durvalumab_ 10 mg","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BIIB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KDFA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Patients with a normal neurological examination","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G9535","description":"Patients with a normal neurological examination","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Oncology (breast)_ semiquantitative measurement of thymidine kinase activity by immunoassay_ serum_ results reported as risk of disease progression","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0404U","description":"Oncology (breast)_ semiquantitative measurement of thymidine kinase activity by immunoassay_ serum_ results reported as risk of disease progression","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GHHC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"AAIB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Dextran 75 infusion","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"J7110","description":"Dextran 75 infusion","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Reconstruct head of radius","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"24366","description":"Reconstruct head of radius","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BEFA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-HC210","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"HC210","description":"HIPPS-HC210","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KEJE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Injection_ Factor VIII_ (antihemophilic factor_ recombinant)_ (Kovaltry)_ 1 IU","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"J7211","description":"Injection_ Factor VIII_ (antihemophilic factor_ recombinant)_ (Kovaltry)_ 1 IU","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RML11","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RML11","description":"HIPPS-RML11","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FCMD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Tlso rig fram pelvic pre cst","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"L0468","description":"Tlso rig fram pelvic pre cst","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Hearing aid_ contralateral routing system_ binaural_ ITE/BTE","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"V5213","description":"Hearing aid_ contralateral routing system_ binaural_ ITE/BTE","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Initial (index visit) numeric rating scale (nrs)_ visual rating scale (vrs)_ or itchyquant assessment score of greater than or equal to 4","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"M1196","description":"Initial (index visit) numeric rating scale (nrs)_ visual rating scale (vrs)_ or itchyquant assessment score of greater than or equal to 4","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-4BGK2","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"4BGK2","description":"HIPPS-4BGK2","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Cylinder tank carrier","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"E2208","description":"Cylinder tank carrier","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Parenting class","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"S9444","description":"Parenting class","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CBME0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KCRE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Art byp subclav-axillary","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"35616","description":"Art byp subclav-axillary","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OATB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Subs visit for episode","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0526F","description":"Subs visit for episode","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CECF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Vascular endoscopy procedure","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"37501","description":"Vascular endoscopy procedure","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RVB56","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RVB56","description":"HIPPS-RVB56","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OGID0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"HFQA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-BA110","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"BA110","description":"HIPPS-BA110","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-3CFK6","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"3CFK6","description":"HIPPS-3CFK6","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Dentistry Mips Specialty Set","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G0067","description":"Dentistry Mips Specialty Set","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NCBB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Revise eyelashes","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"67835","description":"Revise eyelashes","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NJCC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CGFC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Ped hospital bed semi/elect","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"E0329","description":"Ped hospital bed semi/elect","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NHKC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NKME1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JGAA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BBUB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-4AFK4","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"4AFK4","description":"HIPPS-4AFK4","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Pelvic ring fracture uni/bil","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G0413","description":"Pelvic ring fracture uni/bil","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Non-prscrp lens","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"S0510","description":"Non-prscrp lens","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KBNE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NEAF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"DBSF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FEHD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JBTA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Treat fracture radius/ulna","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"25575","description":"Treat fracture radius/ulna","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-CA115","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"CA115","description":"HIPPS-CA115","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FHID1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Open femoral artery exposure with creation of conduit for delivery of endovascular prosthesis or for establishment of cardiopulmonary bypass_ by groin incision_ unilateral (Li","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"34714","description":"Open femoral artery exposure with creation of conduit for delivery of endovascular prosthesis or for establishment of cardiopulmonary bypass_ by groin incision_ unilateral (Li","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Tlso rigid frame hyperex pre","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"L0472","description":"Tlso rigid frame hyperex pre","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GHME1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Er and ip hosp <2 in 12 mos","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G9521","description":"Er and ip hosp <2 in 12 mos","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FALA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-PD212","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"PD212","description":"HIPPS-PD212","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FDCC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NADD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Vkorc1 gene","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"81355","description":"Vkorc1 gene","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Ureter endoscopy & biopsy","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"50955","description":"Ureter endoscopy & biopsy","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Injection_ bendamustine HCl (Bendeka)_ 1 mg","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"J9034","description":"Injection_ bendamustine HCl (Bendeka)_ 1 mg","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-A4543","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"A4543","description":"HCPCS-A4543","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OHUF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"MOLECULAR PATHOLOGY PROCEDURE LEVEL 2","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"81401","description":"MOLECULAR PATHOLOGY PROCEDURE LEVEL 2","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BAPC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"EGIE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MAEE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Inj enoxaparin sodium","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"J1650","description":"Inj enoxaparin sodium","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"EGUE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Hydrocolld drg <=16 in w/bdr","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"A6237","description":"Hydrocolld drg <=16 in w/bdr","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Adjust elbow ext/flex device","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"E1800","description":"Adjust elbow ext/flex device","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KGGA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MGEC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JFPB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FBID1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-LE28I","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"LE28I","description":"HIPPS-LE28I","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Removal abdomen lymph nodes","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"38564","description":"Removal abdomen lymph nodes","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Intercep dental tx primary","billing_code_type":"CDT","billing_code_type_version":"2024","billing_code":"D8050","description":"Intercep dental tx primary","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FGVD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NACC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"PCWA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Hospital bed institutional t","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"E0270","description":"Hospital bed institutional t","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RML2D","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RML2D","description":"HIPPS-RML2D","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-A1002","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"A1002","description":"HCPCS-A1002","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Cytopath smear other source","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"88160","description":"Cytopath smear other source","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OAPF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OLWC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Partial excision of lip","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"40510","description":"Partial excision of lip","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"DISB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GFAA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Patient received combination therapy consisting of at least two prophylactic pharmacologic antiemetic agents of different classes preoperatively and/or intraoperatively","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G9956","description":"Patient received combination therapy consisting of at least two prophylactic pharmacologic antiemetic agents of different classes preoperatively and/or intraoperatively","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"GE GNOTYP GYPC EXONS 1-4","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0188U","description":"GE GNOTYP GYPC EXONS 1-4","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Psytx pt&/fam w/e&m 45 min","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"90836","description":"Psytx pt&/fam w/e&m 45 min","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GDCD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Assay alkaline phosphatase","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"84078","description":"Assay alkaline phosphatase","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Lengthening of thigh tendon","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"27393","description":"Lengthening of thigh tendon","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OIRC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-3CGKW","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"3CGKW","description":"HIPPS-3CGKW","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Implant Supported Crown - Titanium And Titanium Alloys","billing_code_type":"CDT","billing_code_type_version":"2024","billing_code":"D6088","description":"Implant Supported Crown - Titanium And Titanium Alloys","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KECC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MDIF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MHLF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Legion pneumo dna dir prob","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"87540","description":"Legion pneumo dna dir prob","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MHTE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GDSD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Stimulation of spinal cord","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"63610","description":"Stimulation of spinal cord","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Partial removal of bladder","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"51555","description":"Partial removal of bladder","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OFBC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NKTD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KADD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NBHE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"HBRF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Thorax spine fusion","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"22610","description":"Thorax spine fusion","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Amnio or biodmatrix_ inj 1cc","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"Q4139","description":"Amnio or biodmatrix_ inj 1cc","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Hospice_ inpatient hospital","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"Q5005","description":"Hospice_ inpatient hospital","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NFEB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Rpr f/e/e/n/l/m 2.6-5.0 cm","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"12013","description":"Rpr f/e/e/n/l/m 2.6-5.0 cm","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BGHE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GDEB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Traumatic brain injury with Motor >22.05 & Motor <28.75._comorbidity in tier 1","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"B0206","description":"Traumatic brain injury with Motor >22.05 & Motor <28.75._comorbidity in tier 1","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Hemagglutination inhibition","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"86280","description":"Hemagglutination inhibition","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NDNC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MIBF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-Q5153","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"Q5153","description":"HCPCS-Q5153","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NBDC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Endometrial cryoablation","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"58356","description":"Endometrial cryoablation","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NBXA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Amputate leg at thigh","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"27591","description":"Amputate leg at thigh","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GIWF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Partial exchange transfusion_ blood_ plasma or crystalloid necessitating the skill of a physician or other qualified health care professional_ newborn","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"36456","description":"Partial exchange transfusion_ blood_ plasma or crystalloid necessitating the skill of a physician or other qualified health care professional_ newborn","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-3AFPW","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"3AFPW","description":"HIPPS-3AFPW","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Knee disart expand wall sock","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"L5653","description":"Knee disart expand wall sock","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Skeletal muscle relaxant 1/2","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"80369","description":"Skeletal muscle relaxant 1/2","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Quantitative pupillometry with physician or other qualified health care professional interpretation and report_ unilateral or bilateral","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"95919","description":"Quantitative pupillometry with physician or other qualified health care professional interpretation and report_ unilateral or bilateral","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OGAC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HH PDGM","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"4HA11","description":"HH PDGM","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OGPB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"I131 iodide sol_ rx","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"A9530","description":"I131 iodide sol_ rx","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GCLF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NKBE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Flt3 gene","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"81245","description":"Flt3 gene","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"CPT-37280","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"37280","description":"CPT-37280","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JAKB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Cogenex Amniotic Membrane_ per sq cm","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"Q4229","description":"Cogenex Amniotic Membrane_ per sq cm","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NHIE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KAXC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FEGA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NCXE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"AAUD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Explore/irrigate tear ducts","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"68840","description":"Explore/irrigate tear ducts","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"IFBE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KHKA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KADB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Shave skin lesion 0.5 cm/<","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"11305","description":"Shave skin lesion 0.5 cm/<","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"DBOF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"HBYF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NBKD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"IAAD IA CRYPTOSPORIDIUM","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"87328","description":"IAAD IA CRYPTOSPORIDIUM","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Injection procedure during cardiac catheterization including imaging supervision_ interpretation_ and report; for selective pulmonary arterial angiography_ bilateral (List sep","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"93573","description":"Injection procedure during cardiac catheterization including imaging supervision_ interpretation_ and report; for selective pulmonary arterial angiography_ bilateral (List sep","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FIFD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CDKB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-CA13D","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"CA13D","description":"HIPPS-CA13D","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NKGC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CFXE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KFCF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Correction of bladder defect","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"51940","description":"Correction of bladder defect","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MBIC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CCGB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-4AGL4","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"4AGL4","description":"HIPPS-4AGL4","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OGHB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Partial removal of larynx","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"31375","description":"Partial removal of larynx","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Bh ltc res r&b_ per diem","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"T2048","description":"Bh ltc res r&b_ per diem","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Legion pneumo dna quant","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"87542","description":"Legion pneumo dna quant","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"CPT-0996T","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"0996T","description":"CPT-0996T","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"EDLB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GHDE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NCMF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Resect enlarged toe tissue","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"28340","description":"Resect enlarged toe tissue","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Elec stim other than wound","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G0283","description":"Elec stim other than wound","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RUL2A","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RUL2A","description":"HIPPS-RUL2A","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Group health education","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"99078","description":"Group health education","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-PA111","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"PA111","description":"HIPPS-PA111","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MKLC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Endoscopic vein harvest","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"33508","description":"Endoscopic vein harvest","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Talk pt/crgvr re areds prev","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"4177F","description":"Talk pt/crgvr re areds prev","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Lower extremity study","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"93926","description":"Lower extremity study","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"PFOD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MABD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GIIA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"AADA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"HIYA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Arthroscop rotator cuff repr","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"29827","description":"Arthroscop rotator cuff repr","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"HCSC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GERB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Intro/sheath_ non-laser","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"C1894","description":"Intro/sheath_ non-laser","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-A9999","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"A9999","description":"HCPCS-A9999","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Doppler echo exam heart","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"93321","description":"Doppler echo exam heart","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GCPA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Revise eye sockets","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"21268","description":"Revise eye sockets","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MGUA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"PGOE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Spinal Puncture_ Lumbar_ Diagnostic; With Fluoroscopic Or Ct Guidance","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"62328","description":"Spinal Puncture_ Lumbar_ Diagnostic; With Fluoroscopic Or Ct Guidance","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OKQE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Pt offered tx for pseudobulb","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"4541F","description":"Pt offered tx for pseudobulb","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Pet image full body","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"78813","description":"Pet image full body","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BFIF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Intracranial limited study","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"93888","description":"Intracranial limited study","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OGNC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-2CGM3","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"2CGM3","description":"HIPPS-2CGM3","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RUL8H","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RUL8H","description":"HIPPS-RUL8H","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OGAA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Prothrombin complex concentrate (human)_ kcentra_ per i.u. of factor ix activity","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"J7168","description":"Prothrombin complex concentrate (human)_ kcentra_ per i.u. of factor ix activity","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Removal of sperm cord lesion","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"55520","description":"Removal of sperm cord lesion","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HH PDGM","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"3EC11","description":"HH PDGM","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Injection_ caplacizumab-yhdp_ 1mg","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"C9047","description":"Injection_ caplacizumab-yhdp_ 1mg","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KCGA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CIKF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NITB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CFCA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CHLC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RUB32","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RUB32","description":"HIPPS-RUB32","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JGVE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Pwr seat combo pwr shear","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"E1008","description":"Pwr seat combo pwr shear","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NLGD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CDDF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OFDC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KDDE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"HASA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FFCC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JFDD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"IHUE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OHIA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Frozen cell preparation","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"88241","description":"Frozen cell preparation","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KDBF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MAAB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Treatment of mouth lesion","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"40820","description":"Treatment of mouth lesion","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RMC53","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RMC53","description":"HIPPS-RMC53","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MDBF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Rcm celulr subcelulr img skn","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"96933","description":"Rcm celulr subcelulr img skn","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-HB24C","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"HB24C","description":"HIPPS-HB24C","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Njx tfrml eprl w/us cer/thor","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0229T","description":"Njx tfrml eprl w/us cer/thor","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"HESD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Percutaneous vertebral augmentations_ first thoracic and any additional thoracic or lumbar vertebral bodies_ including cavity creations (fracture reductions and bone biopsies","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"C7507","description":"Percutaneous vertebral augmentations_ first thoracic and any additional thoracic or lumbar vertebral bodies_ including cavity creations (fracture reductions and bone biopsies","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Shoulder passive restor comp","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"L6310","description":"Shoulder passive restor comp","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Lso s/c shell/panel custom","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"L0640","description":"Lso s/c shell/panel custom","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MAAF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-HE245","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"HE245","description":"HIPPS-HE245","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Intraoperative near-infrared fluorescence imaging of major extra-hepatic bile duct(s) (e.g._ cystic duct_ common bile duct and common hepatic duct) with intravenous administra","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"C9776","description":"Intraoperative near-infrared fluorescence imaging of major extra-hepatic bile duct(s) (e.g._ cystic duct_ common bile duct and common hepatic duct) with intravenous administra","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KFWE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Assay of creatinine","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"82565","description":"Assay of creatinine","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Heinz bodies induced","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"85445","description":"Heinz bodies induced","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"On Date Of Encounter_ Patient Is Not Able To Participate In Assessment Or Screening_ Including Non-Verbal Patients_ Delirious_ Severely Aphasic_ Severely Developmentally Delay","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G0037","description":"On Date Of Encounter_ Patient Is Not Able To Participate In Assessment Or Screening_ Including Non-Verbal Patients_ Delirious_ Severely Aphasic_ Severely Developmentally Delay","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Art byp grft brchl-ulnr-rdl","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"35523","description":"Art byp grft brchl-ulnr-rdl","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NDMD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FBBE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Translum dil eye canal","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"66174","description":"Translum dil eye canal","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CBCF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NEMF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KHPF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Vendaje_ per sq cm","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"Q4252","description":"Vendaje_ per sq cm","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Azithromycin dihydrate_ oral","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"Q0144","description":"Azithromycin dihydrate_ oral","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"AFIC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Assay of manganese","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"83785","description":"Assay of manganese","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"In111 oxyquinoline","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"A9547","description":"In111 oxyquinoline","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RHA5C","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RHA5C","description":"HIPPS-RHA5C","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KHFD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NDVE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"EEDA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Gingivectomy/plasty per toot","billing_code_type":"CDT","billing_code_type_version":"2024","billing_code":"D4211","description":"Gingivectomy/plasty per toot","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RML8F","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RML8F","description":"HIPPS-RML8F","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Tkr intent","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G9234","description":"Tkr intent","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JGXD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FIAB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Epsd bk pain for >12 wks","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"1137F","description":"Epsd bk pain for >12 wks","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Contact lens pmma bifocal","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"V2502","description":"Contact lens pmma bifocal","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Repair of arm tendon","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"24320","description":"Repair of arm tendon","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CEIC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"IAMA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Eye exam with photos","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"92235","description":"Eye exam with photos","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Radiation treatment delivery","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"77402","description":"Radiation treatment delivery","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"IDTE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MGAC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FDBD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-PA25B","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"PA25B","description":"HIPPS-PA25B","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Treat dislocation/fracture","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"23665","description":"Treat dislocation/fracture","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RVX0C","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RVX0C","description":"HIPPS-RVX0C","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MKTD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BCNB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-HC245","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"HC245","description":"HIPPS-HC245","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RMC8G","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RMC8G","description":"HIPPS-RMC8G","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NLUE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JFDF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-J0162","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"J0162","description":"HCPCS-J0162","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JBFA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NDBF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FDUB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Pierce skull for biopsy","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"61140","description":"Pierce skull for biopsy","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JGJE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-HB121","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"HB121","description":"HIPPS-HB121","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KDWB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"CPT-1071T","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"1071T","description":"CPT-1071T","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Hla ii typing 1 locus lr","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"81376","description":"Hla ii typing 1 locus lr","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Language screening","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"V5363","description":"Language screening","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-PC12A","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"PC12A","description":"HIPPS-PC12A","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NCLE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Solid skin barrier 8x8","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"A5122","description":"Solid skin barrier 8x8","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Membrane wrap-hydro_ per square centimeter","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"Q4290","description":"Membrane wrap-hydro_ per square centimeter","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NFLF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KHQA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Anoscopy_ high resolution (hra) (with magnification and chemical agent enhancement); diagnostic_ including collection of specimen(s) by brushing or washing when performed","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G6027","description":"Anoscopy_ high resolution (hra) (with magnification and chemical agent enhancement); diagnostic_ including collection of specimen(s) by brushing or washing when performed","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Supra SDRM_ per sq cm","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"A2011","description":"Supra SDRM_ per sq cm","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Anesth electroshock","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"10451","description":"Anesth electroshock","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JCKB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NKGE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Injection_ fosphenytoin sodi","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"S0078","description":"Injection_ fosphenytoin sodi","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"CSTB (cystatin B) (eg_ Unverricht-Lundborg disease) gene analysis; known familial variant(s)","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"81190","description":"CSTB (cystatin B) (eg_ Unverricht-Lundborg disease) gene analysis; known familial variant(s)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-4AGLS","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"4AGLS","description":"HIPPS-4AGLS","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-LB28B","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"LB28B","description":"HIPPS-LB28B","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Revision of neck muscle","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"21720","description":"Revision of neck muscle","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"EDDA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Instll rx agnt into rnal tub","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"50391","description":"Instll rx agnt into rnal tub","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"ODSE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Kafo fem fx cast thermoplas","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"L2126","description":"Kafo fem fx cast thermoplas","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Nikaidoh proc w/ostia implt","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"33783","description":"Nikaidoh proc w/ostia implt","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OBXF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Pros info op rpt","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G9304","description":"Pros info op rpt","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-1CHK1","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"1CHK1","description":"HIPPS-1CHK1","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FFEE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Hhc pt assistant ea 15","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G0157","description":"Hhc pt assistant ea 15","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KGCD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Pwc gp 4 hd seat/back","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"K0870","description":"Pwc gp 4 hd seat/back","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"HDWB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Shoe heel thomas with wedge","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"L3465","description":"Shoe heel thomas with wedge","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"CaregraFT_ per sq cm","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"Q4322","description":"CaregraFT_ per sq cm","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CCFC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OEGB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Repair artery rupture aorta","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"35082","description":"Repair artery rupture aorta","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GHFB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Arsenic trioxide injection","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"J9017","description":"Arsenic trioxide injection","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Diabetic management program_","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"S9465","description":"Diabetic management program_","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RVC10","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RVC10","description":"HIPPS-RVC10","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KCRA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-PC151","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"PC151","description":"HIPPS-PC151","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KDMD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CFVC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Repr pul art unifocal w/cpb","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"33926","description":"Repr pul art unifocal w/cpb","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Ldr prostate brachy comp rat","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G0458","description":"Ldr prostate brachy comp rat","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Muscle test nonparaspinal","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"95870","description":"Muscle test nonparaspinal","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NAMD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NGFB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-LB12B","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"LB12B","description":"HIPPS-LB12B","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JFEB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Remove/graft foot lesion","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"28103","description":"Remove/graft foot lesion","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-HB12C","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"HB12C","description":"HIPPS-HB12C","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BBNA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RHX56","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RHX56","description":"HIPPS-RHX56","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Biopsy of lip","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"40490","description":"Biopsy of lip","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FBLA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Ue triple control harness","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"L6677","description":"Ue triple control harness","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CCXC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Analyze neurostim simple","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"95971","description":"Analyze neurostim simple","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MHIE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-3CGKS","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"3CGKS","description":"HIPPS-3CGKS","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Removal and replacement of implanted vestibular device_ unilateral","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0727T","description":"Removal and replacement of implanted vestibular device_ unilateral","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OGGA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"CDTB&VINCULIN IGG ANTB IA","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0176U","description":"CDTB&VINCULIN IGG ANTB IA","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FBTD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Treat odontoid fx w/graft","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"22319","description":"Treat odontoid fx w/graft","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Breast surgery procedure","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"19499","description":"Breast surgery procedure","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Fluzone vacc_ 3 yrs & >_ im","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"Q2038","description":"Fluzone vacc_ 3 yrs & >_ im","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FGEE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"EAAE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FBME1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KIRA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"AATF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-PE14D","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"PE14D","description":"HIPPS-PE14D","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"DDQD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-2AHL3","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"2AHL3","description":"HIPPS-2AHL3","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Repair urethrovaginal lesion","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"57311","description":"Repair urethrovaginal lesion","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Revise/implant finger joint","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"26536","description":"Revise/implant finger joint","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FEID1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NBPD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MKEE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CETE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"CPT-96041","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"96041","description":"CPT-96041","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Cranial electrotherapy stimulation (ces) system_ any type","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"E0732","description":"Cranial electrotherapy stimulation (ces) system_ any type","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MAMB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OFLC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Wrst mold sock w/exp interfa","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"L6055","description":"Wrst mold sock w/exp interfa","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Above knee manual lock","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"L5925","description":"Above knee manual lock","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FFKB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Surgical opening esophagus","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"43351","description":"Surgical opening esophagus","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Orthopedic Surgery Mips Specialty Set","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G4021","description":"Orthopedic Surgery Mips Specialty Set","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Interprofessional telephone/Internet/electronic health record referral service(s) provided by a treating/requesting physician or other qualified health care professional_ 30 m","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"99452","description":"Interprofessional telephone/Internet/electronic health record referral service(s) provided by a treating/requesting physician or other qualified health care professional_ 30 m","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GFJB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-PA146","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"PA146","description":"HIPPS-PA146","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-PD12B","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"PD12B","description":"HIPPS-PD12B","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Resect/excise cranial lesion","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"61608","description":"Resect/excise cranial lesion","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Patients with an existing diagnosis of squamous cell carcinoma of the esophagus","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"M1192","description":"Patients with an existing diagnosis of squamous cell carcinoma of the esophagus","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Hand restoration no fingers","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"L6910","description":"Hand restoration no fingers","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RUC8X","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RUC8X","description":"HIPPS-RUC8X","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FEBA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Coch implant microphone repl","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"L8616","description":"Coch implant microphone repl","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-PC235","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"PC235","description":"HIPPS-PC235","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-3CGN6","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"3CGN6","description":"HIPPS-3CGN6","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GHEA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"HGWE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OAAB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NFEC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"IGTE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Patients who died during the measurement period","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"M1356","description":"Patients who died during the measurement period","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"IGCD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"AHMA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"ABMC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GFLC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Transfusion procedure","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"86999","description":"Transfusion procedure","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-ES12D","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"ES12D","description":"HIPPS-ES12D","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JETD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-3CGLT","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"3CGLT","description":"HIPPS-3CGLT","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Reusable oral thermometer","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"A4931","description":"Reusable oral thermometer","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CALF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"EELB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NBDA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CAYC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-ES354","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"ES354","description":"HIPPS-ES354","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FETA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Bronchoscopy_ rigid or flexible_ with insertion of esophageal protection device and circumferential radiofrequency destruction of the pulmonary nerves_ including fluoroscopic","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0781T","description":"Bronchoscopy_ rigid or flexible_ with insertion of esophageal protection device and circumferential radiofrequency destruction of the pulmonary nerves_ including fluoroscopic","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GDQA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JAJF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Mental/Behavioral Health Mips Specialty Set","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G4013","description":"Mental/Behavioral Health Mips Specialty Set","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"AIDC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OBDA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OGHA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Screening_ diagnostic_ film_ digital or digital breast tomosynthesis (3D) mammography results were not documented and reviewed_ reason not otherwise specified","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G9900","description":"Screening_ diagnostic_ film_ digital or digital breast tomosynthesis (3D) mammography results were not documented and reviewed_ reason not otherwise specified","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Lung cx bx rpt no doc class","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G9421","description":"Lung cx bx rpt no doc class","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-BA18I","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"BA18I","description":"HIPPS-BA18I","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FGAA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JGUD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OGOE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KAUF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"ECIE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"LCRF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OIIF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"HBWA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Inj_ ado-trastuzumab emt 1mg","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"J9354","description":"Inj_ ado-trastuzumab emt 1mg","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JATF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"IIDE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Decitabine injection","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"J0894","description":"Decitabine injection","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Implt nrostm pls gen dua non","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"L8688","description":"Implt nrostm pls gen dua non","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Injection_ trabectedin_ 0.1 mg","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"J9352","description":"Injection_ trabectedin_ 0.1 mg","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Vasc embolize/occlude venous","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"37241","description":"Vasc embolize/occlude venous","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GBVB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GCVB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-CD28E","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"CD28E","description":"HIPPS-CD28E","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GFHF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-2CHMX","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"2CHMX","description":"HIPPS-2CHMX","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BGBE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Anoscopy","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"46615","description":"Anoscopy","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RUL2D","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RUL2D","description":"HIPPS-RUL2D","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Power source and control electronics unit for oral device/appliance for neuromuscular electrical stimulation of the tongue muscle for the reduction of snoring and obstructive","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"K1028","description":"Power source and control electronics unit for oral device/appliance for neuromuscular electrical stimulation of the tongue muscle for the reduction of snoring and obstructive","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Xenograft implantation into the articular surface","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0737T","description":"Xenograft implantation into the articular surface","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GBLA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-PE130","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"PE130","description":"HIPPS-PE130","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Ed svc ckd grp per session","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G0421","description":"Ed svc ckd grp per session","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Gastroenterology_ malabsorption evaluation of alpha-1-antitrypsin_ calprotectin_ pancreatic elastase and reducing substances_ feces_ quantitative","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0430U","description":"Gastroenterology_ malabsorption evaluation of alpha-1-antitrypsin_ calprotectin_ pancreatic elastase and reducing substances_ feces_ quantitative","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JIEA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"DESD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OIGD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MBTD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"MRI chest w/dye","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"71551","description":"MRI chest w/dye","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RVA8D","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RVA8D","description":"HIPPS-RVA8D","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Mntr io press 24hrs/> uni/bi","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0329T","description":"Mntr io press 24hrs/> uni/bi","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Determine refractive state","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"92015","description":"Determine refractive state","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BGPC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CELF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JFPA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OBGA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JCTA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Patient receives hcv antibody test with nonreactive result","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"M1231","description":"Patient receives hcv antibody test with nonreactive result","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Dental onlay resin 4/mre sur","billing_code_type":"CDT","billing_code_type_version":"2024","billing_code":"D2664","description":"Dental onlay resin 4/mre sur","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OJVE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BAKE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CFBC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Parenteral sol amino acid 5.","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"B4172","description":"Parenteral sol amino acid 5.","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Patient safety and support of positive experiences with anesthesia mips value pathways","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G0059","description":"Patient safety and support of positive experiences with anesthesia mips value pathways","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"IIEA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MFUE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Cranial cervical orthosis","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"L0112","description":"Cranial cervical orthosis","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-3CGKX","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"3CGKX","description":"HIPPS-3CGKX","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JECD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Incis addl spine segment","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"22216","description":"Incis addl spine segment","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FCGD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Ins cath ren art 1st bilat","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"36252","description":"Ins cath ren art 1st bilat","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OBJD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CDRD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OFYE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"IEBF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BEUE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Lymphocyte immune globulin","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"J7504","description":"Lymphocyte immune globulin","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GDIF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-HB22D","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"HB22D","description":"HIPPS-HB22D","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GEUE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"EIBD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Apply intrcav radiat simple","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"77761","description":"Apply intrcav radiat simple","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"DermaBind FM_ per sq cm","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"Q4313","description":"DermaBind FM_ per sq cm","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"IAAD IA GIARDIA","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"87329","description":"IAAD IA GIARDIA","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Removal of urethra gland","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"53270","description":"Removal of urethra gland","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Removal kidney open radical","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"50230","description":"Removal kidney open radical","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NJIB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"AFLA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KGGF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Pancreatectomy","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"48146","description":"Pancreatectomy","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-PD115","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"PD115","description":"HIPPS-PD115","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Fractional ablative laser fenestration of burn and traumatic scars for functional improvement; first 100 cm2 or part thereof_ or 1% of body surface area of infants and childre","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0479T","description":"Fractional ablative laser fenestration of burn and traumatic scars for functional improvement; first 100 cm2 or part thereof_ or 1% of body surface area of infants and childre","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KGBD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Trnscth renal symp denrv unl","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0338T","description":"Trnscth renal symp denrv unl","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OLWD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"PJSC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JHGE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Magnetic resonance imaging_ breast_ without contrast material; bilateral","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"77047","description":"Magnetic resonance imaging_ breast_ without contrast material; bilateral","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OHKB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JHIB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GEGE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"LISA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Cad cxr remote","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0175T","description":"Cad cxr remote","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-LD112","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"LD112","description":"HIPPS-LD112","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Services performed by birth a doula birth workers_ per 15 minutes","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"T1032","description":"Services performed by birth a doula birth workers_ per 15 minutes","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-3AHL6","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"3AHL6","description":"HIPPS-3AHL6","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Treat humerus fracture","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"24500","description":"Treat humerus fracture","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Chlamydia trachomatis ag if","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"87270","description":"Chlamydia trachomatis ag if","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Assess vol mgmt not doc","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G8958","description":"Assess vol mgmt not doc","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JBCA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"CPT-0602U","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"0602U","description":"CPT-0602U","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"AAIE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OBSB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GHKE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Plasma volume single","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"78110","description":"Plasma volume single","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Remove lumb artif disc","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"22865","description":"Remove lumb artif disc","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FAEB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Volume control ventilator_ without pressure support mode_ may include pressure control mode_ used with invasive interface (e.g._ tracheostomy tube)","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"E0450","description":"Volume control ventilator_ without pressure support mode_ may include pressure control mode_ used with invasive interface (e.g._ tracheostomy tube)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Surgical repair of stomach","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"43502","description":"Surgical repair of stomach","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NCID1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Multi-axial ankle/ft prosth","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"L5979","description":"Multi-axial ankle/ft prosth","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CEFB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Ambulatory continuous glucose monitoring of interstitial tissue fluid via a subcutaneous sensor for a minimum of 72 hours; patient-provided equipment_ sensor placement_ hook-u","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"95249","description":"Ambulatory continuous glucose monitoring of interstitial tissue fluid via a subcutaneous sensor for a minimum of 72 hours; patient-provided equipment_ sensor placement_ hook-u","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MKHC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"PHQA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-3AGP1","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"3AGP1","description":"HIPPS-3AGP1","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Body mass index docd","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"3008F","description":"Body mass index docd","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OHUD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JDAC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Revision of infusion pump","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"36261","description":"Revision of infusion pump","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"ACIB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Interprofessional telephone/Internet/electronic health record assessment and management service provided by a consultative physician_ including a written report to the patient","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"99451","description":"Interprofessional telephone/Internet/electronic health record assessment and management service provided by a consultative physician_ including a written report to the patient","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NCXB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GFFA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Amputation at shoulder joint","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"23920","description":"Amputation at shoulder joint","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MFBF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NINC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"LGRB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Release of foot tendons","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"28222","description":"Release of foot tendons","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MIHB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Re-explore parathyroids","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"60502","description":"Re-explore parathyroids","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MJCB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Revision of femur epiphysis","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"27185","description":"Revision of femur epiphysis","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RUB0A","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RUB0A","description":"HIPPS-RUB0A","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GBKB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FGIB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Nasal/sinus endoscopy surg","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"31238","description":"Nasal/sinus endoscopy surg","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Low cost skin substitute app","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"C5271","description":"Low cost skin substitute app","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"IDHF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Lvef < 40% or lvsd","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G8923","description":"Lvef < 40% or lvsd","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Bone graft repair perimplant","billing_code_type":"CDT","billing_code_type_version":"2024","billing_code":"D6103","description":"Bone graft repair perimplant","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"1 or no ct sinus w/in 90d dx","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G9354","description":"1 or no ct sinus w/in 90d dx","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Revision of cervix","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"59325","description":"Revision of cervix","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OHUE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OJBA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RHB8B","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RHB8B","description":"HIPPS-RHB8B","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Behavioral counseling for diabetes prevention_ in-person_ group_ 60 minutes","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G9886","description":"Behavioral counseling for diabetes prevention_ in-person_ group_ 60 minutes","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Orthopedic mens shoes dpth i","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"L3221","description":"Orthopedic mens shoes dpth i","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-1BGLU","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"1BGLU","description":"HIPPS-1BGLU","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"ADLD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MIHC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Home environment assessment","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"T1028","description":"Home environment assessment","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NBAA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"LCOE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OAIE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-J1807","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"J1807","description":"HCPCS-J1807","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Lwr ext dynamic prosth pylon","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"L5985","description":"Lwr ext dynamic prosth pylon","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CGMF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NKCB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"CPT-90612","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"90612","description":"CPT-90612","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CBPC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GEJC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OISA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"AFED1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BGHC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GDIA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Aspirin recvd w/in 24 hrs","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"4084F","description":"Aspirin recvd w/in 24 hrs","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KIKA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NFXA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MFLD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Bone biopsy excisional","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"20245","description":"Bone biopsy excisional","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Release of midfoot joint","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"28264","description":"Release of midfoot joint","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"AFUB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Insitu hybridization (fish)","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"88366","description":"Insitu hybridization (fish)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Pt not recvng antiv hep c","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"4151F","description":"Pt not recvng antiv hep c","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"DIRF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FBJA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"DDOF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"ODHE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Lyme dis dna amp probe","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"87476","description":"Lyme dis dna amp probe","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"PCRC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CEBF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OGGC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Repair lead pace-defib dual","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"33220","description":"Repair lead pace-defib dual","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-1CGL1","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"1CGL1","description":"HIPPS-1CGL1","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CBEB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RUC46","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RUC46","description":"HIPPS-RUC46","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OJUB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Cough stimulating device","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"E0482","description":"Cough stimulating device","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Amputation follow-up surgery","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"27596","description":"Amputation follow-up surgery","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OFWB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Self-adher band >=5in/yd","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"A6455","description":"Self-adher band >=5in/yd","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NBBC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BDPD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OCIB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"HBOF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-ATP19","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"ATP19","description":"HIPPS-ATP19","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"CPT-0985T","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"0985T","description":"CPT-0985T","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Repair of kidney wound","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"50500","description":"Repair of kidney wound","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"AFF2 (AF4/FMR2 family_ member 2 [FMR2]) (eg_ fragile X mental retardation 2 [FRAXE]) gene analysis; evaluation to detect abnormal (eg_ expanded) alleles","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"81171","description":"AFF2 (AF4/FMR2 family_ member 2 [FMR2]) (eg_ fragile X mental retardation 2 [FRAXE]) gene analysis; evaluation to detect abnormal (eg_ expanded) alleles","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FCJE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-1AGNX","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"1AGNX","description":"HIPPS-1AGNX","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Degarelix injection","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"J9155","description":"Degarelix injection","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-M1491","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"M1491","description":"HCPCS-M1491","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Construction of vagina","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"57291","description":"Construction of vagina","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Sigmoidoscopy_ flexible_ with initial transendoscopic mechanical dilation (eg_ nondrug-coated balloon) followed by therapeutic drug delivery by drug-coated balloon catheter fo","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0886T","description":"Sigmoidoscopy_ flexible_ with initial transendoscopic mechanical dilation (eg_ nondrug-coated balloon) followed by therapeutic drug delivery by drug-coated balloon catheter fo","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"ABDE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OFTA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NBPE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GFDE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OLVB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Assay prostate phosphatase","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"84066","description":"Assay prostate phosphatase","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KDVA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-M1440","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"M1440","description":"HCPCS-M1440","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Patient transfer system <300","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"E1035","description":"Patient transfer system <300","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"HFSB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RHX34","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RHX34","description":"HIPPS-RHX34","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FCHD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Induced abortion 17-24 weeks","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"S2260","description":"Induced abortion 17-24 weeks","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JAVC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GBQA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FHHC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JBTC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Temporal artery procedure","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"37609","description":"Temporal artery procedure","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KHKC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RMX5D","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RMX5D","description":"HIPPS-RMX5D","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CERA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Negative pressure ventilator;  portable or stationary","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"E0460","description":"Negative pressure ventilator;  portable or stationary","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OJEE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BCHE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NCBD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"AHUE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Surface emg","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"S3900","description":"Surface emg","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KBNC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KETA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GFTA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GGHF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FIEF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GIVF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Mr spectroscopy","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"76390","description":"Mr spectroscopy","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"ICBD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OBRA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GCMD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Targeted genomic seq analys","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"81455","description":"Targeted genomic seq analys","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FBDA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RLX46","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RLX46","description":"HIPPS-RLX46","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Upgrade of pacemaker system","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"33214","description":"Upgrade of pacemaker system","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"CPT-55881","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"55881","description":"CPT-55881","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BHXA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"I131 tositumomab_ dx","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"A9544","description":"I131 tositumomab_ dx","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BGDB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MECC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KFWB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NHPB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Remove sympathetic nerves","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"64818","description":"Remove sympathetic nerves","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"PHSD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GHYC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Inj cladribine per 1 mg","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"J9065","description":"Inj cladribine per 1 mg","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Assay of somatomedin","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"84305","description":"Assay of somatomedin","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Prepare face/oral prosthesis","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"21081","description":"Prepare face/oral prosthesis","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-LE20C","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"LE20C","description":"HIPPS-LE20C","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FDAA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Replacement of gastrostomy tube_ percutaneous_ includes removal_ when performed_ without imaging or endoscopic guidance; requiring revision of gastrostomy tract","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"43763","description":"Replacement of gastrostomy tube_ percutaneous_ includes removal_ when performed_ without imaging or endoscopic guidance; requiring revision of gastrostomy tract","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Modification diabetic shoe","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"A5507","description":"Modification diabetic shoe","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OLCA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MDME0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RVA4C","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RVA4C","description":"HIPPS-RVA4C","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MDED0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Biopsy soft tissue of back","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"21920","description":"Biopsy soft tissue of back","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FGGC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Mirror coating","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"V2761","description":"Mirror coating","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OICC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CGND0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"CDT-D6049","billing_code_type":"CDT","billing_code_type_version":"2026","billing_code":"D6049","description":"CDT-D6049","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Remote 30 day ecg tech supp","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"93229","description":"Remote 30 day ecg tech supp","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CHJD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Tens two lead","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"E0720","description":"Tens two lead","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OBAC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"LEQD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"EGBD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Tob non-user","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G9459","description":"Tob non-user","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Removal of brain lesion","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"61510","description":"Removal of brain lesion","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-CB23C","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"CB23C","description":"HIPPS-CB23C","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MJLA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"PABPN1 (poly[A] binding protein nuclear 1) (eg_ oculopharyngeal muscular dystrophy) gene analysis_ evaluation to detect abnormal (eg_ expanded) alleles","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"81312","description":"PABPN1 (poly[A] binding protein nuclear 1) (eg_ oculopharyngeal muscular dystrophy) gene analysis_ evaluation to detect abnormal (eg_ expanded) alleles","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-HD251","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"HD251","description":"HIPPS-HD251","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FFFF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-HC22B","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"HC22B","description":"HIPPS-HC22B","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"EHBD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"IAHB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KDWC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FFJE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Electron microscopy","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"88348","description":"Electron microscopy","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BGJF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Verify pt site pxd docd","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"6100F","description":"Verify pt site pxd docd","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FBKA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Patients Age 66 Or Older In Institutional Special Needs Plans (Snp) Or Residing In Long-Term Care With Pos Code 32_ 33_ 34_ 54 Or 56 For More Than 90 Days During The Measureme","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G2105","description":"Patients Age 66 Or Older In Institutional Special Needs Plans (Snp) Or Residing In Long-Term Care With Pos Code 32_ 33_ 34_ 54 Or 56 For More Than 90 Days During The Measureme","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Assay of prostaglandin","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"84150","description":"Assay of prostaglandin","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"IHTF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CBTD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Computed tomography scan taken for the purpose of biomechanical computed tomography analysis","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0558T","description":"Computed tomography scan taken for the purpose of biomechanical computed tomography analysis","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"ABEC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BCKF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Inject for lymphatic x-ray","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"38790","description":"Inject for lymphatic x-ray","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Remove drug implant device","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"11982","description":"Remove drug implant device","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"IBMF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BHGB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Diagnostic bone marrow; biopsy(ies)","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"38221","description":"Diagnostic bone marrow; biopsy(ies)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-Q4379","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"Q4379","description":"HCPCS-Q4379","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MLTA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"N block inj common digit","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"64632","description":"N block inj common digit","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CIOE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-J1326","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"J1326","description":"HCPCS-J1326","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Breast reconstruction","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"19367","description":"Breast reconstruction","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"IEIC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KIOB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"LBRF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"MRI fetal ea addl gestation","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"74713","description":"MRI fetal ea addl gestation","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Oxymorphone hcl injection","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"J2410","description":"Oxymorphone hcl injection","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CBIC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KHKB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Release palm & finger tendon","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"26442","description":"Release palm & finger tendon","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Heavy duty control cable","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"L6660","description":"Heavy duty control cable","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Hand-held pefr meter","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"A4614","description":"Hand-held pefr meter","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CILE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CFME1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OCFA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Humate-p_ inj","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"J7187","description":"Humate-p_ inj","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"NPM1 (nucleophosmin) (eg_ acute myeloid leukemia) gene analysis_ quantitative","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0049U","description":"NPM1 (nucleophosmin) (eg_ acute myeloid leukemia) gene analysis_ quantitative","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-CE22B","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"CE22B","description":"HIPPS-CE22B","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Fusion of knuckle","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"26850","description":"Fusion of knuckle","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KGHB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-3CGP4","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"3CGP4","description":"HIPPS-3CGP4","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GGKA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"ECBA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NFJD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Leg pain was not measured by the Visual Analog Scale (VAS) within three months preoperatively and at one year (9 to 15 months)","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"M1052","description":"Leg pain was not measured by the Visual Analog Scale (VAS) within three months preoperatively and at one year (9 to 15 months)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-LD28I","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"LD28I","description":"HIPPS-LD28I","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CILB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-PE12D","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"PE12D","description":"HIPPS-PE12D","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"LCSC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KDOB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GACD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HH PDGM","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"2CB31","description":"HH PDGM","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-CD28A","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"CD28A","description":"HIPPS-CD28A","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"IMM ADMN SARSCOV2 30MCG/0.3ML DIL RECON 3RD DOSE PFIZER","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0003A","description":"IMM ADMN SARSCOV2 30MCG/0.3ML DIL RECON 3RD DOSE PFIZER","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-CC28H","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"CC28H","description":"HIPPS-CC28H","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FAEE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-HB28H","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"HB28H","description":"HIPPS-HB28H","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Hit immunotherapy diem","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"S9338","description":"Hit immunotherapy diem","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"ICTB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-A9611","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"A9611","description":"HCPCS-A9611","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Supply/accessory/service","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"A9900","description":"Supply/accessory/service","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Ongoing Care Not Indicated_ Patient Discharged After Only 1-2 Visits Due To Specific Medical Events_ Documented In The Medical Record That Make The Treatment Episode Impossibl","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"M1119","description":"Ongoing Care Not Indicated_ Patient Discharged After Only 1-2 Visits Due To Specific Medical Events_ Documented In The Medical Record That Make The Treatment Episode Impossibl","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GEXE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RVB1C","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RVB1C","description":"HIPPS-RVB1C","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"AATE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Ankle arthroscopy/surgery","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"29898","description":"Ankle arthroscopy/surgery","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KGWB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Typhoid vaccine oral","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"90690","description":"Typhoid vaccine oral","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-PB28F","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"PB28F","description":"HIPPS-PB28F","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Amputate upper arm & implant","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"24931","description":"Amputate upper arm & implant","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JCHF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"IGMB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Needle Insertion(S) Without Injection(S); 3 Or More Muscles","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"20561","description":"Needle Insertion(S) Without Injection(S); 3 Or More Muscles","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GBGC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"AELA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OFOD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NFVE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Finger tendon transfer","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"26498","description":"Finger tendon transfer","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Pmkr_ other than sing/dual","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"C2621","description":"Pmkr_ other than sing/dual","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JEHD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CESE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Remove sacrum pressure sore","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"15933","description":"Remove sacrum pressure sore","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Patients who were not prescribed/administered androgen deprivation therapy in combination with external beam radiotherapy to the prostate_ reason not given","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G9897","description":"Patients who were not prescribed/administered androgen deprivation therapy in combination with external beam radiotherapy to the prostate_ reason not given","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OJNB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Chest wrap","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"E0459","description":"Chest wrap","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Pt rcvng periton dialysis","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"4055F","description":"Pt rcvng periton dialysis","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"HGQA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FIXF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NABE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"IIIF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"IHAB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-PB23B","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"PB23B","description":"HIPPS-PB23B","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Amnio Wound_ per sq cm","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"Q4181","description":"Amnio Wound_ per sq cm","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Injection_ amivantamab-vmjw_ 10 mg","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"C9083","description":"Injection_ amivantamab-vmjw_ 10 mg","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-CB101","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"CB101","description":"HIPPS-CB101","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"PDSB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Application of body cast","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"29046","description":"Application of body cast","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RLB1B","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RLB1B","description":"HIPPS-RLB1B","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CGVB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-HB220","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"HB220","description":"HIPPS-HB220","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FCUB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Ablate atria lmtd endo","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"33265","description":"Ablate atria lmtd endo","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Recording of fetal magnetic cardiac signal using at least 3 channels; review_ interpretation_ report by physician or other qualified health care professional","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0478T","description":"Recording of fetal magnetic cardiac signal using at least 3 channels; review_ interpretation_ report by physician or other qualified health care professional","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Ekg for initial prevent exam","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G0403","description":"Ekg for initial prevent exam","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"CDT-D5877","billing_code_type":"CDT","billing_code_type_version":"2026","billing_code":"D5877","description":"CDT-D5877","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"AIED0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CBMA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Drainable pch w st wear barr","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"A4389","description":"Drainable pch w st wear barr","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GERD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Amputation of toe","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"28820","description":"Amputation of toe","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Echo examination procedure","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"76999","description":"Echo examination procedure","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FIKE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"IEMC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-2BGKW","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"2BGKW","description":"HIPPS-2BGKW","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-BA136","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"BA136","description":"HIPPS-BA136","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Destruction of skin lesions","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"17106","description":"Destruction of skin lesions","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FIIA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"NFCT DS DNA&RNA 21 TARGETS SARS-COV-2 AMP PROBE","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0225U","description":"NFCT DS DNA&RNA 21 TARGETS SARS-COV-2 AMP PROBE","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Respiratory syncytial virus vaccine_ preF_ recombinant subunit_ adjuvanted_ for intramuscular use","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"90679","description":"Respiratory syncytial virus vaccine_ preF_ recombinant subunit_ adjuvanted_ for intramuscular use","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Assay of g6pd enzyme","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"82955","description":"Assay of g6pd enzyme","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"IEMD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-4AFK2","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"4AFK2","description":"HIPPS-4AFK2","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"AALD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Treat ectopic pregnancy","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"59121","description":"Treat ectopic pregnancy","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Assay of tacrolimus","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"80197","description":"Assay of tacrolimus","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JBAE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Islet Cell Transplant_ Includes Portal Vein Catheterization And Infusion_ Including All Imaging_ Including Guidance_ And Radiological Supervision And Interpretation_ When Perf","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0584T","description":"Islet Cell Transplant_ Includes Portal Vein Catheterization And Infusion_ Including All Imaging_ Including Guidance_ And Radiological Supervision And Interpretation_ When Perf","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"EFHF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CHMD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Tumor imaging limited area","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"78800","description":"Tumor imaging limited area","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NIFC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RMC8C","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RMC8C","description":"HIPPS-RMC8C","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-HC12B","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"HC12B","description":"HIPPS-HC12B","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Immune admin oral/nasal addl","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"90474","description":"Immune admin oral/nasal addl","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JCXE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Antigen therapy services","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"95146","description":"Antigen therapy services","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BGGF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JBID0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JIMA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GBRA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NFFE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-2BHMW","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"2BHMW","description":"HIPPS-2BHMW","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-1CHL5","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"1CHL5","description":"HIPPS-1CHL5","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Ostomy ring each","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"A4404","description":"Ostomy ring each","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Ablation therapy for reduction or eradication of 1 or more pulmonary tumor(s) including pleura or chest wall when involved by tumor extension_ percutaneous_ including imaging","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"32998","description":"Ablation therapy for reduction or eradication of 1 or more pulmonary tumor(s) including pleura or chest wall when involved by tumor extension_ percutaneous_ including imaging","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RHC32","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RHC32","description":"HIPPS-RHC32","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Paclitaxel injection","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"J9267","description":"Paclitaxel injection","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GIIB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Remove in/ex hem grps & fiss","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"46261","description":"Remove in/ex hem grps & fiss","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Free myo/skin flap microvasc","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"15756","description":"Free myo/skin flap microvasc","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Revascularization_ endovascular_ open or percutaneous_ tibial/peroneal artery(ies)_ with intravascular lithotripsy_ includes angioplasty within the same vessel (s)_ when perfo","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"C9772","description":"Revascularization_ endovascular_ open or percutaneous_ tibial/peroneal artery(ies)_ with intravascular lithotripsy_ includes angioplasty within the same vessel (s)_ when perfo","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-J1072","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"J1072","description":"HCPCS-J1072","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CCKF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KDIF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Injection_ daratumumab_ 10 mg","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"J9145","description":"Injection_ daratumumab_ 10 mg","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Bevacizumab injection","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"C9257","description":"Bevacizumab injection","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Magnetic resonance imaging with inhaled hyperpolarized xenon-129 contrast agent_ chest_ including preparation andadministration of agent","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"C9791","description":"Magnetic resonance imaging with inhaled hyperpolarized xenon-129 contrast agent_ chest_ including preparation andadministration of agent","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Electromagntic tx for ulcers","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G0329","description":"Electromagntic tx for ulcers","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"IAEC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Interdental wiring","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"21497","description":"Interdental wiring","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-PE146","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"PE146","description":"HIPPS-PE146","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"IGMF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Repair finger/hand tendon","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"26350","description":"Repair finger/hand tendon","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Lap colectomy w/proctectomy","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"44211","description":"Lap colectomy w/proctectomy","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"DAYD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Assay of lithium","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"80178","description":"Assay of lithium","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"ADM SARSCV2 3MCG TRS-SUCR 1","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0081A","description":"ADM SARSCV2 3MCG TRS-SUCR 1","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JGBC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"LDRC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Correction eyelid w/implant","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"67912","description":"Correction eyelid w/implant","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KCLB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Drainage lymph node lesion","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"38300","description":"Drainage lymph node lesion","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Low rsk thromboembolism","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"3550F","description":"Low rsk thromboembolism","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-C7563","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"C7563","description":"HCPCS-C7563","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Clinic service","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"T1015","description":"Clinic service","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OJKD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-HE110","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"HE110","description":"HIPPS-HE110","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Cryoprecipitate each unit","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"P9012","description":"Cryoprecipitate each unit","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RUA4D","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RUA4D","description":"HIPPS-RUA4D","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JIMD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"PJWF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NGPC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-1AGL4","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"1AGL4","description":"HIPPS-1AGL4","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GBDB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Open skull for exploration","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"61304","description":"Open skull for exploration","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Removal of anal tags","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"46230","description":"Removal of anal tags","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BHIB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RHX02","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RHX02","description":"HIPPS-RHX02","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Esophagogastroduodenoscopy_ flexible_ transoral; with deployment of intragastric bariatric balloon","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"43290","description":"Esophagogastroduodenoscopy_ flexible_ transoral; with deployment of intragastric bariatric balloon","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-PD18F","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"PD18F","description":"HIPPS-PD18F","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-ES10C","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"ES10C","description":"HIPPS-ES10C","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Partial removal of foot bone","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"28122","description":"Partial removal of foot bone","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Custom sleep apnea appliance fabrication and placement","billing_code_type":"CDT","billing_code_type_version":"2024","billing_code":"D9947","description":"Custom sleep apnea appliance fabrication and placement","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Insitu hybridization (fish)","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"88365","description":"Insitu hybridization (fish)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NHTF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KEWB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GGJE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"EBDE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"CPT-0563U","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"0563U","description":"CPT-0563U","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Treat hand dislocation","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"26685","description":"Treat hand dislocation","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"WoundEx Flow_ BioSkin Flow_ 0.5 cc","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"Q4162","description":"WoundEx Flow_ BioSkin Flow_ 0.5 cc","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OEQB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JDUC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"X-ray exam of salivary gland","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"70380","description":"X-ray exam of salivary gland","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CAGF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Transcatheter placement of intravascular stent(s)_ central dialysis segment_ performed through dialysis circuit_ including all imaging and radiological supervision and interpr","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"36908","description":"Transcatheter placement of intravascular stent(s)_ central dialysis segment_ performed through dialysis circuit_ including all imaging and radiological supervision and interpr","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"EHMF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Remove interim implant component","billing_code_type":"CDT","billing_code_type_version":"2024","billing_code":"D6198","description":"Remove interim implant component","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Repos nstim apnea stimj ld","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0432T","description":"Repos nstim apnea stimj ld","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BFFF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NGBC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-LB131","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"LB131","description":"HIPPS-LB131","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"IAMC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CIQA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KGKA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CEBD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FFGF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KBND0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OKYD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CEBE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Restorative foundation","billing_code_type":"CDT","billing_code_type_version":"2024","billing_code":"D2949","description":"Restorative foundation","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Remote in-home visit for the evaluation and management of an established patient for use only in a Medicare-approved Bundled Payments for Care Improvement Advanced (BPCI Advan","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G9984","description":"Remote in-home visit for the evaluation and management of an established patient for use only in a Medicare-approved Bundled Payments for Care Improvement Advanced (BPCI Advan","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Contraceptive hormone patch","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"J7304","description":"Contraceptive hormone patch","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CEBB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Malig tumor exc to 1.25 cm","billing_code_type":"CDT","billing_code_type_version":"2024","billing_code":"D7440","description":"Malig tumor exc to 1.25 cm","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JGMF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-BB212","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"BB212","description":"HIPPS-BB212","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-CC13C","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"CC13C","description":"HIPPS-CC13C","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OGUE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"ABDE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-BB14C","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"BB14C","description":"HIPPS-BB14C","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"CPT-0605U","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"0605U","description":"CPT-0605U","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"LASA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GFOE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JCUA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Val rsn hd ct ord reg indic","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G9595","description":"Val rsn hd ct ord reg indic","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Remove prostate regrowth","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"52630","description":"Remove prostate regrowth","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"EDDC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-ES38B","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"ES38B","description":"HIPPS-ES38B","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Patient Did Not Receive Both The 13-Valent Pneumococcal Conjugate Vaccine And The 23-Valent Pneumococcal Polysaccharide Vaccine At Least 12 Months Apart_ With The First Occurr","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G2159","description":"Patient Did Not Receive Both The 13-Valent Pneumococcal Conjugate Vaccine And The 23-Valent Pneumococcal Polysaccharide Vaccine At Least 12 Months Apart_ With The First Occurr","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BGKC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NCKB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"ICED0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CIHE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Injection_ cefepime hydrochloride (b braun)_ not therapeutically equivalent to maxipime_ 500 mg","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"J0703","description":"Injection_ cefepime hydrochloride (b braun)_ not therapeutically equivalent to maxipime_ 500 mg","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JBUA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Urinalysis nonauto w/o scope","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"81002","description":"Urinalysis nonauto w/o scope","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NFXE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MICC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Rare diseases (constitutional/heritable disorders)_ whole genome sequence analysis_ including small sequence changes_ copy number variants_ deletions_ duplications_ mobile ele","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0335U","description":"Rare diseases (constitutional/heritable disorders)_ whole genome sequence analysis_ including small sequence changes_ copy number variants_ deletions_ duplications_ mobile ele","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JAUA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-PB160","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"PB160","description":"HIPPS-PB160","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Treat foot dislocation","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"28600","description":"Treat foot dislocation","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-4BHK1","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"4BHK1","description":"HIPPS-4BHK1","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OGQD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MKLE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FIFD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NEXE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NALB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NJDB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-1BFN4","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"1BFN4","description":"HIPPS-1BFN4","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Kidney endoscopy & treatment","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"50576","description":"Kidney endoscopy & treatment","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KCWF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"CPT-92288","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"92288","description":"CPT-92288","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OFIC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Repair of knee cartilage","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"27403","description":"Repair of knee cartilage","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"CPT-1107T","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"1107T","description":"CPT-1107T","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-HE231","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"HE231","description":"HIPPS-HE231","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RUA03","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RUA03","description":"HIPPS-RUA03","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Office consultation","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"99244","description":"Office consultation","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Release palm/finger tendon","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"26440","description":"Release palm/finger tendon","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Chemo iv push sngl drug","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"96409","description":"Chemo iv push sngl drug","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"American amnion ac tri-layer_ per square centimeter","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"Q4305","description":"American amnion ac tri-layer_ per square centimeter","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Anesth surgery of breast","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"40451","description":"Anesth surgery of breast","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Ht muscle image spect mult","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"78452","description":"Ht muscle image spect mult","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NKKE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Injection_ epcoritamab-bysp_ 0.16 mg","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"C9155","description":"Injection_ epcoritamab-bysp_ 0.16 mg","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Repair of rectum","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"45500","description":"Repair of rectum","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Anaphylaxis due to the vaccine on or before the date of the encounter","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"M1219","description":"Anaphylaxis due to the vaccine on or before the date of the encounter","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-2AGL3","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"2AGL3","description":"HIPPS-2AGL3","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SARSCOV2 VAC 5MCG/0.5ML AS03","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"91310","description":"SARSCOV2 VAC 5MCG/0.5ML AS03","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Oxygen tent excl croup/ped t","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"E0455","description":"Oxygen tent excl croup/ped t","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Init pm e/m new pat infant","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"99381","description":"Init pm e/m new pat infant","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"64 lead ecg w/i&r","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0178T","description":"64 lead ecg w/i&r","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GDCA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Documentation of medical reason(s) for not screening for unhealthy alcohol use using a systematic screening method (e.g._ limited life expectancy_ other medical reasons)","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G2198","description":"Documentation of medical reason(s) for not screening for unhealthy alcohol use using a systematic screening method (e.g._ limited life expectancy_ other medical reasons)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-3BHKU","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"3BHKU","description":"HIPPS-3BHKU","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GIUD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OAND1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Addition_ endoskeletal knee-shin system_ 4 bar linkage or multiaxial_ fluid swing and stance phase control","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"L5615","description":"Addition_ endoskeletal knee-shin system_ 4 bar linkage or multiaxial_ fluid swing and stance phase control","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Remove hip bone les deep","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"27066","description":"Remove hip bone les deep","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-G0667","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"G0667","description":"HCPCS-G0667","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NHFD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HH PDGM","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"4IC11","description":"HH PDGM","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-A0203","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"A0203","description":"HCPCS-A0203","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Fixation of shoulder blade","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"23400","description":"Fixation of shoulder blade","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-CD18F","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"CD18F","description":"HIPPS-CD18F","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Electroencephalogram With Video (Veeg)_ Review Of Data_ Technical Description By Eeg Technologist_ Each Increment Of 12-26 Hours; With Continuous_ Real-Time Monitoring And Mai","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"95716","description":"Electroencephalogram With Video (Veeg)_ Review Of Data_ Technical Description By Eeg Technologist_ Each Increment Of 12-26 Hours; With Continuous_ Real-Time Monitoring And Mai","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JCAA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"CPT-1077T","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"1077T","description":"CPT-1077T","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"LIQF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GHOF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JHEB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JIKF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Pmp22 gene known fam variant","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"81326","description":"Pmp22 gene known fam variant","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-PE13B","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"PE13B","description":"HIPPS-PE13B","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FCNC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KDVB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OKHA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-ES151","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"ES151","description":"HIPPS-ES151","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"PKYF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Environmental manipulation","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"90882","description":"Environmental manipulation","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"AGAC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OKXA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Knee arthroscopy/surgery","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"29879","description":"Knee arthroscopy/surgery","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-J1737","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"J1737","description":"HCPCS-J1737","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Tangential biopsy of skin (eg_ shave_ scoop_ saucerize_ curette); each separate/additional lesion (List separately in addition to code for primary procedure)","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"11103","description":"Tangential biopsy of skin (eg_ shave_ scoop_ saucerize_ curette); each separate/additional lesion (List separately in addition to code for primary procedure)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"ABCB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OGEF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Walker platform attachment","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"E0154","description":"Walker platform attachment","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"EAHF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KDKF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Incision of brain tissue","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"61541","description":"Incision of brain tissue","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OBMF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GGSE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"AHLC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OBQB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Anesth surg lower abdomen","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"84051","description":"Anesth surg lower abdomen","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-ES134","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"ES134","description":"HIPPS-ES134","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Ped crit care age 2-5 subsq","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"99476","description":"Ped crit care age 2-5 subsq","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RUB8B","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RUB8B","description":"HIPPS-RUB8B","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Resect forearm/wrist tum<3cm","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"25077","description":"Resect forearm/wrist tum<3cm","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Cefazolin sodium injection","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"J0690","description":"Cefazolin sodium injection","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"HHSE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"IBBB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Revise two eye muscles","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"67312","description":"Revise two eye muscles","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-ATP04","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"ATP04","description":"HIPPS-ATP04","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Gs mg intent","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G9237","description":"Gs mg intent","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OEYB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Anesthesia with hypothermia","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"99116","description":"Anesthesia with hypothermia","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OEMA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"LCOC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GCXF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"IGCE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Repositioning of previously implanted aortic counterpulsation ventricular assist device; aortic counterpulsation device","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0461T","description":"Repositioning of previously implanted aortic counterpulsation ventricular assist device; aortic counterpulsation device","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Ossicular implant","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"L8613","description":"Ossicular implant","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Lens sphcy bifocal 4.00d/4.2","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"V2205","description":"Lens sphcy bifocal 4.00d/4.2","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Discharge(s) for AMI between July 1 of the year prior measurement year to June 30 of the measurement period","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G9798","description":"Discharge(s) for AMI between July 1 of the year prior measurement year to June 30 of the measurement period","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Mult mech switches","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"E2322","description":"Mult mech switches","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Repair of knee ligament","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"27405","description":"Repair of knee ligament","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Partial removal of heart sac","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"33031","description":"Partial removal of heart sac","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"CPT-1007T","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"1007T","description":"CPT-1007T","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KIPB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-1CGPU","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"1CGPU","description":"HIPPS-1CGPU","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RVX53","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RVX53","description":"HIPPS-RVX53","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Deep sedation/general anesthesia-first 30 minutes","billing_code_type":"CDT","billing_code_type_version":"2024","billing_code":"D9220","description":"Deep sedation/general anesthesia-first 30 minutes","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Gen_ neuro_ non-hf rechg bat","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"C1820","description":"Gen_ neuro_ non-hf rechg bat","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Addition to lower extremity prosthesis_ endoskeletal_ kneedisarticulation_ above knee_ hip disarticulation_ positional rotation unit_ any type","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"K1022","description":"Addition to lower extremity prosthesis_ endoskeletal_ kneedisarticulation_ above knee_ hip disarticulation_ positional rotation unit_ any type","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MHUC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JEFD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MEAC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-LD117","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"LD117","description":"HIPPS-LD117","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KGUD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Advnc care plan tlk docd","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"1158F","description":"Advnc care plan tlk docd","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Repair esophagus opening","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"43420","description":"Repair esophagus opening","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Excision hand/finger tendon","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"26415","description":"Excision hand/finger tendon","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Remove implant of eye","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"65920","description":"Remove implant of eye","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GCPE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Anesth pacemaker insertion","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"53051","description":"Anesth pacemaker insertion","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Autoimmune diseases (systemic lupus erythematosus [SLE])_ analysis of 11 cytokine soluble mediator biomarkers by immunoassay_ plasma_ individual components reported with an al","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0447U","description":"Autoimmune diseases (systemic lupus erythematosus [SLE])_ analysis of 11 cytokine soluble mediator biomarkers by immunoassay_ plasma_ individual components reported with an al","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"IILD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Remove electrode/thoracotomy","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"33237","description":"Remove electrode/thoracotomy","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"CPT-00834","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"00834","description":"CPT-00834","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Patients with dementia at any time prior to or during the month","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"M1271","description":"Patients with dementia at any time prior to or during the month","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OFXF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"AEUC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-2CGMS","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"2CGMS","description":"HIPPS-2CGMS","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CCUB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GFIB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Remove uterus lesion","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"59100","description":"Remove uterus lesion","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-HD11A","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"HD11A","description":"HIPPS-HD11A","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"IAAD IA HEPATITIS DELTA ANTIGEN","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"87380","description":"IAAD IA HEPATITIS DELTA ANTIGEN","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JCMC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-2CFLU","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"2CFLU","description":"HIPPS-2CFLU","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JBEA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-PE234","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"PE234","description":"HIPPS-PE234","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NEGB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Drug screen quant tiagabine","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"80199","description":"Drug screen quant tiagabine","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Remove&replace pm gen singl","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"33227","description":"Remove&replace pm gen singl","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MIIC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CDMD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BIAC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BEPD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GAUD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Surgical repair of root resorption - anterior","billing_code_type":"CDT","billing_code_type_version":"2024","billing_code":"D3471","description":"Surgical repair of root resorption - anterior","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Injection_ valoctocogene roxaparvovec-rvox_ per ml_ containing nominal 2 x 10^13 vector genomes","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"J1412","description":"Injection_ valoctocogene roxaparvovec-rvox_ per ml_ containing nominal 2 x 10^13 vector genomes","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Bypass graft/av fist patency","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"35686","description":"Bypass graft/av fist patency","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"CPT-1102T","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"1102T","description":"CPT-1102T","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Cystoscopy and treatment","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"52276","description":"Cystoscopy and treatment","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OIRA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-ATP06","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"ATP06","description":"HIPPS-ATP06","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CBCD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Thromboplastin inhibition","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"85705","description":"Thromboplastin inhibition","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Assay of cyanide","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"82600","description":"Assay of cyanide","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"EFBE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GILE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JBGD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GFNC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RLB23","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RLB23","description":"HIPPS-RLB23","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MIBB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-J0668","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"J0668","description":"HCPCS-J0668","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KBNC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Res_ nos waiver per diem","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"T2033","description":"Res_ nos waiver per diem","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NJUE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OCNE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JDCB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KFIF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Injection_ olipudase alfa-rpcp_ 1 mg","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"J0218","description":"Injection_ olipudase alfa-rpcp_ 1 mg","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FCEB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"HCRB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GHXD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RMC60","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RMC60","description":"HIPPS-RMC60","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Anesth hysterectomy","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"84651","description":"Anesth hysterectomy","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OIKB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"HBSB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RLX2D","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RLX2D","description":"HIPPS-RLX2D","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"EBMB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RUL40","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RUL40","description":"HIPPS-RUL40","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RHC53","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RHC53","description":"HIPPS-RHC53","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CAFA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NLMC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"CPT-01140","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"01140","description":"CPT-01140","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OETD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-Q5162","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"Q5162","description":"HCPCS-Q5162","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Removal of stomach partial","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"43631","description":"Removal of stomach partial","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OELB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SC GNOTYP ERMAP EXONS 4 12","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0199U","description":"SC GNOTYP ERMAP EXONS 4 12","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GBVA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-PB28H","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"PB28H","description":"HIPPS-PB28H","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-PD256","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"PD256","description":"HIPPS-PD256","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MJLC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Subsequent observation care","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"99224","description":"Subsequent observation care","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"EZH2 (enhancer of zeste 2 polycomb repressive complex 2 subunit) (eg_ diffuse large B-cell lymphoma) gene analysis_ common variant(s) (eg_ codon 646)","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"81237","description":"EZH2 (enhancer of zeste 2 polycomb repressive complex 2 subunit) (eg_ diffuse large B-cell lymphoma) gene analysis_ common variant(s) (eg_ codon 646)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Shoe lift elev heel/sole neo","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"L3310","description":"Shoe lift elev heel/sole neo","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OJOA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RLX16","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RLX16","description":"HIPPS-RLX16","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-1BHM1","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"1BHM1","description":"HIPPS-1BHM1","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Special pump services","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"99190","description":"Special pump services","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Hemoglobin a1c level >9.0%","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"3046F","description":"Hemoglobin a1c level >9.0%","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Two Medicare Diabetes Prevention Program (MDPP) ongoing maintenance sess ions (MS) were attended by an MDPP beneficiary in months (mo) 19-21 under the MDPP Expanded Model","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G9884","description":"Two Medicare Diabetes Prevention Program (MDPP) ongoing maintenance sess ions (MS) were attended by an MDPP beneficiary in months (mo) 19-21 under the MDPP Expanded Model","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Quantitative magnetic resonance cholangiopancreatography (QMRCP) including data preparation and transmission_ interpretation and report_ obtained with diagnostic magnetic reso","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0724T","description":"Quantitative magnetic resonance cholangiopancreatography (QMRCP) including data preparation and transmission_ interpretation and report_ obtained with diagnostic magnetic reso","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"PJOB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Technetium tc-99m aerosol","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"A9567","description":"Technetium tc-99m aerosol","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-3BFMT","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"3BFMT","description":"HIPPS-3BFMT","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Closed tx septal&nose fx","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"21337","description":"Closed tx septal&nose fx","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Insert uro/ves nck sphincter","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"53445","description":"Insert uro/ves nck sphincter","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CFQB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"AEME0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"ECMC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JGDE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Opps/php;activity therapy","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G0176","description":"Opps/php;activity therapy","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CCJF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OGCC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Team conf w/pat by hc prof","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"99366","description":"Team conf w/pat by hc prof","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"CPT-00924","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"00924","description":"CPT-00924","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-B2002","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"B2002","description":"HCPCS-B2002","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Vag hyst w/t/o & vag repair","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"58263","description":"Vag hyst w/t/o & vag repair","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NDGA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Osteochondral knee allograft","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"27415","description":"Osteochondral knee allograft","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Transab esoph hiat hern rpr","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"43332","description":"Transab esoph hiat hern rpr","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BILE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Bx/exc idrl imed lesn thrc","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"63286","description":"Bx/exc idrl imed lesn thrc","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"ODED1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"IDHD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Drug metabolism (eg_ pharmacogenomics) genomic sequence analysis panel_ must include testing of at least 6 genes_ including CYP2C19_ CYP2D6_ and CYP2D6 duplication/deletion an","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"81418","description":"Drug metabolism (eg_ pharmacogenomics) genomic sequence analysis panel_ must include testing of at least 6 genes_ including CYP2C19_ CYP2D6_ and CYP2D6 duplication/deletion an","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-CE18H","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"CE18H","description":"HIPPS-CE18H","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BEEB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-CE114","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"CE114","description":"HIPPS-CE114","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Onsite Ac C Tx Nsg Fac Res W/Pne Billd Sid-Benef","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G9679","description":"Onsite Ac C Tx Nsg Fac Res W/Pne Billd Sid-Benef","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-PB10B","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"PB10B","description":"HIPPS-PB10B","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KHBA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"X-ray exam of forearm","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"73090","description":"X-ray exam of forearm","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Postop dsg & 1 cast chg ak/d","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"L5420","description":"Postop dsg & 1 cast chg ak/d","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NDAD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Lso flexion control custom","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"L0634","description":"Lso flexion control custom","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OLDD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-CE28E","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"CE28E","description":"HIPPS-CE28E","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Activation device for intraurethral drainage device with valve_ replacement only_ each","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"K1011","description":"Activation device for intraurethral drainage device with valve_ replacement only_ each","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Bundle of his recording","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"93600","description":"Bundle of his recording","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RLB13","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RLB13","description":"HIPPS-RLB13","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OEJA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CAKC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"ODIF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NAIF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Repair bladder-vagina lesion","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"57330","description":"Repair bladder-vagina lesion","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NJEC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OGTE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-3AGM4","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"3AGM4","description":"HIPPS-3AGM4","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Partial removal donor liver","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"47142","description":"Partial removal donor liver","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"EHEE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KDJD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CIFB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FDCD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KCAE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Reconstruction of eyelid","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"67975","description":"Reconstruction of eyelid","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"IAEF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-CE11C","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"CE11C","description":"HIPPS-CE11C","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-ES304","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"ES304","description":"HIPPS-ES304","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Revision of circulation","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"37145","description":"Revision of circulation","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Recement cast or prefab post","billing_code_type":"CDT","billing_code_type_version":"2024","billing_code":"D2915","description":"Recement cast or prefab post","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-B0304","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"B0304","description":"HCPCS-B0304","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Urinalysis auto w/scope","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"81001","description":"Urinalysis auto w/scope","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NIJC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BGUD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NBKB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KAWC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GFIE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CEKE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RMX26","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RMX26","description":"HIPPS-RMX26","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KFUC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-BA25C","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"BA25C","description":"HIPPS-BA25C","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-CC221","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"CC221","description":"HIPPS-CC221","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Teniposide_ 50 mg","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"Q2017","description":"Teniposide_ 50 mg","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JFAA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-PA23A","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"PA23A","description":"HIPPS-PA23A","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Transcatheter left ventricular restoration device implantation including right and left heart catheterization and left ventriculography when performed_ arterial approach","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0643T","description":"Transcatheter left ventricular restoration device implantation including right and left heart catheterization and left ventriculography when performed_ arterial approach","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"PLOF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JHJD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Severe acute respiratory syndrome coronavirus 2 (SARSCoV-2) (coronavirus disease [COVID-19]) vaccine_ mRNA-LNP_ spike protein_ preservative free_ 50 mcg/0.5 mL dosage_ for int","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"91309","description":"Severe acute respiratory syndrome coronavirus 2 (SARSCoV-2) (coronavirus disease [COVID-19]) vaccine_ mRNA-LNP_ spike protein_ preservative free_ 50 mcg/0.5 mL dosage_ for int","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Skilled Nursing Facility Mips Specialty Set","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G4033","description":"Skilled Nursing Facility Mips Specialty Set","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-A4288","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"A4288","description":"HCPCS-A4288","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"IFHF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JAKF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Injection_ glycopyrrolate (Fresenius Kabi)_ not therapeutically equivalent to J1596_ 0.1 mg","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"J1598","description":"Injection_ glycopyrrolate (Fresenius Kabi)_ not therapeutically equivalent to J1596_ 0.1 mg","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-C8011","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"C8011","description":"HCPCS-C8011","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Colonoscopy w/endoscope us","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"45391","description":"Colonoscopy w/endoscope us","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MFEE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GDPE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CCDD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OFUF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Repair of windpipe injury","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"31800","description":"Repair of windpipe injury","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Endoscopy maxillary sinus","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"31267","description":"Endoscopy maxillary sinus","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KFID0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-ES316","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"ES316","description":"HIPPS-ES316","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HH PDGM","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"1EC21","description":"HH PDGM","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Hospice in inpatient psych","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"Q5008","description":"Hospice in inpatient psych","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"IDIF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Amp reqd w/in 48h ieler proc","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G9641","description":"Amp reqd w/in 48h ieler proc","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Platelet survival kinetics","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"78190","description":"Platelet survival kinetics","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FILB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Targeted case mgmt per month","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"T2023","description":"Targeted case mgmt per month","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FFPD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-2BHK1","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"2BHK1","description":"HIPPS-2BHK1","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"AADB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-M1379","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"M1379","description":"HCPCS-M1379","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BFJA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-LC216","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"LC216","description":"HIPPS-LC216","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FHXB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Annual gynecological examina","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"S0612","description":"Annual gynecological examina","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"ODIB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JCCD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Positioning cushion","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"E0190","description":"Positioning cushion","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Assay of lipoprotein","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"83718","description":"Assay of lipoprotein","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MACD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MHIB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-M1382","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"M1382","description":"HCPCS-M1382","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Iodine i-123 sod iodide mic","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"A9516","description":"Iodine i-123 sod iodide mic","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Ald_ tv amplifier_ any type","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"V5270","description":"Ald_ tv amplifier_ any type","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Hematology (congenital neutropenia)_ genomic sequence analysis of 23 genes_ blood_ buccal swab_ or amniotic fluid (Versiti™ Congenital Neutropenia Panel","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0271U","description":"Hematology (congenital neutropenia)_ genomic sequence analysis of 23 genes_ blood_ buccal swab_ or amniotic fluid (Versiti™ Congenital Neutropenia Panel","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-A1903","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"A1903","description":"HCPCS-A1903","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MJHE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Treat lower leg dislocation","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"27830","description":"Treat lower leg dislocation","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-2AGM4","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"2AGM4","description":"HIPPS-2AGM4","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Partial removal of penis","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"54120","description":"Partial removal of penis","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"DAWA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-PA15B","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"PA15B","description":"HIPPS-PA15B","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Cytomegalovirus dfa","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"87271","description":"Cytomegalovirus dfa","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Onc dx head/neck t3-4 noprog","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G9110","description":"Onc dx head/neck t3-4 noprog","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Anesth ear exam","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"12451","description":"Anesth ear exam","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Lung ventilat&perfus imaging","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"78582","description":"Lung ventilat&perfus imaging","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OAXC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Corneal transplant","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"65730","description":"Corneal transplant","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"HFWD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Mecasermin injection","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"J2170","description":"Mecasermin injection","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Injection_ delandistrogene moxeparvovec-rokl_ per therapeutic dose","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"J1413","description":"Injection_ delandistrogene moxeparvovec-rokl_ per therapeutic dose","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-1CGLS","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"1CGLS","description":"HIPPS-1CGLS","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Skn sub grft f/n/hf/g child","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"15277","description":"Skn sub grft f/n/hf/g child","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Implant Supported Crown - Porcelain Fused To Titanium And Titanium Alloys","billing_code_type":"CDT","billing_code_type_version":"2024","billing_code":"D6084","description":"Implant Supported Crown - Porcelain Fused To Titanium And Titanium Alloys","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Nebulizer reservoir bottle","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"A7009","description":"Nebulizer reservoir bottle","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JIGA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Fresnell prism press-on lens","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"V2718","description":"Fresnell prism press-on lens","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Toc dur aneth to icu","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G9657","description":"Toc dur aneth to icu","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GBLF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Oxford w supinat/pronat inf","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"L3201","description":"Oxford w supinat/pronat inf","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Alcohol and/or drug preventi","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"H0028","description":"Alcohol and/or drug preventi","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FHLC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"LBQA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RVC0D","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RVC0D","description":"HIPPS-RVC0D","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BCVE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RHB45","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RHB45","description":"HIPPS-RHB45","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"CDT-D1101","billing_code_type":"CDT","billing_code_type_version":"2026","billing_code":"D1101","description":"CDT-D1101","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BFHE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Bk imaging tst not ordered","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"3331F","description":"Bk imaging tst not ordered","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RLB41","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RLB41","description":"HIPPS-RLB41","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"PBQF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"X-linked intellectual dblt","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"81470","description":"X-linked intellectual dblt","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Ost pch drain w bar & filter","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"A4424","description":"Ost pch drain w bar & filter","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Doc surv no stroke after cas","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G9259","description":"Doc surv no stroke after cas","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Transcatheter removal and replacement of permanent dual-chamber leadless pacemaker_ including imaging?guidance (eg_ fluoroscopy_ venous ultrasound_ right atrial angiography_ r","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0801T","description":"Transcatheter removal and replacement of permanent dual-chamber leadless pacemaker_ including imaging?guidance (eg_ fluoroscopy_ venous ultrasound_ right atrial angiography_ r","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JFFB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KFKA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"PermeaDer B_ per sq cm","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"A2016","description":"PermeaDer B_ per sq cm","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Wilate injection","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"J7183","description":"Wilate injection","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Optokinetic nystagmus test","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"92534","description":"Optokinetic nystagmus test","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"AIHC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Impreg gauze no h20/sal/yard","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"A6266","description":"Impreg gauze no h20/sal/yard","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BHTB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Periodic oral evaluation","billing_code_type":"CDT","billing_code_type_version":"2024","billing_code":"D0120","description":"Periodic oral evaluation","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NBFD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Vasc embolize/occlude organ","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"37243","description":"Vasc embolize/occlude organ","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-LD236","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"LD236","description":"HIPPS-LD236","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-PE204","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"PE204","description":"HIPPS-PE204","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-3CGPV","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"3CGPV","description":"HIPPS-3CGPV","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"X-ray exam of femur 2/>","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"73552","description":"X-ray exam of femur 2/>","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"CPT-0626U","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"0626U","description":"CPT-0626U","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GCPC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MFAB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NGAD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"AAUE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Gauze <=16 in no w/sal w/o b","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"A6222","description":"Gauze <=16 in no w/sal w/o b","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"IIAE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RVX55","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RVX55","description":"HIPPS-RVX55","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"So vest canvas/web pre ots","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"L3675","description":"So vest canvas/web pre ots","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"AEAE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OGPA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"PBOB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"CPT-01442","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"01442","description":"CPT-01442","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Anesth cranial surg nos","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"21051","description":"Anesth cranial surg nos","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Drain ovary abscess open","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"58820","description":"Drain ovary abscess open","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OKAC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Patient treatment and final evaluation complete","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"M1011","description":"Patient treatment and final evaluation complete","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FFXF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"CPT-1029T","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"1029T","description":"CPT-1029T","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-J3290","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"J3290","description":"HCPCS-J3290","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-LD220","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"LD220","description":"HIPPS-LD220","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Repair of windpipe","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"31750","description":"Repair of windpipe","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-LD155","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"LD155","description":"HIPPS-LD155","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Emergent Cases","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"M1142","description":"Emergent Cases","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Revision of ureter","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"50700","description":"Revision of ureter","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OKND0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GFLF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NLAF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NDME1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"ECEF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-1AHMT","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"1AHMT","description":"HIPPS-1AHMT","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OCUE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"IBMB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Influenza Virus Vaccine_ Quadrivalent (Aiiv4)_ Inactivated_ Adjuvanted_ Preservative Free_ 0.5 Ml Dosage_ For Intramuscular Use","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"90694","description":"Influenza Virus Vaccine_ Quadrivalent (Aiiv4)_ Inactivated_ Adjuvanted_ Preservative Free_ 0.5 Ml Dosage_ For Intramuscular Use","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Superimposed prosthesis","billing_code_type":"CDT","billing_code_type_version":"2024","billing_code":"D5954","description":"Superimposed prosthesis","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BHIA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OBIE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Prochlorperazine injection","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"J0780","description":"Prochlorperazine injection","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Transducer protect/fld bar","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"E1575","description":"Transducer protect/fld bar","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-ES32B","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"ES32B","description":"HIPPS-ES32B","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OIPE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-4AHL6","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"4AHL6","description":"HIPPS-4AHL6","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Benzodiazepines","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G6031","description":"Benzodiazepines","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GHSA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Art byp grft aortobi-iliac","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"35538","description":"Art byp grft aortobi-iliac","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Bone marrow imaging ltd","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"78102","description":"Bone marrow imaging ltd","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Albuterol comp unit","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"J7609","description":"Albuterol comp unit","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GHGD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"EDEA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Removal of skin tags <w/15","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"11200","description":"Removal of skin tags <w/15","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Upper gi endoscopy performed","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"3130F","description":"Upper gi endoscopy performed","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"ADED1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HH PDGM","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"1LA11","description":"HH PDGM","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Destruction ciliary body","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"66720","description":"Destruction ciliary body","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"IABC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KCUB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KCKF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Collection of microorganisms","billing_code_type":"CDT","billing_code_type_version":"2024","billing_code":"D0415","description":"Collection of microorganisms","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Initial psychiatric collaborative care management_ first 70 minutes in the first calendar month of behavioral health care manager activities_ in consultation with a psychiatri","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G0502","description":"Initial psychiatric collaborative care management_ first 70 minutes in the first calendar month of behavioral health care manager activities_ in consultation with a psychiatri","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BFPA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Remove spine lamina >2 crvcl","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"63015","description":"Remove spine lamina >2 crvcl","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-LB15A","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"LB15A","description":"HIPPS-LB15A","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Biopsy of tongue","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"41100","description":"Biopsy of tongue","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Fluorodopa f-18_ diagnostic_ per mCi","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"A9602","description":"Fluorodopa f-18_ diagnostic_ per mCi","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Penile contracture device_ manual_ greater than 3 lbs traction force","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"S4988","description":"Penile contracture device_ manual_ greater than 3 lbs traction force","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"AIBA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JIAC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-CB156","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"CB156","description":"HIPPS-CB156","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OJNF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Inj levocarnitine per 1 gm","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"J1955","description":"Inj levocarnitine per 1 gm","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-HC10D","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"HC10D","description":"HIPPS-HC10D","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"ECEB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BBUA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GEXB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Place rt device/marker pros","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"55876","description":"Place rt device/marker pros","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Fusion of big toe joint","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"28755","description":"Fusion of big toe joint","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Pwr pack base elec vad_ rep","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"Q0488","description":"Pwr pack base elec vad_ rep","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RVB34","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RVB34","description":"HIPPS-RVB34","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Brief emotional/behav assmt","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"96127","description":"Brief emotional/behav assmt","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Cystoscopy & revise urethra","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"52275","description":"Cystoscopy & revise urethra","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Implant hormone pellet(s)","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"11980","description":"Implant hormone pellet(s)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"LDWF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GASD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NIFF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GHMF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-CA236","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"CA236","description":"HIPPS-CA236","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Replacement of contact lens","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"92326","description":"Replacement of contact lens","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"ICTE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"PBYC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"ODKB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Radiation treatment aid(s)","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"77333","description":"Radiation treatment aid(s)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-4BHLS","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"4BHLS","description":"HIPPS-4BHLS","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"EBEE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"DCSA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-LD111","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"LD111","description":"HIPPS-LD111","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OGPD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Iadna-dna/rna probe tq 6-11","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"87506","description":"Iadna-dna/rna probe tq 6-11","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MEMA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Artery-vein autograft","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"36825","description":"Artery-vein autograft","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HH PDGM","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"1JB11","description":"HH PDGM","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Visualization adjunct","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"Q9968","description":"Visualization adjunct","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FCFB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Intraop colon lavage add-on","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"44701","description":"Intraop colon lavage add-on","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Flu immunize no admin","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G8484","description":"Flu immunize no admin","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Proctosigmoidoscopy bleed","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"45317","description":"Proctosigmoidoscopy bleed","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"PJQA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-4BFLU","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"4BFLU","description":"HIPPS-4BFLU","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Immunofluor antb addl stain","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"88350","description":"Immunofluor antb addl stain","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Treat craniofacial fracture","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"21436","description":"Treat craniofacial fracture","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Employment - Employment Skills Development (1:2 to 1:3)","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"W1729","description":"Employment - Employment Skills Development (1:2 to 1:3)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RVL8E","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RVL8E","description":"HIPPS-RVL8E","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"ECIB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Automated platelet count","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"85049","description":"Automated platelet count","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Hospice services given to patient any time during the measurement period","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G9740","description":"Hospice services given to patient any time during the measurement period","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MIDD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OAMD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"EBIF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OHKE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"IBMD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-LE260","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"LE260","description":"HIPPS-LE260","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"ADBA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FAXB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KGJF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-C9172","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"C9172","description":"HCPCS-C9172","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MKEC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"EBTB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Extra ambulance attendant","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"A0424","description":"Extra ambulance attendant","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OALE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-1AFLX","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"1AFLX","description":"HIPPS-1AFLX","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NAGF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BAIE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RHC8A","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RHC8A","description":"HIPPS-RHC8A","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"PJOE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CDAD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Part removal of metatarsal","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"28112","description":"Part removal of metatarsal","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FEGE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Endovasc visc aorta 2 graft","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"34842","description":"Endovasc visc aorta 2 graft","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Electronic analysis of implanted neurostimulator pulse generator system (eg_ rate_ pulse amplitude and duration_ configuration of wave form_ battery status_ elect","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"95973","description":"Electronic analysis of implanted neurostimulator pulse generator system (eg_ rate_ pulse amplitude and duration_ configuration of wave form_ battery status_ elect","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KAVB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GHWD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Ambulatory continuous glucose monitoring of interstitial tissue fluid via a subcutaneous sensor for a minimum of 72 hours; physician or other qualified health care professiona","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"95250","description":"Ambulatory continuous glucose monitoring of interstitial tissue fluid via a subcutaneous sensor for a minimum of 72 hours; physician or other qualified health care professiona","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Lefort i-1 piece w/ graft","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"21145","description":"Lefort i-1 piece w/ graft","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Nursing fac care subseq","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"99307","description":"Nursing fac care subseq","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"CPT-77437","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"77437","description":"CPT-77437","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-1CFK6","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"1CFK6","description":"HIPPS-1CFK6","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-BA21A","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"BA21A","description":"HIPPS-BA21A","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CECF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Doc share dec prior proc","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G9296","description":"Doc share dec prior proc","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-CE14A","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"CE14A","description":"HIPPS-CE14A","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CBBC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GBTF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"EGCA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Incise spin&cord 2 stgs crvl","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"63198","description":"Incise spin&cord 2 stgs crvl","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FCMA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KGXD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-3AFLW","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"3AFLW","description":"HIPPS-3AFLW","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KEIB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Zanamivir_ inh pwdr_ brand","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G9034","description":"Zanamivir_ inh pwdr_ brand","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GBMD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BAHC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Art byp grft axillary-axilry","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"35518","description":"Art byp grft axillary-axilry","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BFNE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Cont intraop neuro monitor","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G0453","description":"Cont intraop neuro monitor","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KGQA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Revise spine eltrd plate","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"63664","description":"Revise spine eltrd plate","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Treat larynx fracture","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"31584","description":"Treat larynx fracture","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-LE10A","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"LE10A","description":"HIPPS-LE10A","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FFFC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FCJF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"CDT-D9246","billing_code_type":"CDT","billing_code_type_version":"2026","billing_code":"D9246","description":"CDT-D9246","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RVB5D","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RVB5D","description":"HIPPS-RVB5D","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BENA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"PHYD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FAGA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HH PDGM","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"2EC21","description":"HH PDGM","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"IGEB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OEVF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Eye exam establish patient","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"92012","description":"Eye exam establish patient","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"CPT-0489U","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"0489U","description":"CPT-0489U","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OLCD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"EDUB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OBYC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OJLF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MHAC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"EBBF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-2AFK1","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"2AFK1","description":"HIPPS-2AFK1","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Assay of tobramycin","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"80200","description":"Assay of tobramycin","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MHDA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NDXB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KDHD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Tx atrial fib pulm vein isol","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"93656","description":"Tx atrial fib pulm vein isol","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Amalgam 4 or > surfaces perm","billing_code_type":"CDT","billing_code_type_version":"2024","billing_code":"D2161","description":"Amalgam 4 or > surfaces perm","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CEYB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"DFOD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"ACDD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Procure donor sperm","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"S4026","description":"Procure donor sperm","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OFIB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-HB210","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"HB210","description":"HIPPS-HB210","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Romidepsin injection","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"J9315","description":"Romidepsin injection","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FDIA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"IELC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BHLA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Art byp grft carotid-brchial","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"35510","description":"Art byp grft carotid-brchial","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NLTE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Index assessment completed using the 12-item whodas 2.0 or sds during the denominator identification period","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"M1340","description":"Index assessment completed using the 12-item whodas 2.0 or sds during the denominator identification period","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GDME1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MDCE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-CA12B","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"CA12B","description":"HIPPS-CA12B","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GEBC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"LAYA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OIYB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-4BHMU","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"4BHMU","description":"HIPPS-4BHMU","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GBSC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BEDE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Patients who achieved a net increase in pam score of at least 3 points in a 6 to 12 month period (passing)","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"M1347","description":"Patients who achieved a net increase in pam score of at least 3 points in a 6 to 12 month period (passing)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KALA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RHL3C","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RHL3C","description":"HIPPS-RHL3C","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Repair artery translocation","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"33506","description":"Repair artery translocation","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KCTA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Cath_ drainage","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"C1729","description":"Cath_ drainage","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Photochemotherapy with uv-a","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"96912","description":"Photochemotherapy with uv-a","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-3CGN5","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"3CGN5","description":"HIPPS-3CGN5","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Sigmoidoscopy w/resection","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"45349","description":"Sigmoidoscopy w/resection","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Pwc gp3 hd sing pow opt s/b","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"K0858","description":"Pwc gp3 hd sing pow opt s/b","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Onsite Ac Tx Nsg Fac Res W/Skn Inf Bill Sid-Bnef","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G9682","description":"Onsite Ac Tx Nsg Fac Res W/Skn Inf Bill Sid-Bnef","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MIMA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Doc pt rsk death w/in 1yr","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"1150F","description":"Doc pt rsk death w/in 1yr","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Out of office emerg med serv","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"99060","description":"Out of office emerg med serv","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Hospitalist visit","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"S0310","description":"Hospitalist visit","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"IAAD IA INFLUENZA A/B EACH","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"87400","description":"IAAD IA INFLUENZA A/B EACH","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JFGE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Injection intraop add-on","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"48400","description":"Injection intraop add-on","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"CPT-0500U","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"0500U","description":"CPT-0500U","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Patient Refused To Participate At Admission And/Or Discharge; Patient Unable To Complete The Neck Fs Prom At Admission Or Discharge Due To Cognitive Deficit_ Visual Deficit_ M","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G2166","description":"Patient Refused To Participate At Admission And/Or Discharge; Patient Unable To Complete The Neck Fs Prom At Admission Or Discharge Due To Cognitive Deficit_ Visual Deficit_ M","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Injection(s)_ of diagnostic or therapeutic substance(s) (eg_ anesthetic_ antispasmodic_ opioid_ steroid_ other solution)_ not including neurolytic substances_ including needle","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"62323","description":"Injection(s)_ of diagnostic or therapeutic substance(s) (eg_ anesthetic_ antispasmodic_ opioid_ steroid_ other solution)_ not including neurolytic substances_ including needle","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CHQF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Guide cathet fluid drainage","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"10030","description":"Guide cathet fluid drainage","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Oncology (colorectal cancer)_ cell-free DNA (cfDNA)_ methylation-based quantitative PCR assay (SEPTIN9_ IKZF1_ BCAT1_ Septin9-2_ VAV3_ BCAN)_ plasma_ reported as presence or a","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0453U","description":"Oncology (colorectal cancer)_ cell-free DNA (cfDNA)_ methylation-based quantitative PCR assay (SEPTIN9_ IKZF1_ BCAT1_ Septin9-2_ VAV3_ BCAN)_ plasma_ reported as presence or a","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JAVA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CALB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Hydrogel drg <= 16 in w/bdr","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"A6245","description":"Hydrogel drg <= 16 in w/bdr","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Treatment of ankle fracture","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"27822","description":"Treatment of ankle fracture","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OHBB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RMB5A","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RMB5A","description":"HIPPS-RMB5A","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JAJA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CITF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-A8005","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"A8005","description":"HCPCS-A8005","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Neuromatrix nerve cuff_ cm","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"C9355","description":"Neuromatrix nerve cuff_ cm","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OLRC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Image cath fluid trns/vgnl","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"49407","description":"Image cath fluid trns/vgnl","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Partial removal of foot bone","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"28288","description":"Partial removal of foot bone","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"EATC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"CPT-01272","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"01272","description":"CPT-01272","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MAHC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OGQC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CFKC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MCMA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GIIA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JIHF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"AIUC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Preventive behavior change_ online/electronic structured intensive program for prevention of diabetes using a standardized diabetes prevention program curriculum_ provided to","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0488T","description":"Preventive behavior change_ online/electronic structured intensive program for prevention of diabetes using a standardized diabetes prevention program curriculum_ provided to","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-ES156","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"ES156","description":"HIPPS-ES156","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Extensive prostate surgery","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"55842","description":"Extensive prostate surgery","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Removal foreign body mouth","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"40804","description":"Removal foreign body mouth","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Most recent BP is less than or equal to 140/90 mm Hg","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G9788","description":"Most recent BP is less than or equal to 140/90 mm Hg","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NIAC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-AAA56","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"AAA56","description":"HIPPS-AAA56","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Exc tr-ext b9+marg 1.1-2 cm","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"11402","description":"Exc tr-ext b9+marg 1.1-2 cm","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NIIC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Endovascular Stent Repair Of Coarctation Of The Ascending_ Transverse_ Or Descending Thoracic Or Abdominal Aorta_ Involving Stent Placement; Not Crossing Major Side Branches","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"33895","description":"Endovascular Stent Repair Of Coarctation Of The Ascending_ Transverse_ Or Descending Thoracic Or Abdominal Aorta_ Involving Stent Placement; Not Crossing Major Side Branches","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Laryngeal function studies","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"92520","description":"Laryngeal function studies","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-ES22A","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"ES22A","description":"HIPPS-ES22A","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Platelets_ pheresis","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"P9034","description":"Platelets_ pheresis","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Hit cont chem diem","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"S9330","description":"Hit cont chem diem","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Excision of mouth lesion","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"40816","description":"Excision of mouth lesion","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-1BFL3","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"1BFL3","description":"HIPPS-1BFL3","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Infliximab","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"80230","description":"Infliximab","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CCKA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CGBE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Inj foramen epidural c/t","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"64479","description":"Inj foramen epidural c/t","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Irinotecan injection","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"J9206","description":"Irinotecan injection","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Beta-blocker therapy rxd/tkn","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"4008F","description":"Beta-blocker therapy rxd/tkn","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Injection_ ublituximab-xiiy_ 1mg","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"J2329","description":"Injection_ ublituximab-xiiy_ 1mg","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Destruction of skin lesions","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"17263","description":"Destruction of skin lesions","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JHPD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GIGB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Partial removal of liver","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"47125","description":"Partial removal of liver","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Patient had more than one emergency department visit in the last 30 days of life","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G9850","description":"Patient had more than one emergency department visit in the last 30 days of life","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FDIB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Home visit wound care","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"S9097","description":"Home visit wound care","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"EGAD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MKCA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Antipsychotics nos 7/more","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"80344","description":"Antipsychotics nos 7/more","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CFRB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Lamination collar w/ couplin","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"L6629","description":"Lamination collar w/ couplin","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Repair skull cavity lesion","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"62120","description":"Repair skull cavity lesion","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Aneurysm press sensor add-on","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"34806","description":"Aneurysm press sensor add-on","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-3BFM2","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"3BFM2","description":"HIPPS-3BFM2","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"PJOF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-BA22C","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"BA22C","description":"HIPPS-BA22C","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"EHDA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Pwc gp 4 std seat/back","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"K0868","description":"Pwc gp 4 std seat/back","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Hla ii typing ag equiv lr","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"81375","description":"Hla ii typing ag equiv lr","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"IGUC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Destruction rectal tumor","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"45190","description":"Destruction rectal tumor","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Pulm funct test oscillometry","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"94728","description":"Pulm funct test oscillometry","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Injection_ sacituzumab govitecan-hziy_ 10 mg","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"C9066","description":"Injection_ sacituzumab govitecan-hziy_ 10 mg","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Repair blood vessel lesion","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"35211","description":"Repair blood vessel lesion","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-3AFK3","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"3AFK3","description":"HIPPS-3AFK3","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Shock absorber for man w/c","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"E1015","description":"Shock absorber for man w/c","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Cmplx rpr trunk addl 5cm/<","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"13102","description":"Cmplx rpr trunk addl 5cm/<","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Scan proc cranial extra","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"61782","description":"Scan proc cranial extra","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OIXA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Who nontorsion jnts pre cst","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"L3915","description":"Who nontorsion jnts pre cst","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GBDF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RLX2C","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RLX2C","description":"HIPPS-RLX2C","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CEKD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Excision gum each quadrant","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"41820","description":"Excision gum each quadrant","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Laser in situ keratomileusis","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"S0800","description":"Laser in situ keratomileusis","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-A4228","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"A4228","description":"HCPCS-A4228","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Laparo-asst vag hysterectomy","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"58550","description":"Laparo-asst vag hysterectomy","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"CPT-37267","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"37267","description":"CPT-37267","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"AIAD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"PDQB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KHQD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Shigella antibody","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"86771","description":"Shigella antibody","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Human papillomavirus (HPV)_ high-risk types (ie_ 16_ 18_ 31_ 33_ 35_ 39_ 45_ 51_ 52_ 56_ 58_ 59_ 66_ 68)_ male urine","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0096U","description":"Human papillomavirus (HPV)_ high-risk types (ie_ 16_ 18_ 31_ 33_ 35_ 39_ 45_ 51_ 52_ 56_ 58_ 59_ 66_ 68)_ male urine","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"EBUB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RHX3D","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RHX3D","description":"HIPPS-RHX3D","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Pneuma/vac walk boot pre ots","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"L4361","description":"Pneuma/vac walk boot pre ots","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Recd f/u w/in 30d disch","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G9402","description":"Recd f/u w/in 30d disch","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CAYB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-G0574","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"G0574","description":"HCPCS-G0574","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MALA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"LIQC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OAMA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GDFB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BGHA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-M1393","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"M1393","description":"HCPCS-M1393","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MDCD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RMC24","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RMC24","description":"HIPPS-RMC24","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Anesth heart surg w/arrest","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"56351","description":"Anesth heart surg w/arrest","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FDLA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FDFF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Frnt cstr cmpl sem-pneum tir","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"K0072","description":"Frnt cstr cmpl sem-pneum tir","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-M1495","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"M1495","description":"HCPCS-M1495","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OGWE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GAYE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Nasopharyngoscopy_ Surgical_ With Dilation Of Eustachian Tube (Ie_ Balloon Dilation); Bilateral","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"69706","description":"Nasopharyngoscopy_ Surgical_ With Dilation Of Eustachian Tube (Ie_ Balloon Dilation); Bilateral","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JCTE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MDTE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"DAOB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-4CHKX","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"4CHKX","description":"HIPPS-4CHKX","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GCYF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Nasal prosthesis","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"L8040","description":"Nasal prosthesis","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KBVB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Treprostinil injection","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"J3285","description":"Treprostinil injection","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MKDB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Dental case management - addressing appointment compliance barriers","billing_code_type":"CDT","billing_code_type_version":"2024","billing_code":"D9991","description":"Dental case management - addressing appointment compliance barriers","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RHX26","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RHX26","description":"HIPPS-RHX26","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Removal of ureter","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"50660","description":"Removal of ureter","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Abdomen surgery procedure","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"22999","description":"Abdomen surgery procedure","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Drug screen quant zonisamide","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"80203","description":"Drug screen quant zonisamide","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OHOE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OHKD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Laparo-myomectomy complex","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"58546","description":"Laparo-myomectomy complex","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CFPF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Replace chst cmprss sys hose","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"A7026","description":"Replace chst cmprss sys hose","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GIWD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Adjunctive procedure","billing_code_type":"CDT","billing_code_type_version":"2024","billing_code":"D9999","description":"Adjunctive procedure","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OJLC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KAHC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Muscle biopsy","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"20200","description":"Muscle biopsy","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FHTC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RUC5C","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RUC5C","description":"HIPPS-RUC5C","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NLTD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Angioscopy","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"35400","description":"Angioscopy","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Injection_ enfortumab vedotin-ejfv_ 0.25 mg","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"J9177","description":"Injection_ enfortumab vedotin-ejfv_ 0.25 mg","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HTR2A (5-hydroxytryptamine receptor 2A)_ HTR2C (5-hydroxytryptamine receptor 2C) (eg_ citalopram metabolism) gene analysis_ common variants (ie_ HTR2A rs7997012 [c.614-2211T>C","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0033U","description":"HTR2A (5-hydroxytryptamine receptor 2A)_ HTR2C (5-hydroxytryptamine receptor 2C) (eg_ citalopram metabolism) gene analysis_ common variants (ie_ HTR2A rs7997012 [c.614-2211T>C","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Radical resect abd tumor<5cm","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"22904","description":"Radical resect abd tumor<5cm","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-AAA4A","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"AAA4A","description":"HIPPS-AAA4A","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CCRA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"PKRD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"IHHA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NFGB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NEFB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OHPA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BHVF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Repl tip cane/crutch/walker","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"A4637","description":"Repl tip cane/crutch/walker","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OISC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-3CGM5","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"3CGM5","description":"HIPPS-3CGM5","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MGMB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Assay of aluminum","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"82108","description":"Assay of aluminum","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"ABCF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HH PDGM","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"1JC31","description":"HH PDGM","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Elastic garment/covering","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"A4466","description":"Elastic garment/covering","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"AFAA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JITB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Cbc/diffwbc w/o platelet","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G0306","description":"Cbc/diffwbc w/o platelet","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OIGE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-4BGKS","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"4BGKS","description":"HIPPS-4BGKS","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Lap colostomy","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"44188","description":"Lap colostomy","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MFLE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Dialysat sol fld vol > 999cc","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"A4721","description":"Dialysat sol fld vol > 999cc","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KFFB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Revision of lower eyelid","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"15820","description":"Revision of lower eyelid","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GFJB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Realignment of tendons","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"26437","description":"Realignment of tendons","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"PCWE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CHSB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Oncology (prostate)_ mRNA expression profiling of HOXC6 and DLX1_ reverse transcription polymerase chain reaction (RT-PCR)_ first-void urine following digital rectal examinati","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0339U","description":"Oncology (prostate)_ mRNA expression profiling of HOXC6 and DLX1_ reverse transcription polymerase chain reaction (RT-PCR)_ first-void urine following digital rectal examinati","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Hypoxia response curve","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"94450","description":"Hypoxia response curve","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Brachytx cesium-131 chloride","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"C2644","description":"Brachytx cesium-131 chloride","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Fusion of finger jnt add-on","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"26861","description":"Fusion of finger jnt add-on","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OASE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Contrst x-ray urinary tract","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"74420","description":"Contrst x-ray urinary tract","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Sympt sten-tia/strk<120days","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"9006F","description":"Sympt sten-tia/strk<120days","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Percutaneous pulmonary artery revascularization by stent placement_ initial; normal native connections_ unilateral","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"33900","description":"Percutaneous pulmonary artery revascularization by stent placement_ initial; normal native connections_ unilateral","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BHDE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-3BGM3","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"3BGM3","description":"HIPPS-3BGM3","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Cystometrogram w/vp&up","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"51729","description":"Cystometrogram w/vp&up","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CAND0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"EGBE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Reconstruction of chin","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"21123","description":"Reconstruction of chin","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Anesth surgery of abdomen","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"86051","description":"Anesth surgery of abdomen","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Lower limb pros vacuum pump","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"L5781","description":"Lower limb pros vacuum pump","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FGED0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Hospice services for patient received any time during the measurement period","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G9723","description":"Hospice services for patient received any time during the measurement period","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"HDSE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Resect diaphragm simple","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"39560","description":"Resect diaphragm simple","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"AGMF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GBQC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GBMA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RVL50","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RVL50","description":"HIPPS-RVL50","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GEFD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RHX10","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RHX10","description":"HIPPS-RHX10","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Ligation nasal sinus artery","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"30915","description":"Ligation nasal sinus artery","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CAWF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-3CGN1","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"3CGN1","description":"HIPPS-3CGN1","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Patient Had A Prior Influenza Virus Vaccine Adverse Reaction Any Time Before Or During The Measurement Period","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G2164","description":"Patient Had A Prior Influenza Virus Vaccine Adverse Reaction Any Time Before Or During The Measurement Period","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Injection_ diclofenac sodium_ 0.5 mg","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"J1130","description":"Injection_ diclofenac sodium_ 0.5 mg","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Removal of temporary anchorage device_ requiring flap","billing_code_type":"CDT","billing_code_type_version":"2024","billing_code":"D7299","description":"Removal of temporary anchorage device_ requiring flap","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Knee arthroscopy/surgery","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"29881","description":"Knee arthroscopy/surgery","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-1CFLW","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"1CFLW","description":"HIPPS-1CFLW","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Open tx post pelvic fxcture","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G0415","description":"Open tx post pelvic fxcture","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Ct lumbar spine w/o & w/dye","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"72133","description":"Ct lumbar spine w/o & w/dye","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"IIUB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FEHE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CHCC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NGBE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MFIC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Splint wrist or ankle","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"S8451","description":"Splint wrist or ankle","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JBAD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NAKC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-A1101","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"A1101","description":"HCPCS-A1101","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CHTB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"LARF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KCDA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Wheelchair lightweight det a","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"E1088","description":"Wheelchair lightweight det a","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CEBA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Interrogation Device Evaluation(S)_ (Remote) Up To 30 Days; Implantable Cardiovascular Physiologic Monitor System_ Implantable Loop Recorder System_ Or Subcutaneous Cardiac Rh","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G2066","description":"Interrogation Device Evaluation(S)_ (Remote) Up To 30 Days; Implantable Cardiovascular Physiologic Monitor System_ Implantable Loop Recorder System_ Or Subcutaneous Cardiac Rh","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Sewho airplane w/jnt(s) cf","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"L3973","description":"Sewho airplane w/jnt(s) cf","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CIMF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-2AHMS","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"2AHMS","description":"HIPPS-2AHMS","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JDXE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Incision/drain abscess extra","billing_code_type":"CDT","billing_code_type_version":"2024","billing_code":"D7521","description":"Incision/drain abscess extra","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Alpha-fetoprotein amniotic","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"82106","description":"Alpha-fetoprotein amniotic","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NJKE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"DGSB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Depo-estradiol cypionate inj","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"J1000","description":"Depo-estradiol cypionate inj","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"EBCD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Pdgfra gene","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"81314","description":"Pdgfra gene","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Thoracic passive restor comp","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"L6360","description":"Thoracic passive restor comp","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RUL5C","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RUL5C","description":"HIPPS-RUL5C","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CIRC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Chemodenerv saliv glands","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"64611","description":"Chemodenerv saliv glands","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OKVA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Anesth repair of hernia","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"75451","description":"Anesth repair of hernia","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KEPB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NEJC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KBEA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OAQA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OFTC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OJPF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"LBSD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JCFA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"IDBA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FCIB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Artery x-rays lungs","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"75743","description":"Artery x-rays lungs","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-CE112","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"CE112","description":"HIPPS-CE112","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NDIF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"IICF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NEIB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BGAB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Rechanneling of artery","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"35306","description":"Rechanneling of artery","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Elliotts b solution per ml","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"J9175","description":"Elliotts b solution per ml","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"EBTA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BANB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Inject spine lumbar/sacral","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"62311","description":"Inject spine lumbar/sacral","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KBME0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MIMD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Artacent AC_ per sq cm","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"Q4190","description":"Artacent AC_ per sq cm","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Plastic mod low ext pad/line","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"L2275","description":"Plastic mod low ext pad/line","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Pulmonary rehabilitation pro","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"S9473","description":"Pulmonary rehabilitation pro","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Als1-emergency","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"A0427","description":"Als1-emergency","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Cellesta cord_ per square centimeter","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"Q4214","description":"Cellesta cord_ per square centimeter","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"IATC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-LB141","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"LB141","description":"HIPPS-LB141","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"In111 satumomab","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"A4642","description":"In111 satumomab","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Anesth collar bone biopsy","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"45451","description":"Anesth collar bone biopsy","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RMX21","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RMX21","description":"HIPPS-RMX21","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-2AHLU","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"2AHLU","description":"HIPPS-2AHLU","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"PIOC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KCKC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KCNA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JFVC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Occ orthotic device adjust","billing_code_type":"CDT","billing_code_type_version":"2024","billing_code":"D7881","description":"Occ orthotic device adjust","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Interspinous implant","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"C1821","description":"Interspinous implant","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-PE240","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"PE240","description":"HIPPS-PE240","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BCMF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"O2 flow reg pos inspir press","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"E1352","description":"O2 flow reg pos inspir press","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GDEE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Infectious Agent Detection By Nucleic Acid (Dna Or Rna)_ Bartonella Henselae And Bartonella Quintana_ Droplet Digital Pcr (Ddpcr);","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0301U","description":"Infectious Agent Detection By Nucleic Acid (Dna Or Rna)_ Bartonella Henselae And Bartonella Quintana_ Droplet Digital Pcr (Ddpcr);","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CFDA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FIFE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OFMA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Antigen therapy services","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"95170","description":"Antigen therapy services","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Cognit impairment assessed","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"3720F","description":"Cognit impairment assessed","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KDMD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Eval aud status rehab add-on","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"92627","description":"Eval aud status rehab add-on","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-B0205","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"B0205","description":"HCPCS-B0205","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GHXF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BINE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-2BFKT","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"2BFKT","description":"HIPPS-2BFKT","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Patient received chemotherapy in the last 14 days of life","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G9847","description":"Patient received chemotherapy in the last 14 days of life","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JILF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Ext ecg review and interp","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0298T","description":"Ext ecg review and interp","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FIHC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NIHF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-ES245","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"ES245","description":"HIPPS-ES245","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CBOE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"DBQA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"PIOB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-3CFP6","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"3CFP6","description":"HIPPS-3CFP6","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Laparoscopic myomectomy","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"58545","description":"Laparoscopic myomectomy","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Dilation of urethra","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"53661","description":"Dilation of urethra","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FGHF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Vertical shock reducing pylo","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"L5988","description":"Vertical shock reducing pylo","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GHBD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"ICDB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"LERF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"PJRB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RMX3D","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RMX3D","description":"HIPPS-RMX3D","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Revise hip joint replacement","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"27137","description":"Revise hip joint replacement","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CBAF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RLX13","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RLX13","description":"HIPPS-RLX13","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-CA22C","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"CA22C","description":"HIPPS-CA22C","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Neutralization test viral","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"86382","description":"Neutralization test viral","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Assay myeloperoxidase","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"83876","description":"Assay myeloperoxidase","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-HC201","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"HC201","description":"HIPPS-HC201","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Front caster assem complete","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"K0077","description":"Front caster assem complete","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Documentation of medical reason(s) for not currently being a statin therapy user or receive an order (prescription) for statin therapy (e.g._ patient with adverse effect_ alle","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G9781","description":"Documentation of medical reason(s) for not currently being a statin therapy user or receive an order (prescription) for statin therapy (e.g._ patient with adverse effect_ alle","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Uvl sys panel 4 ft","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"E0692","description":"Uvl sys panel 4 ft","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GHIC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KECB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Demonstrate use home inr mon","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G0248","description":"Demonstrate use home inr mon","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NAKF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KDVE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CAHE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-A0804","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"A0804","description":"HCPCS-A0804","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JIFB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Vein x-ray adrenal glands","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"75842","description":"Vein x-ray adrenal glands","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Revise urethra stage 2","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"53405","description":"Revise urethra stage 2","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NLLE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OKXE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-LE151","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"LE151","description":"HIPPS-LE151","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"97710","description":"","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-PA11A","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"PA11A","description":"HIPPS-PA11A","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-3AGL3","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"3AGL3","description":"HIPPS-3AGL3","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Incise hip/thigh nerve","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"64766","description":"Incise hip/thigh nerve","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-LC13D","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"LC13D","description":"HIPPS-LC13D","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Hiv-2 quant&revrse trnscripj","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"87539","description":"Hiv-2 quant&revrse trnscripj","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Driver pneumatic vad_ rep","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"Q0480","description":"Driver pneumatic vad_ rep","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Removal of stomach","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"43622","description":"Removal of stomach","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Closed tx vert fx w/manj","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"22315","description":"Closed tx vert fx w/manj","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-3AGP6","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"3AGP6","description":"HIPPS-3AGP6","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"PFSB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BFND0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"CPT-1008T","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"1008T","description":"CPT-1008T","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"HCSF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JCXC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-AAA06","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"AAA06","description":"HIPPS-AAA06","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MAMA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"EDCA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Removal of tendon lesion","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"27630","description":"Removal of tendon lesion","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CBVC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CHDE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Excision benign lesion>1.25c","billing_code_type":"CDT","billing_code_type_version":"2024","billing_code":"D7411","description":"Excision benign lesion>1.25c","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Implantable tissue marker","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"A4648","description":"Implantable tissue marker","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Biliary duct stone extraction_ percutaneous via t-tube tract_ basket_ o snare (eg_ burhenne technique)","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"47630","description":"Biliary duct stone extraction_ percutaneous via t-tube tract_ basket_ o snare (eg_ burhenne technique)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"EGBD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RVC4D","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RVC4D","description":"HIPPS-RVC4D","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JEVC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"CROM GNOTYP CD55 EXONS 1-10","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0182U","description":"CROM GNOTYP CD55 EXONS 1-10","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Pre-op service lvrs 10-15dos","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G0303","description":"Pre-op service lvrs 10-15dos","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Radiation treatment delivery","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G6014","description":"Radiation treatment delivery","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OHGC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CGHD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"CDT-D1302","billing_code_type":"CDT","billing_code_type_version":"2026","billing_code":"D1302","description":"CDT-D1302","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"AFUF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Insertion of aqueous drainage device_ without extraocular reservoir_ internal approach_ into the subconjunctival space; initial device","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0449T","description":"Insertion of aqueous drainage device_ without extraocular reservoir_ internal approach_ into the subconjunctival space; initial device","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NLIA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"AALB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Management of established patient-caregiver dyad with dementia_ low complexity_ for use in CMMI model","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G0524","description":"Management of established patient-caregiver dyad with dementia_ low complexity_ for use in CMMI model","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Us bone stimulation","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"20979","description":"Us bone stimulation","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RUL8G","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RUL8G","description":"HIPPS-RUL8G","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Im b1 mrw cel ther hrvst onl","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0265T","description":"Im b1 mrw cel ther hrvst onl","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JEFE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OGAF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Activated carbon filter_ ea","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"A4680","description":"Activated carbon filter_ ea","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Injection_ crotalidae immune F(ab_)2 (equine)_ 120 mg","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"J0841","description":"Injection_ crotalidae immune F(ab_)2 (equine)_ 120 mg","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-G0673","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"G0673","description":"HCPCS-G0673","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Enterovirus probe&revrs trns","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"87498","description":"Enterovirus probe&revrs trns","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KAHD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"repair resin partial denture base_ mandibular","billing_code_type":"CDT","billing_code_type_version":"2024","billing_code":"D5611","description":"repair resin partial denture base_ mandibular","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NBVD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JEBA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-3CHNT","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"3CHNT","description":"HIPPS-3CHNT","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Syringe w/wo needle","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"A4657","description":"Syringe w/wo needle","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Platelets_ irradiated","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"P9032","description":"Platelets_ irradiated","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GHWC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-ATP05","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"ATP05","description":"HIPPS-ATP05","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Supplemental electrical test","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"92547","description":"Supplemental electrical test","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GIGE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JFIE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-1BGPX","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"1BGPX","description":"HIPPS-1BGPX","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"I & d vaginal hematoma pp","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"57022","description":"I & d vaginal hematoma pp","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Shoe heel sach cushion type","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"L3450","description":"Shoe heel sach cushion type","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KEYE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BANC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Endoscopic submucosal dissection (ESD)_ including endoscopyor colonoscopy_ mucosal closure_ when performed","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"C9779","description":"Endoscopic submucosal dissection (ESD)_ including endoscopyor colonoscopy_ mucosal closure_ when performed","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OGYF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Release of midfoot joint","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"28260","description":"Release of midfoot joint","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JDKA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Anesth salivary gland","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"10051","description":"Anesth salivary gland","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CATE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OCRA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Assay of primidone","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"80188","description":"Assay of primidone","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GHPA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KAPC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Autopsy (necropsy) gross","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"88005","description":"Autopsy (necropsy) gross","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RVC32","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RVC32","description":"HIPPS-RVC32","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GFIA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KEOD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RHL8H","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RHL8H","description":"HIPPS-RHL8H","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KCXF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MBIE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"HHQB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"PJOE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Colonoscopy w/ablation","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"45388","description":"Colonoscopy w/ablation","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CHDA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Epidurography","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"72275","description":"Epidurography","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FIMF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Frenulotomy of penis","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"54164","description":"Frenulotomy of penis","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KCOF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JIGF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-HD135","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"HD135","description":"HIPPS-HD135","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"HERB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Repair/maint cont hemo equip","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"A4890","description":"Repair/maint cont hemo equip","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KBYB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Triamcinolone hexacetonl inj","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"J3303","description":"Triamcinolone hexacetonl inj","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Daprodustat_ oral_ 1 mg_ (for ESRD on dialysis)","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"J0889","description":"Daprodustat_ oral_ 1 mg_ (for ESRD on dialysis)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JGID1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Removal of ankle bone","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"28130","description":"Removal of ankle bone","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Infectious agent detection by nucleic acid (DNA or RNA)_ vaginal pathogen panel_ identification of 27 organisms_ amplified probe technique_ vaginal swab","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0330U","description":"Infectious agent detection by nucleic acid (DNA or RNA)_ vaginal pathogen panel_ identification of 27 organisms_ amplified probe technique_ vaginal swab","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-C8010","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"C8010","description":"HCPCS-C8010","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Anesth anorectal surgery","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"90251","description":"Anesth anorectal surgery","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KAKF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"DBYF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BEUB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Patient refused to participate","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G9732","description":"Patient refused to participate","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Ct colonography screening","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"74263","description":"Ct colonography screening","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Forceps esoph biopsy done","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"3150F","description":"Forceps esoph biopsy done","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Transcatheter intracoronary infusion of supersaturated oxygen in conjunction w/percutaneous coronary revascularization during acute myocardial infarction_ including catheter","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0659T","description":"Transcatheter intracoronary infusion of supersaturated oxygen in conjunction w/percutaneous coronary revascularization during acute myocardial infarction_ including catheter","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-3AFKS","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"3AFKS","description":"HIPPS-3AFKS","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Rh ig iv","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"90386","description":"Rh ig iv","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Hospitalized patients with newly diagnosed CVA considered for endovascular stroke treatment","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G9767","description":"Hospitalized patients with newly diagnosed CVA considered for endovascular stroke treatment","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-LB15C","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"LB15C","description":"HIPPS-LB15C","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KASF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NDFA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BBXA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BDDB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"AALA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"LBSA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"CPT-00600","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"00600","description":"CPT-00600","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GBXC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MFTB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"AFMD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-PC210","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"PC210","description":"HIPPS-PC210","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Trim skin lesions over 4","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"11057","description":"Trim skin lesions over 4","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NCPA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FGTE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Adhesion barrier","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"C1765","description":"Adhesion barrier","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-BB140","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"BB140","description":"HIPPS-BB140","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"IIDD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Transcutaneous electrical nerve stimulator for electrical stimulation of the trigeminal nerve (Monarch external Trigeminal Nerve Stimulation (eTNS) System.","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"K1016","description":"Transcutaneous electrical nerve stimulator for electrical stimulation of the trigeminal nerve (Monarch external Trigeminal Nerve Stimulation (eTNS) System.","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"CPT-00936","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"00936","description":"CPT-00936","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GAEE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"LCOE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BGDF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OIOB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"PDSA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KDIF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GEXC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Qualified Nonphysician Healthcare Professional Online Assessment Service_ For An Established Patient_ For Up To Seven Days_ Cumulative Time During The 7 Days; 11-20 Minutes","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G2062","description":"Qualified Nonphysician Healthcare Professional Online Assessment Service_ For An Established Patient_ For Up To Seven Days_ Cumulative Time During The 7 Days; 11-20 Minutes","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Corneal topography","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"92025","description":"Corneal topography","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Portable oxygen contents_ liquid_ 1 month_s supply = 1 unit_ prescribed amount at rest or nighttime exceeds 4 liters per minute","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"E0447","description":"Portable oxygen contents_ liquid_ 1 month_s supply = 1 unit_ prescribed amount at rest or nighttime exceeds 4 liters per minute","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KBKA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MJMA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BDCD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KAPB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Oocyte identification","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"89254","description":"Oocyte identification","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-LE18A","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"LE18A","description":"HIPPS-LE18A","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"PAWF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"External patient-activated_ physician- or other qualified health care professional-prescribed_ electrocardiographic rhythm derived event recording without 24 hour attended mon","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0498T","description":"External patient-activated_ physician- or other qualified health care professional-prescribed_ electrocardiographic rhythm derived event recording without 24 hour attended mon","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Coordinating Stroke Care To Promote Prevention And Cultivate Positive Outcomes Mips Value Pathways","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G0054","description":"Coordinating Stroke Care To Promote Prevention And Cultivate Positive Outcomes Mips Value Pathways","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Addition to lower extremity prostheses_ osseointegrated external prosthetic connector","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"L5991","description":"Addition to lower extremity prostheses_ osseointegrated external prosthetic connector","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"DAYF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Flex/ext/rotation wrist unit","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"L6624","description":"Flex/ext/rotation wrist unit","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"PJWF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OCKD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-1CGMX","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"1CGMX","description":"HIPPS-1CGMX","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BHJC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Assay of calcium","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"82330","description":"Assay of calcium","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"IGAC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Occlusal orthotic appliance","billing_code_type":"CDT","billing_code_type_version":"2024","billing_code":"D7880","description":"Occlusal orthotic appliance","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"PBRB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KHQB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MKCB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"X-ray upper gi&small intest","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"74245","description":"X-ray upper gi&small intest","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-3BHP3","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"3BHP3","description":"HIPPS-3BHP3","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Excision benign lesion compl","billing_code_type":"CDT","billing_code_type_version":"2024","billing_code":"D7412","description":"Excision benign lesion compl","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NEUB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"ADHB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Case management_ per month","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"T2022","description":"Case management_ per month","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OFVA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Comprehensive (60 minutes) care management home care plan oversight. for use only in a medicare-approved cmmi model. (services must be furnished within a beneficiary_s home_ d","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G0087","description":"Comprehensive (60 minutes) care management home care plan oversight. for use only in a medicare-approved cmmi model. (services must be furnished within a beneficiary_s home_ d","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Special supply_ nos waiver","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"T2028","description":"Special supply_ nos waiver","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JCXC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Lso sag ctr rigi pos pre ots","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"L0643","description":"Lso sag ctr rigi pos pre ots","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FCTE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"IGTB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"EFUC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OISD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-HE254","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"HE254","description":"HIPPS-HE254","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Stent_ non-coronary_ temporary_ with delivery system (propel)","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"S1091","description":"Stent_ non-coronary_ temporary_ with delivery system (propel)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-3AHNV","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"3AHNV","description":"HIPPS-3AHNV","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"EIUD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-PB21C","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"PB21C","description":"HIPPS-PB21C","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"X-ray male genital tract","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"74440","description":"X-ray male genital tract","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GFHC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FHXB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"CPT-1091T","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"1091T","description":"CPT-1091T","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Tlso rigid lined pre one pie","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"L0488","description":"Tlso rigid lined pre one pie","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GGGE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Antiepileptics nos 1-3","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"80339","description":"Antiepileptics nos 1-3","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CEHC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"PHQB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"IGIB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FHMB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"LBQE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Bronch ebus ivntj perph les","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"31654","description":"Bronch ebus ivntj perph les","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Flexhd/allopatchhd/matrixhd","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"Q4128","description":"Flexhd/allopatchhd/matrixhd","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KDIE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"LHRE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FCTF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Removal of tendon for graft","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"20924","description":"Removal of tendon for graft","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-1CGN3","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"1CGN3","description":"HIPPS-1CGN3","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RLB50","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RLB50","description":"HIPPS-RLB50","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OADE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Hla class i semiquant panel","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"86834","description":"Hla class i semiquant panel","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"DAQC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"EHHF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-2AGLV","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"2AGLV","description":"HIPPS-2AGLV","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Infectious Disease Mips Specialty Set","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G4010","description":"Infectious Disease Mips Specialty Set","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OACB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OHAE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MAEC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OGHC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Opn tx orbit fx w/implant","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"21407","description":"Opn tx orbit fx w/implant","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-5BGK3","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"5BGK3","description":"HIPPS-5BGK3","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Art byp grft ilioiliac","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"35563","description":"Art byp grft ilioiliac","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Incision of toe tendon","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"28010","description":"Incision of toe tendon","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BIJB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-ES114","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"ES114","description":"HIPPS-ES114","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-4BHM2","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"4BHM2","description":"HIPPS-4BHM2","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Laparoscope procedure liver","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"47379","description":"Laparoscope procedure liver","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Family homecare training 15m","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"S5110","description":"Family homecare training 15m","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OJOA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OIKD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CDXF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FIAF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-BB213","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"BB213","description":"HIPPS-BB213","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Xray place prox ext thor ao","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"75958","description":"Xray place prox ext thor ao","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FBHD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-PB204","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"PB204","description":"HIPPS-PB204","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-2CFKX","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"2CFKX","description":"HIPPS-2CFKX","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KBBC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MGUB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OIQC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OFTD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Assay of ldh enzymes","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"83625","description":"Assay of ldh enzymes","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Stk cabg","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G8573","description":"Stk cabg","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Right ventricular recording","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"93603","description":"Right ventricular recording","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NGMC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Ace/arb thxpy for mos/>","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"4210F","description":"Ace/arb thxpy for mos/>","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Biofeedback peri/uro/rectal","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"90911","description":"Biofeedback peri/uro/rectal","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"AGLA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OHFE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"IIBE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MFDA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Moderna Covid-19 vaccine administration - booster dose (SARSCOV2 COVID-19 VAC mRNA 50mcg/0.25mL IM DOSE BOOSTER)","billing_code_type":"CDT","billing_code_type_version":"2024","billing_code":"D1711","description":"Moderna Covid-19 vaccine administration - booster dose (SARSCOV2 COVID-19 VAC mRNA 50mcg/0.25mL IM DOSE BOOSTER)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KGFB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Elbow mold doub splt soc ste","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"L6120","description":"Elbow mold doub splt soc ste","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NHXD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"AETF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"ODMA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KCPE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MITD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BGUC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Surgery of pancreatic cyst","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"48500","description":"Surgery of pancreatic cyst","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CIQC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NDTC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"AHEC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GHJA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OHBE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GAYC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CGBA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-LB145","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"LB145","description":"HIPPS-LB145","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BAFE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KEEC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Rectal catheter for use with the manual pump-operated enema","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"A4453","description":"Rectal catheter for use with the manual pump-operated enema","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Create eardrum opening","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"69436","description":"Create eardrum opening","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"PKQE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JCAB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GHUA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OBDF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JDNA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Eye glass case","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"V2756","description":"Eye glass case","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CDTD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GHXC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FHUB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Arthroscopy_ shoulder_ surgi","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"S2300","description":"Arthroscopy_ shoulder_ surgi","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"DDWB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Bridge base metal cast","billing_code_type":"CDT","billing_code_type_version":"2024","billing_code":"D6211","description":"Bridge base metal cast","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Cytogenomic Neoplasia (Genome-Wide) Microarray Analysis_ Interrogation Of Genomic Regions For Copy Number And Loss-Of-Heterozygosity Variants For Chromosomal Abnormalities","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"81277","description":"Cytogenomic Neoplasia (Genome-Wide) Microarray Analysis_ Interrogation Of Genomic Regions For Copy Number And Loss-Of-Heterozygosity Variants For Chromosomal Abnormalities","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NEHD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GCPE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Interferon alfacon-1 inj","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"J9212","description":"Interferon alfacon-1 inj","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"HIWC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Drug test(s)_ presumptive_ with definitive confirmation of positive results","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0111U","description":"Drug test(s)_ presumptive_ with definitive confirmation of positive results","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"CPT-1017T","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"1017T","description":"CPT-1017T","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"IIAE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"AIHE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Swivel adaptor","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"S8186","description":"Swivel adaptor","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Injection_ meropenem (WG Critical Care)_ not therapeutically equivalent to J2185_ 100 mg","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"J2183","description":"Injection_ meropenem (WG Critical Care)_ not therapeutically equivalent to J2185_ 100 mg","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BGKC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KIMA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KHHF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Injection_ aripiprazole (abilify asimtufii)_ 1 mg","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"J0402","description":"Injection_ aripiprazole (abilify asimtufii)_ 1 mg","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FEGE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Low cost skin substitute app","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"C5276","description":"Low cost skin substitute app","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Revise head/neck of femur","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"27179","description":"Revise head/neck of femur","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Diskectomy_ anterior_ with d","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"S2350","description":"Diskectomy_ anterior_ with d","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JFVB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-A2001","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"A2001","description":"HCPCS-A2001","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GBJC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Exoskel hip ultra-light mate","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"L5795","description":"Exoskel hip ultra-light mate","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-BA250","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"BA250","description":"HIPPS-BA250","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RMA4C","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RMA4C","description":"HIPPS-RMA4C","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Mechanical traction therapy","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"97012","description":"Mechanical traction therapy","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-HB18E","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"HB18E","description":"HIPPS-HB18E","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-4AFM5","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"4AFM5","description":"HIPPS-4AFM5","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JGKF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CAWF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"HDWF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Proton trmt simple w/o comp","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"77520","description":"Proton trmt simple w/o comp","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Dialysis access system","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"C1881","description":"Dialysis access system","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Lo sag rig pnl stays pre cst","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"L0626","description":"Lo sag rig pnl stays pre cst","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-C1202","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"C1202","description":"HCPCS-C1202","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OGJB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GDYC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-2CFM4","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"2CFM4","description":"HIPPS-2CFM4","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"HEQC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GBNE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BABE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-4AGM5","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"4AGM5","description":"HIPPS-4AGM5","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KCNC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Incision of kidney","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"50070","description":"Incision of kidney","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"CPT-0599U","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"0599U","description":"CPT-0599U","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Ligation of a-v fistula","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"37607","description":"Ligation of a-v fistula","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"CPT-0663U","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"0663U","description":"CPT-0663U","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Calculus spectroscopy","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"82365","description":"Calculus spectroscopy","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-G0559","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"G0559","description":"HCPCS-G0559","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Tmj arthroscopy lysis adhesn","billing_code_type":"CDT","billing_code_type_version":"2024","billing_code":"D7873","description":"Tmj arthroscopy lysis adhesn","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Sterile needle","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"A4215","description":"Sterile needle","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CFBB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GBYC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MFEC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Fit aphakia spectcl multifoc","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"92353","description":"Fit aphakia spectcl multifoc","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"IGAF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Replacement of gastrostomy tube_ percutaneous_ includes removal_ when performed_ without imaging or endoscopic guidance; not requiring revision of gastrostomy tract","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"43762","description":"Replacement of gastrostomy tube_ percutaneous_ includes removal_ when performed_ without imaging or endoscopic guidance; not requiring revision of gastrostomy tract","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BBVF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Anesth lung chest wall surg","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"54651","description":"Anesth lung chest wall surg","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"ODSF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Large disposable underpad","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"T4541","description":"Large disposable underpad","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JAUA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Kafo sing fre stirr thi/calf","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"L2000","description":"Kafo sing fre stirr thi/calf","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KBAC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Internal eye photography","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"92287","description":"Internal eye photography","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Mammo probably bengn docd","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"3343F","description":"Mammo probably bengn docd","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"LIQA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Resect clavicle tumor","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"23200","description":"Resect clavicle tumor","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Arthroscopy_ shoulder_ surgical; with implantation of subacromial spacer (e.g._ balloon)_ includes debridement (e.g._ limited or extensive)_ subacromial decompression_ acromio","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"C9781","description":"Arthroscopy_ shoulder_ surgical; with implantation of subacromial spacer (e.g._ balloon)_ includes debridement (e.g._ limited or extensive)_ subacromial decompression_ acromio","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Antepartum care only","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"59425","description":"Antepartum care only","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-LD15B","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"LD15B","description":"HIPPS-LD15B","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OJEC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Knee cap medial or lateral p","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"L2800","description":"Knee cap medial or lateral p","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-3BGKU","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"3BGKU","description":"HIPPS-3BGKU","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NITF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JBJD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"IGBB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Smokeless tobacco user","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"1035F","description":"Smokeless tobacco user","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Revision of arm muscles","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"24331","description":"Revision of arm muscles","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BHTD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-PD140","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"PD140","description":"HIPPS-PD140","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Dalteparin sodium","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"J1645","description":"Dalteparin sodium","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KFCE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Dentures repair resin base","billing_code_type":"CDT","billing_code_type_version":"2024","billing_code":"D5610","description":"Dentures repair resin base","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Partial removal of larynx","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"31382","description":"Partial removal of larynx","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RLB20","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RLB20","description":"HIPPS-RLB20","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FGFA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Injection_ rituximab-arrx_ biosimilar_ (riabni)_ 10 mg","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"Q5123","description":"Injection_ rituximab-arrx_ biosimilar_ (riabni)_ 10 mg","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Telethx isodose plan simple","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"77306","description":"Telethx isodose plan simple","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Repair fixed retainers","billing_code_type":"CDT","billing_code_type_version":"2024","billing_code":"D8694","description":"Repair fixed retainers","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Exploration of artery/vein","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"35761","description":"Exploration of artery/vein","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-HE10C","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"HE10C","description":"HIPPS-HE10C","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Neurofilament light chain_ digital immunoassay_ plasma_ quantitative","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0361U","description":"Neurofilament light chain_ digital immunoassay_ plasma_ quantitative","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Revise eye sockets","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"21261","description":"Revise eye sockets","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NFHC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-ES130","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"ES130","description":"HIPPS-ES130","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OGLC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Thoracoscopy w/lobectomy","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"32663","description":"Thoracoscopy w/lobectomy","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-LB116","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"LB116","description":"HIPPS-LB116","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KGXA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RLX60","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RLX60","description":"HIPPS-RLX60","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Patient refused to participate","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G2209","description":"Patient refused to participate","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JDKB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BBBC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Lith ion non prosth recharge","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"A4601","description":"Lith ion non prosth recharge","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NJHD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HH PDGM","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"3LB31","description":"HH PDGM","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Mastoidectomy","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"69502","description":"Mastoidectomy","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MECE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-Q4437","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"Q4437","description":"HCPCS-Q4437","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KHMF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"IDMD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KFDC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Implant neuroelectrodes","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"61850","description":"Implant neuroelectrodes","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CHRD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MABF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"IHUA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"EGEE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BACD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Intens cardiac rehab no exer","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G0423","description":"Intens cardiac rehab no exer","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JHHC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KCCE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Exc h-f-nk-sp b9+marg 1.1-2","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"11422","description":"Exc h-f-nk-sp b9+marg 1.1-2","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RUA17","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RUA17","description":"HIPPS-RUA17","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Treat thumb fracture","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"26650","description":"Treat thumb fracture","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OCEE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KIXF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GCDB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OEYD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Brachytx_ non-stranded_p-103","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"C2641","description":"Brachytx_ non-stranded_p-103","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Lso r post pnl sj-t9 pre cst","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"L0630","description":"Lso r post pnl sj-t9 pre cst","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GHKF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-AAA4B","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"AAA4B","description":"HIPPS-AAA4B","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CAWB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Gemcitabine hcl injection","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"J9201","description":"Gemcitabine hcl injection","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CBGF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-PD18C","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"PD18C","description":"HIPPS-PD18C","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Excision of umbilicus","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"49250","description":"Excision of umbilicus","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Office/outpatient visit new","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"99205","description":"Office/outpatient visit new","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NFCA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CCDC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Injection(s)_ including indwelling catheter placement_ continuous infusion or intermittent bolus_ of diagnostic or therapeutic substance(s) (eg_ anesthetic_ antispasmodic_ opi","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"62327","description":"Injection(s)_ including indwelling catheter placement_ continuous infusion or intermittent bolus_ of diagnostic or therapeutic substance(s) (eg_ anesthetic_ antispasmodic_ opi","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Prolonged service inpatient","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"99356","description":"Prolonged service inpatient","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GFEA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Eval aud rehab status","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"92626","description":"Eval aud rehab status","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Pelvic & hip control thigh c","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"L1680","description":"Pelvic & hip control thigh c","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-PB213","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"PB213","description":"HIPPS-PB213","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Pwc gp 2 xtra hd seat/back","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"K0828","description":"Pwc gp 2 xtra hd seat/back","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Insitu hybridization auto","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"88367","description":"Insitu hybridization auto","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Transcath closure of vsd","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"93581","description":"Transcath closure of vsd","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Anesth bladder surgery","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"91051","description":"Anesth bladder surgery","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OBCA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Buprenorphine oral 1mg","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"J0571","description":"Buprenorphine oral 1mg","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CEWF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BIGE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GBWA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"EDUD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OGLA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GAAC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GEGA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OKKF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-4BHLV","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"4BHLV","description":"HIPPS-4BHLV","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CADC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NIBD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RUL44","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RUL44","description":"HIPPS-RUL44","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NDUE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Op rad mg composite","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G9236","description":"Op rad mg composite","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KFPD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MEHB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JAFD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OGAA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NFGA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KEMB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Removal of ocular implant","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"65175","description":"Removal of ocular implant","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"IBBF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KFXA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CHHF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KGOE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FILF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"ABAC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RVB0C","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RVB0C","description":"HIPPS-RVB0C","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KCUE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"DGRA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CDIC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Hep b scrng docd as done","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"3513F","description":"Hep b scrng docd as done","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KHXA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NIME1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JGXE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Uvl pnl 2 sq ft or less","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"E0691","description":"Uvl pnl 2 sq ft or less","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Obinutuzumab inj","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"J9301","description":"Obinutuzumab inj","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Helicobacter pylori antibody","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"86677","description":"Helicobacter pylori antibody","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"PIOE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Io anal gast n-stim init","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"95980","description":"Io anal gast n-stim init","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"N block inj ilio-ing/hypogi","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"64425","description":"N block inj ilio-ing/hypogi","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MFMC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NJKB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Duplex Scan Of Arterial Inflow And Venous Outflow For Preoperative Vessel Assessment Prior To Creation Of Hemodialysis Access; Complete Bilateral Study","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"93985","description":"Duplex Scan Of Arterial Inflow And Venous Outflow For Preoperative Vessel Assessment Prior To Creation Of Hemodialysis Access; Complete Bilateral Study","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CHAA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CCOC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Human epididymis protein 4","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"86305","description":"Human epididymis protein 4","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NBAB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OECF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Antepartum management","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"H1001","description":"Antepartum management","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Esrd serv 4 vsts p mo 2-11","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"90954","description":"Esrd serv 4 vsts p mo 2-11","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Emergency surgery","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G9752","description":"Emergency surgery","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NIXE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-CD155","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"CD155","description":"HIPPS-CD155","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"DDSB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FFFA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"LCRB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NAEB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CAGB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Replace picvad cath","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"36585","description":"Replace picvad cath","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Body-worn hearing aid air","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"V5030","description":"Body-worn hearing aid air","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Exploration maxillary sinus","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"31256","description":"Exploration maxillary sinus","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HH PDGM","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"2LC21","description":"HH PDGM","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Parenteral supp not othrws c","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"B9999","description":"Parenteral supp not othrws c","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NGFC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Injection_ cipaglucosidase alfa-atga_ 5 mg","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"J1203","description":"Injection_ cipaglucosidase alfa-atga_ 5 mg","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NFIB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"PBQD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CIPA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RMX55","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RMX55","description":"HIPPS-RMX55","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KHIC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Replantation of penis","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"54438","description":"Replantation of penis","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NHAA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Blinded administration of convulsive therapy procedure_ either electroconvulsive therapy (ect_ current covered gold standard) or magnetic seizure therapy","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G2000","description":"Blinded administration of convulsive therapy procedure_ either electroconvulsive therapy (ect_ current covered gold standard) or magnetic seizure therapy","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BCHF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Aspirin or another antiplatelet therapy used","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"M1055","description":"Aspirin or another antiplatelet therapy used","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NIAF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-2AGLW","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"2AGLW","description":"HIPPS-2AGLW","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KHME0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KFJA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KCGC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NHGF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JIGE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Antepartum care only","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"59426","description":"Antepartum care only","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Replc sockt below e/w disa","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"L6883","description":"Replc sockt below e/w disa","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Cystourethroscopy_ with mechanical dilation and urethral therapeutic drug delivery for urethral stricture or stenosis_ including fluoroscopy_ when performed","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0499T","description":"Cystourethroscopy_ with mechanical dilation and urethral therapeutic drug delivery for urethral stricture or stenosis_ including fluoroscopy_ when performed","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CFLF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Immediate maxillary partial denture - flexible base (including any clasps_ rests and teeth)","billing_code_type":"CDT","billing_code_type_version":"2024","billing_code":"D5227","description":"Immediate maxillary partial denture - flexible base (including any clasps_ rests and teeth)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"HHWE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"IHBE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Reinforce pulmonary artery","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"33690","description":"Reinforce pulmonary artery","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NCIB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"DESF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Small bowel endoscopy/biopsy","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"44377","description":"Small bowel endoscopy/biopsy","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MATA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"ICEC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JIAC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Hearing aid_ contralateral routing system_ binaural_ ITE/ITE","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"V5211","description":"Hearing aid_ contralateral routing system_ binaural_ ITE/ITE","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RMC43","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RMC43","description":"HIPPS-RMC43","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Glasses cros hearing aid","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"V5190","description":"Glasses cros hearing aid","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CDKD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Dna antibody native","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"86225","description":"Dna antibody native","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FDJA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"ECEB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Patients 66 Years Of Age Or Older With At Least One Claim/Encounter For Frailty During The Measurement Period And A Dispensed Medication For Dementia During The Measurement Pe","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G2134","description":"Patients 66 Years Of Age Or Older With At Least One Claim/Encounter For Frailty During The Measurement Period And A Dispensed Medication For Dementia During The Measurement Pe","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-C9303","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"C9303","description":"HCPCS-C9303","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-2CFLV","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"2CFLV","description":"HIPPS-2CFLV","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NEMB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Mobility current status","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G8978","description":"Mobility current status","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"ACUB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RMX33","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RMX33","description":"HIPPS-RMX33","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BEAE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JEIE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CFWD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RML4A","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RML4A","description":"HIPPS-RML4A","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NEXA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Occlusal guard - hard appliance_ partial arch","billing_code_type":"CDT","billing_code_type_version":"2024","billing_code":"D9946","description":"Occlusal guard - hard appliance_ partial arch","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Electric stimulation therapy","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"97014","description":"Electric stimulation therapy","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Dexamethasone_ lacrimal ophthalmic insert_ 0.1 mg","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"J1096","description":"Dexamethasone_ lacrimal ophthalmic insert_ 0.1 mg","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"CPT-1092T","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"1092T","description":"CPT-1092T","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GEUC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Wedge biopsy of liver","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"47100","description":"Wedge biopsy of liver","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"AACA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Intake Activities_ Including Initial Medical Examination That Is A Complete_ Fully Documented Physical Evaluation And Initial Assessment By A Program Physician Or A Primary Ca","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G2076","description":"Intake Activities_ Including Initial Medical Examination That Is A Complete_ Fully Documented Physical Evaluation And Initial Assessment By A Program Physician Or A Primary Ca","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BCCC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RUX0D","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RUX0D","description":"HIPPS-RUX0D","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RUL0B","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RUL0B","description":"HIPPS-RUL0B","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"AALD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Hg a1c level 7.0-9.0%","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"3045F","description":"Hg a1c level 7.0-9.0%","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-LC121","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"LC121","description":"HIPPS-LC121","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BHGE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Intradermal Cancer Immunotherapy; Each Additional Injection (List Separately In Addition To Code For Primary Procedure)","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0709T","description":"Intradermal Cancer Immunotherapy; Each Additional Injection (List Separately In Addition To Code For Primary Procedure)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"EEEA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"CPT-0926T","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"0926T","description":"CPT-0926T","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Cardiovascular stress test","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"93018","description":"Cardiovascular stress test","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GHSA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"EIBA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Perfluoroalkyl substances (PFAS) (eg_ perfluorooctanoic acid_ perfluorooctane sulfonic acid)_ 9 PFAS compounds by LC-MS/MS_ plasma or serum_ quantitative","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0457U","description":"Perfluoroalkyl substances (PFAS) (eg_ perfluorooctanoic acid_ perfluorooctane sulfonic acid)_ 9 PFAS compounds by LC-MS/MS_ plasma or serum_ quantitative","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"IGIA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Treatment of corneal lesion","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"65450","description":"Treatment of corneal lesion","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Back upholstery_ replacement","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"E0982","description":"Back upholstery_ replacement","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Injection(s)_ autologous white blood cell concentrate (autologous protein solution)_ any site_ including image guidance_ harvesting and preparation_ when performed","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0481T","description":"Injection(s)_ autologous white blood cell concentrate (autologous protein solution)_ any site_ including image guidance_ harvesting and preparation_ when performed","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HH PDGM","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"2FC11","description":"HH PDGM","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JAEE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BFGF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-3AHM1","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"3AHM1","description":"HIPPS-3AHM1","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Removal of cervix","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"57530","description":"Removal of cervix","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-C1504","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"C1504","description":"HCPCS-C1504","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"No 30 day f/u","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G9404","description":"No 30 day f/u","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KDPD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KBJE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JBGA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OHNA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Cltx med ankle fx w/mnpj","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"27762","description":"Cltx med ankle fx w/mnpj","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"PreTRM®_ Sera Prognostics_ Sera Prognostics","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0247U","description":"PreTRM®_ Sera Prognostics_ Sera Prognostics","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"X-ray exam of peritoneum","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"74190","description":"X-ray exam of peritoneum","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Lsh uterus above 250 g","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"58543","description":"Lsh uterus above 250 g","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FHIE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HH PDGM","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"3BB31","description":"HH PDGM","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Treatment of ankle fracture","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"27814","description":"Treatment of ankle fracture","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JEVC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GIAD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NDAB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GBYE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Fixed adjust armrest pair","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"K0020","description":"Fixed adjust armrest pair","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"WoundEx_ BioSkin_ per sq cm","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"Q4163","description":"WoundEx_ BioSkin_ per sq cm","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Amitriptyline","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G6030","description":"Amitriptyline","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JETE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GBTB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-LE130","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"LE130","description":"HIPPS-LE130","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SARSCOV2 VAC 10 MCG TRS-SUCR (pediatric vaccine)","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"91307","description":"SARSCOV2 VAC 10 MCG TRS-SUCR (pediatric vaccine)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"LIYA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FGIA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NGXA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Reeva FT_ per sq cm","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"Q4314","description":"Reeva FT_ per sq cm","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BHBA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KGRD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FGNB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FEGA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"CPT-99445","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"99445","description":"CPT-99445","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Dispens fee immunosupressive","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"Q0510","description":"Dispens fee immunosupressive","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Trichomonas vaginalis amplif","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"87661","description":"Trichomonas vaginalis amplif","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JDFB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-2AHK6","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"2AHK6","description":"HIPPS-2AHK6","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Vitrectomy_ mechanical_ pars plana approach_ with subretinal injection of pharmacologic/biologic agent","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"C9770","description":"Vitrectomy_ mechanical_ pars plana approach_ with subretinal injection of pharmacologic/biologic agent","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BCKA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-1CGK5","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"1CGK5","description":"HIPPS-1CGK5","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"PFSF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BCIE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Injection_ lanreotide_ (Cipla)_ 1 mg","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"J1932","description":"Injection_ lanreotide_ (Cipla)_ 1 mg","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"ODJB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FHFD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BCUC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RMB33","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RMB33","description":"HIPPS-RMB33","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RUB35","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RUB35","description":"HIPPS-RUB35","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OCIB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"ODKE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GAOD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Intraprocedural coronary fractional flow reserve (FFR) with 3D functional mapping of color-coded FFR values for the coronary tree_ derived from coronary angiogram data_ for re","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0523T","description":"Intraprocedural coronary fractional flow reserve (FFR) with 3D functional mapping of color-coded FFR values for the coronary tree_ derived from coronary angiogram data_ for re","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Correction of bunion","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"28294","description":"Correction of bunion","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Cast sup sht leg splnt fbrgl","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"Q4046","description":"Cast sup sht leg splnt fbrgl","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OJED1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Cognitive test by hc pro","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"96125","description":"Cognitive test by hc pro","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Injection_ micafungin in sodium (Baxter)_ not therapeutically equivalent to J2248_ 1 mg","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"J2246","description":"Injection_ micafungin in sodium (Baxter)_ not therapeutically equivalent to J2248_ 1 mg","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Drainage of pelvis lesion","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"26990","description":"Drainage of pelvis lesion","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BGPD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Repair retinal detach cplx","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"67113","description":"Repair retinal detach cplx","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JFUD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Influenza virus vaccine_ quadrivalent (qIRV)_ mRNA; 30 mcg/0.5 mL dosage_ for intramuscular use","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"90637","description":"Influenza virus vaccine_ quadrivalent (qIRV)_ mRNA; 30 mcg/0.5 mL dosage_ for intramuscular use","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FCMB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MGEB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Conditioning play audiometry","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"92582","description":"Conditioning play audiometry","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BALA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FEKD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Transport port x-ray multipl","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"R0075","description":"Transport port x-ray multipl","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Removal of implantable interstitial glucose sensor with creation of subcutaneous pocket at different anatomic site and insertion of new 180 day implantable sensor_ including s","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G0309","description":"Removal of implantable interstitial glucose sensor with creation of subcutaneous pocket at different anatomic site and insertion of new 180 day implantable sensor_ including s","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Brain imaging (pet)","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"78608","description":"Brain imaging (pet)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Pt education noc individ","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"S9445","description":"Pt education noc individ","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JFVC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"PCRF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-3CFLT","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"3CFLT","description":"HIPPS-3CFLT","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Ophth us b & quant a","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"76510","description":"Ophth us b & quant a","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-PB21A","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"PB21A","description":"HIPPS-PB21A","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Red cell sequestration","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"78140","description":"Red cell sequestration","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FGUD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Oncology (ovarian)_ biochemical assays of 7 proteins (follicle stimulating hormone_ human epididymis protein 4_ apolipoprotein A-1_ transferrin_ beta-2 macroglobulin_ prealbum","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0375U","description":"Oncology (ovarian)_ biochemical assays of 7 proteins (follicle stimulating hormone_ human epididymis protein 4_ apolipoprotein A-1_ transferrin_ beta-2 macroglobulin_ prealbum","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GBIB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RHC56","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RHC56","description":"HIPPS-RHC56","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Anesth skull repair/fract","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"21551","description":"Anesth skull repair/fract","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Gradient pressure wrap","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"S8429","description":"Gradient pressure wrap","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"IGME0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Sleep apnea assess","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G8839","description":"Sleep apnea assess","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-CA10B","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"CA10B","description":"HIPPS-CA10B","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OGME0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"CPT-00145","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"00145","description":"CPT-00145","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FBPC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-CA106","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"CA106","description":"HIPPS-CA106","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NCAE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MLCC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"EBTD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GAAD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"R & l heart cath congenital","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"93533","description":"R & l heart cath congenital","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RUA35","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RUA35","description":"HIPPS-RUA35","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Sp bone agrft morsel add-on","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"20937","description":"Sp bone agrft morsel add-on","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BEED1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Injection_ pozelimab-bbfg_ 1 mg","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"J9376","description":"Injection_ pozelimab-bbfg_ 1 mg","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Intracranial complete study","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"93886","description":"Intracranial complete study","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Hib-mency vaccine 4 dose im","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"90644","description":"Hib-mency vaccine 4 dose im","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RML42","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RML42","description":"HIPPS-RML42","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BCFB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Transcatheter mitral valve implantation/replacement (TMVI) with prosthetic valve; percutaneous approach_ including transseptal puncture_ when performed","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0483T","description":"Transcatheter mitral valve implantation/replacement (TMVI) with prosthetic valve; percutaneous approach_ including transseptal puncture_ when performed","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Implantation of absorbable mesh or other prosthesis for delayed closure of defect(s) (ie_ external genitalia_ perineum_ abdominal wall) due to soft tissue infection or trauma","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"15778","description":"Implantation of absorbable mesh or other prosthesis for delayed closure of defect(s) (ie_ external genitalia_ perineum_ abdominal wall) due to soft tissue infection or trauma","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FFAE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BDPE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GDSC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HH PDGM","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"1EA31","description":"HH PDGM","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-HD230","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"HD230","description":"HIPPS-HD230","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OIED0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MGAD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Art byp iliorenal","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"35634","description":"Art byp iliorenal","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Periton dialysis plan docd","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0507F","description":"Periton dialysis plan docd","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KCYE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RUX51","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RUX51","description":"HIPPS-RUX51","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Telemonitoring/home per mnth","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"S9110","description":"Telemonitoring/home per mnth","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Injection_ mirikizumab-mrkz_ 1 mg","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"C9168","description":"Injection_ mirikizumab-mrkz_ 1 mg","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OFJC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OHVE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MHLC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Injection_ bendamustine hydrochloride (apotex)_ 1 mg","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"J9058","description":"Injection_ bendamustine hydrochloride (apotex)_ 1 mg","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"CPT-00170","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"00170","description":"CPT-00170","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-C0803","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"C0803","description":"HCPCS-C0803","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Voice goal status","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G9172","description":"Voice goal status","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Destroy l/s facet jnt addl","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"64636","description":"Destroy l/s facet jnt addl","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Hospital discharge day","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"99238","description":"Hospital discharge day","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-PC136","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"PC136","description":"HIPPS-PC136","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Remove finger bone","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"26185","description":"Remove finger bone","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Injection_ trastuzumab-pkrb_ biosimilar_ (herzuma)_ 10 mg","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"Q5113","description":"Injection_ trastuzumab-pkrb_ biosimilar_ (herzuma)_ 10 mg","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RHX11","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RHX11","description":"HIPPS-RHX11","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GBRB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Application lower leg splint","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"29515","description":"Application lower leg splint","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"EBAB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"DGOC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Nutritional support offered","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"4551F","description":"Nutritional support offered","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Ho abduction static plastic","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"L1660","description":"Ho abduction static plastic","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RMX14","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RMX14","description":"HIPPS-RMX14","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GFDA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-LD18A","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"LD18A","description":"HIPPS-LD18A","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KHYD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KFVE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NKHA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FAKF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MCBA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Dental inlay resin 3/mre sur","billing_code_type":"CDT","billing_code_type_version":"2024","billing_code":"D2652","description":"Dental inlay resin 3/mre sur","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CCSD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Insulin dispos pen 1.5 ml","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"S5570","description":"Insulin dispos pen 1.5 ml","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"PBRB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Hyoid myotomy & suspension","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"21685","description":"Hyoid myotomy & suspension","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Ftl cgen abnor three anal","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"81510","description":"Ftl cgen abnor three anal","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Sedation (non-iv)","billing_code_type":"CDT","billing_code_type_version":"2024","billing_code":"D9248","description":"Sedation (non-iv)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-ES231","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"ES231","description":"HIPPS-ES231","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Bk molded distal cushion","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"L5668","description":"Bk molded distal cushion","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KBDC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Post fusion 13/> vert seg","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"22804","description":"Post fusion 13/> vert seg","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"ODRE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Home health services furnished using synchronous telemedicine rendered via telephone or other real-time interactive audio-only telecommunications system","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G0321","description":"Home health services furnished using synchronous telemedicine rendered via telephone or other real-time interactive audio-only telecommunications system","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Evaluate speech production","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"92522","description":"Evaluate speech production","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BCLA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-A2048","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"A2048","description":"HCPCS-A2048","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"DCRB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"EFTF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Ajcc brstcncr stage 2 docd","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"3376F","description":"Ajcc brstcncr stage 2 docd","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"ODGB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Colon ca scrn; barium enema","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G0120","description":"Colon ca scrn; barium enema","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OLEC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Cardiac focal ablation utilizing radiation therapy for arrhythmia; delivery of radiation therapy_ arrhythmia","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0747T","description":"Cardiac focal ablation utilizing radiation therapy for arrhythmia; delivery of radiation therapy_ arrhythmia","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Injection of sinus tract","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"20500","description":"Injection of sinus tract","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"LCRA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MCAF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NCAC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FHKC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"ABDC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CAIC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KATD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Pt lft inpt fac w/in 60 days","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"1110F","description":"Pt lft inpt fac w/in 60 days","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RHA03","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RHA03","description":"HIPPS-RHA03","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RLX33","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RLX33","description":"HIPPS-RLX33","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Inj dupuytren cord w/enzyme","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"20527","description":"Inj dupuytren cord w/enzyme","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FIJA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"EGBC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Application of halo","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"20664","description":"Application of halo","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Knee disc/dial lock/adj flex","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"L2425","description":"Knee disc/dial lock/adj flex","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-A2039","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"A2039","description":"HCPCS-A2039","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Fusion of toes","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"28280","description":"Fusion of toes","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JIHB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MGDC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Lefort i-2 piece w/o graft","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"21142","description":"Lefort i-2 piece w/o graft","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"LFYB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BCIC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"IDBE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NIAE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"PEOD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Ercp w/specimen collection","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"43260","description":"Ercp w/specimen collection","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OBSB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"IBCD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GGBD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-J9161","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"J9161","description":"HCPCS-J9161","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Prev visit new age 40-64","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"99386","description":"Prev visit new age 40-64","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NCVD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GGYC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"No bp measure doc","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G8756","description":"No bp measure doc","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"No early ind/delivery","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G9355","description":"No early ind/delivery","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OJQE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"No conformal radn thxpy","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"4182F","description":"No conformal radn thxpy","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Treat vaginal bleeding","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"57180","description":"Treat vaginal bleeding","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"No antipla/p2y12 ord_ rs nos","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G9611","description":"No antipla/p2y12 ord_ rs nos","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CFCF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Re-evalest ptproblem focus","billing_code_type":"CDT","billing_code_type_version":"2024","billing_code":"D0170","description":"Re-evalest ptproblem focus","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FANB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Amputation follow-up surgery","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"25909","description":"Amputation follow-up surgery","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Ongoing care not medically possible because the patient was  discharged early due to specific medical events_ documented in the medical record_ such as the patient became hosp","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"M1147","description":"Ongoing care not medically possible because the patient was  discharged early due to specific medical events_ documented in the medical record_ such as the patient became hosp","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"PAWB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OAVE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"IAAE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"External transmitter_ cgm","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"A9277","description":"External transmitter_ cgm","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"AEBB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Repair paravag defect vag","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"57285","description":"Repair paravag defect vag","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NGPC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"LGQE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Lso sc r pos/lat pnl pre cst","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"L0633","description":"Lso sc r pos/lat pnl pre cst","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GAPE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Integrated filter & holder","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"A7507","description":"Integrated filter & holder","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Revise graft w/nonauto graft","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"35883","description":"Revise graft w/nonauto graft","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Frenulectomy/frenulotomy","billing_code_type":"CDT","billing_code_type_version":"2024","billing_code":"D7960","description":"Frenulectomy/frenulotomy","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-PC106","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"PC106","description":"HIPPS-PC106","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"CPT-1075T","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"1075T","description":"CPT-1075T","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Insert vad artery access","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"33990","description":"Insert vad artery access","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"HISF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Mechanical allergen particle barrier/inhalation filter_ cream_ nasal_ topical","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"A7023","description":"Mechanical allergen particle barrier/inhalation filter_ cream_ nasal_ topical","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-A6517","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"A6517","description":"HCPCS-A6517","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KESA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GCID1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-2BHM4","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"2BHM4","description":"HIPPS-2BHM4","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OBOD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CFOF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"AFCB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"AECB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Segmental pneumatic chest","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"E0657","description":"Segmental pneumatic chest","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Generator_ neurostimulator (implantable)_ non-rechargeable with carotid sinus baroreceptor stimulation lead(s)","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"C1825","description":"Generator_ neurostimulator (implantable)_ non-rechargeable with carotid sinus baroreceptor stimulation lead(s)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Hospital outpt clinic visit","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G0463","description":"Hospital outpt clinic visit","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Part hand little/ring","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"L6010","description":"Part hand little/ring","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Multi-durometer symes","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"L5661","description":"Multi-durometer symes","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Fqhc visit_ ippe or awv","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G0468","description":"Fqhc visit_ ippe or awv","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OEFB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) (coronavirus disease [COVID-19]) vaccine_ mRNA-LNP_ bivalent spike protein_ preservative free_ 3 mcg/0.2 mL dosage","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"91317","description":"Severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) (coronavirus disease [COVID-19]) vaccine_ mRNA-LNP_ bivalent spike protein_ preservative free_ 3 mcg/0.2 mL dosage","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Autologous blood op salvage","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"86891","description":"Autologous blood op salvage","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Injection_ peramivir","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"J2547","description":"Injection_ peramivir","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RUL54","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RUL54","description":"HIPPS-RUL54","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-4CGL2","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"4CGL2","description":"HIPPS-4CGL2","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Neck spine fusion","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"22600","description":"Neck spine fusion","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KDEF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HH PDGM","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"3AA21","description":"HH PDGM","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BAUA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"EADC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Shoulder surgery procedure","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"23929","description":"Shoulder surgery procedure","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JAHE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FCAD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Revision of radius","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"25355","description":"Revision of radius","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Perq tx nasoethmoid fx","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"21340","description":"Perq tx nasoethmoid fx","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Needle biopsy pancreas","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"48102","description":"Needle biopsy pancreas","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NLVC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KAPC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OKVB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RMA2C","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RMA2C","description":"HIPPS-RMA2C","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Cystoscopy and treatment","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"52320","description":"Cystoscopy and treatment","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KIHC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Lefort iii w/ lefort i","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"21155","description":"Lefort iii w/ lefort i","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Av dialysis shunt imaging","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"75791","description":"Av dialysis shunt imaging","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FEBF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Remove spine eltrd perq aray","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"63661","description":"Remove spine eltrd perq aray","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KEGE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BIDE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Repair palate","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"42182","description":"Repair palate","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Foam drive wheel tire","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"E2388","description":"Foam drive wheel tire","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OHUB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Drug assay clozapine","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"80159","description":"Drug assay clozapine","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"PLQC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Pain Management_ Mrna_ Gene Expression Profiling By Rna Sequencing Of 36 Genes_ Whole Blood_ Algorithm Reported As Predictive Risk Score","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0290U","description":"Pain Management_ Mrna_ Gene Expression Profiling By Rna Sequencing Of 36 Genes_ Whole Blood_ Algorithm Reported As Predictive Risk Score","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OKUA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Cannulation of the liver allograft in preparation for connection to the normothermic perfusion device and decannulation of the liver allograft following normothermic perfusion","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0894T","description":"Cannulation of the liver allograft in preparation for connection to the normothermic perfusion device and decannulation of the liver allograft following normothermic perfusion","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CCWA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CCYB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Resect radius/ulnar tumor","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"25170","description":"Resect radius/ulnar tumor","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Stoma cap","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"A5055","description":"Stoma cap","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NAHE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"MOLECULAR PATHOLOGY PROCEDURE LEVEL 1","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"81400","description":"MOLECULAR PATHOLOGY PROCEDURE LEVEL 1","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Appro rad ds dvcs techs docd","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"6040F","description":"Appro rad ds dvcs techs docd","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Injection_ trilaciclib_ 1 mg","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"C9078","description":"Injection_ trilaciclib_ 1 mg","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-1CHMT","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"1CHMT","description":"HIPPS-1CHMT","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Doxepin","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G6034","description":"Doxepin","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Ct soft tissue neck w/o dye","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"70490","description":"Ct soft tissue neck w/o dye","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Ceftaroline fosamil inj","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"J0712","description":"Ceftaroline fosamil inj","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BCTC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"IBHB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-PC25D","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"PC25D","description":"HIPPS-PC25D","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CCSC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OHRE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JGGA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OFKC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NKJE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OLXD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Artacent AC_ 1 mg","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"Q4189","description":"Artacent AC_ 1 mg","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-LD12D","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"LD12D","description":"HIPPS-LD12D","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MCBB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Static str shldr dev rom adj","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"E1841","description":"Static str shldr dev rom adj","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Fats/lipids feces qual","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"82705","description":"Fats/lipids feces qual","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Remote Afterloading High Dose Rate Radionuclide Brachytherapy; 1 Channel","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"77785","description":"Remote Afterloading High Dose Rate Radionuclide Brachytherapy; 1 Channel","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OKTF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Oncology (colorectal) screening_ quantitative real-time target and signal amplification of 8 RNA markers (GAPDH_ SMAD4_ ACY1_ AREG_ CDH1_ KRAS_ TNFRSF10B_ EGLN2) and fecal hem","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0421U","description":"Oncology (colorectal) screening_ quantitative real-time target and signal amplification of 8 RNA markers (GAPDH_ SMAD4_ ACY1_ AREG_ CDH1_ KRAS_ TNFRSF10B_ EGLN2) and fecal hem","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-LD13A","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"LD13A","description":"HIPPS-LD13A","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CFGE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"CPT-0581U","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"0581U","description":"CPT-0581U","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"EHIC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BAKF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"ABEB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Anesth face/skull bone surg","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"19051","description":"Anesth face/skull bone surg","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GBIA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"LHWB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NBBF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"PFSD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Botulinum antitoxin","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"90287","description":"Botulinum antitoxin","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Injection_ talimogene laherparepvec_ 1 million plaque forming units (PFU) (Imlygic)","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"C9472","description":"Injection_ talimogene laherparepvec_ 1 million plaque forming units (PFU) (Imlygic)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OBDC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"EFIA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Solid organ neoplasm_ genomic sequence analysis panel_ interrogation for sequence variants; DNA analysis_ copy number variants and microsatellite instability","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"81458","description":"Solid organ neoplasm_ genomic sequence analysis panel_ interrogation for sequence variants; DNA analysis_ copy number variants and microsatellite instability","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JCVB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GIVE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Tlso r fram soft ant pre cst","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"L0466","description":"Tlso r fram soft ant pre cst","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-HE15D","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"HE15D","description":"HIPPS-HE15D","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"MRI brain w/dye","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"70558","description":"MRI brain w/dye","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"EFIF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-LB23A","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"LB23A","description":"HIPPS-LB23A","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NJPF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Repair arterial blockage","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"75966","description":"Repair arterial blockage","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RMC4B","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RMC4B","description":"HIPPS-RMC4B","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Removal of knee prosthesis","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"27488","description":"Removal of knee prosthesis","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GASA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-HD212","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"HD212","description":"HIPPS-HD212","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BEEF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Pvb thoracic cont infusion","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"64463","description":"Pvb thoracic cont infusion","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Phenotype infect agent drug","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"87900","description":"Phenotype infect agent drug","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Observational behavioral follow-up assessment_ includes physician or other qualified health care professional direction with interpretation and report_ administered by one tec","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0360T","description":"Observational behavioral follow-up assessment_ includes physician or other qualified health care professional direction with interpretation and report_ administered by one tec","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Med trng & support per 15min","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"H0034","description":"Med trng & support per 15min","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GCHC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Assay of progesterone 17-d","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"83498","description":"Assay of progesterone 17-d","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Interrogation device evaluation (in person) with analysis_ review and report_ includes connection_ recording_ and disconnection per patient encounter_ wireless cardiac stimula","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0521T","description":"Interrogation device evaluation (in person) with analysis_ review and report_ includes connection_ recording_ and disconnection per patient encounter_ wireless cardiac stimula","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-PE13A","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"PE13A","description":"HIPPS-PE13A","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FHUF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Traditional healing service","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"H0051","description":"Traditional healing service","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"AHAC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-1CFM1","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"1CFM1","description":"HIPPS-1CFM1","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Extensive prostate surgery","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"55840","description":"Extensive prostate surgery","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-2AGL4","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"2AGL4","description":"HIPPS-2AGL4","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"PDQD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Speech lang current status","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G9174","description":"Speech lang current status","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OECA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"ODYA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GHRE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Excision of gum lesion","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"41823","description":"Excision of gum lesion","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BILA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KADA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"IGTA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OEAB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"HHYA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OFXA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Injection_ Factor X_ (human)_ 1 IU","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"J7175","description":"Injection_ Factor X_ (human)_ 1 IU","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OGIE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-3CFM4","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"3CFM4","description":"HIPPS-3CFM4","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CAAF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Comprehensive Full Body Computer-Based Markerless 3D Kinematic And Kinetic Motion Analysis And Report","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0693T","description":"Comprehensive Full Body Computer-Based Markerless 3D Kinematic And Kinetic Motion Analysis And Report","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CEAA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CCPE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GCGE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JATE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-1BHMW","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"1BHMW","description":"HIPPS-1BHMW","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GAIE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"DDYD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JFNC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Endo knee-shin pneum/swg pha","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"L5830","description":"Endo knee-shin pneum/swg pha","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-3CFNU","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"3CFNU","description":"HIPPS-3CFNU","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JGID0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Fluocinol acet intravit imp","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"J7313","description":"Fluocinol acet intravit imp","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JCID0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OFGC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"NeoPatch_ per sq cm","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"Q4176","description":"NeoPatch_ per sq cm","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MEBF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Close bladder-uterus fistula","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"51920","description":"Close bladder-uterus fistula","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"EGAE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OAWF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CBGD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Treat vagina infection","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"57150","description":"Treat vagina infection","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FFHB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NCVF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NFBB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KCSA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CESA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MLBB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GCIC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OFAF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Home infusion each addtl hr","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"99602","description":"Home infusion each addtl hr","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MBCF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Repair uro sphincter","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"53449","description":"Repair uro sphincter","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Fibrinogen test","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"85370","description":"Fibrinogen test","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"APC (APC regulator of WNT signaling pathway)(EG_familial adenomatosis polyposis [FAP] MRNA sequence analysis (list seperately in addition to code for primary procedure","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0157U","description":"APC (APC regulator of WNT signaling pathway)(EG_familial adenomatosis polyposis [FAP] MRNA sequence analysis (list seperately in addition to code for primary procedure","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CGOC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"EDCD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-3AGK5","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"3AGK5","description":"HIPPS-3AGK5","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KDTF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Pt queried prkns complic","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"4324F","description":"Pt queried prkns complic","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Contraceptive pills for bc","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"S4993","description":"Contraceptive pills for bc","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Removal of intracardiac ischemia monitoring system_ including all imaging supervision and interpretation; electrode only","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0531T","description":"Removal of intracardiac ischemia monitoring system_ including all imaging supervision and interpretation; electrode only","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Identify sperm tissue","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"89264","description":"Identify sperm tissue","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CGYA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FBVD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Pt doc w burn prior to d/c","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G8908","description":"Pt doc w burn prior to d/c","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CDPD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"PCYD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"LIQC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Doc med reas no abx therapy","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G9559","description":"Doc med reas no abx therapy","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"ACME0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-PE10A","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"PE10A","description":"HIPPS-PE10A","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Radiation shield","billing_code_type":"CDT","billing_code_type_version":"2024","billing_code":"D5984","description":"Radiation shield","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Repair/graft radius & ulna","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"25420","description":"Repair/graft radius & ulna","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MCLF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KESC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"DHSB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RMA0A","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RMA0A","description":"HIPPS-RMA0A","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BENB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Adjacent tissue transfer or rearrangement_ any area; each additional 30.0 sq cm_ or part thereof (List separately in addition to code for primary procedure)","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"14302","description":"Adjacent tissue transfer or rearrangement_ any area; each additional 30.0 sq cm_ or part thereof (List separately in addition to code for primary procedure)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CGKF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Smoking cessation gum","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"S4995","description":"Smoking cessation gum","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GGEA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OHCF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NCKF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-1CHN2","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"1CHN2","description":"HIPPS-1CHN2","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Gtt-added samples","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"82952","description":"Gtt-added samples","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Cmptr ophth img optic nerve","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"92133","description":"Cmptr ophth img optic nerve","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OFYA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FINE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NLCB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Contact lens extended wear","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"V2513","description":"Contact lens extended wear","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Injection_ bevacizumab-awwb_ biosimilar_ (Mvasi)_ 10 mg","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"Q5107","description":"Injection_ bevacizumab-awwb_ biosimilar_ (Mvasi)_ 10 mg","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RVB36","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RVB36","description":"HIPPS-RVB36","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JFAE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JFPB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Intraoral occlusal film","billing_code_type":"CDT","billing_code_type_version":"2024","billing_code":"D0240","description":"Intraoral occlusal film","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Debride nail 1-5","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"11720","description":"Debride nail 1-5","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Med admin_ not oral/inject","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"T1503","description":"Med admin_ not oral/inject","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KHWE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"EIHE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Gastric bypass for obesity","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"43846","description":"Gastric bypass for obesity","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"CDT-D1502","billing_code_type":"CDT","billing_code_type_version":"2026","billing_code":"D1502","description":"CDT-D1502","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Injection_ ferric pyrophosphate citrate solution (TrifericAVNU)_ 0.1 mg of iron","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"J1445","description":"Injection_ ferric pyrophosphate citrate solution (TrifericAVNU)_ 0.1 mg of iron","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"LCOA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FEFF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Dermatology Mips Specialty Set","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G4000","description":"Dermatology Mips Specialty Set","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Removal of stomach","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"43621","description":"Removal of stomach","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-B1102","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"B1102","description":"HCPCS-B1102","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Ins tun ip cath for dial opn","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"49421","description":"Ins tun ip cath for dial opn","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Repair of heart defects","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"33694","description":"Repair of heart defects","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MCBF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-B0203","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"B0203","description":"HCPCS-B0203","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Solid organ neoplasm_ genomic sequence analysis panel_ interrogation for sequence variants; DNA analysis or combined DNA and RNA analysis_ copy number variants_ microsatellite","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"81459","description":"Solid organ neoplasm_ genomic sequence analysis panel_ interrogation for sequence variants; DNA analysis or combined DNA and RNA analysis_ copy number variants_ microsatellite","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JHGD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KGBA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Laryngoplasty; for laryngeal stenosis_ with graft_ with indwelling stent placement_ younger than 12 years of age","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"31553","description":"Laryngoplasty; for laryngeal stenosis_ with graft_ with indwelling stent placement_ younger than 12 years of age","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BHNA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Explore deep node(s) neck","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"38542","description":"Explore deep node(s) neck","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BGEA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Telecare equipment installation and removal with training","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"W2025","description":"Telecare equipment installation and removal with training","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Mastoid surgery revision","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"69603","description":"Mastoid surgery revision","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Remove cerv artif disc","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"22864","description":"Remove cerv artif disc","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FHEE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FAJD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GDHE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-ES106","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"ES106","description":"HIPPS-ES106","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"IIAC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-HE250","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"HE250","description":"HIPPS-HE250","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"EFCC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BCFC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NLEC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RVL8C","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RVL8C","description":"HIPPS-RVL8C","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OFQF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-PC224","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"PC224","description":"HIPPS-PC224","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MCCD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Exploratory elbow surgery","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"24000","description":"Exploratory elbow surgery","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-HE15B","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"HE15B","description":"HIPPS-HE15B","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Euglobulin lysis","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"85360","description":"Euglobulin lysis","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Mattress innerspring","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"E0271","description":"Mattress innerspring","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MJMF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CBTA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RMA3A","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RMA3A","description":"HIPPS-RMA3A","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Repair of bowel pouch","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"57270","description":"Repair of bowel pouch","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"LCWC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Patients who were in hospice at any time during the performance period","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"M1026","description":"Patients who were in hospice at any time during the performance period","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"EATD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"PHQE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KCFF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Revise wrist joint","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"25332","description":"Revise wrist joint","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Als esophageal intub suppls","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"A0396","description":"Als esophageal intub suppls","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CBTD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-4AGLX","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"4AGLX","description":"HIPPS-4AGLX","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GHGE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Disposable sensor_ cgm sys","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"A9276","description":"Disposable sensor_ cgm sys","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"AFMC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RHL4A","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RHL4A","description":"HIPPS-RHL4A","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HH PDGM","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"4FA11","description":"HH PDGM","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CGNE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-J7173","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"J7173","description":"HCPCS-J7173","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Emr pwr source combo vad rep","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"Q0491","description":"Emr pwr source combo vad rep","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-2CGK5","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"2CGK5","description":"HIPPS-2CGK5","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KHHA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Prior history of known cvd","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"M1256","description":"Prior history of known cvd","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Tongue and neck surgery","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"41135","description":"Tongue and neck surgery","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KGUF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-LE210","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"LE210","description":"HIPPS-LE210","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Tte f-up or lmtd","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"93308","description":"Tte f-up or lmtd","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Prep donor liver lobe split","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"47145","description":"Prep donor liver lobe split","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Pontic-indirect resin based","billing_code_type":"CDT","billing_code_type_version":"2024","billing_code":"D6205","description":"Pontic-indirect resin based","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-1AGK4","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"1AGK4","description":"HIPPS-1AGK4","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BICB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JFHA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RLA55","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RLA55","description":"HIPPS-RLA55","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Pain assessment not documented as being performed_ documentation the patient is not eligible for a pain assessment using a standardized tool at the time of the encounter","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G8442","description":"Pain assessment not documented as being performed_ documentation the patient is not eligible for a pain assessment using a standardized tool at the time of the encounter","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Insert tissue expander(s)","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"11960","description":"Insert tissue expander(s)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JHMD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Digitization of glass microscope slides for cytopathology_ smears_ any other source; preparation_ screening and interpretation (List separately in addition to code for primary","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0833T","description":"Digitization of glass microscope slides for cytopathology_ smears_ any other source; preparation_ screening and interpretation (List separately in addition to code for primary","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-HE25A","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"HE25A","description":"HIPPS-HE25A","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"EETD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Patients who have an order for or are receiving hospice or palliative care","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"M1186","description":"Patients who have an order for or are receiving hospice or palliative care","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Removal/revision of cast","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"29710","description":"Removal/revision of cast","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BDUB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BBMA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"DAWD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Anesth spine cord surgery","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"62051","description":"Anesth spine cord surgery","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CGDD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Destruction of skin lesions","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"17264","description":"Destruction of skin lesions","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"AIUD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CDCF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"HGRC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-CD28H","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"CD28H","description":"HIPPS-CD28H","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NLXD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Prepare face/oral prosthesis","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"21086","description":"Prepare face/oral prosthesis","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Comp geriatr assmt team","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"S0250","description":"Comp geriatr assmt team","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Percut allergy skin tests","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"95004","description":"Percut allergy skin tests","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Acetylcholine receptor (AChR); blocking antibody","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"86042","description":"Acetylcholine receptor (AChR); blocking antibody","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JDLF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Hosp bed xtra hvy dty x wide","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"E0304","description":"Hosp bed xtra hvy dty x wide","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-CB18A","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"CB18A","description":"HIPPS-CB18A","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OAIE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Removal foreign body mouth","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"40805","description":"Removal foreign body mouth","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"HESE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"IGDE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Lesion destruction","billing_code_type":"CDT","billing_code_type_version":"2024","billing_code":"D7465","description":"Lesion destruction","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Insertion catheter artery","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"36660","description":"Insertion catheter artery","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-HC28D","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"HC28D","description":"HIPPS-HC28D","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KIIA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-1AFN3","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"1AFN3","description":"HIPPS-1AFN3","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"ODJB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Incise spinal cord tract(s)","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"63170","description":"Incise spinal cord tract(s)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KBPB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Gel pressure mattress pad","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"E0185","description":"Gel pressure mattress pad","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Immed man part denture resin","billing_code_type":"CDT","billing_code_type_version":"2024","billing_code":"D5222","description":"Immed man part denture resin","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OGNB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KFLA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Carrier screening for severe inherited conditions (eg_ cystic fibrosis_ spinal muscular atrophy_ beta hemoglobinopathies [including sickle cell disease]_ alpha thalassemia)_ r","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0449U","description":"Carrier screening for severe inherited conditions (eg_ cystic fibrosis_ spinal muscular atrophy_ beta hemoglobinopathies [including sickle cell disease]_ alpha thalassemia)_ r","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OKIB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Doc surv no stroke after cea","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G9261","description":"Doc surv no stroke after cea","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KBXD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Patients 66 Years Of Age And Older With At Least One Claim/Encounter For Frailty During The Measurement Period And Either One Acute Inpatient Encounter With A Diagnosis Of Adv","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G2099","description":"Patients 66 Years Of Age And Older With At Least One Claim/Encounter For Frailty During The Measurement Period And Either One Acute Inpatient Encounter With A Diagnosis Of Adv","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MCAD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Hyaluronan or derivative_ hymovis_ for intra-articular injection_ 1 mg","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"J7322","description":"Hyaluronan or derivative_ hymovis_ for intra-articular injection_ 1 mg","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-LC25A","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"LC25A","description":"HIPPS-LC25A","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"HHOC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Oncology (prostate cancer)_ FISH analysis of 4 genes (ASAP1_ HDAC9_ CHD1 and PTEN)_ needle biopsy specimen_ algorithm reported as probability of higher tumor grade","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0053U","description":"Oncology (prostate cancer)_ FISH analysis of 4 genes (ASAP1_ HDAC9_ CHD1 and PTEN)_ needle biopsy specimen_ algorithm reported as probability of higher tumor grade","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NIIC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BEDC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RVC4C","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RVC4C","description":"HIPPS-RVC4C","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Drainable rubber pch w/o fp","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"A4378","description":"Drainable rubber pch w/o fp","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JDVB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FCMD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-4AGL3","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"4AGL3","description":"HIPPS-4AGL3","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CBHA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CHMF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Enzyme cell activity ra","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"82658","description":"Enzyme cell activity ra","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"IETF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Exc face-mm b9+marg 2.1-3 cm","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"11443","description":"Exc face-mm b9+marg 2.1-3 cm","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BCTA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-J1552","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"J1552","description":"HCPCS-J1552","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OJWD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CCWF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Moderate (45 minutes) care management home visit for a new patient. for use only in a medicare-approved cmmi model. (services must be furnished within a beneficiary_s home_ do","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G0078","description":"Moderate (45 minutes) care management home visit for a new patient. for use only in a medicare-approved cmmi model. (services must be furnished within a beneficiary_s home_ do","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"EAAB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Oncology (breast)_ targeted hybrid-capture genomic sequence analysis panel_ circulating tumor DNA (ctDNA) analysis of 56 or more genes_ interrogation for sequence variants_ ge","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0428U","description":"Oncology (breast)_ targeted hybrid-capture genomic sequence analysis panel_ circulating tumor DNA (ctDNA) analysis of 56 or more genes_ interrogation for sequence variants_ ge","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Noninvasive Arterial Plaque Analysis Using Software Processing Of Data From Non-Coronary Computerized Tomography Angiography; Data Review_ Interpretation And Report","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0713T","description":"Noninvasive Arterial Plaque Analysis Using Software Processing Of Data From Non-Coronary Computerized Tomography Angiography; Data Review_ Interpretation And Report","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"ODEF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CHGB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-3BFLW","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"3BFLW","description":"HIPPS-3BFLW","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Meg spontaneous","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"95965","description":"Meg spontaneous","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NHFE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Shoe metatarsal bar wedge ro","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"L3400","description":"Shoe metatarsal bar wedge ro","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GFBA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GBFD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FDDE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Patient education materials","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"99071","description":"Patient education materials","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MDCE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Disposable Collection And Storage Bag For Breast Milk_ Any Size_ Any Type_ Each","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"K1005","description":"Disposable Collection And Storage Bag For Breast Milk_ Any Size_ Any Type_ Each","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Below knee suction socket","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"L5647","description":"Below knee suction socket","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Biopsy of vulva/perineum","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"56605","description":"Biopsy of vulva/perineum","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OHXC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"N-et; per diem","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"T2002","description":"N-et; per diem","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Pediatric partial denture fx","billing_code_type":"CDT","billing_code_type_version":"2024","billing_code":"D6985","description":"Pediatric partial denture fx","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Pelvic ring fx treat int fix","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G0414","description":"Pelvic ring fx treat int fix","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NALE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"EETA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-LC22B","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"LC22B","description":"HIPPS-LC22B","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Intrvasc us noncoronary 1st","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"37252","description":"Intrvasc us noncoronary 1st","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JAAF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KCFB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Imm admin by intramusc injection of  (SARSCoV-2) (coronavirus disease [COVID-19]) vaccine_ DNA_ spike protein_ chimp adenovirus Oxford 1 preserv free_ 0.5 ml dose_ 1st dose","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0021A","description":"Imm admin by intramusc injection of  (SARSCoV-2) (coronavirus disease [COVID-19]) vaccine_ DNA_ spike protein_ chimp adenovirus Oxford 1 preserv free_ 0.5 ml dose_ 1st dose","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Osteoarthritis assess","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"1006F","description":"Osteoarthritis assess","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KAID1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"CPT-1076T","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"1076T","description":"CPT-1076T","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"DFOD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"DCOE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KFMD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Digit nerve surgery add-on","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"64778","description":"Digit nerve surgery add-on","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NLAD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KAFF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RVL2A","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RVL2A","description":"HIPPS-RVL2A","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-B0405","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"B0405","description":"HCPCS-B0405","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NBLA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"ADCE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-5CFKT","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"5CFKT","description":"HIPPS-5CFKT","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-PA251","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"PA251","description":"HIPPS-PA251","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KGGB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KCTA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"PLSD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CAAA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"PHWE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Alloskin","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"Q4123","description":"Alloskin","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JFUE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-1CGK2","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"1CGK2","description":"HIPPS-1CGK2","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JEBF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Revise external ear","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"69300","description":"Revise external ear","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Cardiac ion channelopathies (eg_ Brugada syndrome_ long QT syndrome_ short QT syndrome_ catecholaminergic polymorphic ventricular tachycardia)_ genomic sequence analysis panel","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0237U","description":"Cardiac ion channelopathies (eg_ Brugada syndrome_ long QT syndrome_ short QT syndrome_ catecholaminergic polymorphic ventricular tachycardia)_ genomic sequence analysis panel","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NAJC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Revise ureter","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"50728","description":"Revise ureter","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"ABCE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NKFC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-3CFKX","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"3CFKX","description":"HIPPS-3CFKX","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Injection_ dostarlimab-gxly_ 10 mg","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"J9272","description":"Injection_ dostarlimab-gxly_ 10 mg","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MCLC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Injection_ casirivimab and imdevimab_ 600 mg","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"Q0240","description":"Injection_ casirivimab and imdevimab_ 600 mg","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RML32","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RML32","description":"HIPPS-RML32","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Rechanneling of artery","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"35363","description":"Rechanneling of artery","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BDXB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KGWE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Custom fab w/c back cushion","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"E2617","description":"Custom fab w/c back cushion","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Biopsy of external ear canal","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"69105","description":"Biopsy of external ear canal","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-Q4372","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"Q4372","description":"HCPCS-Q4372","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JIKC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JABD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"AEIB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Nuclear antigen antibody","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"86235","description":"Nuclear antigen antibody","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FHPD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OIPB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OLSE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FDFB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Fabrication and delivery of oral appliance therapy (OAT) morning repositioning device","billing_code_type":"CDT","billing_code_type_version":"2024","billing_code":"D9954","description":"Fabrication and delivery of oral appliance therapy (OAT) morning repositioning device","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CEDA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CBUB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OHOA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Inject spine cerv/thoracic","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"62310","description":"Inject spine cerv/thoracic","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"IEME1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Veritas collagen matrix_ cm2","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"C9354","description":"Veritas collagen matrix_ cm2","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MHDF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NJIC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GGJA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Initial psychiatric collaborative care management_ first 70 minutes in the first calendar month of behavioral health care manager activities_ in consultation with a psychiatri","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"99492","description":"Initial psychiatric collaborative care management_ first 70 minutes in the first calendar month of behavioral health care manager activities_ in consultation with a psychiatri","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OEDA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RVA05","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RVA05","description":"HIPPS-RVA05","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MGAA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"DBQC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-LE25B","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"LE25B","description":"HIPPS-LE25B","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Reconstruct injured chest","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"32820","description":"Reconstruct injured chest","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"ADME0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BGJC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JDBD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Emergency dept visit","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"99284","description":"Emergency dept visit","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"PIWD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Ef calorie dense>/=1.5kcal","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"B4152","description":"Ef calorie dense>/=1.5kcal","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Guide wire","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"C1769","description":"Guide wire","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-1BGM6","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"1BGM6","description":"HIPPS-1BGM6","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OBFE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-BB245","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"BB245","description":"HIPPS-BB245","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Revision of lower leg","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"27715","description":"Revision of lower leg","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KHHA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BHME1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JFNF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-CB213","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"CB213","description":"HIPPS-CB213","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"PGRD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"repair resin partial denture base_ maxillary","billing_code_type":"CDT","billing_code_type_version":"2024","billing_code":"D5612","description":"repair resin partial denture base_ maxillary","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RHB8A","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RHB8A","description":"HIPPS-RHB8A","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"ACCF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KBVC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RHX22","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RHX22","description":"HIPPS-RHX22","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-PA130","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"PA130","description":"HIPPS-PA130","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Documentation of a kidney health evaluation defined by an estimated glomerular filtration rate (egfr) and urine albumin-creatinine ratio (uacr) performed","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"M1189","description":"Documentation of a kidney health evaluation defined by an estimated glomerular filtration rate (egfr) and urine albumin-creatinine ratio (uacr) performed","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GBQF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KAGC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-2AHKS","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"2AHKS","description":"HIPPS-2AHKS","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"vaccine administration-human papillomavirus - Dose 2","billing_code_type":"CDT","billing_code_type_version":"2024","billing_code":"D1782","description":"vaccine administration-human papillomavirus - Dose 2","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KALB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KDPB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HH PDGM","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"1FA21","description":"HH PDGM","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"DAQE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Corf related serv 15 mins ea","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G0409","description":"Corf related serv 15 mins ea","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Pappa serum","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"84163","description":"Pappa serum","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NDVD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Peri-procedural device evaluation (in person) and programming of device system parameters before or after a surgery_ procedure or test with analysis_ review and report_ leadle","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0390T","description":"Peri-procedural device evaluation (in person) and programming of device system parameters before or after a surgery_ procedure or test with analysis_ review and report_ leadle","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Px sup fee anti-can sub pres","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"Q0512","description":"Px sup fee anti-can sub pres","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JCNC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MFME0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JBBD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Retain crown resin w hi nble","billing_code_type":"CDT","billing_code_type_version":"2024","billing_code":"D6720","description":"Retain crown resin w hi nble","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-M1406","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"M1406","description":"HCPCS-M1406","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KBIA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BGGC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CBOA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Emergency Medicine Mips Specialty Set","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G4003","description":"Emergency Medicine Mips Specialty Set","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Calc bmi abv up param f/u","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G8417","description":"Calc bmi abv up param f/u","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Liver image (3d) with flow","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"78206","description":"Liver image (3d) with flow","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RVL03","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RVL03","description":"HIPPS-RVL03","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-CB106","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"CB106","description":"HIPPS-CB106","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FELD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Removal of lung extrapleural","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"32445","description":"Removal of lung extrapleural","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Q fever antibody","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"86638","description":"Q fever antibody","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KBHA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-HC141","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"HC141","description":"HIPPS-HC141","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-PD216","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"PD216","description":"HIPPS-PD216","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Services outside us","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"S9989","description":"Services outside us","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GHBB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OKHE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KDFA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OKJD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-ES340","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"ES340","description":"HIPPS-ES340","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-3BHK2","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"3BHK2","description":"HIPPS-3BHK2","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JITF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OCCE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RVA43","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RVA43","description":"HIPPS-RVA43","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Suspension of vagina","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"57280","description":"Suspension of vagina","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KHYF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OKNF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MBLD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KGMA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-HE201","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"HE201","description":"HIPPS-HE201","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"PKOD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Fuse/graft added joint","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"26863","description":"Fuse/graft added joint","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JBLE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NKLD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Pessary_ disposable_ any type","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"A4564","description":"Pessary_ disposable_ any type","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"PESF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Spine disk surgery thorax","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"63078","description":"Spine disk surgery thorax","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Fun stat score le pt no elg","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G8657","description":"Fun stat score le pt no elg","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NEDD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RHL1B","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RHL1B","description":"HIPPS-RHL1B","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"DBSE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BHEC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GDSC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"IELE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GBQF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BEBE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KCBB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RVA41","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RVA41","description":"HIPPS-RVA41","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"CPT-00454","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"00454","description":"CPT-00454","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MCHA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NFXC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-HB28I","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"HB28I","description":"HIPPS-HB28I","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GIFB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NDVD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"EEAC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-BB24B","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"BB24B","description":"HIPPS-BB24B","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Repair of eye wound","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"65275","description":"Repair of eye wound","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-HC224","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"HC224","description":"HIPPS-HC224","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Ankle arthroscopy/surgery","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"29899","description":"Ankle arthroscopy/surgery","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NECE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"ACIE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Metaproterenol comp unit","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"J7670","description":"Metaproterenol comp unit","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CFMD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Partial removal of eye fluid","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"67010","description":"Partial removal of eye fluid","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GIXC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Gold sodium thiomaleate inj","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"J1600","description":"Gold sodium thiomaleate inj","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Onc dx colon t1-4 no dx prog","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G9086","description":"Onc dx colon t1-4 no dx prog","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NFDF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JCHF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RHX2A","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RHX2A","description":"HIPPS-RHX2A","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CDGF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Incis w/discectomy cervical","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"22220","description":"Incis w/discectomy cervical","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KHLE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MKMA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Ped dynamic seating frame","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"E2295","description":"Ped dynamic seating frame","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Assay total hydroxyproline","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"83505","description":"Assay total hydroxyproline","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"EGUB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"LCSE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"CPT-1020T","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"1020T","description":"CPT-1020T","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NGDC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CEIB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-CD13D","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"CD13D","description":"HIPPS-CD13D","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FHPB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Home visit new patient","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"99341","description":"Home visit new patient","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KEJB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BIEA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GEHC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Tumor imaging mult areas","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"78801","description":"Tumor imaging mult areas","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BCAE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FDIF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-1AGM6","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"1AGM6","description":"HIPPS-1AGM6","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BIBB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"LASB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OJHF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Implant neuroelectrodes","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"64561","description":"Implant neuroelectrodes","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NBXC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"ADMF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"AICB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KDOE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GAFA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GAYA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OABB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"LIRC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Retinal polarization scan_ ocular screening with on-site automated results_ bilateral","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0469T","description":"Retinal polarization scan_ ocular screening with on-site automated results_ bilateral","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-PB146","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"PB146","description":"HIPPS-PB146","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NHKB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Tc99m pyrophosphate","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"A9538","description":"Tc99m pyrophosphate","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BIXD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Exc foot/toe tum deep <1.5cm","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"28045","description":"Exc foot/toe tum deep <1.5cm","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Ace/arb not rxd; doc reas","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G8474","description":"Ace/arb not rxd; doc reas","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OEME1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KGWE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NJGE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CCDA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Large size footplate each","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"K0041","description":"Large size footplate each","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-3BHPT","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"3BHPT","description":"HIPPS-3BHPT","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-CE22A","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"CE22A","description":"HIPPS-CE22A","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FHJB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"DHQD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Tmj arthroscopy disc reposit","billing_code_type":"CDT","billing_code_type_version":"2024","billing_code":"D7874","description":"Tmj arthroscopy disc reposit","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-HD10B","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"HD10B","description":"HIPPS-HD10B","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Transluminal balloon angioplasty (except dialysis circuit)_ open or percutaneous_ including all imaging and radiological supervision and interpretation necessary to perform th","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"37248","description":"Transluminal balloon angioplasty (except dialysis circuit)_ open or percutaneous_ including all imaging and radiological supervision and interpretation necessary to perform th","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RVC51","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RVC51","description":"HIPPS-RVC51","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Patient Receiving >5 Mg Daily Prednisone (Or Equivalent) For Longer Than 6 Months_ And Improvement Or No Change In Disease Activity","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G2113","description":"Patient Receiving >5 Mg Daily Prednisone (Or Equivalent) For Longer Than 6 Months_ And Improvement Or No Change In Disease Activity","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JAKA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HH PDGM","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"4JC31","description":"HH PDGM","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KBLF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BDAA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Microscopic exam of urine","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"81015","description":"Microscopic exam of urine","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BIPB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Patients with clinical indications for imaging of the head: new onset headache in pediatric patients with disabilities for which headache is a concern as inferred from behavio","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G2194","description":"Patients with clinical indications for imaging of the head: new onset headache in pediatric patients with disabilities for which headache is a concern as inferred from behavio","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Assay of rbc pg6d enzyme","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"84085","description":"Assay of rbc pg6d enzyme","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"LEQB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FEXA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Patients 66 Years Of Age And Older With At Least One Claim/Encounter For Frailty During The Measurement Period And A Dispensed Medication For Dementia During The Measurement P","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G2106","description":"Patients 66 Years Of Age And Older With At Least One Claim/Encounter For Frailty During The Measurement Period And A Dispensed Medication For Dementia During The Measurement P","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Patient treatment and final evaluation complete","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"M1013","description":"Patient treatment and final evaluation complete","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BHGB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JCHB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"IDUE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Incision of gallbladder","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"47490","description":"Incision of gallbladder","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GAXD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Colostomy with biopsies","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"44322","description":"Colostomy with biopsies","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OHAC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GITA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-LB28G","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"LB28G","description":"HIPPS-LB28G","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Thorax stereo rad targetw/tx","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"32701","description":"Thorax stereo rad targetw/tx","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RHL31","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RHL31","description":"HIPPS-RHL31","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RMC33","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RMC33","description":"HIPPS-RMC33","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-4CHL3","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"4CHL3","description":"HIPPS-4CHL3","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KEYC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FBGA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MFEC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Elder maltreatment screen documented as positive_ follow-up plan not documented_ documentation the patient is not eligible for follow-up plan at the time of the encounter","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G8941","description":"Elder maltreatment screen documented as positive_ follow-up plan not documented_ documentation the patient is not eligible for follow-up plan at the time of the encounter","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GDNF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Cytarabine liposome inj","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"J9098","description":"Cytarabine liposome inj","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Cantharidin for topical administration_ 0.7%_ single unit dose applicator (3.2 mg)","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"J7354","description":"Cantharidin for topical administration_ 0.7%_ single unit dose applicator (3.2 mg)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NLHF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FHGD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Hemorrhoidectomy_ Internal_ By Transanal Hemorrhoidal Dearterialization_ 2 Or More Hemorrhoid Columns/Groups_ Including Ultrasound Guidance_ With Mucopexy_ When Performed","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"46948","description":"Hemorrhoidectomy_ Internal_ By Transanal Hemorrhoidal Dearterialization_ 2 Or More Hemorrhoid Columns/Groups_ Including Ultrasound Guidance_ With Mucopexy_ When Performed","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RUL1C","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RUL1C","description":"HIPPS-RUL1C","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BAID1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Promethazine hcl 12.5mg oral","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"Q0169","description":"Promethazine hcl 12.5mg oral","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CGMC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BHUE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KDSB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-BA244","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"BA244","description":"HIPPS-BA244","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Mech hip extension assist","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"L5855","description":"Mech hip extension assist","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Low cost skin substitute app","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"C5278","description":"Low cost skin substitute app","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-5BHKT","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"5BHKT","description":"HIPPS-5BHKT","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Nonemerg transp mileage","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"S0215","description":"Nonemerg transp mileage","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BAUA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"LDWF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OLWE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CHND1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HH PDGM","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"2BC31","description":"HH PDGM","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Prep corneal endo allograft","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"65757","description":"Prep corneal endo allograft","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Lso s/c shell/panel prefab","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"L0639","description":"Lso s/c shell/panel prefab","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MLAD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FFBB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"CDT-D1704","billing_code_type":"CDT","billing_code_type_version":"2026","billing_code":"D1704","description":"CDT-D1704","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Injection_ lumasiran_ 0.5 mg","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"J0224","description":"Injection_ lumasiran_ 0.5 mg","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MLUF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OGCD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MFLF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JAJC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Removal of spleen partial","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"38101","description":"Removal of spleen partial","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KFYC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Culture bacteria anaerobic","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"87073","description":"Culture bacteria anaerobic","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Incision of liver duct","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"47400","description":"Incision of liver duct","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"HFRB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Hep c antiviral started","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G9205","description":"Hep c antiviral started","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GDWC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OCMC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GDJE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Injection treatment of nerve","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"64610","description":"Injection treatment of nerve","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CGWA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BHEA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CAOE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Variable asphericity lens","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"V2499","description":"Variable asphericity lens","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GGAD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GFGD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MEDA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-LE126","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"LE126","description":"HIPPS-LE126","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-LC213","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"LC213","description":"HIPPS-LC213","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"PHOC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Acylcarnitines qual","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"82016","description":"Acylcarnitines qual","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OLTB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Revision of lung","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"32940","description":"Revision of lung","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Assay of protein any source","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"84160","description":"Assay of protein any source","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FIUC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-PA240","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"PA240","description":"HIPPS-PA240","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MGCF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"LCRE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"CPT-16377","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"16377","description":"CPT-16377","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GGKB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Ot evaluation","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"97003","description":"Ot evaluation","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NDUB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"CPT-0936T","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"0936T","description":"CPT-0936T","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"IHUD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"DBYC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"IBCB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GAJE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"AFF2 (AF4/FMR2 family_ member 2 [FMR2]) (eg_ fragile X mental retardation 2 [FRAXE]) gene analysis; characterization of alleles (eg_ expanded size and methylation status)","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"81172","description":"AFF2 (AF4/FMR2 family_ member 2 [FMR2]) (eg_ fragile X mental retardation 2 [FRAXE]) gene analysis; characterization of alleles (eg_ expanded size and methylation status)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OBRE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NJPE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MIAC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"IEEB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Liver & spleen image/flow","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"78216","description":"Liver & spleen image/flow","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"EHBF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Closure of valve","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"33600","description":"Closure of valve","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Radiation treatment delivery","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G6010","description":"Radiation treatment delivery","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FHLC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Peroneal straps pair pre ots","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"L0980","description":"Peroneal straps pair pre ots","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Freeing of bowel adhesion","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"44005","description":"Freeing of bowel adhesion","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GCGC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Implnt/abut remov dent max","billing_code_type":"CDT","billing_code_type_version":"2024","billing_code":"D6110","description":"Implnt/abut remov dent max","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-ES18X","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"ES18X","description":"HIPPS-ES18X","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"IHTA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KDLE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-2BGMT","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"2BGMT","description":"HIPPS-2BGMT","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GHID1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Infusion pump_ programmable","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"C1772","description":"Infusion pump_ programmable","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OFXF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"ODXF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FIDB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FACE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BAFA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KFVE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"AFHB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Drainage of mouth lesion","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"41009","description":"Drainage of mouth lesion","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Repair great vessels defect","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"33775","description":"Repair great vessels defect","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OCKA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KBUC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Mattress foam rubber","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"E0272","description":"Mattress foam rubber","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Hematology (von Willebrand disease [VWD])_ von Willebrand propeptide_ enzyme-linked immunosorbent assays (ELISA)_ plasma_ diagnostic report of von Willebrand factor (VWF) prop","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0281U","description":"Hematology (von Willebrand disease [VWD])_ von Willebrand propeptide_ enzyme-linked immunosorbent assays (ELISA)_ plasma_ diagnostic report of von Willebrand factor (VWF) prop","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NKFC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OGUA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JHJD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Improving care for lower extremity joint repair mips value pathways","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G0058","description":"Improving care for lower extremity joint repair mips value pathways","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-1AFN1","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"1AFN1","description":"HIPPS-1AFN1","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OARD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"EICC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FALA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Amalgam one surface permanen","billing_code_type":"CDT","billing_code_type_version":"2024","billing_code":"D2140","description":"Amalgam one surface permanen","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Prepare sperm duct x-ray","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"55300","description":"Prepare sperm duct x-ray","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-J9277","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"J9277","description":"HCPCS-J9277","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Ocular prosthesis","billing_code_type":"CDT","billing_code_type_version":"2024","billing_code":"D5916","description":"Ocular prosthesis","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MJDB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KGYE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FGIC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Removal of lens lesion","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"66830","description":"Removal of lens lesion","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"CPT-0978T","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"0978T","description":"CPT-0978T","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JCMB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Perc d-e cor stent ather br","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"C9603","description":"Perc d-e cor stent ather br","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OCXF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Lens sphere bifocal 4.12-7.0","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"V2201","description":"Lens sphere bifocal 4.12-7.0","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RVX36","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RVX36","description":"HIPPS-RVX36","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Lens aniseikonic trifocal","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"V2318","description":"Lens aniseikonic trifocal","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Hemi-wheelchair detachable a","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"E1086","description":"Hemi-wheelchair detachable a","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"LAYA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-CB201","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"CB201","description":"HIPPS-CB201","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"PLWD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-3BHLW","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"3BHLW","description":"HIPPS-3BHLW","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-B1003","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"B1003","description":"HCPCS-B1003","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CDBB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"CPT-0585U","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"0585U","description":"CPT-0585U","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"External urinary catheters; disposable_ with wicking material_ for use with suction pump_ per month","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"A6590","description":"External urinary catheters; disposable_ with wicking material_ for use with suction pump_ per month","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"ABIE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Dental gold foil one surface","billing_code_type":"CDT","billing_code_type_version":"2024","billing_code":"D2410","description":"Dental gold foil one surface","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-M1383","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"M1383","description":"HCPCS-M1383","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Pt=d(rh)- and unsensitized","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"3290F","description":"Pt=d(rh)- and unsensitized","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Incise wrist/forearm tendon","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"25290","description":"Incise wrist/forearm tendon","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JGEA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RLX11","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RLX11","description":"HIPPS-RLX11","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GGXC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-PA145","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"PA145","description":"HIPPS-PA145","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FHUF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KHWF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Hdr elctrnc skn surf brchytx","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0394T","description":"Hdr elctrnc skn surf brchytx","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-LE150","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"LE150","description":"HIPPS-LE150","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-HE15C","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"HE15C","description":"HIPPS-HE15C","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KIRD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CFND1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BBCC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JATE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"CPT-0668U","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"0668U","description":"CPT-0668U","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Conform band n/s w>=5in/yd","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"A6444","description":"Conform band n/s w>=5in/yd","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Clinical Decision Support Mechanism National Imaging Associates_ As Defined By The Medicare Appropriate Use Criteria Program","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G1005","description":"Clinical Decision Support Mechanism National Imaging Associates_ As Defined By The Medicare Appropriate Use Criteria Program","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Emtricitabine 200mg and tenofovir alafenamide 25mg_ oral_ fda approved prescription_ only for use as hiv pre-exposure prophylaxis (not for use as treatment of hiv)","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"J0751","description":"Emtricitabine 200mg and tenofovir alafenamide 25mg_ oral_ fda approved prescription_ only for use as hiv pre-exposure prophylaxis (not for use as treatment of hiv)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Periph field stimul trial","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0282T","description":"Periph field stimul trial","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GHWF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Disconnect insert locking wr","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"L6616","description":"Disconnect insert locking wr","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OAGD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JIVB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Removal of upper jaw","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"31225","description":"Removal of upper jaw","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Bx/exc idrl imed lesn thrlmb","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"63287","description":"Bx/exc idrl imed lesn thrlmb","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"ACEF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Explore/treat elbow joint","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"24101","description":"Explore/treat elbow joint","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JFDD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CGDC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RML44","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RML44","description":"HIPPS-RML44","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GEED0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"MRI brain w/o dye","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"70557","description":"MRI brain w/o dye","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RMB32","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RMB32","description":"HIPPS-RMB32","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Doc new diag 1st/addl mdd","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"3093F","description":"Doc new diag 1st/addl mdd","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CAND1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"YT GNOTYP ACHE EXON 2","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0201U","description":"YT GNOTYP ACHE EXON 2","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"DEOD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Anti rheum drugthxpyrxd/gvn","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"4187F","description":"Anti rheum drugthxpyrxd/gvn","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JEIE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JIGA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Noncontact near-infrared spectroscopy studies of flap or wound (eg_ for measurement of deoxyhemoglobin_ oxyhemoglobin_ and ratio of tissue oxygenation [StO2]); image acquisiti","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0640T","description":"Noncontact near-infrared spectroscopy studies of flap or wound (eg_ for measurement of deoxyhemoglobin_ oxyhemoglobin_ and ratio of tissue oxygenation [StO2]); image acquisiti","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"ATXN2 (ataxin 2) (eg_ spinocerebellar ataxia) gene analysis_ evaluation to detect abnormal (eg_ expanded) alleles","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"81179","description":"ATXN2 (ataxin 2) (eg_ spinocerebellar ataxia) gene analysis_ evaluation to detect abnormal (eg_ expanded) alleles","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-1CGPT","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"1CGPT","description":"HIPPS-1CGPT","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Rbc antibody elution","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"86860","description":"Rbc antibody elution","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"CDT-D0804","billing_code_type":"CDT","billing_code_type_version":"2026","billing_code":"D0804","description":"CDT-D0804","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"IBUB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Ald for cochlear implant","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"V5273","description":"Ald for cochlear implant","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MIDC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Psytx pt&/fam w/e&m 60 min","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"90838","description":"Psytx pt&/fam w/e&m 60 min","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Skin barrier with flange","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"A4373","description":"Skin barrier with flange","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OJQC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NHCC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NGBA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JICF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JIAA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Hit tpn 1 liter diem","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"S9365","description":"Hit tpn 1 liter diem","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"LDRD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Drug test(s)_ presumptive_ with definitive confirmation of positive results_ any number of drug classes_ urine_ includes specimen verification including DNA authentication in","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0007U","description":"Drug test(s)_ presumptive_ with definitive confirmation of positive results_ any number of drug classes_ urine_ includes specimen verification including DNA authentication in","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Skin protect wc cus wd <22in","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"E2603","description":"Skin protect wc cus wd <22in","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"IFTB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Artery x-rays spine","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"75705","description":"Artery x-rays spine","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Nursing facility care init","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"99304","description":"Nursing facility care init","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Tocilizumab injection","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"J3262","description":"Tocilizumab injection","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Debridement & contouring","billing_code_type":"CDT","billing_code_type_version":"2024","billing_code":"D6102","description":"Debridement & contouring","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NALA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Interface_ cough stim device","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"A7020","description":"Interface_ cough stim device","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HH PDGM","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"3EB21","description":"HH PDGM","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NFXF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Ct scan for localization","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"77011","description":"Ct scan for localization","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GBCB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Water seal drain container","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"A7041","description":"Water seal drain container","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Insert emergency airway","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"31500","description":"Insert emergency airway","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KGCE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NEAA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"CDT-D1601","billing_code_type":"CDT","billing_code_type_version":"2026","billing_code":"D1601","description":"CDT-D1601","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Immunoassay for infectious agent antibody(ies)_ qualitative or semi-quantitative_ single step method (eg. reagent strip); severe acute respiratory system coronavirus 2 (SARS C","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"86328","description":"Immunoassay for infectious agent antibody(ies)_ qualitative or semi-quantitative_ single step method (eg. reagent strip); severe acute respiratory system coronavirus 2 (SARS C","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"DAYA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Injection_ corticotropin (ANI)_ up to 40 units","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"J0802","description":"Injection_ corticotropin (ANI)_ up to 40 units","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Exc hand les sc < 1.5 cm","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"26115","description":"Exc hand les sc < 1.5 cm","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RVL2D","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RVL2D","description":"HIPPS-RVL2D","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OHFA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Patients not eligible due to pre-existing inflammatory bowel disease (ibd) (e.g._ ulcerative colitis_ crohn_s disease)","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"M1182","description":"Patients not eligible due to pre-existing inflammatory bowel disease (ibd) (e.g._ ulcerative colitis_ crohn_s disease)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OAHE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"EGCF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RHL3B","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RHL3B","description":"HIPPS-RHL3B","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"EGBF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Major vessel shunt","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"33755","description":"Major vessel shunt","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NHCE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Genotype cytomegalovirus","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"87910","description":"Genotype cytomegalovirus","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CIBA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Treat wrist bone fracture","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"25622","description":"Treat wrist bone fracture","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OJXE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-2BFKU","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"2BFKU","description":"HIPPS-2BFKU","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CIAF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Doc mntl tst b/4 bk trxmnt","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"2044F","description":"Doc mntl tst b/4 bk trxmnt","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FAAE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"ICCE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Unscheduled dressing change","billing_code_type":"CDT","billing_code_type_version":"2024","billing_code":"D4920","description":"Unscheduled dressing change","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-1CHNT","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"1CHNT","description":"HIPPS-1CHNT","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FBTB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-4BFLW","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"4BFLW","description":"HIPPS-4BFLW","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"PDSE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-CD28F","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"CD28F","description":"HIPPS-CD28F","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MEDB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"CPT-01830","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"01830","description":"CPT-01830","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"ECUC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Gradient compression bandage roll_ elastic long stretch_ linear yard_ any width_ each","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"A6597","description":"Gradient compression bandage roll_ elastic long stretch_ linear yard_ any width_ each","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Energy storing foot","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"L5976","description":"Energy storing foot","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CBOE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"EEDB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Resect thigh/knee tum 5 cm/>","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"27364","description":"Resect thigh/knee tum 5 cm/>","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Contrcp talk b/4 antiv txmnt","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"4159F","description":"Contrcp talk b/4 antiv txmnt","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-CE241","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"CE241","description":"HIPPS-CE241","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Diuretic thxpy for 6 mos/>","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"4221F","description":"Diuretic thxpy for 6 mos/>","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Partial removal of rectum","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"45114","description":"Partial removal of rectum","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-HE18G","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"HE18G","description":"HIPPS-HE18G","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Esophagoscopy retro balloon","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"43213","description":"Esophagoscopy retro balloon","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-M1496","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"M1496","description":"HCPCS-M1496","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-Q0237","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"Q0237","description":"HCPCS-Q0237","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-M1425","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"M1425","description":"HCPCS-M1425","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Trach suction cath close sys","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"A4605","description":"Trach suction cath close sys","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KHPB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Urinary plastic pouch w fcpl","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"A4379","description":"Urinary plastic pouch w fcpl","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"IETF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-LD160","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"LD160","description":"HIPPS-LD160","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CBOB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RUX2D","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RUX2D","description":"HIPPS-RUX2D","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OHSF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Preparation of tumor cavity_ with placement of a radiation therapy applicator for intraoperative radiation therapy (IORT) concurrent with partial mastectomy (List separately i","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"19294","description":"Preparation of tumor cavity_ with placement of a radiation therapy applicator for intraoperative radiation therapy (IORT) concurrent with partial mastectomy (List separately i","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-ES101","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"ES101","description":"HIPPS-ES101","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MEMF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"EDCF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Remove by ligat int hem grps","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"46946","description":"Remove by ligat int hem grps","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-PE205","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"PE205","description":"HIPPS-PE205","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Primatrix","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"Q4110","description":"Primatrix","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"7 field photo interp doc rev","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"2024F","description":"7 field photo interp doc rev","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CDWC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Electroencephalogram (Eeg)_ Without Video_ Review Of Data_ Technical Description By Eeg Technologist_ 2-12 Hours; With Continuous_ Real-Time Monitoring And Maintenance","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"95707","description":"Electroencephalogram (Eeg)_ Without Video_ Review Of Data_ Technical Description By Eeg Technologist_ 2-12 Hours; With Continuous_ Real-Time Monitoring And Maintenance","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Column chromatography/mass spectrometry (eg_ gc/ms_ or hplc/ms)_ analyte not elsewhere specified; stable isotope dilution_ single analyte_ quantitative_ single st","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"82543","description":"Column chromatography/mass spectrometry (eg_ gc/ms_ or hplc/ms)_ analyte not elsewhere specified; stable isotope dilution_ single analyte_ quantitative_ single st","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OJLD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"IIEA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Drainage of throat abscess","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"42725","description":"Drainage of throat abscess","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KBGE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-3AFKU","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"3AFKU","description":"HIPPS-3AFKU","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GDCE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KFBC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-Q5173","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"Q5173","description":"HCPCS-Q5173","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RVX01","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RVX01","description":"HIPPS-RVX01","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Injection(s)_ including indwelling catheter placement_ continuous infusion or intermittent bolus_ of diagnostic or therapeutic substance(s) (eg_ anesthetic_ antispasmodic_ opi","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"62324","description":"Injection(s)_ including indwelling catheter placement_ continuous infusion or intermittent bolus_ of diagnostic or therapeutic substance(s) (eg_ anesthetic_ antispasmodic_ opi","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-CB12D","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"CB12D","description":"HIPPS-CB12D","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OLDA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JAME1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"ACIA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Report_ prev care measures","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G8486","description":"Report_ prev care measures","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"CPT-0994T","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"0994T","description":"CPT-0994T","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Amikacin sulfate injection","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"J0278","description":"Amikacin sulfate injection","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RUB8H","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RUB8H","description":"HIPPS-RUB8H","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Procainamide hcl injection","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"J2690","description":"Procainamide hcl injection","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KCKD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Opioids & opiate analogs 3/4","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"80363","description":"Opioids & opiate analogs 3/4","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"DIQC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Onc dx ovarian stg1a-b no pr","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G9113","description":"Onc dx ovarian stg1a-b no pr","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Drain appendix abscess open","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"44900","description":"Drain appendix abscess open","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-3BHK5","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"3BHK5","description":"HIPPS-3BHK5","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RUL34","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RUL34","description":"HIPPS-RUL34","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NEFD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"ODME0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Ophth us quant a only","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"76511","description":"Ophth us quant a only","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Treat finger fracture each","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"26750","description":"Treat finger fracture each","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OEDC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Bronchial valve addl insert","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"31651","description":"Bronchial valve addl insert","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NJHB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GIKD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"ICAF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Chronic Care Management Services_ Each Additional 20 Minutes Of Clinical Staff Time Directed By A Physician Or Other Qualified Health Care Professional_ Per Calendar Month (Li","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G2058","description":"Chronic Care Management Services_ Each Additional 20 Minutes Of Clinical Staff Time Directed By A Physician Or Other Qualified Health Care Professional_ Per Calendar Month (Li","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JDEA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Trb@ gene rearrange dirprobe","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"81341","description":"Trb@ gene rearrange dirprobe","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"DARD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KFDB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Surgical opening of stomach","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"43510","description":"Surgical opening of stomach","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GFUC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BBUD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"CPT-0479U","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"0479U","description":"CPT-0479U","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KDHD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-A2049","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"A2049","description":"HCPCS-A2049","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Anal/urinary muscle study","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"51785","description":"Anal/urinary muscle study","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Injection_ granisetron extended release_ 0.1 mg","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"C9486","description":"Injection_ granisetron extended release_ 0.1 mg","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Us exam spinal canal","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"76800","description":"Us exam spinal canal","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BFTA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RML5D","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RML5D","description":"HIPPS-RML5D","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-4CGKS","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"4CGKS","description":"HIPPS-4CGKS","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JFBB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Card MRI w/stress img & dye","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"75563","description":"Card MRI w/stress img & dye","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Pulmonary stress test/simple","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"94620","description":"Pulmonary stress test/simple","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Doc reas no lipid profile","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G8726","description":"Doc reas no lipid profile","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Assay of digoxin free","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"80163","description":"Assay of digoxin free","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"ODGA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Cytogen test marrow b/4 tx","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"3155F","description":"Cytogen test marrow b/4 tx","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FEJB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OCYF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Locm >= 400 mg/ml iodine_1ml","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"Q9951","description":"Locm >= 400 mg/ml iodine_1ml","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"LAYB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Voice d/c status","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G9173","description":"Voice d/c status","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"CPT-0933T","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"0933T","description":"CPT-0933T","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-CA215","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"CA215","description":"HIPPS-CA215","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KGWC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Reconstruction of urethra","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"54318","description":"Reconstruction of urethra","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RUX07","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RUX07","description":"HIPPS-RUX07","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Ophthalmoscopy/dynamometry","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"92260","description":"Ophthalmoscopy/dynamometry","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KIUE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CBPE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Hd shck absrbr for hd man wc","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"E1017","description":"Hd shck absrbr for hd man wc","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BAAD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FGVE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JIDB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Programming device evaluation (in person) with iterative adjustment of implantable device to test the function of device and to select optimal permanent programmed values_ wit","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0804T","description":"Programming device evaluation (in person) with iterative adjustment of implantable device to test the function of device and to select optimal permanent programmed values_ wit","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"CPT-01150","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"01150","description":"CPT-01150","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JEEF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"PBOF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Ther injection carp tunnel","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"20526","description":"Ther injection carp tunnel","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FFDD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OFPC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Hearing aid_ prog_ mon_ bte","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"V5247","description":"Hearing aid_ prog_ mon_ bte","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GAHB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BHGC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FCIC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NHNC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FEAD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-Q4435","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"Q4435","description":"HCPCS-Q4435","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"CPT-0574U","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"0574U","description":"CPT-0574U","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KHCF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-HC22A","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"HC22A","description":"HIPPS-HC22A","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"CDT-D5909","billing_code_type":"CDT","billing_code_type_version":"2026","billing_code":"D5909","description":"CDT-D5909","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-5CFK3","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"5CFK3","description":"HIPPS-5CFK3","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"CPT-01173","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"01173","description":"CPT-01173","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FDEC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OIBC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"IGAE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Measles and rubella virus vaccine_ live_ for subcutaneous use","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"90708","description":"Measles and rubella virus vaccine_ live_ for subcutaneous use","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"DDOA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-CA136","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"CA136","description":"HIPPS-CA136","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NGJF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FHEA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Programmable_ transient_ orally ingested capsule_ for use with external programmer_ per month","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"A9269","description":"Programmable_ transient_ orally ingested capsule_ for use with external programmer_ per month","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BHCA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NBEB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"ODOD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Revision of lower eyelid","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"15821","description":"Revision of lower eyelid","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HH PDGM","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"1AC21","description":"HH PDGM","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Fuse upper gi structures","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"47721","description":"Fuse upper gi structures","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-CE260","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"CE260","description":"HIPPS-CE260","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Tte w/doppler complete","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"93306","description":"Tte w/doppler complete","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"RAS (KRAS or NRAS) gene mutation","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G9843","description":"RAS (KRAS or NRAS) gene mutation","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Pild/placebo control clin tr","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G0276","description":"Pild/placebo control clin tr","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NGPF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GBRD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Patient transferred directly from anesthetizing location to PACE or other non-ICU location","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G9656","description":"Patient transferred directly from anesthetizing location to PACE or other non-ICU location","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Influenza virus antibody","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"86710","description":"Influenza virus antibody","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Spontaneous nystagmus study","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"92531","description":"Spontaneous nystagmus study","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Exchange drainage catheter","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"49423","description":"Exchange drainage catheter","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KGKA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Myocardial Strain Imaging Using Speckle Tracking-Derived Assessment Of Myocardial Mechanics (List Separately In Addition To Codes For Echocardiography Imaging)","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"93356","description":"Myocardial Strain Imaging Using Speckle Tracking-Derived Assessment Of Myocardial Mechanics (List Separately In Addition To Codes For Echocardiography Imaging)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Exc shoulder tum deep 5 cm/>","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"23073","description":"Exc shoulder tum deep 5 cm/>","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Ped term dev_ hand_ vol clos","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"L6714","description":"Ped term dev_ hand_ vol clos","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JCJE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Allograft_ includes templating_ cutting_ placement and internal fixation_ when performed; intercalary_ complete (ie_ cylindrical) (List separately in addition to code for prim","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"20934","description":"Allograft_ includes templating_ cutting_ placement and internal fixation_ when performed; intercalary_ complete (ie_ cylindrical) (List separately in addition to code for prim","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"EFDB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-2CFL3","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"2CFL3","description":"HIPPS-2CFL3","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GDGD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Revision of arm muscles","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"24330","description":"Revision of arm muscles","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GIPD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CEHF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KIEB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KGSC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-CA18I","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"CA18I","description":"HIPPS-CA18I","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Gravity assisted traction de","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"E0941","description":"Gravity assisted traction de","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Resect/excise cranial lesion","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"61606","description":"Resect/excise cranial lesion","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Patients who use hospice services any time during the measurement period","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G9725","description":"Patients who use hospice services any time during the measurement period","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-3CHLX","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"3CHLX","description":"HIPPS-3CHLX","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Pulm function test by gas","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"94727","description":"Pulm function test by gas","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Incision of toe tendon","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"28232","description":"Incision of toe tendon","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"ODKF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Change of bladder tube","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"51705","description":"Change of bladder tube","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Pulpal therapy anterior prim","billing_code_type":"CDT","billing_code_type_version":"2024","billing_code":"D3230","description":"Pulpal therapy anterior prim","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Repair of heart defect","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"33720","description":"Repair of heart defect","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CEYF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GARE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Doc death after cea","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G9260","description":"Doc death after cea","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CDJB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Hand tendon/muscle transfer","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"26494","description":"Hand tendon/muscle transfer","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Anesth cabg w/pump","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"56752","description":"Anesth cabg w/pump","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KFXA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OCWD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Unite biomatrix","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"Q4129","description":"Unite biomatrix","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Proctosigmoidoscopy w/stent","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"45327","description":"Proctosigmoidoscopy w/stent","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-3CGM1","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"3CGM1","description":"HIPPS-3CGM1","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Compatibility test spin","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"86920","description":"Compatibility test spin","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HER2/neu positive","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G9830","description":"HER2/neu positive","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Replacement breastpump adpt","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"A4282","description":"Replacement breastpump adpt","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Patients who died from cancer","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G9852","description":"Patients who died from cancer","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-M1386","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"M1386","description":"HCPCS-M1386","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Remove ventilating tube","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"69424","description":"Remove ventilating tube","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OIVA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"CPT-37268","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"37268","description":"CPT-37268","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Occult blood feces","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"82270","description":"Occult blood feces","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NFCD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Remove pilonidal cyst exten","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"11771","description":"Remove pilonidal cyst exten","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Aspirate pleura w/o imaging","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"32554","description":"Aspirate pleura w/o imaging","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-PC260","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"PC260","description":"HIPPS-PC260","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RLX2B","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RLX2B","description":"HIPPS-RLX2B","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BFCF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Hit enzyme replace diem","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"S9357","description":"Hit enzyme replace diem","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Diagnostic analysis_ programming_ and verification of an auditory osseointegrated sound processor_ any type; first 60 minutes","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"92622","description":"Diagnostic analysis_ programming_ and verification of an auditory osseointegrated sound processor_ any type; first 60 minutes","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Extracorp shockwv tx hi enrg","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0101T","description":"Extracorp shockwv tx hi enrg","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-LE116","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"LE116","description":"HIPPS-LE116","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Infus insulin pump non needl","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"A4230","description":"Infus insulin pump non needl","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BDNB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JEXE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Patient had anaphylaxis due to the hpv vaccine any time on or before the patient_s 13th birthday","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"M1163","description":"Patient had anaphylaxis due to the hpv vaccine any time on or before the patient_s 13th birthday","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KBGD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Repair of heart defects","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"33660","description":"Repair of heart defects","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FGLE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"ABLD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BCXD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"DFSC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Perq plmt bile duct stent","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"47538","description":"Perq plmt bile duct stent","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-1BHL4","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"1BHL4","description":"HIPPS-1BHL4","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FELB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Temporary replacement eqpmnt","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"K0462","description":"Temporary replacement eqpmnt","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BGME0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Battery charger","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"A4613","description":"Battery charger","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Sbsq nb em per day hosp","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"99462","description":"Sbsq nb em per day hosp","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GDFB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Drainage of prostate abscess","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"55720","description":"Drainage of prostate abscess","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"IEEC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"LIQD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Imm counseling by a physician or other qualified health care prof for COVID-19_ ages under 21_ 16-30 minutes time (This code is used for the Medicaid EPSDT)","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G0314","description":"Imm counseling by a physician or other qualified health care prof for COVID-19_ ages under 21_ 16-30 minutes time (This code is used for the Medicaid EPSDT)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GAGE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Msh2 gene dup/delete variant","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"81297","description":"Msh2 gene dup/delete variant","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Conform band n/s w>=3in<5in/yd","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"A6443","description":"Conform band n/s w>=3in<5in/yd","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JGKC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CHVC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Bone scn b/4 txmnt/aftr dx","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"3269F","description":"Bone scn b/4 txmnt/aftr dx","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Mtms by pharm est 15 min","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"99606","description":"Mtms by pharm est 15 min","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Cryopreserve testicular tiss","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"89335","description":"Cryopreserve testicular tiss","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Radiofq trsmtr for implt neu","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"L8683","description":"Radiofq trsmtr for implt neu","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Skin fungi culture","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"87101","description":"Skin fungi culture","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-LD18B","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"LD18B","description":"HIPPS-LD18B","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"AGAC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-A1102","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"A1102","description":"HCPCS-A1102","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Removal of humerus lesion","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"23155","description":"Removal of humerus lesion","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Remove intestinal allograft","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"44137","description":"Remove intestinal allograft","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-PB135","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"PB135","description":"HIPPS-PB135","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Anesth repair of hernia","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"83251","description":"Anesth repair of hernia","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"EEMB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Hair analysis","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"P2031","description":"Hair analysis","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"CPT-0640U","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"0640U","description":"CPT-0640U","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KAMC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-A0803","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"A0803","description":"HCPCS-A0803","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JHCC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"AEAE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FBUA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CGDB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"DDYF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-4CGL6","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"4CGL6","description":"HIPPS-4CGL6","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NCEB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Removal of frontal sinus","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"31085","description":"Removal of frontal sinus","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"ICUD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KHQA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Intro/sheath_strble_non-peel","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"C1766","description":"Intro/sheath_strble_non-peel","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CHBD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OCED0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"X-ray exam entire spi 2/3 vw","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"72082","description":"X-ray exam entire spi 2/3 vw","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-4BGLW","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"4BGLW","description":"HIPPS-4BGLW","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OIWE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KISD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-BA231","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"BA231","description":"HIPPS-BA231","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-CB104","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"CB104","description":"HIPPS-CB104","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Assay of vancomycin","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"80202","description":"Assay of vancomycin","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Intro/sheath_ laser","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"C2629","description":"Intro/sheath_ laser","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FCEE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Talymed","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"Q4127","description":"Talymed","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CEEB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RMB4D","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RMB4D","description":"HIPPS-RMB4D","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JDNC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FCCC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Incision of hip tendon","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"27005","description":"Incision of hip tendon","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OKLA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-CE14D","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"CE14D","description":"HIPPS-CE14D","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Radiologic examination_ chest; 3 views","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"71047","description":"Radiologic examination_ chest; 3 views","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"DIYD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GFFC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-1CFLS","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"1CFLS","description":"HIPPS-1CFLS","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-PD18D","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"PD18D","description":"HIPPS-PD18D","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"INJECTION_ OCRELIZUMAB_ 1 MG (OCREVUS)","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"C9494","description":"INJECTION_ OCRELIZUMAB_ 1 MG (OCREVUS)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-2BGLW","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"2BGLW","description":"HIPPS-2BGLW","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-LD251","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"LD251","description":"HIPPS-LD251","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OIQE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-AAA45","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"AAA45","description":"HIPPS-AAA45","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CFPF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NBVA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Gamma globulin 1 cc inj","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"J1460","description":"Gamma globulin 1 cc inj","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Removal of esophagus","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"43124","description":"Removal of esophagus","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Drainage of forearm bursa","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"25031","description":"Drainage of forearm bursa","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"LFQE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NFED1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Bone strength and fracture-risk assessment using digital X-ray radiogrammetry-bone mineral density (DXR-BMD) analysis of bone mineral density (BMD) utilizing data from a digit","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0750T","description":"Bone strength and fracture-risk assessment using digital X-ray radiogrammetry-bone mineral density (DXR-BMD) analysis of bone mineral density (BMD) utilizing data from a digit","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Crutch and cane holder","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"E2207","description":"Crutch and cane holder","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Scaling in the presence of generalized moderate or severe gingival inflammation--full mouth_ after oral evaluation","billing_code_type":"CDT","billing_code_type_version":"2024","billing_code":"D4346","description":"Scaling in the presence of generalized moderate or severe gingival inflammation--full mouth_ after oral evaluation","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CFVE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Noninvasive estimated coronary fractional flow reserve (FFR) derived from coronary computed tomography angiography data using computation fluid dynamics physiologic simulation","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0501T","description":"Noninvasive estimated coronary fractional flow reserve (FFR) derived from coronary computed tomography angiography data using computation fluid dynamics physiologic simulation","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Rare constitutional and other heritable disorders_ whole genome and mitochondrial DNA sequence analysis_ blood_ frozen & formalin-fixed paraffin-embedded (FFPE) tissue_ saliva","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0265U","description":"Rare constitutional and other heritable disorders_ whole genome and mitochondrial DNA sequence analysis_ blood_ frozen & formalin-fixed paraffin-embedded (FFPE) tissue_ saliva","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Injection_ argatroban (auromedics)_ not therapeutically equivalent to j0883_ 1 mg (for non-esrd use)","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"J0898","description":"Injection_ argatroban (auromedics)_ not therapeutically equivalent to j0883_ 1 mg (for non-esrd use)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Revision of heart chamber","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"33476","description":"Revision of heart chamber","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GDRE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Injection_ rituximab_ 10 mg","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"J9312","description":"Injection_ rituximab_ 10 mg","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KAVA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GCBF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JBME1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Onc dx sclc/nsclc ext at dx","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G9069","description":"Onc dx sclc/nsclc ext at dx","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Split blood or products","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"86985","description":"Split blood or products","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KHYF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Tympanometry","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"92567","description":"Tympanometry","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-HC213","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"HC213","description":"HIPPS-HC213","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OHHC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CCCB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Arm tendon lengthening","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"24305","description":"Arm tendon lengthening","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Hospital outpatient clinic visit specimen collection for severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19])_ any specimen source)","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"C9803","description":"Hospital outpatient clinic visit specimen collection for severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19])_ any specimen source)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Chromosome analysis 15-20","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"88262","description":"Chromosome analysis 15-20","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Min hd traum gcs=15 w/ct ed","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G9530","description":"Min hd traum gcs=15 w/ct ed","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Acetylcholine receptor (AChR); modulating antibody","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"86043","description":"Acetylcholine receptor (AChR); modulating antibody","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Conductive garment for tens/","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"E0731","description":"Conductive garment for tens/","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Extra heavy duty wheelchair","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"K0007","description":"Extra heavy duty wheelchair","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Ak 4 bar link w/fric swing","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"L5611","description":"Ak 4 bar link w/fric swing","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FIXF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Tick-borne relapsing fever Borrelia group_ antibody detection to 4 recombinant protein groups_ by immunoblot_ IgM","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0043U","description":"Tick-borne relapsing fever Borrelia group_ antibody detection to 4 recombinant protein groups_ by immunoblot_ IgM","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Noninvasive estimated coronary fractional flow reserve (FFR) derived from coronary computed tomography angiography data using computation fluid dynamics physiologic simulation","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0503T","description":"Noninvasive estimated coronary fractional flow reserve (FFR) derived from coronary computed tomography angiography data using computation fluid dynamics physiologic simulation","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"ACHD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OFJC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"CPT-01820","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"01820","description":"CPT-01820","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-LC221","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"LC221","description":"HIPPS-LC221","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HH PDGM","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"1EA11","description":"HH PDGM","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RHA40","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RHA40","description":"HIPPS-RHA40","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Most recent hemoglobin a1c level > 9.0%","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"M1211","description":"Most recent hemoglobin a1c level > 9.0%","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KCGC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Cus elbo skt in for con/atyp","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"L6696","description":"Cus elbo skt in for con/atyp","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GGHC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Revascularization_ endovascular_ open or percutaneous_ tibial/peroneal artery(ies); with intravascular lithotripsy and atherectomy_ includes angioplasty within the same vessel","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"C9774","description":"Revascularization_ endovascular_ open or percutaneous_ tibial/peroneal artery(ies); with intravascular lithotripsy and atherectomy_ includes angioplasty within the same vessel","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"CPT-0604U","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"0604U","description":"CPT-0604U","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KCYE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OJOF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-G0678","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"G0678","description":"HCPCS-G0678","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Lung perf&ventilat diferentl","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"78598","description":"Lung perf&ventilat diferentl","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Intrvasc us noncoronary addl","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"37253","description":"Intrvasc us noncoronary addl","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Norsn incomp inf antibio","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G9302","description":"Norsn incomp inf antibio","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Ex h rate for sz ovr 30 day","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0385T","description":"Ex h rate for sz ovr 30 day","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-5AFKV","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"5AFKV","description":"HIPPS-5AFKV","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"MRI brain w/o & w/dye","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"70559","description":"MRI brain w/o & w/dye","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GAXA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"ICLA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Puraply_ puraply antimic","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"C9349","description":"Puraply_ puraply antimic","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Somatosensory testing","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"95938","description":"Somatosensory testing","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NCJD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Opps/php; train & educ serv","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G0177","description":"Opps/php; train & educ serv","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OCQC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MECD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"EFHD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NEHA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NKBD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-3CGM6","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"3CGM6","description":"HIPPS-3CGM6","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OJAB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Prep renal graft/arterial","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"50328","description":"Prep renal graft/arterial","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Dentur repr broken compl bas","billing_code_type":"CDT","billing_code_type_version":"2024","billing_code":"D5510","description":"Dentur repr broken compl bas","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Adaptive behavior treatment with protocol modification_ administered by physician or other qualified health care professional_ which may include simultaneous direction of tech","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"97155","description":"Adaptive behavior treatment with protocol modification_ administered by physician or other qualified health care professional_ which may include simultaneous direction of tech","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"CPT-81558","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"81558","description":"CPT-81558","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JAPF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RLB8G","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RLB8G","description":"HIPPS-RLB8G","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"PCOC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Cane adjust/fixed quad/3 pro","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"E0105","description":"Cane adjust/fixed quad/3 pro","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"AILF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Cardiovascular stress test","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"93017","description":"Cardiovascular stress test","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BCUE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-CD216","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"CD216","description":"HIPPS-CD216","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JFVD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Dilation of vagina","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"57400","description":"Dilation of vagina","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Hit sympathomim diem","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"S9348","description":"Hit sympathomim diem","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Diagnostic digital breast tomosynthesis_ unilateral or bilateral (list separately in addition to 77065-77067)","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G0279","description":"Diagnostic digital breast tomosynthesis_ unilateral or bilateral (list separately in addition to 77065-77067)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Anoscopy","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"46611","description":"Anoscopy","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Injection_ ranibizumab_ via intravitreal implant (Susvimo)_ 0.1 mg","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"J2779","description":"Injection_ ranibizumab_ via intravitreal implant (Susvimo)_ 0.1 mg","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CIPA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Treat/graft heel fracture","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"28420","description":"Treat/graft heel fracture","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BBBA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FGAE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Mlh1 gene known variants","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"81293","description":"Mlh1 gene known variants","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MAID1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OKQB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Injection ferric pyrophosphate citrate solution 0.1 mg iron","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"Q9976","description":"Injection ferric pyrophosphate citrate solution 0.1 mg iron","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NDKF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NAJF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"ODTB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Injection_ viltolarsen_ 10 mg","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"C9071","description":"Injection_ viltolarsen_ 10 mg","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CGNA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"CDT-D9224","billing_code_type":"CDT","billing_code_type_version":"2026","billing_code":"D9224","description":"CDT-D9224","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CACC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RHC0A","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RHC0A","description":"HIPPS-RHC0A","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Island pedicle flap graft","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"15740","description":"Island pedicle flap graft","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RHL8X","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RHL8X","description":"HIPPS-RHL8X","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-HB211","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"HB211","description":"HIPPS-HB211","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OEUB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OIKA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Inj heparin sodium per 1000u","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"J1644","description":"Inj heparin sodium per 1000u","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-CA12A","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"CA12A","description":"HIPPS-CA12A","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FBJD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-1AFMX","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"1AFMX","description":"HIPPS-1AFMX","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Prq coronary mech thrombect","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"92973","description":"Prq coronary mech thrombect","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Revision of wrist joint","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"25455","description":"Revision of wrist joint","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Nutrition/Dietician Mips Specialty Set","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G4017","description":"Nutrition/Dietician Mips Specialty Set","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-ES312","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"ES312","description":"HIPPS-ES312","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Replcmnt breast pump bottle","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"A4285","description":"Replcmnt breast pump bottle","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-PC240","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"PC240","description":"HIPPS-PC240","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OCBD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-CE115","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"CE115","description":"HIPPS-CE115","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Gc stocking waistlngth 18-30","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"A6539","description":"Gc stocking waistlngth 18-30","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"DHOB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JFNB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NLTB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Online e/m by phys/qhp","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"99444","description":"Online e/m by phys/qhp","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CIGC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NAED1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OEKE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NJVE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"AABB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RVX17","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RVX17","description":"HIPPS-RVX17","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GHFB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HH PDGM","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"3EA31","description":"HH PDGM","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"DFSD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OBNA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-2AFLT","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"2AFLT","description":"HIPPS-2AFLT","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KIEA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Ceftriaxone sodium injection","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"J0696","description":"Ceftriaxone sodium injection","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Carcinoembryonic antigen","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"82378","description":"Carcinoembryonic antigen","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BAAA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BAUB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Dental onlay metallic 3 surf","billing_code_type":"CDT","billing_code_type_version":"2024","billing_code":"D2543","description":"Dental onlay metallic 3 surf","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"DGQB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Vesiculobullous disease carr","billing_code_type":"CDT","billing_code_type_version":"2024","billing_code":"D5991","description":"Vesiculobullous disease carr","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Pathology Mips Specialty Set","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G4023","description":"Pathology Mips Specialty Set","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KFMC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OIOD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NIGF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Anesthesiology mips specialty set","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G0061","description":"Anesthesiology mips specialty set","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BCEF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Radium ra223 dichloride ther","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"A9606","description":"Radium ra223 dichloride ther","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BGKD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RVC03","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RVC03","description":"HIPPS-RVC03","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NFEE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MIEC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Shoe heel wedge","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"L3350","description":"Shoe heel wedge","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KDID0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-PA117","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"PA117","description":"HIPPS-PA117","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MEMB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"ONC MRNA 5 genes alg risk recr urothelial cancer","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0013M","description":"ONC MRNA 5 genes alg risk recr urothelial cancer","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Comp comm supp svc_ 15 min","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"H2015","description":"Comp comm supp svc_ 15 min","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Remove femur lesion","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"27355","description":"Remove femur lesion","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"PEYA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Immntx 4 sting insects","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"95133","description":"Immntx 4 sting insects","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"CPT-0582U","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"0582U","description":"CPT-0582U","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HH PDGM","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"4FC31","description":"HH PDGM","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Treat wrist bone fracture","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"25630","description":"Treat wrist bone fracture","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Contrast bath therapy","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"97034","description":"Contrast bath therapy","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-ES33D","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"ES33D","description":"HIPPS-ES33D","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"EHEC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"CDT-D0403","billing_code_type":"CDT","billing_code_type_version":"2026","billing_code":"D0403","description":"CDT-D0403","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Fusion of finger tendons","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"26474","description":"Fusion of finger tendons","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"PBSE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"EFMA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OLUE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CBAB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"EGAC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Resect metatarsal tumor","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"28173","description":"Resect metatarsal tumor","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OARF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"EAID0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Ocular reconst transplant","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"65782","description":"Ocular reconst transplant","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Endovascular repair of iliac artery by deployment of an ilio-iliac tube endograft including pre-procedure sizing and device selection_ all nonselective catheterization(s)_ all","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"34707","description":"Endovascular repair of iliac artery by deployment of an ilio-iliac tube endograft including pre-procedure sizing and device selection_ all nonselective catheterization(s)_ all","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JACB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Revise/remove neuroelectrode","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"61880","description":"Revise/remove neuroelectrode","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"PLYA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-2CHL4","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"2CHL4","description":"HIPPS-2CHL4","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Rimantadine hcl 100mg oral","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G9020","description":"Rimantadine hcl 100mg oral","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-M1476","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"M1476","description":"HCPCS-M1476","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-ES38H","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"ES38H","description":"HIPPS-ES38H","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JBUC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-3CFLW","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"3CFLW","description":"HIPPS-3CFLW","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KIVA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RUX02","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RUX02","description":"HIPPS-RUX02","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Injection_ voriconazole","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"J3465","description":"Injection_ voriconazole","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GGLF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"LHRE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-3AHLX","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"3AHLX","description":"HIPPS-3AHLX","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GHBD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CEAF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GFFB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Init nb em per day non-fac","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"99461","description":"Init nb em per day non-fac","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CARC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NGPB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Incise skull for treatment","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"61770","description":"Incise skull for treatment","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FDDD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KEQD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KIDC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Venous pressure clamp","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"A4918","description":"Venous pressure clamp","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"AHDD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-HD210","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"HD210","description":"HIPPS-HD210","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OEIA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Pre-prxd rsk et al docd","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"3018F","description":"Pre-prxd rsk et al docd","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NLHE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GCEF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JBLE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OIJA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MHIC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Expiratory positive airway pressure intranasal resistance valve","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"A7049","description":"Expiratory positive airway pressure intranasal resistance valve","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NDIC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GDGA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FBAC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"IHTB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"CPT-0976T","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"0976T","description":"CPT-0976T","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Relocation of pulse generator for wireless cardiac stimulator for left ventricular pacing_ including device interrogation and programming; transmitter component only","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0863T","description":"Relocation of pulse generator for wireless cardiac stimulator for left ventricular pacing_ including device interrogation and programming; transmitter component only","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"ACCB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Medication Assisted Treatment_ Buprenorphine (Implant Insertion); Weekly Bundle Including Dispensing And/Or Administration_ Substance Use Counseling_ Individual And Group Ther","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G2070","description":"Medication Assisted Treatment_ Buprenorphine (Implant Insertion); Weekly Bundle Including Dispensing And/Or Administration_ Substance Use Counseling_ Individual And Group Ther","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Reconstruction of anus","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"46753","description":"Reconstruction of anus","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Open red simpl mandible fx","billing_code_type":"CDT","billing_code_type_version":"2024","billing_code":"D7630","description":"Open red simpl mandible fx","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Platelets_ hla-m_ l/r_ unit","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"P9052","description":"Platelets_ hla-m_ l/r_ unit","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-HB225","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"HB225","description":"HIPPS-HB225","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-PB11A","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"PB11A","description":"HIPPS-PB11A","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"EGTD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BCHE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Pre-op service lvrs complete","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G0302","description":"Pre-op service lvrs complete","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Trnscrv uterin fibroid abltj","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0404T","description":"Trnscrv uterin fibroid abltj","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GGYB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-CA234","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"CA234","description":"HIPPS-CA234","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Repair & adjust spectacles","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"92371","description":"Repair & adjust spectacles","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RML22","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RML22","description":"HIPPS-RML22","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Not pres antibiotic","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G8712","description":"Not pres antibiotic","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OAUF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GFUD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-HD120","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"HD120","description":"HIPPS-HD120","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BBMB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Drain lower leg lesion","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"27603","description":"Drain lower leg lesion","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Repair of eye wound","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"65280","description":"Repair of eye wound","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NLVD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"DDOC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-PC135","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"PC135","description":"HIPPS-PC135","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Iodine i-123 sod iodide mil","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"A9509","description":"Iodine i-123 sod iodide mil","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KIWC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KBKF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Hosp bed semi-electr w/ matt","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"E0260","description":"Hosp bed semi-electr w/ matt","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Insertion of skull-mounted cranial neurostimulator pulse generator or receiver_ including craniectomy or craniotomy_ when performed_ with direct or inductive coupling_ with co","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"61889","description":"Insertion of skull-mounted cranial neurostimulator pulse generator or receiver_ including craniectomy or craniotomy_ when performed_ with direct or inductive coupling_ with co","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Ercp ea duct/ampulla dilate","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"43277","description":"Ercp ea duct/ampulla dilate","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-PE23C","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"PE23C","description":"HIPPS-PE23C","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JEDC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GBSA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Incise diaphragm nerve","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"64746","description":"Incise diaphragm nerve","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Histotripsy (i.e._ nonthermal ablation via acoustic energy delivery) of malignant renal tissue_ including image gu","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"C9790","description":"Histotripsy (i.e._ nonthermal ablation via acoustic energy delivery) of malignant renal tissue_ including image gu","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Removal foreign body gum","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"41805","description":"Removal foreign body gum","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CEVD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Gastrointestinal repair","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"43360","description":"Gastrointestinal repair","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Repair of heart defects","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"33710","description":"Repair of heart defects","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-LE14B","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"LE14B","description":"HIPPS-LE14B","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"CDT-D9959","billing_code_type":"CDT","billing_code_type_version":"2026","billing_code":"D9959","description":"CDT-D9959","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Medical home level 1","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G9148","description":"Medical home level 1","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Lap resect s/intestine addl","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"44203","description":"Lap resect s/intestine addl","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Etoposide oral 50 mg","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"J8560","description":"Etoposide oral 50 mg","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"2+ anti-hyprtnsv agents tkn","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"4145F","description":"2+ anti-hyprtnsv agents tkn","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GCCD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"PAQF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NAAF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Hydrocolld drg > 48 in w/o b","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"A6236","description":"Hydrocolld drg > 48 in w/o b","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OLUB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Treat humerus fracture","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"24538","description":"Treat humerus fracture","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RMC36","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RMC36","description":"HIPPS-RMC36","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Ostomy pouch solid deodorant","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"A4395","description":"Ostomy pouch solid deodorant","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Skin full graft add-on","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"15261","description":"Skin full graft add-on","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"IBCB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Anesth trachea bronchi surg","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"54851","description":"Anesth trachea bronchi surg","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Fungus isolation culture","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"87102","description":"Fungus isolation culture","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NKBF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"DEYD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RUX50","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RUX50","description":"HIPPS-RUX50","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Amphotericin b liposome inj","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"J0289","description":"Amphotericin b liposome inj","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BEME1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OBLE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NLXA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"EECA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"LCRA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"IEEF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Group caregiver training in strategies and techniques to facilitate the patient_s functional performance in the home or community (eg_ activities of daily living [ADLs]_ instr","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"97552","description":"Group caregiver training in strategies and techniques to facilitate the patient_s functional performance in the home or community (eg_ activities of daily living [ADLs]_ instr","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Biopsy of penis","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"54100","description":"Biopsy of penis","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JIFD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Ost pch for bar w flange/flt","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"A4419","description":"Ost pch for bar w flange/flt","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-3BFK6","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"3BFK6","description":"HIPPS-3BFK6","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Accelerated_ repetitive high-dose functional connectivity MRI-guided theta-burst stimulation_ including neuronavigation_ delivery and management_ subsequent motor threshold re","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0892T","description":"Accelerated_ repetitive high-dose functional connectivity MRI-guided theta-burst stimulation_ including neuronavigation_ delivery and management_ subsequent motor threshold re","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OFLE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Obstetrical care","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"59410","description":"Obstetrical care","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"HHOD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Removal of brain abscess","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"61514","description":"Removal of brain abscess","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Vein x-ray kidney","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"75831","description":"Vein x-ray kidney","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"AFCF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GGSB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KDVC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KBDF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"ABAE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Art pancreas inv disp sensor","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"S1035","description":"Art pancreas inv disp sensor","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NHJE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KEUD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CFKB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Surgigraft-dual_ per square centimeter","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"Q4219","description":"Surgigraft-dual_ per square centimeter","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-1AFKX","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"1AFKX","description":"HIPPS-1AFKX","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CIPD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Pwr wc drivewheel motor repl","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"E2368","description":"Pwr wc drivewheel motor repl","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Below knee cushion socket","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"L5646","description":"Below knee cushion socket","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GIYB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Contrast x-ray of brain","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"70010","description":"Contrast x-ray of brain","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KHJC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Glasses bicros hearing aid","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"V5230","description":"Glasses bicros hearing aid","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FDTE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"DEWC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JGEB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Hand/chin ctrl std joystick","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"E2374","description":"Hand/chin ctrl std joystick","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"IMM ADMN SARSCOV2 100 MCG/0.5 ML 2ND DOSE","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0012A","description":"IMM ADMN SARSCOV2 100 MCG/0.5 ML 2ND DOSE","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Air injection into abdomen","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"49400","description":"Air injection into abdomen","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Digitization of glass microscope slides for immunohistochemistry or immunocytochemistry_ per specimen_ each additional single antibody stain procedure (List separately in addi","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0761T","description":"Digitization of glass microscope slides for immunohistochemistry or immunocytochemistry_ per specimen_ each additional single antibody stain procedure (List separately in addi","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GGTD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Pancreatectomy","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"48153","description":"Pancreatectomy","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Removal of fixation device","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"20665","description":"Removal of fixation device","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Individual who did not fill at least two prescriptions for any antipsychotic medication or did not have a pdc of 0.8 or greater","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G9370","description":"Individual who did not fill at least two prescriptions for any antipsychotic medication or did not have a pdc of 0.8 or greater","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Remove nerve lesion","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"64784","description":"Remove nerve lesion","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FCMF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"CPT-0495U","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"0495U","description":"CPT-0495U","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Auditory Evoked Potentials; For Hearing Status Determination_ Broadband Stimuli_ With Interpretation And Report","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"92651","description":"Auditory Evoked Potentials; For Hearing Status Determination_ Broadband Stimuli_ With Interpretation And Report","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Portable 02 contents_ gas","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"E0443","description":"Portable 02 contents_ gas","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RVA13","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RVA13","description":"HIPPS-RVA13","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NLLC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-PD10A","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"PD10A","description":"HIPPS-PD10A","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Inj_ epirubicin hcl_ 2 mg","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"J9178","description":"Inj_ epirubicin hcl_ 2 mg","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NKGD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Abutment supported crown","billing_code_type":"CDT","billing_code_type_version":"2024","billing_code":"D6058","description":"Abutment supported crown","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-C1903","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"C1903","description":"HCPCS-C1903","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KFDB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-3CFNT","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"3CFNT","description":"HIPPS-3CFNT","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-CD134","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"CD134","description":"HIPPS-CD134","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OHIE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Leg perthes orth toronto typ","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"L1700","description":"Leg perthes orth toronto typ","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Scratch resistant coating","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"V2760","description":"Scratch resistant coating","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Biodfence dryflex_ 1cm","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"Q4138","description":"Biodfence dryflex_ 1cm","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-3BHNS","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"3BHNS","description":"HIPPS-3BHNS","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-5BHKW","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"5BHKW","description":"HIPPS-5BHKW","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RHX3A","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RHX3A","description":"HIPPS-RHX3A","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"AHAE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"CPT-53865","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"53865","description":"CPT-53865","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Lamellar bdy fetal lung","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"83664","description":"Lamellar bdy fetal lung","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"IFLD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Other specified case mgmt","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G9012","description":"Other specified case mgmt","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"HCRA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OIIE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"CPT-0612U","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"0612U","description":"CPT-0612U","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Repair of eye socket wound","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"65290","description":"Repair of eye socket wound","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Care management services for behavioral health conditions_ at least 20 minutes of clinical staff time_ directed by a physician or other qualified health care professional_ per","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"99484","description":"Care management services for behavioral health conditions_ at least 20 minutes of clinical staff time_ directed by a physician or other qualified health care professional_ per","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JITB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Excise parotid gland/lesion","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"42425","description":"Excise parotid gland/lesion","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OESF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FAED1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KFCE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-CA18H","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"CA18H","description":"HIPPS-CA18H","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OGTB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CESE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Drop lock retainer each","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"L2785","description":"Drop lock retainer each","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Mobilization of colon","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"44139","description":"Mobilization of colon","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Cyto/molecular report","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"88291","description":"Cyto/molecular report","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KBWC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NBBB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NGHE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KEKD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MKBD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Prescription drug monitoring_ evaluation of 65 common drugs by LC-MS/MS_ urine_ each drug reported detected or not detected","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0093U","description":"Prescription drug monitoring_ evaluation of 65 common drugs by LC-MS/MS_ urine_ each drug reported detected or not detected","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RLA20","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RLA20","description":"HIPPS-RLA20","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"HIOE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Carmustine injection","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"J9050","description":"Carmustine injection","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"AGMC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Injection_ fosnetupitant 235 mg and palonosetron 0.25 mg","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"C9033","description":"Injection_ fosnetupitant 235 mg and palonosetron 0.25 mg","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JIGF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"DDYC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OEPF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KDCA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KBTD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Detect agnt mult dna ampli","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"87801","description":"Detect agnt mult dna ampli","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Partial excision of lip","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"40520","description":"Partial excision of lip","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CHFE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Eeg coma or sleep only","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"95822","description":"Eeg coma or sleep only","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NIMD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Advancing Care For Heart Disease Mips Value Pathways","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G0055","description":"Advancing Care For Heart Disease Mips Value Pathways","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HH PDGM","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"3KB11","description":"HH PDGM","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NFPD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Laparoscopy excise lesions","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"58662","description":"Laparoscopy excise lesions","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Habil sup empl waiver/diem","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"T2018","description":"Habil sup empl waiver/diem","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Frame typ socket shoulder di","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"L6689","description":"Frame typ socket shoulder di","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"MRI joint upr extrem w/o dye","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"73221","description":"MRI joint upr extrem w/o dye","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"EAUA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Incise/graft midfoot bones","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"28305","description":"Incise/graft midfoot bones","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Cardiac ion channelopathies (eg_ Brugada syndrome_ long QT syndrome_ short QT syndrome_ catecholaminergic polymorphic ventricular tachycardia); genomic sequence analysis panel","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"81413","description":"Cardiac ion channelopathies (eg_ Brugada syndrome_ long QT syndrome_ short QT syndrome_ catecholaminergic polymorphic ventricular tachycardia); genomic sequence analysis panel","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Wheelchair detachable arms","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"E1060","description":"Wheelchair detachable arms","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Repair defect of arm artery","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"35045","description":"Repair defect of arm artery","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Replace ureter by bowel","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"50840","description":"Replace ureter by bowel","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-2CGL5","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"2CGL5","description":"HIPPS-2CGL5","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MBUB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BILD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NGCE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MHEA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Onc hep gene risk classifier","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0006M","description":"Onc hep gene risk classifier","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Hhcp-serv of pt_ea 15 min","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G0151","description":"Hhcp-serv of pt_ea 15 min","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Dilation of urethra","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"53660","description":"Dilation of urethra","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KEXF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Intraoperative hyperthermic intraperitoneal chemotherapy (HIPEC) procedure_ including separate incision(s) and closure_ when performed; first 60 minutes (List separately in ad","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"96547","description":"Intraoperative hyperthermic intraperitoneal chemotherapy (HIPEC) procedure_ including separate incision(s) and closure_ when performed; first 60 minutes (List separately in ad","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Remote evaluation of recorded video and/or images submitted by an established patient (e.g._ store and forward)_ including inte","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G2010","description":"Remote evaluation of recorded video and/or images submitted by an established patient (e.g._ store and forward)_ including inte","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BHLA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Repair heart vessel fistula","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"33501","description":"Repair heart vessel fistula","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OEHC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OGVD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Replacement breastpump cap","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"A4283","description":"Replacement breastpump cap","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Leg surgery procedure","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"27599","description":"Leg surgery procedure","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Organic acids qual each","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"83919","description":"Organic acids qual each","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Esophagomyotomy abdominal","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"43330","description":"Esophagomyotomy abdominal","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"DCWD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GCMA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KCCE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Orthopedic shoe add rub insl","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"L3510","description":"Orthopedic shoe add rub insl","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Injection_ tofersen_ 1 mg","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"C9157","description":"Injection_ tofersen_ 1 mg","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Cytp urne 3-5 probes ea spec","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"88120","description":"Cytp urne 3-5 probes ea spec","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"PIRE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-PC12C","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"PC12C","description":"HIPPS-PC12C","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FGKA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OLPB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GEIE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FANF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Small bowel endoscopy","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"44373","description":"Small bowel endoscopy","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Removal of tail bone ulcer","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"15920","description":"Removal of tail bone ulcer","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Compact travel hemodialyzer","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"E1635","description":"Compact travel hemodialyzer","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KBDB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Laronidase injection","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"J1931","description":"Laronidase injection","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Iv chelationtherapy","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"M0300","description":"Iv chelationtherapy","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"ABIB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CCBB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-LB206","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"LB206","description":"HIPPS-LB206","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FBXA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NJGA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Acute bronchitis/bronchiolitis episodes when the patient had a new or refill prescription of antibiotics (table 1) in the 30 days prior to or on the episode date","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G2177","description":"Acute bronchitis/bronchiolitis episodes when the patient had a new or refill prescription of antibiotics (table 1) in the 30 days prior to or on the episode date","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-CC240","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"CC240","description":"HIPPS-CC240","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BIAC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MKEB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BFLC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Colectomy w/neo-rectum pouch","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"44158","description":"Colectomy w/neo-rectum pouch","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NECB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CFAB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Inj foramen epidural l/s","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"64483","description":"Inj foramen epidural l/s","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Approp digoxin tstng done","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"4189F","description":"Approp digoxin tstng done","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"DEQA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Revision of larynx","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"31580","description":"Revision of larynx","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BENC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-3CHK1","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"3CHK1","description":"HIPPS-3CHK1","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Cnslng provided symp mngmnt","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"4350F","description":"Cnslng provided symp mngmnt","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GDQC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-5BFK4","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"5BFK4","description":"HIPPS-5BFK4","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NGMF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OCSC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Laps impltj nstim vagus","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0312T","description":"Laps impltj nstim vagus","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Str markers spec anal addl","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"81266","description":"Str markers spec anal addl","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GHGF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JHBA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KGAD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Gauze > 48 sq in w/border","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"A6221","description":"Gauze > 48 sq in w/border","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KBUE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MCCD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-CC226","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"CC226","description":"HIPPS-CC226","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"IAAD IA NOT OTHERWISE SPECIFIED EACH ORGANISM","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"87449","description":"IAAD IA NOT OTHERWISE SPECIFIED EACH ORGANISM","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Spine fusion extra segment","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"22614","description":"Spine fusion extra segment","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"DIWF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KBAE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Treat radius fracture","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"24655","description":"Treat radius fracture","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Urine bacteria culture","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"87088","description":"Urine bacteria culture","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GGCE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-3AGP5","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"3AGP5","description":"HIPPS-3AGP5","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KFPF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Implant Supported Crown - Porcelain Fused To Predominatly Base Alloys","billing_code_type":"CDT","billing_code_type_version":"2024","billing_code":"D6082","description":"Implant Supported Crown - Porcelain Fused To Predominatly Base Alloys","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"PFRA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Holotranscobalamin_ quantitative","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0103T","description":"Holotranscobalamin_ quantitative","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"IICE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Treat knee fracture","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"27540","description":"Treat knee fracture","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NKNF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"LFRE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BFNF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"IHIC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NHBA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KGQC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FAKA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Als 1","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"A0426","description":"Als 1","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Oncology tum unknown origin","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"81540","description":"Oncology tum unknown origin","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FEPF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GGBF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NDBA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Surgical placement of craniofacial implant - extra oral","billing_code_type":"CDT","billing_code_type_version":"2024","billing_code":"D7993","description":"Surgical placement of craniofacial implant - extra oral","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"LCSB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Prolonged office or other outpatient evaluation and management service(s) beyond the maximum required time of the primary procedure which has been selected using total time on","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G2212","description":"Prolonged office or other outpatient evaluation and management service(s) beyond the maximum required time of the primary procedure which has been selected using total time on","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Mandibular part denture flex","billing_code_type":"CDT","billing_code_type_version":"2024","billing_code":"D5226","description":"Mandibular part denture flex","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"PAYC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Remove eye lesion","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"65900","description":"Remove eye lesion","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FGIC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Hospice general care","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"T2045","description":"Hospice general care","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OAAF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"EFTC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JACE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OCIC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Treat eyelid lesion","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"67850","description":"Treat eyelid lesion","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KGAF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Add ue prost s/d ultlite mat","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"L7402","description":"Add ue prost s/d ultlite mat","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Insert electrd/pm cath sngl","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"33210","description":"Insert electrd/pm cath sngl","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-CA241","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"CA241","description":"HIPPS-CA241","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"HFQD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Treat lower leg fracture","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"27824","description":"Treat lower leg fracture","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NGLC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OBME1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CEOE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FBLF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KGMF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CEJC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Sitz type bath or equipment","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"E0160","description":"Sitz type bath or equipment","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Interrogate crtd sns w/pgrmg","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0273T","description":"Interrogate crtd sns w/pgrmg","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-B1805","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"B1805","description":"HCPCS-B1805","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Doc antibio given b/4 surg","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"4046F","description":"Doc antibio given b/4 surg","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Rx corneoscleral cntact lens","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"92317","description":"Rx corneoscleral cntact lens","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Upper facial prosthesis","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"L8043","description":"Upper facial prosthesis","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JDPD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Cetuximab injection","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"J9055","description":"Cetuximab injection","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Resect shoulder tumor < 5 cm","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"23077","description":"Resect shoulder tumor < 5 cm","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-M1418","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"M1418","description":"HCPCS-M1418","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Igh@/Bcl2 (T(14;18)) (Eg_ Follicular Lymphoma) Translocation Analysis_ Major Breakpoint Region (Mbr) And Minor Cluster Region (Mcr) Breakpoints_ Qualitative Or Quantitative","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"81278","description":"Igh@/Bcl2 (T(14;18)) (Eg_ Follicular Lymphoma) Translocation Analysis_ Major Breakpoint Region (Mbr) And Minor Cluster Region (Mcr) Breakpoints_ Qualitative Or Quantitative","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-HE114","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"HE114","description":"HIPPS-HE114","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Radiologic Examination_ Esophagus_ Including Scout Chest Radiograph(S) And Delayed Image(S)_ When Performed; Double-Contrast (Eg_ High-Density Barium And Effervescent Agent) S","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"74221","description":"Radiologic Examination_ Esophagus_ Including Scout Chest Radiograph(S) And Delayed Image(S)_ When Performed; Double-Contrast (Eg_ High-Density Barium And Effervescent Agent) S","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Custom breast prosthesis","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"L8035","description":"Custom breast prosthesis","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-2AHL4","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"2AHL4","description":"HIPPS-2AHL4","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-HD244","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"HD244","description":"HIPPS-HD244","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BGNB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KFRD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FEUC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-4BFMU","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"4BFMU","description":"HIPPS-4BFMU","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Analyze spine infus pump","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"62367","description":"Analyze spine infus pump","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"IDHE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Enzyme histochemistry","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"88319","description":"Enzyme histochemistry","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GDLB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"EEBF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MLIE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MILC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OIGE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JGMC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Xyntha inj","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"J7185","description":"Xyntha inj","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Lso sag rigid frame cust","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"L0632","description":"Lso sag rigid frame cust","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Fusion of foot bones","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"28730","description":"Fusion of foot bones","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OERE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Isoproterenol comp con","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"J7657","description":"Isoproterenol comp con","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BDTE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Perq tx malar fracture","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"21355","description":"Perq tx malar fracture","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Repair eyelid defect","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"67922","description":"Repair eyelid defect","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Documentation of a chlamydia screening test with proper follow-up","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G9820","description":"Documentation of a chlamydia screening test with proper follow-up","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Hydrogel drg >16<=48 in w/b","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"A6246","description":"Hydrogel drg >16<=48 in w/b","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"CPT-70472","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"70472","description":"CPT-70472","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Secondary urethral surgery","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"54344","description":"Secondary urethral surgery","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Pres/absn urine incon assess","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"1090F","description":"Pres/absn urine incon assess","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Flutemetamol F18_ diagnostic_ per study dose_ up to 5 millicuries","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"C9459","description":"Flutemetamol F18_ diagnostic_ per study dose_ up to 5 millicuries","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Neomatrix_ per square centimeter","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"A2021","description":"Neomatrix_ per square centimeter","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Lever-activated wheel drive","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"E0988","description":"Lever-activated wheel drive","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Nontherm electromgntc device","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"E0761","description":"Nontherm electromgntc device","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OIIE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NHAA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GCBE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-1CFP4","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"1CFP4","description":"HIPPS-1CFP4","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OLDE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Incise tendon(s) & muscle(s)","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"23406","description":"Incise tendon(s) & muscle(s)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NEUA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Fun stat score ue < 0","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G8668","description":"Fun stat score ue < 0","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Pwc gp 3 xhd cap chair","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"K0855","description":"Pwc gp 3 xhd cap chair","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GGCC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FHXD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"DBRB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Endovas aaa repr w/1-p part","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"34804","description":"Endovas aaa repr w/1-p part","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GEDF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CHBA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"ODYB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BETA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BIVE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JDKF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"EIMF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"ECCE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Parenteral sol > 100gm prote","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"B4199","description":"Parenteral sol > 100gm prote","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CGVB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MAAA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NGFC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OFMF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"DBQA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CHPA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-3AGL1","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"3AGL1","description":"HIPPS-3AGL1","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-PC256","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"PC256","description":"HIPPS-PC256","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CHJF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GAVF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NCIF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Ald neck_ loop ind receiver","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"V5283","description":"Ald neck_ loop ind receiver","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FAAB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Hysteroscopy sterilization","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"58565","description":"Hysteroscopy sterilization","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GHDD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OLBC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Explore/treat hand joint","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"26070","description":"Explore/treat hand joint","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KAPB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Extraction of lens","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"66930","description":"Extraction of lens","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-5BFK1","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"5BFK1","description":"HIPPS-5BFK1","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CIND0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Influenza virus vaccine_ quadrivalent (RIV4)_ derived from recombinant DNA_ hemagglutinin (HA) protein only_ preservative and antibiotic free_ for intramuscular use","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"90682","description":"Influenza virus vaccine_ quadrivalent (RIV4)_ derived from recombinant DNA_ hemagglutinin (HA) protein only_ preservative and antibiotic free_ for intramuscular use","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"IDLB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OBHA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Multidisciplinary care plan","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0580F","description":"Multidisciplinary care plan","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Revise wrist/forearm tendon","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"25280","description":"Revise wrist/forearm tendon","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Patient screened for tobacco use and identified as a tobacco non-user","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"M1282","description":"Patient screened for tobacco use and identified as a tobacco non-user","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"CPT-0556U","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"0556U","description":"CPT-0556U","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-3BFLU","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"3BFLU","description":"HIPPS-3BFLU","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BGGA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-M1466","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"M1466","description":"HCPCS-M1466","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NBUA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Needle biopsy muscle","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"20206","description":"Needle biopsy muscle","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BHXC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Ald fm/dm transmitter ald","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"V5288","description":"Ald fm/dm transmitter ald","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Patients age 75 or older on their initiation of dialysis date","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"M1264","description":"Patients age 75 or older on their initiation of dialysis date","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Implant breast silicone/eq","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"L8600","description":"Implant breast silicone/eq","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Msh6 gene dup/delete variant","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"81300","description":"Msh6 gene dup/delete variant","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-1CGKX","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"1CGKX","description":"HIPPS-1CGKX","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"ADHA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Oncology_ prostate cancer_ mRNA expression assay of 12 genes (10 content and 2 housekeeping)_ RT-PCR test utilizing blood plasma and/or urine_ algorithms to predict high-grade","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0011M","description":"Oncology_ prostate cancer_ mRNA expression assay of 12 genes (10 content and 2 housekeeping)_ RT-PCR test utilizing blood plasma and/or urine_ algorithms to predict high-grade","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KGDC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Xray endovasc thor ao repr","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"75957","description":"Xray endovasc thor ao repr","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Injection_ gadopiclenol_ 1 ml","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"A9573","description":"Injection_ gadopiclenol_ 1 ml","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Transcatheter insertion of permanent dual-chamber leadless pacemaker_ including imaging guidance (eg_ fluoroscopy_ venous ultrasound_ right atrial angiography_ right ventricul","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0796T","description":"Transcatheter insertion of permanent dual-chamber leadless pacemaker_ including imaging guidance (eg_ fluoroscopy_ venous ultrasound_ right atrial angiography_ right ventricul","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-Q4396","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"Q4396","description":"HCPCS-Q4396","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BDEE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-1CGNV","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"1CGNV","description":"HIPPS-1CGNV","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Homedelivered prepared meal","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"S5170","description":"Homedelivered prepared meal","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MFTE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GGLB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-3AGM1","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"3AGM1","description":"HIPPS-3AGM1","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CHCC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Reconstruct finger joint","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"26545","description":"Reconstruct finger joint","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Flunisolide comp unit","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"J7641","description":"Flunisolide comp unit","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GIVA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JALF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Nephrology (diabetic chronic kidney disease [CKD])_ multiplex electrochemiluminescent immunoassay (ECLIA) of soluble tumor necrosis factor receptor 1 (sTNFR1)_ soluble tumor n","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0407U","description":"Nephrology (diabetic chronic kidney disease [CKD])_ multiplex electrochemiluminescent immunoassay (ECLIA) of soluble tumor necrosis factor receptor 1 (sTNFR1)_ soluble tumor n","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"CPT-0680U","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"0680U","description":"CPT-0680U","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-PB205","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"PB205","description":"HIPPS-PB205","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RHL41","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RHL41","description":"HIPPS-RHL41","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CALD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-2CFK2","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"2CFK2","description":"HIPPS-2CFK2","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Drainage of throat abscess","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"42720","description":"Drainage of throat abscess","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FBME0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RHB36","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RHB36","description":"HIPPS-RHB36","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OGED1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Open tx nose & septal fx","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"21335","description":"Open tx nose & septal fx","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OJWA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Rpr fe/e/en/l/m 20.1-30.0 cm","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"12017","description":"Rpr fe/e/en/l/m 20.1-30.0 cm","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Repair leg fascia defect","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"27656","description":"Repair leg fascia defect","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OJPE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Portable 02 contents_ liquid","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"E0444","description":"Portable 02 contents_ liquid","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OBSD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JHLC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Symes ankle w/o (sach) foot","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"L5703","description":"Symes ankle w/o (sach) foot","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-A0401","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"A0401","description":"HCPCS-A0401","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OFUC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Spherocylindr 4.00d/12-2.00d","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"V2103","description":"Spherocylindr 4.00d/12-2.00d","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MJHD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KHIA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-B0604","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"B0604","description":"HCPCS-B0604","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-3BHN1","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"3BHN1","description":"HIPPS-3BHN1","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"IBEB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Art byp grft ipsilat carotid","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"35501","description":"Art byp grft ipsilat carotid","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-4BGK5","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"4BGK5","description":"HIPPS-4BGK5","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Urine specimen collect mult","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"P9615","description":"Urine specimen collect mult","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CFIC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FBTD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CGRB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Chromosome karyotype study","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"88280","description":"Chromosome karyotype study","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Insert card electrodes dual","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"33211","description":"Insert card electrodes dual","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OFBD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GGME1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Electroretinography with interpretation and report","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"92275","description":"Electroretinography with interpretation and report","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"IDIB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"HIYB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KCLB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-PA214","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"PA214","description":"HIPPS-PA214","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Unlisted misc prosthetic ser","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"L8499","description":"Unlisted misc prosthetic ser","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JDEB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Hospital Special Treatment Room Support Component (Hstrsc) Cystoscopy/Transurethral Procedures","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"X0615","description":"Hospital Special Treatment Room Support Component (Hstrsc) Cystoscopy/Transurethral Procedures","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"HGYD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"PLWF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Ther/diag concurrent inf","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"96368","description":"Ther/diag concurrent inf","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Remove spine lamina >2 lmbr","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"63017","description":"Remove spine lamina >2 lmbr","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Shock absorber for power w/c","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"E1016","description":"Shock absorber for power w/c","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GHVF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RUX30","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RUX30","description":"HIPPS-RUX30","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BDPD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"CPT-0522U","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"0522U","description":"CPT-0522U","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BDNE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"LHWC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Insert heyman uteri capsule","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"58346","description":"Insert heyman uteri capsule","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Psychiatric symptoms not assessed_ reason not otherwise specified","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G9743","description":"Psychiatric symptoms not assessed_ reason not otherwise specified","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Repair cleft lip/nasal","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"40700","description":"Repair cleft lip/nasal","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RVL3D","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RVL3D","description":"HIPPS-RVL3D","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Radiation treatment delivery","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G6013","description":"Radiation treatment delivery","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CBFB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Intmd rpr s/tr/ext >30.0 cm","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"12037","description":"Intmd rpr s/tr/ext >30.0 cm","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CEKE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FAJD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Fusion of big toe joint","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"28750","description":"Fusion of big toe joint","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GFYC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KEYE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Assay of gentamicin","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"80170","description":"Assay of gentamicin","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Infectious disease (bacteria_ fungi_ parasites_ and DNA viruses)_ DNA_ PCR and next-generation sequencing_ plasma_ detection of >1_000 potential microbial organisms for signif","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0152U","description":"Infectious disease (bacteria_ fungi_ parasites_ and DNA viruses)_ DNA_ PCR and next-generation sequencing_ plasma_ detection of >1_000 potential microbial organisms for signif","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OJGA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-Q4400","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"Q4400","description":"HCPCS-Q4400","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Peristomal hernia supprt blt","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"A4396","description":"Peristomal hernia supprt blt","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"HIYC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"HASE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-Q4411","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"Q4411","description":"HCPCS-Q4411","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GIOB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Gr24 sealed leadacid battery","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"E2363","description":"Gr24 sealed leadacid battery","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BBGA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MDUC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MJTF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"HDOC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"EHAE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Treat ectopic pregnancy","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"59130","description":"Treat ectopic pregnancy","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BBID1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KGID0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GEQF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Assay of progesterone","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"84144","description":"Assay of progesterone","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"CPT-00546","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"00546","description":"CPT-00546","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GFDD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Assay other fluid chlorides","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"82438","description":"Assay other fluid chlorides","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"AAIA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-PC18E","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"PC18E","description":"HIPPS-PC18E","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Omnicardiogram/cardiointegra","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"S9025","description":"Omnicardiogram/cardiointegra","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"IIDE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Postop ren fail","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G8575","description":"Postop ren fail","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"LDRF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NCVE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-C0303","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"C0303","description":"HCPCS-C0303","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FIDF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-CB18D","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"CB18D","description":"HIPPS-CB18D","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Radiation Therapy For Pancreatic Cancer Under The Radiation Oncology Model_ 90 Day Episode_ Professional Component","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"M1098","description":"Radiation Therapy For Pancreatic Cancer Under The Radiation Oncology Model_ 90 Day Episode_ Professional Component","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-3CHKT","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"3CHKT","description":"HIPPS-3CHKT","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BIAB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-BA113","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"BA113","description":"HIPPS-BA113","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BDAB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-LB18B","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"LB18B","description":"HIPPS-LB18B","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JENB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Ostomy face plate","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"A4361","description":"Ostomy face plate","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GIMA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"PDYA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"PAYA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"IHHD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FIAF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GHUE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GHAC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Mifepristone_ oral_ 200 mg","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"S0190","description":"Mifepristone_ oral_ 200 mg","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Office/outpatient visit est","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"99215","description":"Office/outpatient visit est","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Lumbar sling","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"L1090","description":"Lumbar sling","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Arthrodesis_ sacroiliac joint_ percutaneous_ with image guidance_ including placement of intra-articular implant(s) (eg_ bone allograft[s]_ synthetic device[s])_ without place","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"27278","description":"Arthrodesis_ sacroiliac joint_ percutaneous_ with image guidance_ including placement of intra-articular implant(s) (eg_ bone allograft[s]_ synthetic device[s])_ without place","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Lyme dis dna quant","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"87477","description":"Lyme dis dna quant","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Emer rspns system purchase","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"S5162","description":"Emer rspns system purchase","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"IIHF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MKAF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"AECF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OAWA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Pros sheath/sock w gel cushn","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"L8417","description":"Pros sheath/sock w gel cushn","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KIIB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Below knee surgical stocking","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"A4500","description":"Below knee surgical stocking","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KHMC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"ECMF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JCNF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Hepatitis g dna dir probe","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"87525","description":"Hepatitis g dna dir probe","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-A0201","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"A0201","description":"HCPCS-A0201","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"IHCC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-ES306","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"ES306","description":"HIPPS-ES306","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Embolization protect syst","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"C1884","description":"Embolization protect syst","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Clinical chemistry test","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"84999","description":"Clinical chemistry test","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CBVA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Electroejaculation","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"55870","description":"Electroejaculation","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KEKB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JFVA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"EBMF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Behavioral counseling for diabetes prevention_ distance learning_ 60 minutes","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G9887","description":"Behavioral counseling for diabetes prevention_ distance learning_ 60 minutes","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Retainer Crown 3/4 - Titanium And Titanium Alloys","billing_code_type":"CDT","billing_code_type_version":"2024","billing_code":"D6784","description":"Retainer Crown 3/4 - Titanium And Titanium Alloys","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Clot factor ix ptc/chrstmas","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"85250","description":"Clot factor ix ptc/chrstmas","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Muscle test one limb","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"95860","description":"Muscle test one limb","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"EDAF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Fda approved prescription drug_ only for use as hiv pre-exposure prophylaxis (not for use as treatment of hiv)_ not otherwise classified","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"J0799","description":"Fda approved prescription drug_ only for use as hiv pre-exposure prophylaxis (not for use as treatment of hiv)_ not otherwise classified","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Home visit nb care","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"99502","description":"Home visit nb care","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Non-corrosive finish","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"L2780","description":"Non-corrosive finish","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Treat lower leg bone lesion","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"27607","description":"Treat lower leg bone lesion","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KIJB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Glycosylated acute phase proteins (GlycA)_ nuclear magnetic resonance spectroscopy_ quantitative","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0024U","description":"Glycosylated acute phase proteins (GlycA)_ nuclear magnetic resonance spectroscopy_ quantitative","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Thoracoscopy w/bx med space","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"32606","description":"Thoracoscopy w/bx med space","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Doc med reas no ann srn hcv","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G9384","description":"Doc med reas no ann srn hcv","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Dilate urethra stricture","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"53601","description":"Dilate urethra stricture","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-2BHMX","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"2BHMX","description":"HIPPS-2BHMX","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Self-adher band w>=3in <5in/yd","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"A6454","description":"Self-adher band w>=3in <5in/yd","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BFVA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RHX40","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RHX40","description":"HIPPS-RHX40","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"HAOF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Documented history of renal failure or baseline serum creatinine = 4.0 mg/dl; renal transplant recipients are not considered to have preoperative renal failure_ unless_ since","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G9722","description":"Documented history of renal failure or baseline serum creatinine = 4.0 mg/dl; renal transplant recipients are not considered to have preoperative renal failure_ unless_ since","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Agalsidase beta injection","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"J0180","description":"Agalsidase beta injection","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Hearing loss dup/del analys","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"81431","description":"Hearing loss dup/del analys","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Bed safety enclosure","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"E0316","description":"Bed safety enclosure","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Epidrm autogrft trnk/arm/leg","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"15110","description":"Epidrm autogrft trnk/arm/leg","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CGWE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-PA20B","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"PA20B","description":"HIPPS-PA20B","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Rev/remvl crtd sns dev total","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0269T","description":"Rev/remvl crtd sns dev total","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JDJC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-3BHK1","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"3BHK1","description":"HIPPS-3BHK1","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Tmj manipulation under anest","billing_code_type":"CDT","billing_code_type_version":"2024","billing_code":"D7830","description":"Tmj manipulation under anest","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Crown full cast noble metal","billing_code_type":"CDT","billing_code_type_version":"2024","billing_code":"D2792","description":"Crown full cast noble metal","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CFMD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"EIEA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Doppler color flow add-on","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"93325","description":"Doppler color flow add-on","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"ABIE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Injection_ bevacizumab-bvzr_ biosimilar_ (Zirabev)_ 10 mg","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"Q5118","description":"Injection_ bevacizumab-bvzr_ biosimilar_ (Zirabev)_ 10 mg","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Injection_ tofersen_ 1 mg","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"J1304","description":"Injection_ tofersen_ 1 mg","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-ES206","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"ES206","description":"HIPPS-ES206","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"DESB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"DAYD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-B0504","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"B0504","description":"HCPCS-B0504","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Release of ureter","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"50715","description":"Release of ureter","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JAHD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Fluoroscopic procedure","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"76496","description":"Fluoroscopic procedure","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GDMA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NCIE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CFLA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CIHB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Doc med reas no offer eol","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G9381","description":"Doc med reas no offer eol","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Episodes where the patient had a competing comorbid condition during the 12 months prior to or on the episode date (e.g._ tuberculosis_ neutropenia_ cystic fibrosis_ chronic b","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G2175","description":"Episodes where the patient had a competing comorbid condition during the 12 months prior to or on the episode date (e.g._ tuberculosis_ neutropenia_ cystic fibrosis_ chronic b","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Fats/lipids feces quant","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"82710","description":"Fats/lipids feces quant","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JGBA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Injection_ daratumumab_ 10 mg and hyaluronidase-fihj","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"J9144","description":"Injection_ daratumumab_ 10 mg and hyaluronidase-fihj","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"C motor evoked upr&lwr limbs","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"95939","description":"C motor evoked upr&lwr limbs","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"AAED0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"ABUF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MCMA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OGKB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-HB28F","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"HB28F","description":"HIPPS-HB28F","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FAGB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NEKC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Computed Tomography_ Breast_ Including 3D Rendering_ When Performed_ Bilateral; Without Contrast_ Followed By Contrast Material(S)","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0638T","description":"Computed Tomography_ Breast_ Including 3D Rendering_ When Performed_ Bilateral; Without Contrast_ Followed By Contrast Material(S)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JEPC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"PCQD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MGHF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Exposure behavioral follow-up assessment_ includes physician or other qualified health care professional direction with interpretation and report_ administered by physician or","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0363T","description":"Exposure behavioral follow-up assessment_ includes physician or other qualified health care professional direction with interpretation and report_ administered by physician or","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Removal of bladder lesion","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"51530","description":"Removal of bladder lesion","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"HESA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KGFF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Exc rect tum transanal part","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"45171","description":"Exc rect tum transanal part","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GHHF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Tobacco screening not performed or tobacco cessation intervention not provided during the measurement period or in the six months prior to the measurement period","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"M1313","description":"Tobacco screening not performed or tobacco cessation intervention not provided during the measurement period or in the six months prior to the measurement period","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MEMD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-LE12D","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"LE12D","description":"HIPPS-LE12D","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-B2004","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"B2004","description":"HCPCS-B2004","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Anti-inhibitor","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"J7198","description":"Anti-inhibitor","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GCBA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FBGE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Radiation Therapy For Prostate Cancer Under The Radiation Oncology Model_ 90 Day Episode_ Professional Component","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"M1100","description":"Radiation Therapy For Prostate Cancer Under The Radiation Oncology Model_ 90 Day Episode_ Professional Component","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Explore treat shoulder joint","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"23107","description":"Explore treat shoulder joint","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CHXD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Ceftizoxime sodium / 500 mg","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"J0715","description":"Ceftizoxime sodium / 500 mg","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Doc rehab svcs considered","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"4079F","description":"Doc rehab svcs considered","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BDBB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RHA3D","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RHA3D","description":"HIPPS-RHA3D","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KAPD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-A1403","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"A1403","description":"HCPCS-A1403","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Immunization counseling by a physician or other qualified health care professional for COVID-19_ ages under 21_ 5-15 minutes time (This code is used for the Medicaid EPSDT)","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G0315","description":"Immunization counseling by a physician or other qualified health care professional for COVID-19_ ages under 21_ 5-15 minutes time (This code is used for the Medicaid EPSDT)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JDTA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Ped crit care transport addl","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"99467","description":"Ped crit care transport addl","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Pelv band/spread bar thigh c","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"L1640","description":"Pelv band/spread bar thigh c","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-4BHMV","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"4BHMV","description":"HIPPS-4BHMV","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-3AHN3","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"3AHN3","description":"HIPPS-3AHN3","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-1BFNV","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"1BFNV","description":"HIPPS-1BFNV","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FAUE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Thoracic intern lock elbow","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"L6350","description":"Thoracic intern lock elbow","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Combined anteroposterior colporrhaphy_ including cystourethroscopy_ when performed;","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"57260","description":"Combined anteroposterior colporrhaphy_ including cystourethroscopy_ when performed;","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-1BFPV","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"1BFPV","description":"HIPPS-1BFPV","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Knee arthroscopy/surgery","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"29887","description":"Knee arthroscopy/surgery","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Repair of heart wound","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"33300","description":"Repair of heart wound","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JBPE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"HIQA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RHL13","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RHL13","description":"HIPPS-RHL13","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-2CGM2","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"2CGM2","description":"HIPPS-2CGM2","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Assay carboxyhb quant","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"82375","description":"Assay carboxyhb quant","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Cardiac rehabilitation progr","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"S9472","description":"Cardiac rehabilitation progr","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"EDMB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CFCC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MIMD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FEMF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-HD23A","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"HD23A","description":"HIPPS-HD23A","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Repair great vessels defect","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"33774","description":"Repair great vessels defect","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CGYE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Pt recvd no inhal anesthic","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"4555F","description":"Pt recvd no inhal anesthic","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FDGB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-CB241","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"CB241","description":"HIPPS-CB241","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GGSD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Repair of parastomal hernia_ any approach (ie_ open_ laparoscopic_ robotic)_ initial or recurrent_ including implantation of mesh or other prosthesis_ when performed; reducibl","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"49621","description":"Repair of parastomal hernia_ any approach (ie_ open_ laparoscopic_ robotic)_ initial or recurrent_ including implantation of mesh or other prosthesis_ when performed; reducibl","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"ODEC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Gingival flap proc w/ planin","billing_code_type":"CDT","billing_code_type_version":"2024","billing_code":"D4240","description":"Gingival flap proc w/ planin","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Biopsy soft tissue of back","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"21925","description":"Biopsy soft tissue of back","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KENA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"ABCF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HH PDGM","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"1IA21","description":"HH PDGM","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Endovaginal Cryogen-Cooled_ Monopolar Radiofrequency Remodeling Of The Tissues Surrounding The Female Bladder Neck And Proximal Urethra For Urinary Incontinence","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0672T","description":"Endovaginal Cryogen-Cooled_ Monopolar Radiofrequency Remodeling Of The Tissues Surrounding The Female Bladder Neck And Proximal Urethra For Urinary Incontinence","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"X-ray exam of jaw <4views","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"70100","description":"X-ray exam of jaw <4views","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BCBE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KBRB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GFDA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"HHQF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Open axillary/subclavian artery exposure for delivery of endovascular prosthesis by infraclavicular or supraclavicular incision_ unilateral (List separately in addition to cod","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"34715","description":"Open axillary/subclavian artery exposure for delivery of endovascular prosthesis by infraclavicular or supraclavicular incision_ unilateral (List separately in addition to cod","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CHWF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NLAB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GAPA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CCEE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MKAA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OCTE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GFTC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"LGSC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CBKC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RMA25","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RMA25","description":"HIPPS-RMA25","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Repair arterial blockage","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"35475","description":"Repair arterial blockage","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Treatment of ankle fracture","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"27786","description":"Treatment of ankle fracture","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Pov group 1 hd 301-450 lbs","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"K0801","description":"Pov group 1 hd 301-450 lbs","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BAMB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Phoenix wound matrix_ per sq cm","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"A2015","description":"Phoenix wound matrix_ per sq cm","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Composite byp grft 2 veins","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"35682","description":"Composite byp grft 2 veins","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Anterior","billing_code_type":"CDT","billing_code_type_version":"2024","billing_code":"D3310","description":"Anterior","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BEPE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Clot factor xii hageman","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"85280","description":"Clot factor xii hageman","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KHPE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HH PDGM","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"4KA21","description":"HH PDGM","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FGJC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Cardiac MRI for morph","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"75557","description":"Cardiac MRI for morph","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Strapping of shoulder","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"29240","description":"Strapping of shoulder","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-PE225","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"PE225","description":"HIPPS-PE225","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OHEC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NEAF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"IACA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"DHRC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BHHE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BEVD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GHRF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Duplex Scan Of Arterial Inflow And Venous Outflow For Preoperative Vessel Assessment Prior To Creation Of Hemodialysis Access; Complete Unilateral Study","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"93986","description":"Duplex Scan Of Arterial Inflow And Venous Outflow For Preoperative Vessel Assessment Prior To Creation Of Hemodialysis Access; Complete Unilateral Study","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HH PDGM","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"4CA11","description":"HH PDGM","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Implant mandible for augment","billing_code_type":"CDT","billing_code_type_version":"2024","billing_code":"D7996","description":"Implant mandible for augment","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-B0803","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"B0803","description":"HCPCS-B0803","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Incise inner eye adhesions","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"65880","description":"Incise inner eye adhesions","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FBIB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"AHIE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"EFIB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CBSA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Remove vagina lesion","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"57130","description":"Remove vagina lesion","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"LESB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Radiation therapy dose plan","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"77300","description":"Radiation therapy dose plan","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"CPT-1078T","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"1078T","description":"CPT-1078T","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Injection_ alfentanil hydrochloride_ 500 micrograms","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"J0216","description":"Injection_ alfentanil hydrochloride_ 500 micrograms","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Hocm 150-199mg/ml iodine_1ml","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"Q9959","description":"Hocm 150-199mg/ml iodine_1ml","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Meperidine/promethazine inj","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"J2180","description":"Meperidine/promethazine inj","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MHTC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"DGYC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RMB55","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RMB55","description":"HIPPS-RMB55","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KEXB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Glycopyrrolate comp con","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"J7642","description":"Glycopyrrolate comp con","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Repair shoulder capsule","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"23450","description":"Repair shoulder capsule","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Skn splt a-grft fac/nck/hf/g","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"15120","description":"Skn splt a-grft fac/nck/hf/g","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MFHA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OLAC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Colonic lavage_ 35 or more liters of water_ gravity-fed_ with induced defecation_ including insertion of rectal catheter","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0736T","description":"Colonic lavage_ 35 or more liters of water_ gravity-fed_ with induced defecation_ including insertion of rectal catheter","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-ES116","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"ES116","description":"HIPPS-ES116","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OJUE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Nasal/sinus endoscopy_ surgical; with destruction by cryoablation_ posterior nasal nerve","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"31243","description":"Nasal/sinus endoscopy_ surgical; with destruction by cryoablation_ posterior nasal nerve","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Crgvr prov w/ ed addl rsrcs","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"4322F","description":"Crgvr prov w/ ed addl rsrcs","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Polycarb lens","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"S0580","description":"Polycarb lens","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Revise middle ear & mastoid","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"69641","description":"Revise middle ear & mastoid","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"LFQB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Hemipelvect canad sing axis","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"L5280","description":"Hemipelvect canad sing axis","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Rebuild eardrum structures","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"69637","description":"Rebuild eardrum structures","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Rpr f/e/e/n/l/m 5.1-7.5 cm","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"12014","description":"Rpr f/e/e/n/l/m 5.1-7.5 cm","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Inject spine w/cath lmb/scrl","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"62319","description":"Inject spine w/cath lmb/scrl","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"CPT-92639","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"92639","description":"CPT-92639","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KFLE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Restorigin_ 1 cc","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"Q4192","description":"Restorigin_ 1 cc","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-LB250","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"LB250","description":"HIPPS-LB250","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KHOC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NLKF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Hyperthermia treatment","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"77610","description":"Hyperthermia treatment","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Plaelet rich plasma unit","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"P9020","description":"Plaelet rich plasma unit","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"MYD88 (myeloid differentiation primary response 88) (eg_ Waldenstrom_s macroglobulinemia_ lymphoplasmacytic leukemia) gene analysis_ p.Leu265Pro (L265P) variant","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"81305","description":"MYD88 (myeloid differentiation primary response 88) (eg_ Waldenstrom_s macroglobulinemia_ lymphoplasmacytic leukemia) gene analysis_ p.Leu265Pro (L265P) variant","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CGXD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RHC30","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RHC30","description":"HIPPS-RHC30","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Lens sphcy bifocal 4.25-7/4.","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"V2209","description":"Lens sphcy bifocal 4.25-7/4.","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Incision of gallbladder","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"47480","description":"Incision of gallbladder","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FEHE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-4CFKX","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"4CFKX","description":"HIPPS-4CFKX","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KDRE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MIHE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BAPA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"HDYE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RMB8H","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RMB8H","description":"HIPPS-RMB8H","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"AICD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"IGEF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Implt/rpl crtd sns dev total","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0266T","description":"Implt/rpl crtd sns dev total","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-PE201","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"PE201","description":"HIPPS-PE201","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BETB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"ODHD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JDGF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-HE131","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"HE131","description":"HIPPS-HE131","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Exc neck les sc 3 cm/>","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"21552","description":"Exc neck les sc 3 cm/>","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Remove wrist/forearm lesion","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"25116","description":"Remove wrist/forearm lesion","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Removal of tongue","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"41140","description":"Removal of tongue","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Th/wght bear nar m-l brim mo","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"L2525","description":"Th/wght bear nar m-l brim mo","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"IFEA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Gradient compression garment_ bra_ for nighttime use_ custom_ each","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"A6529","description":"Gradient compression garment_ bra_ for nighttime use_ custom_ each","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Zenith Amniotic Membrane_ per sq cm","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"Q4253","description":"Zenith Amniotic Membrane_ per sq cm","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OLPF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Lo rig pos pnl l1-l5 pre ots","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"L0641","description":"Lo rig pos pnl l1-l5 pre ots","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-LD13D","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"LD13D","description":"HIPPS-LD13D","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Drainable plstic pch w/o fp","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"A4377","description":"Drainable plstic pch w/o fp","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Anesth low intestine scope","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"81051","description":"Anesth low intestine scope","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CGBC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"CPT-1045T","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"1045T","description":"CPT-1045T","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"EDUA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Injection_ risankizumab-rzaa_ intravenous_ 1 mg","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"J2327","description":"Injection_ risankizumab-rzaa_ intravenous_ 1 mg","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Urine incon plan docd","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0509F","description":"Urine incon plan docd","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"HCWB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Foam caster tire","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"E2389","description":"Foam caster tire","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-M1498","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"M1498","description":"HCPCS-M1498","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"DEQC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CDPE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MEID1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Injection_ romidepsin_ lyophilized_ 0.1 mg","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"J9319","description":"Injection_ romidepsin_ lyophilized_ 0.1 mg","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-CC13A","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"CC13A","description":"HIPPS-CC13A","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Transthor cath for stent","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"33621","description":"Transthor cath for stent","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GHWE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OCBD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JFHC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KHYB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"ATN1 (atrophin 1) (eg_ dentatorubral-pallidoluysian atrophy) gene analysis_ evaluation to detect abnormal (eg_ expanded) alleles","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"81177","description":"ATN1 (atrophin 1) (eg_ dentatorubral-pallidoluysian atrophy) gene analysis_ evaluation to detect abnormal (eg_ expanded) alleles","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Patients who had follow-up assessment 30 to 180 days after the index assessment who did not demonstrate positive improvement or maintenance of functioning scores during the pe","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"M1338","description":"Patients who had follow-up assessment 30 to 180 days after the index assessment who did not demonstrate positive improvement or maintenance of functioning scores during the pe","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OIRC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Ultrasound therapy","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"97035","description":"Ultrasound therapy","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NGNA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Injection_ omadacycline_ 1mg","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"C9051","description":"Injection_ omadacycline_ 1mg","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NCKD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"AFEA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Modification of contact lens","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"92325","description":"Modification of contact lens","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BFKA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KFKF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MBDF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BCTD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-1AHN6","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"1AHN6","description":"HIPPS-1AHN6","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NCEA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KIIF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BDJE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-J0654","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"J0654","description":"HCPCS-J0654","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RLA33","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RLA33","description":"HIPPS-RLA33","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FBTE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Repair cleft lip/nasal","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"40761","description":"Repair cleft lip/nasal","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Pwr seat combo w/o shear","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"E1006","description":"Pwr seat combo w/o shear","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JDVE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RUC4B","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RUC4B","description":"HIPPS-RUC4B","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Insulin cartridge 150 u","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"S5565","description":"Insulin cartridge 150 u","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KEQC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BDFE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Inject/treat eye socket","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"67500","description":"Inject/treat eye socket","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MCAB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JCPD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KHWA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FBEF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-CB13A","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"CB13A","description":"HIPPS-CB13A","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Ultraviolet therapy","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"97028","description":"Ultraviolet therapy","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Insertion of cannula(s)","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"36823","description":"Insertion of cannula(s)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Single transfer toe-hand","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"26553","description":"Single transfer toe-hand","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Below knee cuff suspension","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"L5666","description":"Below knee cuff suspension","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OGWE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"AFIA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KBFF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KIGE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Bridge porcelain nobel metal","billing_code_type":"CDT","billing_code_type_version":"2024","billing_code":"D6242","description":"Bridge porcelain nobel metal","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"CPT-1042T","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"1042T","description":"CPT-1042T","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JGJD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-HB18H","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"HB18H","description":"HIPPS-HB18H","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"IBLE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Resect hip tumor","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"27075","description":"Resect hip tumor","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Injection_ aripiprazole lauroxil_ (aristada)_ 1 mg","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"J1944","description":"Injection_ aripiprazole lauroxil_ (aristada)_ 1 mg","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Flexible metal hinge pair","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"L6610","description":"Flexible metal hinge pair","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-3CHN3","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"3CHN3","description":"HIPPS-3CHN3","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CBFE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-A2032","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"A2032","description":"HCPCS-A2032","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Tracheostoma valve w diaphra","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"A7501","description":"Tracheostoma valve w diaphra","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-HB13A","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"HB13A","description":"HIPPS-HB13A","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-CE28C","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"CE28C","description":"HIPPS-CE28C","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Nk cells total count","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"86357","description":"Nk cells total count","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Treat foot dislocation","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"28606","description":"Treat foot dislocation","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"EEBB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-CA28I","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"CA28I","description":"HIPPS-CA28I","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"EBUE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OGHE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-4AGLW","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"4AGLW","description":"HIPPS-4AGLW","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GFYA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MBIF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JBAA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GADD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-HE206","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"HE206","description":"HIPPS-HE206","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BBUB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FBCD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OLXA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-M1422","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"M1422","description":"HCPCS-M1422","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-LD213","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"LD213","description":"HIPPS-LD213","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BHJB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Transverse aortic arch graft","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"33870","description":"Transverse aortic arch graft","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Treat hip dislocation","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"27257","description":"Treat hip dislocation","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OKGB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BABF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"MRI w/cont_ breast_  uni","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"C8903","description":"MRI w/cont_ breast_  uni","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NCUC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Drainage mouth roof lesion","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"42000","description":"Drainage mouth roof lesion","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NFTD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-HD12C","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"HD12C","description":"HIPPS-HD12C","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"AGTD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CHGA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RML8B","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RML8B","description":"HIPPS-RML8B","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CDWE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Ct orbit/ear/fossa w/dye","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"70481","description":"Ct orbit/ear/fossa w/dye","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"CPT-00102","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"00102","description":"CPT-00102","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KHWF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"EAME0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Injection_ glycopyrrolate_ 0.1 mg","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"J1596","description":"Injection_ glycopyrrolate_ 0.1 mg","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Incise bile duct sphincter","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"47460","description":"Incise bile duct sphincter","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Clin symp vol ovrld assess","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"1004F","description":"Clin symp vol ovrld assess","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NEVE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Cystoscopy and treatment","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"52265","description":"Cystoscopy and treatment","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FAHB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OKQA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FHIB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Patient And/Or Care Partner Decline Referral","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G0041","description":"Patient And/Or Care Partner Decline Referral","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-J7526","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"J7526","description":"HCPCS-J7526","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GIMC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RLB4A","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RLB4A","description":"HIPPS-RLB4A","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GGAC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MBDD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Trim skin lesions 2 to 4","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"11056","description":"Trim skin lesions 2 to 4","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Removal of kidney lesion","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"50280","description":"Removal of kidney lesion","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Automatic ext defibrillator","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"E0617","description":"Automatic ext defibrillator","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Exploration behind abdomen","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"49010","description":"Exploration behind abdomen","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Chromatogram assay sugars","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"84375","description":"Chromatogram assay sugars","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JABD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"HFOC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MAIB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CCSA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Apply bone fixation device","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"20690","description":"Apply bone fixation device","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KGSA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-ES314","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"ES314","description":"HIPPS-ES314","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BBMD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BEKE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"IFLB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Home phototherapy visit","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"S9098","description":"Home phototherapy visit","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-3AGLV","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"3AGLV","description":"HIPPS-3AGLV","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"LFRB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KIME1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FDXE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"DDOD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"IMM ADMN SARSCOV2 BIVALENT 50 MCG/0.5 ML ADDL","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0134A","description":"IMM ADMN SARSCOV2 BIVALENT 50 MCG/0.5 ML ADDL","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FCBC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KILA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Fun stat score hip >= 0","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G8651","description":"Fun stat score hip >= 0","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HH PDGM","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"2DC11","description":"HH PDGM","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JHDD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OKGE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Chemotherapy unspecified","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"96549","description":"Chemotherapy unspecified","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-PC21C","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"PC21C","description":"HIPPS-PC21C","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Bx of cervix w/scope leep","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"57460","description":"Bx of cervix w/scope leep","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JDHB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-PE126","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"PE126","description":"HIPPS-PE126","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Psychosis_ Depression_ Anxiety_ Apathy_ And Impulse Control Disorder Assessed","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G2121","description":"Psychosis_ Depression_ Anxiety_ Apathy_ And Impulse Control Disorder Assessed","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"EFMF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GDJD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Repair of web finger","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"26560","description":"Repair of web finger","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-ES221","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"ES221","description":"HIPPS-ES221","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"HFQB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"DBSE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Patient admitted for performance of elective carotid intervention","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G9689","description":"Patient admitted for performance of elective carotid intervention","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Diagnostic sigmoidoscopy","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"45330","description":"Diagnostic sigmoidoscopy","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OCFD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Electrophysiologic study","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"93624","description":"Electrophysiologic study","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Electronic analysis with simple programming of implanted integrated neurostimulation system (eg_ electrode array and receiver)_ including contact group(s)_ amplitude_ pulse wi","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0788T","description":"Electronic analysis with simple programming of implanted integrated neurostimulation system (eg_ electrode array and receiver)_ including contact group(s)_ amplitude_ pulse wi","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Chore services per diem","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"S5121","description":"Chore services per diem","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KEVD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FCJE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Alginate dressing <=16 sq in","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"A6196","description":"Alginate dressing <=16 sq in","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"ICIA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Treatment of miscarriage","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"59812","description":"Treatment of miscarriage","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KDYB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Supported employ_ per diem","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"H2024","description":"Supported employ_ per diem","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FGPA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GBVB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NJBA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OAVB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-1CHM1","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"1CHM1","description":"HIPPS-1CHM1","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Medication Assisted Treatment_ Buprenorphine (Implant Removal); Weekly Bundle Including Dispensing And/Or Administration_ Substance Use Counseling_ Individual And Group Therap","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G2071","description":"Medication Assisted Treatment_ Buprenorphine (Implant Removal); Weekly Bundle Including Dispensing And/Or Administration_ Substance Use Counseling_ Individual And Group Therap","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GBAC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Remove foreign body from eye","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"65222","description":"Remove foreign body from eye","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KIWB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Augmentative AI-based facial phenotype analysis with report","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0731T","description":"Augmentative AI-based facial phenotype analysis with report","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-CA12C","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"CA12C","description":"HIPPS-CA12C","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MJTC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KIYA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Interrogation and programming of implanted phrenic nerve stimulator system during polysomnography","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"93152","description":"Interrogation and programming of implanted phrenic nerve stimulator system during polysomnography","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Immunization administration by intramuscular injection of severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) (coronavirus disease [COVID-19]) vaccine_ mRNA-LNP_ spik","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0141A","description":"Immunization administration by intramuscular injection of severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) (coronavirus disease [COVID-19]) vaccine_ mRNA-LNP_ spik","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FCUB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-B1902","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"B1902","description":"HCPCS-B1902","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JDFB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"DIYF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RVB30","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RVB30","description":"HIPPS-RVB30","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Explore/treat ankle joint","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"27610","description":"Explore/treat ankle joint","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MCMF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Fusion of big toe joint","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"28760","description":"Fusion of big toe joint","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GCDD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"No card tamp e/in 30d","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G9409","description":"No card tamp e/in 30d","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Tlh uterus 250 g or less","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"58570","description":"Tlh uterus 250 g or less","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"EBUB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-J9003","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"J9003","description":"HCPCS-J9003","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"EBLA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-BA204","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"BA204","description":"HIPPS-BA204","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KDMC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-BA11B","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"BA11B","description":"HIPPS-BA11B","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Kras gene variants exon 2","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"81275","description":"Kras gene variants exon 2","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"I131 max 100uci","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"A9531","description":"I131 max 100uci","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Neoxflo or clarixflo 1 mg","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"Q4155","description":"Neoxflo or clarixflo 1 mg","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NITD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BEGD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Limited dental tx transition","billing_code_type":"CDT","billing_code_type_version":"2024","billing_code":"D8020","description":"Limited dental tx transition","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NCLE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NHDE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-1AHP2","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"1AHP2","description":"HIPPS-1AHP2","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"HDOB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MCED1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NLVD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Revise middle ear & mastoid","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"69645","description":"Revise middle ear & mastoid","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"X-rays at surgery add-on","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"74301","description":"X-rays at surgery add-on","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BGJB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Create tear duct drain","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"68745","description":"Create tear duct drain","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Flurazepam","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G6051","description":"Flurazepam","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OAFF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OLHF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JAAA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Srs spinal lesion","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"63620","description":"Srs spinal lesion","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BBMF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"X-linked intellectual dblt","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"81471","description":"X-linked intellectual dblt","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NGPF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JGBC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BIVC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RVA4A","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RVA4A","description":"HIPPS-RVA4A","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KBMD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Reposition pacing-defib lead","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"33215","description":"Reposition pacing-defib lead","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Pathology Clinical Consultation; Prolonged Service_ Each Additional 30 Minutes (List Separately In Addition To Code For Primary Procedure)","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"80506","description":"Pathology Clinical Consultation; Prolonged Service_ Each Additional 30 Minutes (List Separately In Addition To Code For Primary Procedure)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GDUD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Drug metabolism or processing (multiple conditions)_ whole blood or buccal specimen_ DNA analysis_ 27 gene report_ with variant analysis_ including reported phenotypes and imp","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0349U","description":"Drug metabolism or processing (multiple conditions)_ whole blood or buccal specimen_ DNA analysis_ 27 gene report_ with variant analysis_ including reported phenotypes and imp","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Metabolic panel ionized ca","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"80047","description":"Metabolic panel ionized ca","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NAHB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Ambulatory continuous glucose monitoring of interstitial tissue fluid via a subcutaneous sensor for a minimum of 72 hours; analysis_ interpretation and report","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"95251","description":"Ambulatory continuous glucose monitoring of interstitial tissue fluid via a subcutaneous sensor for a minimum of 72 hours; analysis_ interpretation and report","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"ADBB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Virtual reality cognitive behavioral therapy device (cbt)_ including pre-programmed therapy software","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"E1905","description":"Virtual reality cognitive behavioral therapy device (cbt)_ including pre-programmed therapy software","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KADF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Sgd accessory noc","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"E2599","description":"Sgd accessory noc","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Prepare heart-aorta conduit","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"33404","description":"Prepare heart-aorta conduit","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CBQC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"HFRF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Exc tr-ext b9+marg 0.6-1 cm","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"11401","description":"Exc tr-ext b9+marg 0.6-1 cm","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Rechanneling of artery","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"35371","description":"Rechanneling of artery","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"ECLB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CDLE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CCUC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CCQB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Add pwr tiller","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"E0984","description":"Add pwr tiller","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Repair rotator cuff chronic","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"23412","description":"Repair rotator cuff chronic","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FCVF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KAKB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OGOD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"At least 1 body temperature measurement equal to or greater than 35.5 degrees celsius (or 95.9 degrees fahrenheit) achieved within the 30 minutes immediately before or the 15","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G9771","description":"At least 1 body temperature measurement equal to or greater than 35.5 degrees celsius (or 95.9 degrees fahrenheit) achieved within the 30 minutes immediately before or the 15","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BGMB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Dispos cont lens","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"S0500","description":"Dispos cont lens","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Transport chair pt wt >300lb","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"E1039","description":"Transport chair pt wt >300lb","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Postop dress & 1 cast chg bk","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"L5400","description":"Postop dress & 1 cast chg bk","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Fr frz plasma donor retested","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"P9060","description":"Fr frz plasma donor retested","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-J0281","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"J0281","description":"HCPCS-J0281","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Removal of kidney stone","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"50075","description":"Removal of kidney stone","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KAYC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"ODGE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Patient had one or less emergency department visits in the last 30 days of life","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G9851","description":"Patient had one or less emergency department visits in the last 30 days of life","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-CB25B","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"CB25B","description":"HIPPS-CB25B","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-2AGMX","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"2AGMX","description":"HIPPS-2AGMX","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BGIA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MHDA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-C8006","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"C8006","description":"HCPCS-C8006","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-PE214","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"PE214","description":"HIPPS-PE214","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JIXE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-PE104","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"PE104","description":"HIPPS-PE104","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BEUC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CGCD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-3BFL2","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"3BFL2","description":"HIPPS-3BFL2","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GCOF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Chest compression gen system","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"E0483","description":"Chest compression gen system","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Blood type antigen donor ea","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"86902","description":"Blood type antigen donor ea","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-PA14D","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"PA14D","description":"HIPPS-PA14D","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"CPT-01214","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"01214","description":"CPT-01214","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Evaluate pt use of inhaler","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"94664","description":"Evaluate pt use of inhaler","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FCGB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Intraoperative epicardial cardiac ultrasound (ie_ echocardiography) for congenital heart disease_ diagnostic; placement_ manipulation of transducer_ and image acquisition only","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"76988","description":"Intraoperative epicardial cardiac ultrasound (ie_ echocardiography) for congenital heart disease_ diagnostic; placement_ manipulation of transducer_ and image acquisition only","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KFKF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Electron microscopy diagnost","billing_code_type":"CDT","billing_code_type_version":"2024","billing_code":"D0481","description":"Electron microscopy diagnost","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"PDRA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Up ext fx orthos humeral nos","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"L3980","description":"Up ext fx orthos humeral nos","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Hit antibiotic q6h diem","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"S9503","description":"Hit antibiotic q6h diem","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Osteopath manj 9-10 regions","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"98929","description":"Osteopath manj 9-10 regions","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BHJB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FIUB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Injection_ leuprolide acetate for depot suspension (lutrate)_ 7.5 mg","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"J1954","description":"Injection_ leuprolide acetate for depot suspension (lutrate)_ 7.5 mg","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Residential Habilitation 4-8 Supp 1:1","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"W0103","description":"Residential Habilitation 4-8 Supp 1:1","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BHPB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CECE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"PFRA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OIWC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Repair lead pace-defib one","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"33218","description":"Repair lead pace-defib one","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BGGC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Lactate (ld) (ldh) enzyme","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"83615","description":"Lactate (ld) (ldh) enzyme","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Laparo ligate spermatic vein","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"55550","description":"Laparo ligate spermatic vein","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FGVA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-B1705","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"B1705","description":"HCPCS-B1705","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MFBF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Revise/graft eyelid lining","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"68335","description":"Revise/graft eyelid lining","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-2BFMV","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"2BFMV","description":"HIPPS-2BFMV","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OHRA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-C8000","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"C8000","description":"HCPCS-C8000","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Measure venous pressure","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"93770","description":"Measure venous pressure","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Revision of finger","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"26499","description":"Revision of finger","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Pharmacist at hospice","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G9479","description":"Pharmacist at hospice","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OHWB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RVL1C","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RVL1C","description":"HIPPS-RVL1C","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Melphalan oral 2 mg","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"J8600","description":"Melphalan oral 2 mg","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JHBB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Gradient compression garment_ lower leg and foot_ padded_ for nighttime use_ each","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"A6524","description":"Gradient compression garment_ lower leg and foot_ padded_ for nighttime use_ each","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MGUC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KAIF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Injection_ cabazitaxel (Sandoz)_ not therapeutically equivalent to J9043_ 1 mg","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"J9064","description":"Injection_ cabazitaxel (Sandoz)_ not therapeutically equivalent to J9043_ 1 mg","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MKUC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RHX51","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RHX51","description":"HIPPS-RHX51","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MDDA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Hiv tstng asked/docd/revwd","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"3292F","description":"Hiv tstng asked/docd/revwd","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NIFB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"ODAF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KGTC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"CPT-0528U","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"0528U","description":"CPT-0528U","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JHMF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"N block inj sciatic sng","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"64445","description":"N block inj sciatic sng","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Detach adjust armrest base","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"K0017","description":"Detach adjust armrest base","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HH PDGM","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"2HB31","description":"HH PDGM","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NCTA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-1BGK5","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"1BGK5","description":"HIPPS-1BGK5","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-A4479","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"A4479","description":"HCPCS-A4479","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CEQE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Myringotomy laser-assist","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"S2225","description":"Myringotomy laser-assist","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Tissue culture bone marrow","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"88237","description":"Tissue culture bone marrow","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RHL0D","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RHL0D","description":"HIPPS-RHL0D","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"ECIC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"ODCC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MKUF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Adjust finger ext/flex devc","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"E1825","description":"Adjust finger ext/flex devc","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"ABBA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GBSD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"IIEE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Pulp vitality test","billing_code_type":"CDT","billing_code_type_version":"2024","billing_code":"D0460","description":"Pulp vitality test","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-2AHM4","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"2AHM4","description":"HIPPS-2AHM4","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Electric heat pad moist","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"E0215","description":"Electric heat pad moist","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FIPA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-ES341","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"ES341","description":"HIPPS-ES341","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Pessary rubber_ any type","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"A4561","description":"Pessary rubber_ any type","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Albumin; urine (eg_ microalbumin)_ quantitative","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"82043","description":"Albumin; urine (eg_ microalbumin)_ quantitative","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GERD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OKVB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KIVC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RHL16","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RHL16","description":"HIPPS-RHL16","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JHTE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Prolonged nursing facility evaluation and management service(s) beyond the  total time for the primary service (when the primary service has been selected using time on the da","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G0317","description":"Prolonged nursing facility evaluation and management service(s) beyond the  total time for the primary service (when the primary service has been selected using time on the da","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"ADIA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Ablate atria w/bypass add-on","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"33259","description":"Ablate atria w/bypass add-on","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GHCD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"EFEF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KCCB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-2AHKW","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"2AHKW","description":"HIPPS-2AHKW","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OCOC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MGBB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-1CGK1","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"1CGK1","description":"HIPPS-1CGK1","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Insertion or replacement of a permanently implantable aortic counterpulsation ventricular assist system_ endovascular approach_ and programming of sensing and therapeutic para","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0453T","description":"Insertion or replacement of a permanently implantable aortic counterpulsation ventricular assist system_ endovascular approach_ and programming of sensing and therapeutic para","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Office/outpatient visit new","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"99201","description":"Office/outpatient visit new","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Tumor immunohistochem/manual","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"88360","description":"Tumor immunohistochem/manual","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"EEBE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RLA0D","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RLA0D","description":"HIPPS-RLA0D","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CDDD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GEWF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Eeg monitoring/giving drugs","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"95954","description":"Eeg monitoring/giving drugs","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OAJD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"IDMA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NIFD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Heat quant sensory test","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0109T","description":"Heat quant sensory test","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OKWD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Patient had anaphylaxis due to the pneumococcal vaccine any time during or before the measurement period","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"M1155","description":"Patient had anaphylaxis due to the pneumococcal vaccine any time during or before the measurement period","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-PD28D","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"PD28D","description":"HIPPS-PD28D","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Fit spectacles multifocal","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"92342","description":"Fit spectacles multifocal","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Lefort i-3/> piece w/o graft","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"21143","description":"Lefort i-3/> piece w/o graft","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FBCE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Iron stain peripheral blood","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"85536","description":"Iron stain peripheral blood","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Distal transcutaneous electrical nerve stimulator_ stimulates peripheral nerves of the upper arm","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"A4540","description":"Distal transcutaneous electrical nerve stimulator_ stimulates peripheral nerves of the upper arm","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NCMF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-4BGMW","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"4BGMW","description":"HIPPS-4BGMW","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Treat ulnar fracture","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"24675","description":"Treat ulnar fracture","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Intraop cyst eval not done","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G9608","description":"Intraop cyst eval not done","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JIEC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Mdd mild","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"3088F","description":"Mdd mild","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CIQD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-HB213","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"HB213","description":"HIPPS-HB213","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"CPT-1004T","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"1004T","description":"CPT-1004T","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-PC126","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"PC126","description":"HIPPS-PC126","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Particle agglut antbdy scrn","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"86403","description":"Particle agglut antbdy scrn","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"IDEF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Brain biopsy w/ct/mr guide","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"61751","description":"Brain biopsy w/ct/mr guide","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FENF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-PC215","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"PC215","description":"HIPPS-PC215","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Dry pressure mattress","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"E0184","description":"Dry pressure mattress","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Art byp grft aortoiliac","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"35537","description":"Art byp grft aortoiliac","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"LGRE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CGIF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Treat thigh fx growth plate","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"27519","description":"Treat thigh fx growth plate","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-PE144","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"PE144","description":"HIPPS-PE144","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Phleb veins - extrem 20+","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"37766","description":"Phleb veins - extrem 20+","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Vasc graft into carpal bone","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"25430","description":"Vasc graft into carpal bone","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GFRB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BHTF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Head surgery procedure","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"21499","description":"Head surgery procedure","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FBJF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KCTE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NBBC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-1AGM1","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"1AGM1","description":"HIPPS-1AGM1","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"ACCC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"IAAD IA HIV-1 AG W/HIV-1 & HIV-2 ANTBDY SINGLE","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"87389","description":"IAAD IA HIV-1 AG W/HIV-1 & HIV-2 ANTBDY SINGLE","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-5AFKW","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"5AFKW","description":"HIPPS-5AFKW","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Infratemporal approach/skull","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"61591","description":"Infratemporal approach/skull","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CHJE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Als routine disposble suppls","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"A0398","description":"Als routine disposble suppls","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"DGSE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BFVF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Artery expos/graft artery","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"33987","description":"Artery expos/graft artery","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KCKE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"ODAA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Bronchial allergy tests","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"95071","description":"Bronchial allergy tests","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Exc tr-ext mal+marg 1.1-2 cm","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"11602","description":"Exc tr-ext mal+marg 1.1-2 cm","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KECD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RHL52","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RHL52","description":"HIPPS-RHL52","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Ant fusion 8/> vert seg","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"22812","description":"Ant fusion 8/> vert seg","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"PBOD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GBDE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OAAB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Transcatheter tricuspid valve implantation/replacement (TTVI) with prosthetic valve_ percutaneous approach_ including right heart catheterization_ temporary pacemaker insertio","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0646T","description":"Transcatheter tricuspid valve implantation/replacement (TTVI) with prosthetic valve_ percutaneous approach_ including right heart catheterization_ temporary pacemaker insertio","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FCXF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Pertussis ag if","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"87265","description":"Pertussis ag if","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"IFDF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"DHYD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CBUA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OEHA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OHTC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RMA40","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RMA40","description":"HIPPS-RMA40","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Colpopexy_ vaginal; minimally invasive extra-peritoneal approach (sacrospinous)","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"C9778","description":"Colpopexy_ vaginal; minimally invasive extra-peritoneal approach (sacrospinous)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Remove tendon sheath lesion","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"26160","description":"Remove tendon sheath lesion","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CBWE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"HGOE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-PC23A","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"PC23A","description":"HIPPS-PC23A","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"DBWE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"No tpa init w/in 3 hrs","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G8602","description":"No tpa init w/in 3 hrs","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BEFF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Injection_ cabotegravir and rilpivirine_ 2mg/3mg","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"C9077","description":"Injection_ cabotegravir and rilpivirine_ 2mg/3mg","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CIYD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KHRE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KCQF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KGHF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Treat spine fracture","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"22325","description":"Treat spine fracture","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Anesthesia for procedures on external_ middle_ and inner ear including biop","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0117U","description":"Anesthesia for procedures on external_ middle_ and inner ear including biop","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"ACCE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RVA23","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RVA23","description":"HIPPS-RVA23","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FIBD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"ODPD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JCGB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CHVE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FFGB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BDNE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RMA46","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RMA46","description":"HIPPS-RMA46","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CDKB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GCEE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Computer-aided detection_ including computer algorithm analysis of MRI image data for lesion detection/characterization_ pharmacokinetic analysis_ with further physician revie","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0159T","description":"Computer-aided detection_ including computer algorithm analysis of MRI image data for lesion detection/characterization_ pharmacokinetic analysis_ with further physician revie","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Patients who were admitted to a skilled nursing facility (snf) within one year of dialysis initiation according to the cms-2728 form","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"M1273","description":"Patients who were admitted to a skilled nursing facility (snf) within one year of dialysis initiation according to the cms-2728 form","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Psychological testing evaluation services by physician or other qualified health care professional_ including integration of patient data_ interpretation of standardized test","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"96130","description":"Psychological testing evaluation services by physician or other qualified health care professional_ including integration of patient data_ interpretation of standardized test","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Wbc alkaline phosphatase","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"85540","description":"Wbc alkaline phosphatase","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"DI GNOTYP SLC4A1 EXON 19","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0183U","description":"DI GNOTYP SLC4A1 EXON 19","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Mammo result com to pt 5 day","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"5062F","description":"Mammo result com to pt 5 day","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Introduction of intracatheter or catheter into renal pelvis for drainag and/or injection_ percutaneous","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"50392","description":"Introduction of intracatheter or catheter into renal pelvis for drainag and/or injection_ percutaneous","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Repair nose to lip fistula","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"42260","description":"Repair nose to lip fistula","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Percutaneous transluminal coronary lithotripsy (List separately in addition to code for primary procedure)","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"92972","description":"Percutaneous transluminal coronary lithotripsy (List separately in addition to code for primary procedure)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Admin hepatitis b vaccine","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G0010","description":"Admin hepatitis b vaccine","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JDGC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Onc dx prostate unknwn nos","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G9083","description":"Onc dx prostate unknwn nos","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CFTB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MAIC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"IDEC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"DFWE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-A0801","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"A0801","description":"HCPCS-A0801","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Subtalar arthro w/exc","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"29905","description":"Subtalar arthro w/exc","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Bmi not documented due to medical reason or patient refusal of height or weight measurement","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"M1297","description":"Bmi not documented due to medical reason or patient refusal of height or weight measurement","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Gi wireless capsule measure","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"91112","description":"Gi wireless capsule measure","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Lenticular lens_ trifocal","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"V2321","description":"Lenticular lens_ trifocal","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"CPT-0921T","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"0921T","description":"CPT-0921T","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OGGD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OBUB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-CA213","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"CA213","description":"HIPPS-CA213","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Cytopath fl nongyn smears","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"88104","description":"Cytopath fl nongyn smears","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KCMC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Removal of head of radius","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"24130","description":"Removal of head of radius","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Catheter w/bag 3-way","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"A4313","description":"Catheter w/bag 3-way","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FDHE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JHDC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-PE25A","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"PE25A","description":"HIPPS-PE25A","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Comprehensve oral evaluation","billing_code_type":"CDT","billing_code_type_version":"2024","billing_code":"D0150","description":"Comprehensve oral evaluation","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Supplies and accessories for external upper limb tremor stimulator of the peripheral nerves of the wrist","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"A4542","description":"Supplies and accessories for external upper limb tremor stimulator of the peripheral nerves of the wrist","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MJAD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Destroy lumb/sac facet jnt","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"64635","description":"Destroy lumb/sac facet jnt","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RMA0C","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RMA0C","description":"HIPPS-RMA0C","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GCCA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Auto tissue graft addl tooth","billing_code_type":"CDT","billing_code_type_version":"2024","billing_code":"D4283","description":"Auto tissue graft addl tooth","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OHGD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NGTD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OFEC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FHLD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MCUB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Pos air press not prescribe","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G8853","description":"Pos air press not prescribe","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BBNE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Precision attachment","billing_code_type":"CDT","billing_code_type_version":"2024","billing_code":"D5862","description":"Precision attachment","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GFBF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Revise eyelid lining","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"68330","description":"Revise eyelid lining","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-C8013","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"C8013","description":"HCPCS-C8013","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Removal of arm artery clot","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"34111","description":"Removal of arm artery clot","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NACF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RHB15","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RHB15","description":"HIPPS-RHB15","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Hospital call","billing_code_type":"CDT","billing_code_type_version":"2024","billing_code":"D9420","description":"Hospital call","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BCGA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OLWF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Injection_ alemtuzumab","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"J0202","description":"Injection_ alemtuzumab","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KBDA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Electrophys map 3d add-on","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"93613","description":"Electrophys map 3d add-on","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"EBBD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"IFMA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JCXA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"EBAD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BDTB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Excise tendon forearm/wrist","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"25109","description":"Excise tendon forearm/wrist","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Conform band s w>=3in <5in/yd","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"A6446","description":"Conform band s w>=3in <5in/yd","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JHDE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Open aortic tube prosth repr","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"34830","description":"Open aortic tube prosth repr","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Urinary pouch w st wear barr","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"A4392","description":"Urinary pouch w st wear barr","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-2BHM2","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"2BHM2","description":"HIPPS-2BHM2","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Surgical opening esophagus","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"43352","description":"Surgical opening esophagus","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-CE20C","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"CE20C","description":"HIPPS-CE20C","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Removal of sinus tarsi implant","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0510T","description":"Removal of sinus tarsi implant","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Antistreptolysin o screen","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"86063","description":"Antistreptolysin o screen","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OCVB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"DFYB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Incision of burn scab initi","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"16035","description":"Incision of burn scab initi","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GGLD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"FMRI brain by phys/psych","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"70555","description":"FMRI brain by phys/psych","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Ra disease activity mod","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"3471F","description":"Ra disease activity mod","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RVC0C","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RVC0C","description":"HIPPS-RVC0C","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"AEHA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GBFD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JGJF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OEKC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Physician Direct Care - Must be provided by a hospice physician and must be related to the patient_s terminal illness","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"W0607","description":"Physician Direct Care - Must be provided by a hospice physician and must be related to the patient_s terminal illness","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-2BFK4","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"2BFK4","description":"HIPPS-2BFK4","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Othe therapist at hospice","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G9478","description":"Othe therapist at hospice","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CHYE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Reconstruction of hip socket","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"27120","description":"Reconstruction of hip socket","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Wheelchair lightwt foot rest","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"E1260","description":"Wheelchair lightwt foot rest","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-LD235","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"LD235","description":"HIPPS-LD235","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OEHB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KHCA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KFJE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Anesth nose/sinus surgery","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"16251","description":"Anesth nose/sinus surgery","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OAFE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"IHHE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OAMC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Noner transport lodgng recip","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"A0180","description":"Noner transport lodgng recip","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KEGF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Antibody testing for a public health related pathogen_ including coronavirus","billing_code_type":"CDT","billing_code_type_version":"2024","billing_code":"D0605","description":"Antibody testing for a public health related pathogen_ including coronavirus","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Revision of cervix","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"59320","description":"Revision of cervix","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OEIC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-CE205","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"CE205","description":"HIPPS-CE205","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GCHE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-2AGM6","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"2AGM6","description":"HIPPS-2AGM6","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"HIRA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-LE251","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"LE251","description":"HIPPS-LE251","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RMB46","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RMB46","description":"HIPPS-RMB46","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Oligoclonal bands","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"83916","description":"Oligoclonal bands","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JHCE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"ADCC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Drain ostomy pouch w/flange","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"A5063","description":"Drain ostomy pouch w/flange","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JFFB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"AHHE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NAXE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NHBE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Lyme disease antibody","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"86618","description":"Lyme disease antibody","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"AATC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Hydrogel dsg>16<=48 sq in","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"A6232","description":"Hydrogel dsg>16<=48 sq in","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Lo sag ri an/pos pnl pre ots","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"L0642","description":"Lo sag ri an/pos pnl pre ots","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Hhcp-svs of csw_ea 15 min","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G0155","description":"Hhcp-svs of csw_ea 15 min","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OJRC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FGHA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BDLE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Automated leukocyte count","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"85048","description":"Automated leukocyte count","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Acetylcholine receptor (AChR); binding antibody","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"86041","description":"Acetylcholine receptor (AChR); binding antibody","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"ODAB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GHEE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Transcatheter removal of permanent dual-chamber leadless pacemaker_?including imaging guidance (eg_ fluoroscopy_ venous ultrasound_ right atrial angiography_ right ventriculog","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0798T","description":"Transcatheter removal of permanent dual-chamber leadless pacemaker_?including imaging guidance (eg_ fluoroscopy_ venous ultrasound_ right atrial angiography_ right ventriculog","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JGUC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OLND1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Revise lower leg tendons","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"27686","description":"Revise lower leg tendons","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MCAD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-4AFM6","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"4AFM6","description":"HIPPS-4AFM6","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Ost pouch absorbent material","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"A4422","description":"Ost pouch absorbent material","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Incision of brain tissue","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"61567","description":"Incision of brain tissue","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JGVD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KADF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OHMF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OJSA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CEIF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Nursing care_ in the home; b","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"S9124","description":"Nursing care_ in the home; b","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MGLB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-1CHLX","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"1CHLX","description":"HIPPS-1CHLX","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-A9616","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"A9616","description":"HCPCS-A9616","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Mechanical chest wall oscill","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"94669","description":"Mechanical chest wall oscill","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-3BHNV","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"3BHNV","description":"HIPPS-3BHNV","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JANF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RVA52","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RVA52","description":"HIPPS-RVA52","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Fibrin degradj d-dimer","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"85380","description":"Fibrin degradj d-dimer","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Heart first pass add-on","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"78496","description":"Heart first pass add-on","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Topical app of fluoride","billing_code_type":"CDT","billing_code_type_version":"2024","billing_code":"D1208","description":"Topical app of fluoride","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-C0305","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"C0305","description":"HCPCS-C0305","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-BB14A","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"BB14A","description":"HIPPS-BB14A","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-3BFP1","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"3BFP1","description":"HIPPS-3BFP1","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"MRI upper extremity w/o dye","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"73218","description":"MRI upper extremity w/o dye","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"DIQF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Power module patient cable for use with electric or electric/pneumatic ventricular assist device_ replacement only","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"Q0477","description":"Power module patient cable for use with electric or electric/pneumatic ventricular assist device_ replacement only","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-CC28G","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"CC28G","description":"HIPPS-CC28G","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Removal of humerus lesion","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"23156","description":"Removal of humerus lesion","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OFJA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"CPT-33882","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"33882","description":"CPT-33882","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"CDT-D1701","billing_code_type":"CDT","billing_code_type_version":"2026","billing_code":"D1701","description":"CDT-D1701","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GGRA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OFAE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"LHWB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-2BGLT","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"2BGLT","description":"HIPPS-2BGLT","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"ODSA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GGNF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-CB28E","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"CB28E","description":"HIPPS-CB28E","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Foot external keel sach foot","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"L5970","description":"Foot external keel sach foot","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"IBLC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"CPT-93896","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"93896","description":"CPT-93896","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FATC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NDUA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JFCF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NGTC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OJSC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CEPF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CHQF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GBGE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Crutch forearm each","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"E0111","description":"Crutch forearm each","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"IDBF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Tmj arthroscopy synovectomy","billing_code_type":"CDT","billing_code_type_version":"2024","billing_code":"D7875","description":"Tmj arthroscopy synovectomy","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OFWE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Electronic analysis of implanted neurostimulator pulse generator/transmitter (eg_ contact group[s]_ interleaving_ amplitude_ pulse width_ frequency [Hz]_ on/off cycling_ burst","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"95984","description":"Electronic analysis of implanted neurostimulator pulse generator/transmitter (eg_ contact group[s]_ interleaving_ amplitude_ pulse width_ frequency [Hz]_ on/off cycling_ burst","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Revision of nose","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"30460","description":"Revision of nose","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"CPT-1041T","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"1041T","description":"CPT-1041T","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Repair nasal stenosis","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"30465","description":"Repair nasal stenosis","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RLX3C","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RLX3C","description":"HIPPS-RLX3C","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"KLF1 TARGETED SEQUENCING","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0195U","description":"KLF1 TARGETED SEQUENCING","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GBDA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OKFC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Semen analysis w/count","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"89310","description":"Semen analysis w/count","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OAJC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Ringers lactate infusion","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"J7120","description":"Ringers lactate infusion","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JHKD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"X-ray exam l-s spine bending","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"72114","description":"X-ray exam l-s spine bending","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KBDD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-3CGN4","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"3CGN4","description":"HIPPS-3CGN4","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OCGC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MAAE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-2BGL6","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"2BGL6","description":"HIPPS-2BGL6","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Repr per/vag pouch sngl proc","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"46710","description":"Repr per/vag pouch sngl proc","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"TBP (TATA box binding protein) (eg_ spinocerebellar ataxia) gene analysis_ evaluation to detect abnormal (eg_ expanded) alleles","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"81344","description":"TBP (TATA box binding protein) (eg_ spinocerebellar ataxia) gene analysis_ evaluation to detect abnormal (eg_ expanded) alleles","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Powered air flotation bed","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"E0193","description":"Powered air flotation bed","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JGKA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FCJA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"No doc cur funct assess","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G8541","description":"No doc cur funct assess","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CDAF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BDLA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RLX8G","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RLX8G","description":"HIPPS-RLX8G","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Dental consultation","billing_code_type":"CDT","billing_code_type_version":"2024","billing_code":"D9310","description":"Dental consultation","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Ct neck spine w/o & w/dye","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"72127","description":"Ct neck spine w/o & w/dye","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-LE10D","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"LE10D","description":"HIPPS-LE10D","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NKDF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Macular pigment optical density measurement by heterochromatic flicker photometry_ unilateral or bilateral_ with interpretation and report","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0506T","description":"Macular pigment optical density measurement by heterochromatic flicker photometry_ unilateral or bilateral_ with interpretation and report","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"EGCB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RVX40","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RVX40","description":"HIPPS-RVX40","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-2BHK2","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"2BHK2","description":"HIPPS-2BHK2","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Bridge payment: A one-time payment for the first Medicare Diabetes Prevention Program (MDPP) core session_ core maintenance session_ or ongoing maintenance session furnished b","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G9890","description":"Bridge payment: A one-time payment for the first Medicare Diabetes Prevention Program (MDPP) core session_ core maintenance session_ or ongoing maintenance session furnished b","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GEMC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Urine screen for bacteria","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"81007","description":"Urine screen for bacteria","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NLDF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-HD21B","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"HD21B","description":"HIPPS-HD21B","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Abortion","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"59857","description":"Abortion","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"LAWC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Tension ring_ vac erect dev","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"L7902","description":"Tension ring_ vac erect dev","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Injection_ epcoritamab-bysp_ 0.16 mg","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"J9321","description":"Injection_ epcoritamab-bysp_ 0.16 mg","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JCJF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Injection(s) of sclerosant for spider veins (telangiectasia)_ limb or trunk","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"36468","description":"Injection(s) of sclerosant for spider veins (telangiectasia)_ limb or trunk","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NGFD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Transabdom amnioinfus w/us","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"59070","description":"Transabdom amnioinfus w/us","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MLBD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OFSC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-BA25A","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"BA25A","description":"HIPPS-BA25A","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HH PDGM","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"4JA21","description":"HH PDGM","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GIOF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"PBYA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Excision of bowel pouch","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"44800","description":"Excision of bowel pouch","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Ext breastprosthesis garment","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"L8015","description":"Ext breastprosthesis garment","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"HCOA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RVA60","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RVA60","description":"HIPPS-RVA60","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FDGA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OIUC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"IFMB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CHPD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Injection_ ferric pyrophosphate citrate powder_ 0.1mg of iron","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"J1444","description":"Injection_ ferric pyrophosphate citrate powder_ 0.1mg of iron","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GCTF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OELD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GERC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KDNF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-1BFPS","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"1BFPS","description":"HIPPS-1BFPS","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Temp obturator prosthesis","billing_code_type":"CDT","billing_code_type_version":"2024","billing_code":"D5936","description":"Temp obturator prosthesis","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KCKF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OBUF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Drainage of gland abscess","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"56420","description":"Drainage of gland abscess","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"IEAF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Destroy vulva lesions sim","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"56501","description":"Destroy vulva lesions sim","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KDWD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Treat hand dislocation","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"26686","description":"Treat hand dislocation","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Methylprednisolone oral","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"J7509","description":"Methylprednisolone oral","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GGOF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NICD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RUX8H","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RUX8H","description":"HIPPS-RUX8H","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GEEC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Reconstruct ulna/radioulnar","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"25337","description":"Reconstruct ulna/radioulnar","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NBCE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HH PDGM","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"1FA31","description":"HH PDGM","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JHFB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Incision of breast lesion","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"19020","description":"Incision of breast lesion","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Imaging study ordered (bkp)","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"3330F","description":"Imaging study ordered (bkp)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CHLB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MGTF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"IHHC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-HE217","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"HE217","description":"HIPPS-HE217","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KGYA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"John cunningham antibody","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"86711","description":"John cunningham antibody","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"IAAD IA RESPIRATORY SYNCTIAL VIRUS","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"87420","description":"IAAD IA RESPIRATORY SYNCTIAL VIRUS","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BAPC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Drainage of rectal abscess","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"45005","description":"Drainage of rectal abscess","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Other counselor at hospice","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G9475","description":"Other counselor at hospice","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-LB130","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"LB130","description":"HIPPS-LB130","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Ana crown exp 1-3 per quad","billing_code_type":"CDT","billing_code_type_version":"2024","billing_code":"D4231","description":"Ana crown exp 1-3 per quad","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NDHF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OFNE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Remv/repl penis contain pros","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"54416","description":"Remv/repl penis contain pros","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Rsv mab im 50mg","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"90378","description":"Rsv mab im 50mg","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-CD28C","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"CD28C","description":"HIPPS-CD28C","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"HFYC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Max MRI capture & interprete","billing_code_type":"CDT","billing_code_type_version":"2024","billing_code":"D0369","description":"Max MRI capture & interprete","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Infectious disease (bacteria and fungi)_ gram-negative bacterial identification and drug resistance element detection_ DNA (21 gram-negative bacterial targets_ 6 resistance ge","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0142U","description":"Infectious disease (bacteria and fungi)_ gram-negative bacterial identification and drug resistance element detection_ DNA (21 gram-negative bacterial targets_ 6 resistance ge","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KAGA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-2CHMT","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"2CHMT","description":"HIPPS-2CHMT","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-Q4423","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"Q4423","description":"HCPCS-Q4423","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"PDRA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-PB255","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"PB255","description":"HIPPS-PB255","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"DIWC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Observ/hosp same date","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"99235","description":"Observ/hosp same date","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OCUB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"CPT-92631","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"92631","description":"CPT-92631","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KARC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"CPT-00942","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"00942","description":"CPT-00942","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NAKD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Revise eyelashes","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"67830","description":"Revise eyelashes","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Disposable nebulizer prefill","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"A7008","description":"Disposable nebulizer prefill","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Pt rcvng anti-rheum thxpy ra","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"4195F","description":"Pt rcvng anti-rheum thxpy ra","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OFFA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BHPC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Dna/rna amplified probe","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"87150","description":"Dna/rna amplified probe","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BCCB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Heart flow reserve measure","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"93572","description":"Heart flow reserve measure","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CCIA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Th/wght bear quad-lat brim m","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"L2510","description":"Th/wght bear quad-lat brim m","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Revision of collar bone","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"23485","description":"Revision of collar bone","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"HGWC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RUA43","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RUA43","description":"HIPPS-RUA43","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OKAA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KBVD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-A1803","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"A1803","description":"HCPCS-A1803","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-CE28F","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"CE28F","description":"HIPPS-CE28F","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BCDB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KHIF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CBYE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Patient refused to participate","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G9730","description":"Patient refused to participate","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BAAE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"ADM SARSCV2 3MCG TRS-SUCR 2","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0082A","description":"ADM SARSCV2 3MCG TRS-SUCR 2","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-C9804","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"C9804","description":"HCPCS-C9804","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Revision of pharyngeal walls","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"42894","description":"Revision of pharyngeal walls","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OLIC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FBBE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"PLSD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OJMA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Replace trilateral socket br","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"L4010","description":"Replace trilateral socket br","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-M1488","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"M1488","description":"HCPCS-M1488","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RMX46","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RMX46","description":"HIPPS-RMX46","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Decompression of thigh/knee","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"27497","description":"Decompression of thigh/knee","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CGLE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Revascularization_ endovascular_ open or percutaneous_ any vessel(s); with intravascular lithotripsy and transluminal s","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"C9767","description":"Revascularization_ endovascular_ open or percutaneous_ any vessel(s); with intravascular lithotripsy and transluminal s","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Mobility d/c status","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G8980","description":"Mobility d/c status","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KHDA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JFMA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"ICAD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Transfer of iliopsoas muscle","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"27110","description":"Transfer of iliopsoas muscle","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BEAA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-PC204","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"PC204","description":"HIPPS-PC204","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OBWF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BBIF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Generator_ Cardiac Contractility Modulation (Implantable)","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"C1824","description":"Generator_ Cardiac Contractility Modulation (Implantable)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Treat dental ridge fracture","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"21440","description":"Treat dental ridge fracture","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"EDBD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Iiv adjuvant vaccine im","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"90653","description":"Iiv adjuvant vaccine im","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-G0554","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"G0554","description":"HCPCS-G0554","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Itch severity assessment score was not reduced by at least 2 points from initial (index) score to the follow-up visit score or assessment was not completed during the follow-u","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"M1206","description":"Itch severity assessment score was not reduced by at least 2 points from initial (index) score to the follow-up visit score or assessment was not completed during the follow-u","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"High strength ltwt whlchr","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"K0004","description":"High strength ltwt whlchr","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Injection_ sutimlimab-jome_ 10 mg","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"C9094","description":"Injection_ sutimlimab-jome_ 10 mg","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CDPF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"EEED1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Revise stomach-bowel fusion","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"43855","description":"Revise stomach-bowel fusion","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JIJF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Dental inlay metalic 1 surf","billing_code_type":"CDT","billing_code_type_version":"2024","billing_code":"D2510","description":"Dental inlay metalic 1 surf","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NANB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NAVD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Tracheostomy mask","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"A7525","description":"Tracheostomy mask","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Doc md rsn no antipla/p2y12","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G9610","description":"Doc md rsn no antipla/p2y12","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BIBA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Rheumatology Mips Specialty Set","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G4032","description":"Rheumatology Mips Specialty Set","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Ultrasound_ intraoperative thoracic aorta (eg_ epiaortic)_ diagnostic","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"76984","description":"Ultrasound_ intraoperative thoracic aorta (eg_ epiaortic)_ diagnostic","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"CPT-49186","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"49186","description":"CPT-49186","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Endovasc tempory vessel occl","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"61623","description":"Endovasc tempory vessel occl","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-PC25A","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"PC25A","description":"HIPPS-PC25A","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OGPA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OFYA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CCXB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KBIE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JGGE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FCDB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Admin ecg contrast agent","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"93352","description":"Admin ecg contrast agent","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KCLC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"AELF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GBOC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"BCAT1 (Branched chain amino acid transaminase 1) or IKZF1 (IKAROS family zinc finger 1) (eg_ colorectal cancer) promoter methylation analysis","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0229U","description":"BCAT1 (Branched chain amino acid transaminase 1) or IKZF1 (IKAROS family zinc finger 1) (eg_ colorectal cancer) promoter methylation analysis","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MEDE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FFUF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Dx gastr intub w/asp specs","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"43755","description":"Dx gastr intub w/asp specs","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HH PDGM","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"1BA31","description":"HH PDGM","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KGFA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KFHC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NKLB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NLUA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RUB01","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RUB01","description":"HIPPS-RUB01","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Excise ileoanal reservior","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"45136","description":"Excise ileoanal reservior","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BEIF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Temporary tear duct plug","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"A4262","description":"Temporary tear duct plug","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"DIYA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-A9613","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"A9613","description":"HCPCS-A9613","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KDUC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"B cells total count","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"86355","description":"B cells total count","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RLB02","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RLB02","description":"HIPPS-RLB02","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NDVE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OIGF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Magnetic image jaw joint","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"70336","description":"Magnetic image jaw joint","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BBHA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-2BFLS","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"2BFLS","description":"HIPPS-2BFLS","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Admission to mccm","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G9480","description":"Admission to mccm","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JFVB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Pwc gp3 hd sing pow opt cap","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"K0859","description":"Pwc gp3 hd sing pow opt cap","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NBBE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Transferase (ast) (sgot)","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"84450","description":"Transferase (ast) (sgot)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"PFSF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CFNF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Injection_ Situximab","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"C9455","description":"Injection_ Situximab","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CBFA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Keramatrix_ per square cm","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"Q4165","description":"Keramatrix_ per square cm","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FFED0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FATA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Anesthesia for intraoral procedures_ including biopsy; radical surgery","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0126U","description":"Anesthesia for intraoral procedures_ including biopsy; radical surgery","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"LAQA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Neurectomy hamstring","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"27325","description":"Neurectomy hamstring","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JBPD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BAFB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MJDA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FFBA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"IDBB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-E1032","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"E1032","description":"HCPCS-E1032","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Bx/curett of cervix w/scope","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"57454","description":"Bx/curett of cervix w/scope","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Adult daycare services 15min","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"S5100","description":"Adult daycare services 15min","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MFAD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OENE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MECA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NFIE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Tongue base vol reduction","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"41530","description":"Tongue base vol reduction","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"EBLB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CHME1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-LB251","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"LB251","description":"HIPPS-LB251","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Drainage of abdomen","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"48000","description":"Drainage of abdomen","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MGCE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NKTD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-PA21A","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"PA21A","description":"HIPPS-PA21A","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"EGDF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GGYC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NKJE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Correct metacarpal flaw","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"26565","description":"Correct metacarpal flaw","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FBIC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FDEC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-CB15D","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"CB15D","description":"HIPPS-CB15D","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Body fluid cell count","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"89051","description":"Body fluid cell count","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CFUC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CHWF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"No strk cabg","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G8574","description":"No strk cabg","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JHHB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-HD15B","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"HD15B","description":"HIPPS-HD15B","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JBGD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"AHMB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"AEIC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OKOF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-2BHM6","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"2BHM6","description":"HIPPS-2BHM6","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Hit complex cath care","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"S5501","description":"Hit complex cath care","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RUB8X","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RUB8X","description":"HIPPS-RUB8X","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NBBD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Onc breast risk score","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0008M","description":"Onc breast risk score","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Repair anomaly w/conduit","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"33608","description":"Repair anomaly w/conduit","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Eld mal scrn pos no plan","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G8735","description":"Eld mal scrn pos no plan","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GBXD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GDAE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-AAA4D","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"AAA4D","description":"HIPPS-AAA4D","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OLJA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"LHOF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CAEC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Incis w/discectomy thoracic","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"22222","description":"Incis w/discectomy thoracic","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GCMD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Oncology (hematolymphoid neoplasia)_ RNA_ BCR/ABL1 major and minor breakpoint fusion transcripts_ quantitative PCR amplification_ blood or bone marrow_ report of fusion not de","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0016U","description":"Oncology (hematolymphoid neoplasia)_ RNA_ BCR/ABL1 major and minor breakpoint fusion transcripts_ quantitative PCR amplification_ blood or bone marrow_ report of fusion not de","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"PCWA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BIVD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"IBAF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KFJF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KBIB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MHMC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GEXA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CCPC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"LFRF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-1BFLT","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"1BFLT","description":"HIPPS-1BFLT","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Sanopellis_ per square centimeter","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"Q4308","description":"Sanopellis_ per square centimeter","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-2AGKS","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"2AGKS","description":"HIPPS-2AGKS","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JABE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"CPT-0530U","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"0530U","description":"CPT-0530U","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CDUB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MALE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Assay of cathepsin-d","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"82387","description":"Assay of cathepsin-d","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-PE22D","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"PE22D","description":"HIPPS-PE22D","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-4CHL6","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"4CHL6","description":"HIPPS-4CHL6","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Inj fe-based mr contrast_1ml","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"Q9953","description":"Inj fe-based mr contrast_1ml","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Fetal fluid drainage w/us","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"59074","description":"Fetal fluid drainage w/us","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Ecmo/ecls insj ctr cannula","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"33955","description":"Ecmo/ecls insj ctr cannula","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-CA245","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"CA245","description":"HIPPS-CA245","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MLCB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"EGLF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KHFD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JETA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CEDB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Device handling phys/qhp","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"99002","description":"Device handling phys/qhp","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Repair Of Orthodontic Appliance - Mandibular","billing_code_type":"CDT","billing_code_type_version":"2024","billing_code":"D8697","description":"Repair Of Orthodontic Appliance - Mandibular","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Laparoscopic cholecystectomy","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"47562","description":"Laparoscopic cholecystectomy","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GBEF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"EFLB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-2CHM2","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"2CHM2","description":"HIPPS-2CHM2","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KEHB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-3AHNT","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"3AHNT","description":"HIPPS-3AHNT","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Dehydroepiandrosterone","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"82627","description":"Dehydroepiandrosterone","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JBNC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OFPB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Injection_ evinacumab-dgnb_ 5 mg","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"J1305","description":"Injection_ evinacumab-dgnb_ 5 mg","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"CPT-0620U","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"0620U","description":"CPT-0620U","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NINB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Private duty/independent nsg","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"T1000","description":"Private duty/independent nsg","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Patients who are breastfeeding","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G9779","description":"Patients who are breastfeeding","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-CA217","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"CA217","description":"HIPPS-CA217","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-PB15C","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"PB15C","description":"HIPPS-PB15C","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CGWC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Contour cranial bone lesion","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"21181","description":"Contour cranial bone lesion","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KFKC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Lower extremity study","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"93925","description":"Lower extremity study","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MLAF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"EAUF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JEUD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"MyOwn skin_ includes harvesting and preparation procedures_ per square centimeter","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"Q4226","description":"MyOwn skin_ includes harvesting and preparation procedures_ per square centimeter","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-CB15A","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"CB15A","description":"HIPPS-CB15A","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GGAF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RUB42","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RUB42","description":"HIPPS-RUB42","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-3BGPT","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"3BGPT","description":"HIPPS-3BGPT","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BGHD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CDSE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RMA33","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RMA33","description":"HIPPS-RMA33","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Cryotherapy of the oral cavity using temperature regulated fluid cooling system_ including placement of an oral device_ monitoring of patient tolerance to treatment_ and remov","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0881T","description":"Cryotherapy of the oral cavity using temperature regulated fluid cooling system_ including placement of an oral device_ monitoring of patient tolerance to treatment_ and remov","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KENC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Remove/graft bone lesion","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"24125","description":"Remove/graft bone lesion","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"DHWF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Cont pas motion exercise dev","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"E0935","description":"Cont pas motion exercise dev","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FBEB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NFLE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-LC120","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"LC120","description":"HIPPS-LC120","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"PBQF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"AAUB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GCWC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Assay of phosphorus","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"84100","description":"Assay of phosphorus","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Urinalysis auto w/o scope","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"81003","description":"Urinalysis auto w/o scope","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Fuse bile ducts and bowel","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"47760","description":"Fuse bile ducts and bowel","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Harvest cultured skin graft","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"15040","description":"Harvest cultured skin graft","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JGND1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FGAE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-CA210","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"CA210","description":"HIPPS-CA210","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Cholera vaccine live oral","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"90625","description":"Cholera vaccine live oral","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NHJD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-2CFM3","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"2CFM3","description":"HIPPS-2CFM3","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-PA15A","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"PA15A","description":"HIPPS-PA15A","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Drug assay_ definitive_ 65 or more drugs or metabolites_ urine_ quantitative liquid chromatography with tandem mass spectrometry (LC-MS/MS) using multiple reaction monitoring","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0145U","description":"Drug assay_ definitive_ 65 or more drugs or metabolites_ urine_ quantitative liquid chromatography with tandem mass spectrometry (LC-MS/MS) using multiple reaction monitoring","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Diagnostic bone marrow; biopsy(ies) and aspiration(s)","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"38222","description":"Diagnostic bone marrow; biopsy(ies) and aspiration(s)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BEBB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FBAF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-1BFM5","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"1BFM5","description":"HIPPS-1BFM5","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Assay for calprotectin fecal","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"83993","description":"Assay for calprotectin fecal","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-1AHPT","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"1AHPT","description":"HIPPS-1AHPT","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Excision of gum lesion","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"41827","description":"Excision of gum lesion","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BGAA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"CDT-D1720","billing_code_type":"CDT","billing_code_type_version":"2026","billing_code":"D1720","description":"CDT-D1720","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"HGRF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Vagotomy & pylorus repair","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"43640","description":"Vagotomy & pylorus repair","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-PE25D","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"PE25D","description":"HIPPS-PE25D","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Respite care_ in the home_ p","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"S9125","description":"Respite care_ in the home_ p","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GBGB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KALE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CCEA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NBIC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-AAA00","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"AAA00","description":"HIPPS-AAA00","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"LGQD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Sealant repair per tooth","billing_code_type":"CDT","billing_code_type_version":"2024","billing_code":"D1353","description":"Sealant repair per tooth","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Distal/proximal wedge proc","billing_code_type":"CDT","billing_code_type_version":"2024","billing_code":"D4274","description":"Distal/proximal wedge proc","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Repair/graft kneecap tendon","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"27381","description":"Repair/graft kneecap tendon","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-BA18A","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"BA18A","description":"HIPPS-BA18A","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CESB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"AELE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-HB15A","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"HB15A","description":"HIPPS-HB15A","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GEIA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Insertion catheter artery","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"36640","description":"Insertion catheter artery","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HH PDGM","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"4GB21","description":"HH PDGM","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Pediatric electric hook","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"L7045","description":"Pediatric electric hook","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"LCWE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RMC40","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RMC40","description":"HIPPS-RMC40","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-B2001","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"B2001","description":"HCPCS-B2001","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"DCSE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-LE110","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"LE110","description":"HIPPS-LE110","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JGLC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Sewhfo airplane w/o jnts cf","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"L3976","description":"Sewhfo airplane w/o jnts cf","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GIQF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OCOF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Doc t-pa admin considered","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"4077F","description":"Doc t-pa admin considered","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-CB18F","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"CB18F","description":"HIPPS-CB18F","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JGDE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CESC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CBTB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NHDD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CGVD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Campylobacter antibody","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"86625","description":"Campylobacter antibody","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FEIA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RUL24","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RUL24","description":"HIPPS-RUL24","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Radical resection of elbow","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"24149","description":"Radical resection of elbow","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GFRF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CBSF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-LC21B","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"LC21B","description":"HIPPS-LC21B","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Treat finger fracture each","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"26755","description":"Treat finger fracture each","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Injection_ argatroban_ 1 mg (for non-ESRD use)","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"J0883","description":"Injection_ argatroban_ 1 mg (for non-ESRD use)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Pwc gp3 xhd mult pow opt s/b","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"K0864","description":"Pwc gp3 xhd mult pow opt s/b","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OIPF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FCBF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NFND1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Injection pantroprazole","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"S0164","description":"Injection pantroprazole","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"AGIC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Hist type doc on report","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G9283","description":"Hist type doc on report","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KCMD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BIHA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JACC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Transcatheter therapy_ infusion_ any method (eg_ thrombolysis other than coronary)_ radiological supervision and interpretation","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"75896","description":"Transcatheter therapy_ infusion_ any method (eg_ thrombolysis other than coronary)_ radiological supervision and interpretation","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CCAB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Ropivacaine hcl injection","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"J2795","description":"Ropivacaine hcl injection","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Infectious agent detection by nucleic acid (DNA or RNA); Borrelia miyamotoi_ amplified probe technique","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"87478","description":"Infectious agent detection by nucleic acid (DNA or RNA); Borrelia miyamotoi_ amplified probe technique","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Injection_ nicardipine_ 0.1 mg","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"J2404","description":"Injection_ nicardipine_ 0.1 mg","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RUB34","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RUB34","description":"HIPPS-RUB34","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"IECE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"CPT-0483U","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"0483U","description":"CPT-0483U","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BCFB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Inject epidural patch","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"62273","description":"Inject epidural patch","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GHTD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"CDT-D0204","billing_code_type":"CDT","billing_code_type_version":"2026","billing_code":"D0204","description":"CDT-D0204","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-PA25A","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"PA25A","description":"HIPPS-PA25A","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MJAA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HH PDGM","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"2HB11","description":"HH PDGM","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HH PDGM","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"3IC21","description":"HH PDGM","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RVA56","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RVA56","description":"HIPPS-RVA56","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Repair great vessels defect","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"33777","description":"Repair great vessels defect","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"LDYA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OKHC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-PB154","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"PB154","description":"HIPPS-PB154","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Remove spine infusion device","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"62365","description":"Remove spine infusion device","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HH PDGM","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"4JB11","description":"HH PDGM","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-HC226","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"HC226","description":"HIPPS-HC226","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OLOC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OEBC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KHKC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Injection_ aflibercept hd_ 1 mg","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"J0177","description":"Injection_ aflibercept hd_ 1 mg","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CERA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JEBE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MDLD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"CDT-D5947","billing_code_type":"CDT","billing_code_type_version":"2026","billing_code":"D5947","description":"CDT-D5947","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NFME0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HH PDGM","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"4LB11","description":"HH PDGM","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Ecmo/ecls daily mgmt-venous","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"33948","description":"Ecmo/ecls daily mgmt-venous","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-HC25D","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"HC25D","description":"HIPPS-HC25D","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KGNC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FEAE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Revision of heart veins","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"33645","description":"Revision of heart veins","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Cystourethroscopy_ with insertion of temporary prostatic implant/stent with fixation/anchor and incisional struts","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"C9769","description":"Cystourethroscopy_ with insertion of temporary prostatic implant/stent with fixation/anchor and incisional struts","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OFBE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"IBCF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NKNF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"X-ray exam neck spine 6/>vws","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"72052","description":"X-ray exam neck spine 6/>vws","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NKVA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-4BHKU","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"4BHKU","description":"HIPPS-4BHKU","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Sympathectomy digital artery","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"64820","description":"Sympathectomy digital artery","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KAGD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Hit declotting kit","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"S5517","description":"Hit declotting kit","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-5AGK3","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"5AGK3","description":"HIPPS-5AGK3","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CEOF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"CPT-0917T","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"0917T","description":"CPT-0917T","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"IAAE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Composite drsg <= 16 sq in","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"A6203","description":"Composite drsg <= 16 sq in","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Children who were screened for risk of developmental_ behavioral and social delays using a standardized tool with interpretation and report","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G9966","description":"Children who were screened for risk of developmental_ behavioral and social delays using a standardized tool with interpretation and report","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Enlargemnt of eye prosthesis","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"V2625","description":"Enlargemnt of eye prosthesis","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OCFB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NFAB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Elbow mold sock suspension t","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"L6110","description":"Elbow mold sock suspension t","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JEAC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Remove penis & nodes","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"54135","description":"Remove penis & nodes","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MFIA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Metacarp fx orthosis pre cst","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"L3917","description":"Metacarp fx orthosis pre cst","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"ODRA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Prolonged preventive service(s) (beyond the typical service time of the primary procedure)_ in the office or other outpatient setting requiring direct patient contact beyond t","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G0513","description":"Prolonged preventive service(s) (beyond the typical service time of the primary procedure)_ in the office or other outpatient setting requiring direct patient contact beyond t","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CGJC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Revise middle ear & mastoid","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"69644","description":"Revise middle ear & mastoid","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NIPA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Shoe heel thomas extend to b","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"L3470","description":"Shoe heel thomas extend to b","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CGFB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OHEF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Mod compres band w>=3in<5in/yd","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"A6451","description":"Mod compres band w>=3in<5in/yd","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HH PDGM","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"1HB31","description":"HH PDGM","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"AHHA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KDSE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BGJE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Dxa bone density axial","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"77080","description":"Dxa bone density axial","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Cytopath tbs c/v auto redo","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"88166","description":"Cytopath tbs c/v auto redo","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BBVE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CEXA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Ko double upright pre cst","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"L1845","description":"Ko double upright pre cst","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Assay of mercury","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"83825","description":"Assay of mercury","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"EBBB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CCRB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-CD234","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"CD234","description":"HIPPS-CD234","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GFWB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Onc dx colon metas noevid dx","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G9088","description":"Onc dx colon metas noevid dx","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GGLE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Anesth removal of rib","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"47051","description":"Anesth removal of rib","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KDJF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-3CFL6","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"3CFL6","description":"HIPPS-3CFL6","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Nash fibrosure(tm)_ labcorp","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0003M","description":"Nash fibrosure(tm)_ labcorp","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Tympanometry & reflex thresh","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"92550","description":"Tympanometry & reflex thresh","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Treat metacarpal fracture","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"26607","description":"Treat metacarpal fracture","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Incision of hip bones","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"27151","description":"Incision of hip bones","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"PHSF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Inj dexamethasone acetate","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"J1094","description":"Inj dexamethasone acetate","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OGRE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FEGF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-PD136","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"PD136","description":"HIPPS-PD136","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BICC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-1CGP4","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"1CGP4","description":"HIPPS-1CGP4","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GAIC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FGXC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RLX0A","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RLX0A","description":"HIPPS-RLX0A","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Csit on pt any reas 30 days","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G8962","description":"Csit on pt any reas 30 days","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Documentation of reason(s) sentinel lymph node biopsy not performed (e.g._ reasons could include but not limited to; non-invasive cancer_ incidental discovery of breast cancer","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G8880","description":"Documentation of reason(s) sentinel lymph node biopsy not performed (e.g._ reasons could include but not limited to; non-invasive cancer_ incidental discovery of breast cancer","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Laparo cholecystectomy/graph","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"47563","description":"Laparo cholecystectomy/graph","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GFXF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-1AFK6","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"1AFK6","description":"HIPPS-1AFK6","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Monitoring feature/devicenoc","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"A9279","description":"Monitoring feature/devicenoc","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OINF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GISC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Optx thigh fx","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"27269","description":"Optx thigh fx","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MHUA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Symptom&sign symm polyneuro","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"1500F","description":"Symptom&sign symm polyneuro","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-J2601","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"J2601","description":"HCPCS-J2601","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CHRF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GAGB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Coordinated specialty care_ team-based_ for first episode psychosis_ per month","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"H2040","description":"Coordinated specialty care_ team-based_ for first episode psychosis_ per month","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CHED1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Supports brokerage_ self-directed_ waiver; per diem","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"T2051","description":"Supports brokerage_ self-directed_ waiver; per diem","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OLOB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RHL21","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RHL21","description":"HIPPS-RHL21","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Sps knee device","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"E1811","description":"Sps knee device","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Health And Well-Being Coaching Face-To-Face; Group (2 Or More Individuals)_ At Least 30 Minutes","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0593T","description":"Health And Well-Being Coaching Face-To-Face; Group (2 Or More Individuals)_ At Least 30 Minutes","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-2AGKX","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"2AGKX","description":"HIPPS-2AGKX","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CHUB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OHGA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Laparoscope proc intestine","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"44238","description":"Laparoscope proc intestine","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NBTB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OIFA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-ES35D","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"ES35D","description":"HIPPS-ES35D","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OFSF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Intraop cyst eval trac inj","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G9606","description":"Intraop cyst eval trac inj","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RMC11","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RMC11","description":"HIPPS-RMC11","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MGMD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Remove ear lesion","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"69552","description":"Remove ear lesion","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-PC134","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"PC134","description":"HIPPS-PC134","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Cardiology (coronary heart disease [CHD])_ DNA_ analysis of 10 single-nucleotide polymorphisms (SNPs) (rs710987 [LINC010019]_ rs1333048 [CDKN2B-AS1]_ rs12129789 [KCND3]_ rs942","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0440U","description":"Cardiology (coronary heart disease [CHD])_ DNA_ analysis of 10 single-nucleotide polymorphisms (SNPs) (rs710987 [LINC010019]_ rs1333048 [CDKN2B-AS1]_ rs12129789 [KCND3]_ rs942","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"IFTD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-3AFN4","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"3AFN4","description":"HIPPS-3AFN4","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CGVA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Apply surf ldr radionuclide","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"77789","description":"Apply surf ldr radionuclide","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BAIC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"EILE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Hla ii typing 1 loc hr","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"81382","description":"Hla ii typing 1 loc hr","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GEDD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Electroencephalogram (Eeg)_ Continuous Recording_ Physician Or Other Qualified Health Care Professional Review Of Recorded Events_ Analysis Of Spike And Seizure Detection_ Int","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"95722","description":"Electroencephalogram (Eeg)_ Continuous Recording_ Physician Or Other Qualified Health Care Professional Review Of Recorded Events_ Analysis Of Spike And Seizure Detection_ Int","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Colonoscopy & polypectomy","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"44392","description":"Colonoscopy & polypectomy","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Skin full graft add-on","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"15241","description":"Skin full graft add-on","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NBNA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"CPT-1104T","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"1104T","description":"CPT-1104T","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Knee arthroscopy/surgery","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"29850","description":"Knee arthroscopy/surgery","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Hip canad sing axi cons fric","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"L5250","description":"Hip canad sing axi cons fric","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Injection_ toripalimab-tpzi_ 1 mg","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"J3263","description":"Injection_ toripalimab-tpzi_ 1 mg","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"DAQB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Lateral thoracic extension","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"L1210","description":"Lateral thoracic extension","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Apexification/recalc initial","billing_code_type":"CDT","billing_code_type_version":"2024","billing_code":"D3351","description":"Apexification/recalc initial","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"PJQC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FFKF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OGKA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Gngvl flap w rootplan 1-3 th","billing_code_type":"CDT","billing_code_type_version":"2024","billing_code":"D4241","description":"Gngvl flap w rootplan 1-3 th","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JEBD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KEJC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OBMC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Lap inc hern repair comp","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"49655","description":"Lap inc hern repair comp","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"M.avium-intra dna dir prob","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"87560","description":"M.avium-intra dna dir prob","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NAEB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-1AGP3","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"1AGP3","description":"HIPPS-1AGP3","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"O2 saturation</=88%/pao</=55","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"3035F","description":"O2 saturation</=88%/pao</=55","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"W/c shoulder harness/straps","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"E0960","description":"W/c shoulder harness/straps","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MKLC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Myelography lumbar injection","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"62305","description":"Myelography lumbar injection","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Afo tib fx cast plaster mold","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"L2106","description":"Afo tib fx cast plaster mold","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Fixation of shoulder","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"23700","description":"Fixation of shoulder","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Kidney dialysate delivry sys","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"E1510","description":"Kidney dialysate delivry sys","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-B0101","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"B0101","description":"HCPCS-B0101","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OCQB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Injection_ glycopyrrolate (Glyrx-PF)_ 0.1 mg","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"J1597","description":"Injection_ glycopyrrolate (Glyrx-PF)_ 0.1 mg","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-CA254","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"CA254","description":"HIPPS-CA254","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OJED0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"IHDB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FEGB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CFLF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"X-ray exam of small bowel","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"74251","description":"X-ray exam of small bowel","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Removal of kneecap","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"27350","description":"Removal of kneecap","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-AAA33","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"AAA33","description":"HIPPS-AAA33","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JBAC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CDQE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Cystourethroscopy_ with mechanical urethral dilation and urethral therapeutic drug delivery by drug-coated balloon catheter for urethral stricture or stenosis_ male_ including","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"52284","description":"Cystourethroscopy_ with mechanical urethral dilation and urethral therapeutic drug delivery by drug-coated balloon catheter for urethral stricture or stenosis_ male_ including","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CEKC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-1AHP1","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"1AHP1","description":"HIPPS-1AHP1","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NHVF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OBLD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Albumin (human)_ 25%_ 50ml","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"P9047","description":"Albumin (human)_ 25%_ 50ml","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GGPA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Incision of tibia & fibula","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"27709","description":"Incision of tibia & fibula","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NBIF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Deb subq tissue 20 sq cm/<","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"11042","description":"Deb subq tissue 20 sq cm/<","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Iron sucrose injection","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"J1756","description":"Iron sucrose injection","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Review patient spirometry","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"94016","description":"Review patient spirometry","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"LEQE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-HB246","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"HB246","description":"HIPPS-HB246","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Repl batt lithium 4.5 v","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"K0605","description":"Repl batt lithium 4.5 v","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Individual filled at least two prescriptions for any antipsychotic medication and had a pdc of 0.8 or greater","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G9369","description":"Individual filled at least two prescriptions for any antipsychotic medication and had a pdc of 0.8 or greater","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CARF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Introduction of needle(s) and/or catheter(s)_ dialysis circuit_ with diagnostic angiography of the dialysis circuit_ including all direct puncture(s) and catheter placement(s)","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"36901","description":"Introduction of needle(s) and/or catheter(s)_ dialysis circuit_ with diagnostic angiography of the dialysis circuit_ including all direct puncture(s) and catheter placement(s)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"CPT-0490U","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"0490U","description":"CPT-0490U","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GCOA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GCBD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CACA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BCKB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JACE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CGFD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CEHD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CHHC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-LD23D","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"LD23D","description":"HIPPS-LD23D","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KIGC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MDHC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"DFQB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FCKC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-HC14C","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"HC14C","description":"HIPPS-HC14C","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Repair of mesentery","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"44850","description":"Repair of mesentery","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Vein x-ray eye socket","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"75880","description":"Vein x-ray eye socket","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FABF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OKSB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OELA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JCUA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Injection_ patisiran_ 0.1 mg","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"C9036","description":"Injection_ patisiran_ 0.1 mg","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"AEAB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FHKD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Epidural lysis on single day","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"62264","description":"Epidural lysis on single day","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NGVC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RUB5A","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RUB5A","description":"HIPPS-RUB5A","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RLB8X","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RLB8X","description":"HIPPS-RLB8X","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"PMS2 (PMS1 homolog 2_ mismatch repair system component) (eg_ hereditary non-polyposis colorectal cancer_ Lynch syndrome) mRNA sequence analysis","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0161U","description":"PMS2 (PMS1 homolog 2_ mismatch repair system component) (eg_ hereditary non-polyposis colorectal cancer_ Lynch syndrome) mRNA sequence analysis","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"IEIB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NDCE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CCJA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Egd endo mucosal resection","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"43254","description":"Egd endo mucosal resection","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FDHB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FGUA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"HCWC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Remove intracorporeal device","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"33980","description":"Remove intracorporeal device","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Multiple-family group adaptive behavior treatment guidance_ administered by physician or other qualified health care professional (without the patient present)_ face-to-face w","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"97157","description":"Multiple-family group adaptive behavior treatment guidance_ administered by physician or other qualified health care professional (without the patient present)_ face-to-face w","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HH PDGM","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"3JC11","description":"HH PDGM","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Injection_ decitabine (sun pharma) not therapeutically equivalent to j0894_ 1 mg","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"J0893","description":"Injection_ decitabine (sun pharma) not therapeutically equivalent to j0894_ 1 mg","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"AHMA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"PHQA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"CPT-37275","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"37275","description":"CPT-37275","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Insertion of cannula","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"36810","description":"Insertion of cannula","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Thoracoscop w/esoph musc exc","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"32665","description":"Thoracoscop w/esoph musc exc","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Autologous Platelet Rich Plasma (Prp) For Diabetic Chronic Wounds/Ulcers_ Using An Fda-Cleared Device (Includes Administration_ Dressings_ Phlebotomy_ Centrifug","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G0465","description":"Autologous Platelet Rich Plasma (Prp) For Diabetic Chronic Wounds/Ulcers_ Using An Fda-Cleared Device (Includes Administration_ Dressings_ Phlebotomy_ Centrifug","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JGMD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Gauze <= 16 sq in water/sal","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"A6228","description":"Gauze <= 16 sq in water/sal","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BEXB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JGPC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-A2047","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"A2047","description":"HCPCS-A2047","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JDKB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Fluoride applicator","billing_code_type":"CDT","billing_code_type_version":"2024","billing_code":"D5986","description":"Fluoride applicator","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"ODQA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Indium in-111 auto wbc","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"A9570","description":"Indium in-111 auto wbc","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CIGE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NHDF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NBPE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"AHCB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Extremity study","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"93970","description":"Extremity study","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"PFWD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-C7569","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"C7569","description":"HCPCS-C7569","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BGHB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-AAA14","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"AAA14","description":"HIPPS-AAA14","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NBMC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-LE18H","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"LE18H","description":"HIPPS-LE18H","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Icm device eval","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"93290","description":"Icm device eval","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Prism lens/es","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"V2715","description":"Prism lens/es","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-3CHP3","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"3CHP3","description":"HIPPS-3CHP3","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JIBC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Dysphagia screening","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"V5364","description":"Dysphagia screening","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"EETE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JFEE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KFTC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FEKD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"CPT-00144","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"00144","description":"CPT-00144","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KGJD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Vitamin k phytonadione inj","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"J3430","description":"Vitamin k phytonadione inj","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JEMC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-CB13D","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"CB13D","description":"HIPPS-CB13D","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Io anal gast n-stim subsq","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"95981","description":"Io anal gast n-stim subsq","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Injection_ ruconest","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"J0596","description":"Injection_ ruconest","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-LE28H","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"LE28H","description":"HIPPS-LE28H","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Oncology (high-grade prostate cancer)_ biochemical assay of four proteins (Total PSA_ Free PSA_ Intact PSA_ and human kallikrein-2 [hK2])_ utilizing plasma or serum_ prognosti","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"81539","description":"Oncology (high-grade prostate cancer)_ biochemical assay of four proteins (Total PSA_ Free PSA_ Intact PSA_ and human kallikrein-2 [hK2])_ utilizing plasma or serum_ prognosti","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-CB135","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"CB135","description":"HIPPS-CB135","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-LC116","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"LC116","description":"HIPPS-LC116","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-LB104","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"LB104","description":"HIPPS-LB104","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Pericardial Drainage With Insertion Of Indwelling Catheter_ Percutaneous_ Including Fluoroscopy And/Or Ultrasound Guidance_ When Performed; 6 Years And Older Without Congenita","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"33017","description":"Pericardial Drainage With Insertion Of Indwelling Catheter_ Percutaneous_ Including Fluoroscopy And/Or Ultrasound Guidance_ When Performed; 6 Years And Older Without Congenita","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"CPT-37266","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"37266","description":"CPT-37266","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Epoetin alfa_ non-esrd","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"J0885","description":"Epoetin alfa_ non-esrd","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HH PDGM","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"1FC21","description":"HH PDGM","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CAEF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CHKB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"BRCA1 (breast cancer 1) (eg_ hereditary breast and ovarian cancer) gene analysis; full sequence analysis and common duplication/deletion variants (ie_ exon 13 del 3.835kb_ exo","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"81214","description":"BRCA1 (breast cancer 1) (eg_ hereditary breast and ovarian cancer) gene analysis; full sequence analysis and common duplication/deletion variants (ie_ exon 13 del 3.835kb_ exo","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"ICMF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JHFD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Drainage of rectal abscess","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"45020","description":"Drainage of rectal abscess","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Endoscopic pancreatoscopy","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"43273","description":"Endoscopic pancreatoscopy","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Bone imaging (3d)","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"78320","description":"Bone imaging (3d)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-1CGP1","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"1CGP1","description":"HIPPS-1CGP1","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RUA5D","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RUA5D","description":"HIPPS-RUA5D","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OJVE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-LD14D","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"LD14D","description":"HIPPS-LD14D","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NDBB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FFPA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OIFC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NJIB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FHAF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Above knee cushion socket","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"L5648","description":"Above knee cushion socket","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"CSTB (cystatin B) (eg_ Unverricht-Lundborg disease) gene analysis; full gene sequence","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"81189","description":"CSTB (cystatin B) (eg_ Unverricht-Lundborg disease) gene analysis; full gene sequence","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Hereditary cardiomyopathy (eg_ hypertrophic cardiomyopathy_ dilated cardiomyopathy_ arrhythmogenic right ventricular cardiomyopathy)_ genomic sequence analysis panel_ must inc","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"81439","description":"Hereditary cardiomyopathy (eg_ hypertrophic cardiomyopathy_ dilated cardiomyopathy_ arrhythmogenic right ventricular cardiomyopathy)_ genomic sequence analysis panel_ must inc","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"PLRE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OEXA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BFGE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Documentation of medical reason for not screening for TB or interpreting results (i.e._ patient positive for TB and documentati","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"M1004","description":"Documentation of medical reason for not screening for TB or interpreting results (i.e._ patient positive for TB and documentati","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"IDCE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Home Delivered Meals-Frozen Entree","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"W1760","description":"Home Delivered Meals-Frozen Entree","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"N block inj vagus","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"64408","description":"N block inj vagus","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OEWF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-LB156","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"LB156","description":"HIPPS-LB156","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OJEA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CGMF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-1AHN5","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"1AHN5","description":"HIPPS-1AHN5","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OHAE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Pressure pneum appl half leg","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"E0673","description":"Pressure pneum appl half leg","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-PA13B","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"PA13B","description":"HIPPS-PA13B","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KAOD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CFUC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NKKB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NFXD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"HEQF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JCNB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Viral culture","billing_code_type":"CDT","billing_code_type_version":"2024","billing_code":"D0416","description":"Viral culture","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"HGQF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NHGF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Disposable pack w/bowel syst","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"E0352","description":"Disposable pack w/bowel syst","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KEYC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JIFA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"CPT-01202","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"01202","description":"CPT-01202","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NKME0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-M1473","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"M1473","description":"HCPCS-M1473","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FIEE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"AmchoPlast_ per sq cm","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"Q4316","description":"AmchoPlast_ per sq cm","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Ondansetron oral","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"Q0162","description":"Ondansetron oral","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Infectious agent detection by nucleic acid (DNA)_ Chlamydia trachomatis and Neisseria gonorrhoeae_ multiplex amplified probe technique_ urine_ vaginal_ pharyngeal_ or rectal_","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0353U","description":"Infectious agent detection by nucleic acid (DNA)_ Chlamydia trachomatis and Neisseria gonorrhoeae_ multiplex amplified probe technique_ urine_ vaginal_ pharyngeal_ or rectal_","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GEVE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Lens sphc trifocal 4.25-7/4.","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"V2309","description":"Lens sphc trifocal 4.25-7/4.","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OEAE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Preperitoneal Pelvic Packing For Hemorrhage Associated With Pelvic Trauma_ Including Local Exploration","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"49013","description":"Preperitoneal Pelvic Packing For Hemorrhage Associated With Pelvic Trauma_ Including Local Exploration","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"IIBA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OJHE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-J0614","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"J0614","description":"HCPCS-J0614","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RHL05","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RHL05","description":"HIPPS-RHL05","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-4AGMX","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"4AGMX","description":"HIPPS-4AGMX","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OCUD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Injection_ infliximab-dyyb_ biosimilar_ (Inflectra)_ 10 mg","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"Q5103","description":"Injection_ infliximab-dyyb_ biosimilar_ (Inflectra)_ 10 mg","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NAUF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BDAF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-3AHL5","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"3AHL5","description":"HIPPS-3AHL5","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GCMA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Surgery for vulva lesion","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"56440","description":"Surgery for vulva lesion","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-5BGKS","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"5BGKS","description":"HIPPS-5BGKS","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CIVF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"IMM ADMN SARSCOV2 BIVALENT 30 MCG/0.3 ML ADDL","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0124A","description":"IMM ADMN SARSCOV2 BIVALENT 30 MCG/0.3 ML ADDL","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GBLF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KDDE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-CC125","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"CC125","description":"HIPPS-CC125","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FGPF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"ABTA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OFBA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Cltx medial ankle fx","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"27760","description":"Cltx medial ankle fx","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Twist drill hole","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"61105","description":"Twist drill hole","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RMC5D","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RMC5D","description":"HIPPS-RMC5D","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Injection_ hydroxyprogesterone caproate_ (Makena)_ 10 mg","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"J1726","description":"Injection_ hydroxyprogesterone caproate_ (Makena)_ 10 mg","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Prenatal care atrisk assessm","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"H1000","description":"Prenatal care atrisk assessm","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MAME1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"LHQC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"X-ray exam of penis","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"74445","description":"X-ray exam of penis","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NBDA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Resect face/scalp tum < 2 cm","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"21015","description":"Resect face/scalp tum < 2 cm","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Removal of intracardiac ischemia monitoring system_ including all imaging supervision and interpretation; complete system (electrode and implantable monitor)","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0530T","description":"Removal of intracardiac ischemia monitoring system_ including all imaging supervision and interpretation; complete system (electrode and implantable monitor)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Pt inelig osteo screen measu","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G8401","description":"Pt inelig osteo screen measu","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KCYF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Periurethral Transperineal Adjustable Balloon Continence Device; Percutaneous Adjustment Of Balloon(S) Fluid Volume","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"53454","description":"Periurethral Transperineal Adjustable Balloon Continence Device; Percutaneous Adjustment Of Balloon(S) Fluid Volume","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-PA28B","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"PA28B","description":"HIPPS-PA28B","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-2CFMX","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"2CFMX","description":"HIPPS-2CFMX","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"DGYE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-2CGLS","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"2CGLS","description":"HIPPS-2CGLS","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Imp/abut fixed dent part man","billing_code_type":"CDT","billing_code_type_version":"2024","billing_code":"D6117","description":"Imp/abut fixed dent part man","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Cntct lens hydrophil bifocl","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"V2522","description":"Cntct lens hydrophil bifocl","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"HCYA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Patients who died from cancer","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G9859","description":"Patients who died from cancer","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-3BGNU","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"3BGNU","description":"HIPPS-3BGNU","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-3AFMS","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"3AFMS","description":"HIPPS-3AFMS","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Autopsy (necropsy) complete","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"88025","description":"Autopsy (necropsy) complete","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-M1449","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"M1449","description":"HCPCS-M1449","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"DERE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KEAE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BHTD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NBUB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Patient received adjuvant treatment course including both chemotherapy and her2-targeted therapy","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G2206","description":"Patient received adjuvant treatment course including both chemotherapy and her2-targeted therapy","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GCOC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Remove bladder stone","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"52317","description":"Remove bladder stone","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OLRD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Assess dyspnea not present","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"1018F","description":"Assess dyspnea not present","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Oral antiplat thx rx dischrg","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"4073F","description":"Oral antiplat thx rx dischrg","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BACD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Drug/substance nos 1-3","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"80375","description":"Drug/substance nos 1-3","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Speech/hearing therapy","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"92508","description":"Speech/hearing therapy","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FFDE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CCXA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RVC3A","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RVC3A","description":"HIPPS-RVC3A","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Shortening of thigh bone","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"27465","description":"Shortening of thigh bone","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CALB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Velaglucerase alfa","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"J3385","description":"Velaglucerase alfa","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"ICTB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"IDTD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-J0166","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"J0166","description":"HCPCS-J0166","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Limited (30 minutes) care plan oversight. For use only in a Medicare-approved CMMI model. (Services must be furnished within a beneficiary’s home_ domiciliary_ rest home_ assi","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G2014","description":"Limited (30 minutes) care plan oversight. For use only in a Medicare-approved CMMI model. (Services must be furnished within a beneficiary’s home_ domiciliary_ rest home_ assi","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BFXA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"AAMB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MBMC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GISD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"X-ray exam of femur 1","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"73551","description":"X-ray exam of femur 1","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OFFC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Insj/rplcmt defib w/lead(s)","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"33249","description":"Insj/rplcmt defib w/lead(s)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Dihydrotestosterone","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G6047","description":"Dihydrotestosterone","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NAKC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-HE18A","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"HE18A","description":"HIPPS-HE18A","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RHL8F","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RHL8F","description":"HIPPS-RHL8F","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MLIF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Alveoloplasty not w/extracts","billing_code_type":"CDT","billing_code_type_version":"2024","billing_code":"D7321","description":"Alveoloplasty not w/extracts","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Art byp grft aortorenal","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"35560","description":"Art byp grft aortorenal","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"EDTA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Seg pneum int legs/trunk","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"E0670","description":"Seg pneum int legs/trunk","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GHOE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OAAF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Pml/raralpha com breakpoints","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"81315","description":"Pml/raralpha com breakpoints","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Resp virus 12-25 targets","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"87633","description":"Resp virus 12-25 targets","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Imterprete diagnostic image","billing_code_type":"CDT","billing_code_type_version":"2024","billing_code":"D0391","description":"Imterprete diagnostic image","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Ocular implant","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"L8610","description":"Ocular implant","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"CPT-84394","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"84394","description":"CPT-84394","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Patient achieved a PDC of at least 75% for their asthma controller medication","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G9810","description":"Patient achieved a PDC of at least 75% for their asthma controller medication","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GEWA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JBBC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Contact lens/es other type","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"V2599","description":"Contact lens/es other type","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HH PDGM","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"2LB31","description":"HH PDGM","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Treat humerus fracture","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"23600","description":"Treat humerus fracture","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Pmkr_ single_ non rate-resp","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"C2620","description":"Pmkr_ single_ non rate-resp","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-3AGM3","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"3AGM3","description":"HIPPS-3AGM3","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"HCSE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CCDE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NKVD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Actin (Smooth Muscle) Antibody (Asma)_ Each","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"86015","description":"Actin (Smooth Muscle) Antibody (Asma)_ Each","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CDUF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CCEC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KCHA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"HGOE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Treat clavicle fracture","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"23505","description":"Treat clavicle fracture","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-3BGMV","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"3BGMV","description":"HIPPS-3BGMV","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"ODKA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KHRA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-CC21C","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"CC21C","description":"HIPPS-CC21C","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"LIYB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CERC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Cardiology mips specialty set","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G0063","description":"Cardiology mips specialty set","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"CPT-55707","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"55707","description":"CPT-55707","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-LC126","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"LC126","description":"HIPPS-LC126","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"ACUF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CAVD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-B0401","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"B0401","description":"HCPCS-B0401","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Treatment of toe fracture","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"28515","description":"Treatment of toe fracture","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"X-ray exam of salivary duct","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"70390","description":"X-ray exam of salivary duct","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NKKA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"PCYA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"AEED0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Injection_ Factor VIII_ (antihemophilic factor_ recombinant)_ pegylated-aucl (Jivi)_ 1 IU","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"C9141","description":"Injection_ Factor VIII_ (antihemophilic factor_ recombinant)_ pegylated-aucl (Jivi)_ 1 IU","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BBAD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GATA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KHXC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"CPT-37263","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"37263","description":"CPT-37263","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Suprachoroidal injection of a pharmacologic agent (does not include supply of medication)","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0465T","description":"Suprachoroidal injection of a pharmacologic agent (does not include supply of medication)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Contrst x-ray urinary tract","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"74425","description":"Contrst x-ray urinary tract","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Doc med pt reas no hcc scrn","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G9456","description":"Doc med pt reas no hcc scrn","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Remove nasal foreign body","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"30320","description":"Remove nasal foreign body","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Crown 3/4 high noble metal","billing_code_type":"CDT","billing_code_type_version":"2024","billing_code":"D6780","description":"Crown 3/4 high noble metal","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-HC154","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"HC154","description":"HIPPS-HC154","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-CE18X","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"CE18X","description":"HIPPS-CE18X","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Rerepair fem hernia blocked","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"49557","description":"Rerepair fem hernia blocked","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Injection_ heparin sodium (pfizer)_ not therapeutically equivalent to j1644_ per 1000 units","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"J1643","description":"Injection_ heparin sodium (pfizer)_ not therapeutically equivalent to j1644_ per 1000 units","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KIPE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"LCQC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GHKB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Children With A Competing Diagnosis For Upper Respiratory Infection Within Three Days Of Diagnosis Of Pharyngitis (E.G._ Intestinal Infection_ Pertussis_ Bacterial Infection_","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G2097","description":"Children With A Competing Diagnosis For Upper Respiratory Infection Within Three Days Of Diagnosis Of Pharyngitis (E.G._ Intestinal Infection_ Pertussis_ Bacterial Infection_","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KHEF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BDEA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-1AHKS","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"1AHKS","description":"HIPPS-1AHKS","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"LHYB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MEBE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Doc reas no statin therapy","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G8815","description":"Doc reas no statin therapy","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JGAB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Lamellas_ per square centimeter","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"Q4292","description":"Lamellas_ per square centimeter","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BBNF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"PJYC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BCKC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FAAD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"HEQA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Lab labial veneer porcelain","billing_code_type":"CDT","billing_code_type_version":"2024","billing_code":"D2962","description":"Lab labial veneer porcelain","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Removal of colon/ileostomy","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"44151","description":"Removal of colon/ileostomy","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NBTE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"CPT-64474","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"64474","description":"CPT-64474","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"AGBF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-B0501","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"B0501","description":"HCPCS-B0501","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NDPB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GEWE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-AAA1A","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"AAA1A","description":"HIPPS-AAA1A","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BHBE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Enteral ng tubing w/ stylet","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"B4081","description":"Enteral ng tubing w/ stylet","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GBUE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-LB22A","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"LB22A","description":"HIPPS-LB22A","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-B0903","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"B0903","description":"HCPCS-B0903","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Thoracoscopy wbx sac","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"32604","description":"Thoracoscopy wbx sac","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-2CFK5","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"2CFK5","description":"HIPPS-2CFK5","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FFUC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Dynamic standing frame","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"E0642","description":"Dynamic standing frame","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Saliva test_ hormone level;","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"S3650","description":"Saliva test_ hormone level;","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OBIB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JHAA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-HB212","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"HB212","description":"HIPPS-HB212","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"DDSE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BDVB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Patient screened for unhealthy alcohol use using a systematic screening method and not identified as an unhealthy alcohol user","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G2197","description":"Patient screened for unhealthy alcohol use using a systematic screening method and not identified as an unhealthy alcohol user","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"CDT-D2001","billing_code_type":"CDT","billing_code_type_version":"2026","billing_code":"D2001","description":"CDT-D2001","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Hydrogel dressing >48 sq in","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"A6233","description":"Hydrogel dressing >48 sq in","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BEBF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Rerepair ventrl hern reduce","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"49565","description":"Rerepair ventrl hern reduce","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MKIA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OJRC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"PBQE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NHUC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Removal of foot lesion","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"28104","description":"Removal of foot lesion","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BEDB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"3-d radiotherapy plan","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"77295","description":"3-d radiotherapy plan","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CHEA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CCVE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MBBB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HH PDGM","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"1CB11","description":"HH PDGM","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Remove sympathetic nerves","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"64822","description":"Remove sympathetic nerves","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GAJA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Ins cath abd/l-ext art addl","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"36248","description":"Ins cath abd/l-ext art addl","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BBTC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Ajcc brst cncr stage 1 docd","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"3374F","description":"Ajcc brst cncr stage 1 docd","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Cmprsburngarment glove-elbow","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"A6505","description":"Cmprsburngarment glove-elbow","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KDHC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NGJA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KANC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Removable retainer adjust","billing_code_type":"CDT","billing_code_type_version":"2024","billing_code":"D8681","description":"Removable retainer adjust","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KCXD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"AAEE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"IEBD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BFNC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-1AFPU","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"1AFPU","description":"HIPPS-1AFPU","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BDXA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GIDC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BAKF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Battery pneum vad replacemnt","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"Q0503","description":"Battery pneum vad replacemnt","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"No assess bone loss","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G8863","description":"No assess bone loss","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FBUD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NDDD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Rout foot care per visit","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"S0390","description":"Rout foot care per visit","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Repair of vagina","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"56800","description":"Repair of vagina","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Periodontal maint procedures","billing_code_type":"CDT","billing_code_type_version":"2024","billing_code":"D4910","description":"Periodontal maint procedures","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Laparoscope proc testis","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"54699","description":"Laparoscope proc testis","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NBEC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KCOB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"IEEF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Asthma impairment assessed","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"2015F","description":"Asthma impairment assessed","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Partial removal of hand bone","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"26230","description":"Partial removal of hand bone","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-2AGMS","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"2AGMS","description":"HIPPS-2AGMS","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Odontoplasty 1-2 teeth","billing_code_type":"CDT","billing_code_type_version":"2024","billing_code":"D9971","description":"Odontoplasty 1-2 teeth","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"HISA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MLDB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Parenteral sol amino acid &","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"B4189","description":"Parenteral sol amino acid &","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GFBB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OAKE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-PA11B","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"PA11B","description":"HIPPS-PA11B","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MCCF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Laparo-vag hyst w/t/o compl","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"58554","description":"Laparo-vag hyst w/t/o compl","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Microsurgery add-on","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"69990","description":"Microsurgery add-on","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OCIF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Folding ped wc tilt-in-space","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"E1232","description":"Folding ped wc tilt-in-space","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Remove anal fist 2 stage","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"46285","description":"Remove anal fist 2 stage","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"EGIC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KDGB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-J1749","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"J1749","description":"HCPCS-J1749","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NETC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BGVD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Injection_ efbemalenograstim alfa-vuxw_ 0.5 mg","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"J9361","description":"Injection_ efbemalenograstim alfa-vuxw_ 0.5 mg","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Cystoscopy and treatment","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"52283","description":"Cystoscopy and treatment","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"ODSD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FCKA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"LIQB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FFFD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GANF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JIVC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"PLSA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"PFSC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Biopsy of throat","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"42800","description":"Biopsy of throat","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JHDB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Afo molded to patient plasti","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"L1940","description":"Afo molded to patient plasti","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KCLC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"LEWC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Traumatic brain injury with Motor <22.05._comorbidity in tier 3","billing_code_type":"CDT","billing_code_type_version":"2024","billing_code":"D0207","description":"Traumatic brain injury with Motor <22.05._comorbidity in tier 3","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"PJYA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Surrogate viral neutralization test (sVNT)_ severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) (Coronavirus disease [COVID-19])_ ELISA_ plasma_ serum","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0226U","description":"Surrogate viral neutralization test (sVNT)_ severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) (Coronavirus disease [COVID-19])_ ELISA_ plasma_ serum","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CEOD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Recording of fetal magnetic cardiac signal using at least 3 channels; patient recording and storage_ data scanning with signal extraction_ technical analysis and result","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0475T","description":"Recording of fetal magnetic cardiac signal using at least 3 channels; patient recording and storage_ data scanning with signal extraction_ technical analysis and result","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-AAA07","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"AAA07","description":"HIPPS-AAA07","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"AHUC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-3AFL6","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"3AFL6","description":"HIPPS-3AFL6","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Cast sup lng leg ped plaster","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"Q4031","description":"Cast sup lng leg ped plaster","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"DPYD (dihydropyrimidine dehydrogenase) (eg_ 5-fluorouracil/5-FU and capecitabine drug metabolism)_ gene analysis_ common variant(s) (eg_ *2A_ *4_ *5_ *6)","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"81232","description":"DPYD (dihydropyrimidine dehydrogenase) (eg_ 5-fluorouracil/5-FU and capecitabine drug metabolism)_ gene analysis_ common variant(s) (eg_ *2A_ *4_ *5_ *6)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Assay of thyroglobulin","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"84432","description":"Assay of thyroglobulin","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Prq card stent/ath/angio","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"92933","description":"Prq card stent/ath/angio","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"CPT-00797","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"00797","description":"CPT-00797","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-PA151","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"PA151","description":"HIPPS-PA151","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GAVA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FETD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"EAMD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GIJD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RML0B","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RML0B","description":"HIPPS-RML0B","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Excision of gum lesion","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"41828","description":"Excision of gum lesion","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-J3391","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"J3391","description":"HCPCS-J3391","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Ophthalmoscopy_ Extended; With Retinal Drawing And Scleral Depression Of Peripheral Retinal Disease (Eg_ For Retinal Tear_ Retinal Detachment_ Retinal Tumor) With Interpretati","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"92201","description":"Ophthalmoscopy_ Extended; With Retinal Drawing And Scleral Depression Of Peripheral Retinal Disease (Eg_ For Retinal Tear_ Retinal Detachment_ Retinal Tumor) With Interpretati","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MKUD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BGCC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RVB8G","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RVB8G","description":"HIPPS-RVB8G","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GFED0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"3d predictive model generation for pre-planning of a cardiac procedure_ using data from cardiac computed tomographic angiography with report","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"C9793","description":"3d predictive model generation for pre-planning of a cardiac procedure_ using data from cardiac computed tomographic angiography with report","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Periodic orthodontc tx visit","billing_code_type":"CDT","billing_code_type_version":"2024","billing_code":"D8670","description":"Periodic orthodontc tx visit","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"CDT-D1503","billing_code_type":"CDT","billing_code_type_version":"2026","billing_code":"D1503","description":"CDT-D1503","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GGYA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OEPA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Pwc gp4 hd mult pow s/b","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"K0886","description":"Pwc gp4 hd mult pow s/b","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KFEC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"PHRA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Incision of windpipe","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"31600","description":"Incision of windpipe","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MJEB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Office/outpatient visit est","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"99211","description":"Office/outpatient visit est","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Assay of blood/uric acid","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"84550","description":"Assay of blood/uric acid","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Remove penis & nodes","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"54130","description":"Remove penis & nodes","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FGMD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BEXC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"ACCD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JGVB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Anatomic guide 3D-printed and designed from image data set(s); each additional anatomic guide (List separately in addition to code for primary procedure)","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0562T","description":"Anatomic guide 3D-printed and designed from image data set(s); each additional anatomic guide (List separately in addition to code for primary procedure)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Diagnostic anoscopy spx","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"46600","description":"Diagnostic anoscopy spx","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JGDF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KFME0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"DGRD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KGNF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-HD221","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"HD221","description":"HIPPS-HD221","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MLHA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Snrpn/ube3a gene","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"81331","description":"Snrpn/ube3a gene","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JBDB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NKNA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Control nose/throat bleeding","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"42970","description":"Control nose/throat bleeding","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Ongoing care not clinically indicated because the patient needed a home program only_ referral to another provider or facility_ or consultation only_ as documented in the medi","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"M1146","description":"Ongoing care not clinically indicated because the patient needed a home program only_ referral to another provider or facility_ or consultation only_ as documented in the medi","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NCTE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NKKC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-HB18A","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"HB18A","description":"HIPPS-HB18A","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GCWA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OIYE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-PC141","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"PC141","description":"HIPPS-PC141","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CFTE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FBDC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JFJF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Med abortion inc all ex drug","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"S0199","description":"Med abortion inc all ex drug","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-4CHK5","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"4CHK5","description":"HIPPS-4CHK5","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Pt not disch to home day#7","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G8825","description":"Pt not disch to home day#7","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"I131 iodide cap_ rx","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"A9517","description":"I131 iodide cap_ rx","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Oncology thyroid","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"81545","description":"Oncology thyroid","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"EFLC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BAEE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Ablation Pros Tr Hifu Incl I Guid","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"C9747","description":"Ablation Pros Tr Hifu Incl I Guid","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CFNC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BAIF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Patients Who Use Palliative Care Services Any Time During The Measurement Period","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G9995","description":"Patients Who Use Palliative Care Services Any Time During The Measurement Period","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Lefort i-2 piece w/ graft","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"21146","description":"Lefort i-2 piece w/ graft","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CCWC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"ADBC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NEPF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NKIC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Convert nephrostomy catheter","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"50434","description":"Convert nephrostomy catheter","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Abx reg prescribed","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G9498","description":"Abx reg prescribed","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Enteral stomach tube levine","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"B4083","description":"Enteral stomach tube levine","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GBPC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Cmplx rpr s/a/l 1.1-2.5 cm","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"13120","description":"Cmplx rpr s/a/l 1.1-2.5 cm","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GBJA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JHPC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Fun stat score ls not done","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G8662","description":"Fun stat score ls not done","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CDAB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Replacement nasal prosthesis","billing_code_type":"CDT","billing_code_type_version":"2024","billing_code":"D5926","description":"Replacement nasal prosthesis","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Remove femur lesion/fixation","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"27358","description":"Remove femur lesion/fixation","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Tinzaparin sodium injection","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"J1655","description":"Tinzaparin sodium injection","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Insj/rplc nstim apnea pls gn","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0427T","description":"Insj/rplc nstim apnea pls gn","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CBPA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Position wc cush wdth>=22 in","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"E2606","description":"Position wc cush wdth>=22 in","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RVB3B","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RVB3B","description":"HIPPS-RVB3B","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"ABUE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MKDE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OHPB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CHRC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BHGF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-4CGM4","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"4CGM4","description":"HIPPS-4CGM4","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"IGIA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FCIF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Revascularization_ endovascular_ open or percutaneous_ any vessel(s); with intravascular lithotripsy and atherectomy_ i","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"C9766","description":"Revascularization_ endovascular_ open or percutaneous_ any vessel(s); with intravascular lithotripsy and atherectomy_ i","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MHID0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KEDA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Injection_ Belinostat_ 10 Mg","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"C9442","description":"Injection_ Belinostat_ 10 Mg","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Radiopharm dx agent noc","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"A4641","description":"Radiopharm dx agent noc","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OKPA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CFOE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-A1702","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"A1702","description":"HCPCS-A1702","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"LCSF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Endoscopic retrograde cholangiopancreatography (ercp) with removal of foreign body(s) or stent(s) from biliary/pancreatic duct(s) and endoscopic cannulation of papilla with di","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"C7560","description":"Endoscopic retrograde cholangiopancreatography (ercp) with removal of foreign body(s) or stent(s) from biliary/pancreatic duct(s) and endoscopic cannulation of papilla with di","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"DCRF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"HBQF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Health Behavior Intervention_ Family (Without The Patient Present)_ Face-To-Face; Initial 30 Minutes","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"96170","description":"Health Behavior Intervention_ Family (Without The Patient Present)_ Face-To-Face; Initial 30 Minutes","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JACF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OHLB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NBGE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MLIA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GABC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GDSA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GAPA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RHC33","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RHC33","description":"HIPPS-RHC33","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CHOD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KCGB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NBFC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-3BFNS","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"3BFNS","description":"HIPPS-3BFNS","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JBDD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KELD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KAYB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"DFQD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Ost skn barr w/o conv >4 sqi","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"A4415","description":"Ost skn barr w/o conv >4 sqi","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Art byp carotid-vertebral","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"35642","description":"Art byp carotid-vertebral","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JBVD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"LGWA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MIBA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Cardiac magnetic resonance imaging for morphology and function_ quantification of segmental dysfunction; with stress im","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"C9763","description":"Cardiac magnetic resonance imaging for morphology and function_ quantification of segmental dysfunction; with stress im","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NAVF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RHX0C","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RHX0C","description":"HIPPS-RHX0C","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Rear whl compl pneum tire","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"K0070","description":"Rear whl compl pneum tire","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HH PDGM","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"4AC31","description":"HH PDGM","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Artificial larynx","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"L8500","description":"Artificial larynx","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Presc opiates >6 wks","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G9583","description":"Presc opiates >6 wks","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"IAAD IA ADENOVIRUS ENTERIC TYP 40/41","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"87301","description":"IAAD IA ADENOVIRUS ENTERIC TYP 40/41","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Intraop image confirm excise","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G8872","description":"Intraop image confirm excise","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HH PDGM","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"4KC11","description":"HH PDGM","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BCHB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JGLF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FGCE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"No recd cortico>=10mg/d >60d","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G9468","description":"No recd cortico>=10mg/d >60d","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KFHD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OCSA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NFKE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Antibiot not rxd/given","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"4124F","description":"Antibiot not rxd/given","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MFBC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MHAB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KICD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KFOC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JAIC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-1BFNU","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"1BFNU","description":"HIPPS-1BFNU","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"X-rays bone length studies","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"77073","description":"X-rays bone length studies","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"LAWD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Oncology (Pan Tumor)_ Whole Transcriptome Sequencing Of Paired Malignant And Normal Rna Specimens_ Fresh Or Formalin-Fixed Paraffin-Embedded (Ffpe) Tissue_ Blood Or Bone Marro","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0298U","description":"Oncology (Pan Tumor)_ Whole Transcriptome Sequencing Of Paired Malignant And Normal Rna Specimens_ Fresh Or Formalin-Fixed Paraffin-Embedded (Ffpe) Tissue_ Blood Or Bone Marro","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-PE155","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"PE155","description":"HIPPS-PE155","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"DHOC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OFMB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Pad water circulating heat u","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"E0249","description":"Pad water circulating heat u","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Partial hosp prog service","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G0129","description":"Partial hosp prog service","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Dark adaptation eye exam","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"92284","description":"Dark adaptation eye exam","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NBLE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Small animal inoculation","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"87003","description":"Small animal inoculation","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KARF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CEXB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Lap impl electrode antrum","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"43647","description":"Lap impl electrode antrum","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NAFA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GCOD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Ald telephone amplifier","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"V5268","description":"Ald telephone amplifier","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"PCRD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FIIB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Placement of intraocular radiation source applicator (List separately in addition to primary procedure)","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0190T","description":"Placement of intraocular radiation source applicator (List separately in addition to primary procedure)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FIAD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Patients who use hospice services any time during the measurement period","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G9702","description":"Patients who use hospice services any time during the measurement period","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Trach care kit for new trach","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"A4625","description":"Trach care kit for new trach","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KAKB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OHQB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KGOD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Aldesleukin injection","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"J9015","description":"Aldesleukin injection","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NDEB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RMA05","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RMA05","description":"HIPPS-RMA05","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Remove anal fist inter","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"46275","description":"Remove anal fist inter","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-ATP20","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"ATP20","description":"HIPPS-ATP20","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GHFD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HH PDGM","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"1HB21","description":"HH PDGM","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Survey not complete","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G0914","description":"Survey not complete","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"PGYB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KHBE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JDIF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Sermorelin acetate injection","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"Q0515","description":"Sermorelin acetate injection","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"DBYC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RUX55","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RUX55","description":"HIPPS-RUX55","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NLUD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"ODSB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KFLB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KEBB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Laparo new ureter/bladder","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"50948","description":"Laparo new ureter/bladder","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JDGD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GIUA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RHB0C","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RHB0C","description":"HIPPS-RHB0C","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Pharm thx for op rxd","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"4005F","description":"Pharm thx for op rxd","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GADC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Neuromuscular stim for shock","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"E0745","description":"Neuromuscular stim for shock","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NETD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Inj streptokinase /250000 iu","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"J2995","description":"Inj streptokinase /250000 iu","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Nasal/sinus endoscopy_ surgical with ethmoidectomy; total (anterior and posterior)_ including sphenoidotomy","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"31257","description":"Nasal/sinus endoscopy_ surgical with ethmoidectomy; total (anterior and posterior)_ including sphenoidotomy","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Neg press wound tx >50 cm","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"97606","description":"Neg press wound tx >50 cm","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RVL36","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RVL36","description":"HIPPS-RVL36","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GHJF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CIHC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"IEHB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-HD21A","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"HD21A","description":"HIPPS-HD21A","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CIKC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Microsurg epi sperm asp","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"S4028","description":"Microsurg epi sperm asp","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Dx gastr intub w/asp spec","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"43754","description":"Dx gastr intub w/asp spec","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Us exam scrotum","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"76870","description":"Us exam scrotum","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RLA3A","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RLA3A","description":"HIPPS-RLA3A","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GBIF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KHND1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BCLE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-3BFMX","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"3BFMX","description":"HIPPS-3BFMX","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-CC145","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"CC145","description":"HIPPS-CC145","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BBLB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BEEB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"ACCB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OCKF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Osseous surgery per quadrant","billing_code_type":"CDT","billing_code_type_version":"2024","billing_code":"D4260","description":"Osseous surgery per quadrant","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Metyrapone panel","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"80436","description":"Metyrapone panel","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Tacrolimus injection","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"J7525","description":"Tacrolimus injection","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Acetaminophen","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G6039","description":"Acetaminophen","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RUL1B","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RUL1B","description":"HIPPS-RUL1B","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Leads any type vad_ rep only","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"Q0487","description":"Leads any type vad_ rep only","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Remove coronoid process","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"21070","description":"Remove coronoid process","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GEWD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"PESC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"EECD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Replc tth&acrlc mandibular","billing_code_type":"CDT","billing_code_type_version":"2024","billing_code":"D5671","description":"Replc tth&acrlc mandibular","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"CPT-0555U","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"0555U","description":"CPT-0555U","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GCFD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RVA26","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RVA26","description":"HIPPS-RVA26","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KFUF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Hyaluronan or derivative_ synojoynt_ for intra-articular injection_ 1 mg","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"J7331","description":"Hyaluronan or derivative_ synojoynt_ for intra-articular injection_ 1 mg","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Hepatitis delta agent antbdy","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"86692","description":"Hepatitis delta agent antbdy","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FIPB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-BB20A","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"BB20A","description":"HIPPS-BB20A","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"HFYE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"AHTD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"IEUC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"AAEC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"ODAC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GEMC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Assay of cadmium","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"82300","description":"Assay of cadmium","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RLA16","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RLA16","description":"HIPPS-RLA16","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MIUD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Oncology (pancreatic cancer)_ multiplex immunoassay of C5_ C4_ cystatin C_ factor B_ osteoprotegerin (OPG)_ gelsolin_ IGFBP3_ CA125 and multiplex electrochemiluminescent imm","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0342U","description":"Oncology (pancreatic cancer)_ multiplex immunoassay of C5_ C4_ cystatin C_ factor B_ osteoprotegerin (OPG)_ gelsolin_ IGFBP3_ CA125 and multiplex electrochemiluminescent imm","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GASB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JGBE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"CPT-0682U","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"0682U","description":"CPT-0682U","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"CDT-D0801","billing_code_type":"CDT","billing_code_type_version":"2026","billing_code":"D0801","description":"CDT-D0801","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-CD20A","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"CD20A","description":"HIPPS-CD20A","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OFWD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KGVA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FBHC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GFYC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-HC106","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"HC106","description":"HIPPS-HC106","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RHB8D","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RHB8D","description":"HIPPS-RHB8D","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MICE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Removal of heel bone","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"28118","description":"Removal of heel bone","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CIPB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"ECTA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"AAEB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"PGRC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Bx/exc idrl spine lesn lmbr","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"63282","description":"Bx/exc idrl spine lesn lmbr","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FDHF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"EFEA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-PC110","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"PC110","description":"HIPPS-PC110","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-4AHK1","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"4AHK1","description":"HIPPS-4AHK1","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Bronchoscopy_ rigid or flexible_ with bronchial alveolar lavage and transendoscopic endobronchial ultrasound (ebus) during bronchoscopic diagnostic or therapeutic intervention","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"C7556","description":"Bronchoscopy_ rigid or flexible_ with bronchial alveolar lavage and transendoscopic endobronchial ultrasound (ebus) during bronchoscopic diagnostic or therapeutic intervention","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-LB113","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"LB113","description":"HIPPS-LB113","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Retrieval of oocyte","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"58970","description":"Retrieval of oocyte","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Lead_ coronary venous","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"C1900","description":"Lead_ coronary venous","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Oncology_ Response To Radiation_ Cell-Free Dna_ Quantitative Branched Chain Dna Amplification_ Plasma_ Reported As A Radiation Toxicity Score","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0285U","description":"Oncology_ Response To Radiation_ Cell-Free Dna_ Quantitative Branched Chain Dna Amplification_ Plasma_ Reported As A Radiation Toxicity Score","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FGFA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Drug screening oxycodone","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"80365","description":"Drug screening oxycodone","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-BA23B","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"BA23B","description":"HIPPS-BA23B","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FFLE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"AGAD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OJYA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MEED0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NKGB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GCRF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Cryptosporidium ag if","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"87272","description":"Cryptosporidium ag if","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NIAD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OJPD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GCQD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GGIC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NJPA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Remove int/ext hem 1 group","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"46255","description":"Remove int/ext hem 1 group","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BALC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JCED0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Perq dev breast 1st strtctc","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"19283","description":"Perq dev breast 1st strtctc","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OFND0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Misc/exper non-prescript dru","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"A9150","description":"Misc/exper non-prescript dru","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Reticyte/hgb concentrate","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"85046","description":"Reticyte/hgb concentrate","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CFWA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KCYA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"PBRA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Oncology (cervix)_ mRNA gene expression profiling of 14 biomarkers (E6 and E7 of the highest-risk human papillomavirus [HPV] types 16_ 18_ 31_ 33_ 45_ 52_ 58)_ by real-time nu","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0463U","description":"Oncology (cervix)_ mRNA gene expression profiling of 14 biomarkers (E6 and E7 of the highest-risk human papillomavirus [HPV] types 16_ 18_ 31_ 33_ 45_ 52_ 58)_ by real-time nu","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-M1460","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"M1460","description":"HCPCS-M1460","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"AGBC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GFAC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"IHEB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Fun stat score ue >=0","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G8667","description":"Fun stat score ue >=0","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"AGCE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Injection Tocilizumab for COVID-19 1 mg","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"Q0249","description":"Injection Tocilizumab for COVID-19 1 mg","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"IHME1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"CPT-0962T","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"0962T","description":"CPT-0962T","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Not all data norsn","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G9324","description":"Not all data norsn","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NENA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GIFC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GFVA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KBQE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Ef ped complete intact nut","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"B4158","description":"Ef ped complete intact nut","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"CPT-01622","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"01622","description":"CPT-01622","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"HIOF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Patient treatment and final evaluation complete","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"M1009","description":"Patient treatment and final evaluation complete","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OCHF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KFPA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-CA10D","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"CA10D","description":"HIPPS-CA10D","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NFDA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-4CGMW","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"4CGMW","description":"HIPPS-4CGMW","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Metatarsal joint implant","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"L8641","description":"Metatarsal joint implant","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-BB28F","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"BB28F","description":"HIPPS-BB28F","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-ES22B","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"ES22B","description":"HIPPS-ES22B","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RLA11","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RLA11","description":"HIPPS-RLA11","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-HC18B","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"HC18B","description":"HIPPS-HC18B","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Lumbar spine process addl","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0172T","description":"Lumbar spine process addl","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OIDA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Rh-immunoglobulin order","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G8809","description":"Rh-immunoglobulin order","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KAEF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"PDRF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Intraor complete film series","billing_code_type":"CDT","billing_code_type_version":"2024","billing_code":"D0210","description":"Intraor complete film series","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"PLRA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MHAC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Other pt/ot  d/c status","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G8992","description":"Other pt/ot  d/c status","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FFFB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CDQA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"ACTA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NLGD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Microdissection laser","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"88380","description":"Microdissection laser","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Excise parotid gland/lesion","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"42426","description":"Excise parotid gland/lesion","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Zoledronic acid 1mg","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"J3489","description":"Zoledronic acid 1mg","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"LBRC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FDIB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Antidepressant tricyclic 1/2","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"80335","description":"Antidepressant tricyclic 1/2","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Vertebroplasty addl inject","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"22512","description":"Vertebroplasty addl inject","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"IITF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KHBB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JAMD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"AHAE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JHAE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NHLC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-5CGK2","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"5CGK2","description":"HIPPS-5CGK2","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Miniature knee joint","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"L5826","description":"Miniature knee joint","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"N block stellate ganglion","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"64510","description":"N block stellate ganglion","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"CPT-0645U","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"0645U","description":"CPT-0645U","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Blastomyces antibody","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"86612","description":"Blastomyces antibody","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"IDDB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Dtap-ipv-hib-hepb vaccine im","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"90697","description":"Dtap-ipv-hib-hepb vaccine im","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Change of windpipe airway","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"31502","description":"Change of windpipe airway","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FFNB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-L2221","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"L2221","description":"HCPCS-L2221","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NDGD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Skin full graft trunk add-on","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"15201","description":"Skin full graft trunk add-on","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CAED1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Oseltamivir phosphate 75mg","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G9019","description":"Oseltamivir phosphate 75mg","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OIUF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"X-ray exam unilat ribs/chest","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"71101","description":"X-ray exam unilat ribs/chest","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"AGBE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OFLB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"HEWB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Injection Nusinersen 0.1 Mg","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"C9489","description":"Injection Nusinersen 0.1 Mg","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MBAA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GIDB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KAAB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"ICDC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OJHB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Hydrocortisone acetate inj","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"J1700","description":"Hydrocortisone acetate inj","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KGDE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KITC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Cochlear implt f/up exam 7/>","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"92603","description":"Cochlear implt f/up exam 7/>","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-PB244","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"PB244","description":"HIPPS-PB244","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FHGF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Inj melphalan hydrochl 50 mg","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"J9245","description":"Inj melphalan hydrochl 50 mg","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Lap enterectomy","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"44202","description":"Lap enterectomy","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GFKD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"DBRC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Nasal sinus therapy","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"30210","description":"Nasal sinus therapy","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Isolation- tooth w rubb dam","billing_code_type":"CDT","billing_code_type_version":"2024","billing_code":"D3910","description":"Isolation- tooth w rubb dam","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Ligation of inf vena cava","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"37619","description":"Ligation of inf vena cava","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MLME1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KITB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"PGSE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KAOA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Injection_ cefepime hydrochloride (baxter)_ not therapeutically equivalent to maxipime_ 500 mg","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"J0701","description":"Injection_ cefepime hydrochloride (baxter)_ not therapeutically equivalent to maxipime_ 500 mg","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CCJD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Chemotherapy into cns","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"96450","description":"Chemotherapy into cns","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-1CGN2","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"1CGN2","description":"HIPPS-1CGN2","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FELF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Autonomic nrv adrenrg inervj","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"95922","description":"Autonomic nrv adrenrg inervj","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"CPT-00922","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"00922","description":"CPT-00922","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Hemostats for dialysis_ each","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"E1637","description":"Hemostats for dialysis_ each","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HH PDGM","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"1DA21","description":"HH PDGM","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"I131 serum albumin_ dx","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"A9524","description":"I131 serum albumin_ dx","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"IIBE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Remove vert idrl body thrc","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"63305","description":"Remove vert idrl body thrc","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Removal of ankle implant","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"27704","description":"Removal of ankle implant","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JDCF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-PC246","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"PC246","description":"HIPPS-PC246","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Implantable pump replacement","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"E0786","description":"Implantable pump replacement","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BHPF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"ECMD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Remove thyroid duct lesion","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"60281","description":"Remove thyroid duct lesion","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Injection_ sutimlimab-jome_ 10mg","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"J1302","description":"Injection_ sutimlimab-jome_ 10mg","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Removal of kidney stone","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"50081","description":"Removal of kidney stone","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Dimethadione","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G6048","description":"Dimethadione","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-PD105","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"PD105","description":"HIPPS-PD105","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OHHB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Nerve graft hand/foot </4 cm","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"64890","description":"Nerve graft hand/foot </4 cm","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NFCE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JHJF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FCED1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Bio imm resp mod presc","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G9506","description":"Bio imm resp mod presc","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Specimen site not esophagus","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G8797","description":"Specimen site not esophagus","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"EFTE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Mitochondrial gene","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"81440","description":"Mitochondrial gene","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JHUA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"HFOA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CECD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FFND1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KHDE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Initial (index visit) numeric rating scale (nrs)_ visual rating scale (vrs)_ or itchyquant assessment score of greater than or equal to 4","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"M1204","description":"Initial (index visit) numeric rating scale (nrs)_ visual rating scale (vrs)_ or itchyquant assessment score of greater than or equal to 4","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Autoimmune (psoriasis)_ mRNA_ next-generation sequencing_ gene expression profiling of 50-100 genes_ skin-surface collection using adhesive patch_ algorithm reported as likeli","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0258U","description":"Autoimmune (psoriasis)_ mRNA_ next-generation sequencing_ gene expression profiling of 50-100 genes_ skin-surface collection using adhesive patch_ algorithm reported as likeli","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"EGIF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Qty act mcc mg perf","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G9670","description":"Qty act mcc mg perf","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OGAE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MLCA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FAJF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-LE18C","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"LE18C","description":"HIPPS-LE18C","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Esrd serv 1 visit p mo 20+","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"90962","description":"Esrd serv 1 visit p mo 20+","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"IGUF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Injection_ tixagevimab and cilgavimab_ for the pre-exposure prophylaxis only_ for certain adults and pediatric individuals (12 years of age and older weighing at least 40kg) w","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"M0220","description":"Injection_ tixagevimab and cilgavimab_ for the pre-exposure prophylaxis only_ for certain adults and pediatric individuals (12 years of age and older weighing at least 40kg) w","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GCBB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Insrt heart pm atrial & vent","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"33208","description":"Insrt heart pm atrial & vent","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Hip arthro w/femoroplasty","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"29914","description":"Hip arthro w/femoroplasty","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GGND0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FEAB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KDHA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Service for diagnosis_ evaluation_ or treatment of a mental health or substance use disorder_ initial 30-60 minutes_ provided remotely by hospital staff who are licensed to pr","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"C7901","description":"Service for diagnosis_ evaluation_ or treatment of a mental health or substance use disorder_ initial 30-60 minutes_ provided remotely by hospital staff who are licensed to pr","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GIHD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Back pain was measured by the visual analog scale (VAS) within three months preoperatively and at one year (9 to 15 months) postoperatively","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G9944","description":"Back pain was measured by the visual analog scale (VAS) within three months preoperatively and at one year (9 to 15 months) postoperatively","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MJED1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Ortho shoe add leather insol","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"L3500","description":"Ortho shoe add leather insol","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KIMC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Extracapsular Cataract Removal With Insertion Of Intraocular Lens Prosthesis (1 Stage Procedure)_ Manual Or Mechanical Technique (Eg_ Irrigation And Aspiration Or Phacoemulsif","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"66991","description":"Extracapsular Cataract Removal With Insertion Of Intraocular Lens Prosthesis (1 Stage Procedure)_ Manual Or Mechanical Technique (Eg_ Irrigation And Aspiration Or Phacoemulsif","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Gliadin (Deamidated) (Dgp) Antibody_ Each Immunoglobulin (Ig) Class","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"86258","description":"Gliadin (Deamidated) (Dgp) Antibody_ Each Immunoglobulin (Ig) Class","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Electronic analysis of implanted neurostimulator pulse generator system (eg_ rate_ pulse amplitude_ pulse duration_ configuration of wave form_ battery status_ electrode selec","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"95975","description":"Electronic analysis of implanted neurostimulator pulse generator system (eg_ rate_ pulse amplitude_ pulse duration_ configuration of wave form_ battery status_ electrode selec","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"PFYD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"HESB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FBXD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KGOB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Wheelchair arm rest","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"E0994","description":"Wheelchair arm rest","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Wheelchair Accessory_ Dynamic Positioning Hardware For Back","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"E2398","description":"Wheelchair Accessory_ Dynamic Positioning Hardware For Back","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NIUB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GIRC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FEDA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HH PDGM","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"3FA31","description":"HH PDGM","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Treat wrist bone fracture","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"25635","description":"Treat wrist bone fracture","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BABB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CGCC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Patients 66 Years Of Age Or Older With At Least One Claim/Encounter For Frailty During The Measurement Period And Either One Acute Inpatient Encounter With A Diagnosis Of Adva","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G2135","description":"Patients 66 Years Of Age Or Older With At Least One Claim/Encounter For Frailty During The Measurement Period And Either One Acute Inpatient Encounter With A Diagnosis Of Adva","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Ht pharm per hour","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"S9810","description":"Ht pharm per hour","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Remove spine fixation device","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"22855","description":"Remove spine fixation device","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-2BFL1","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"2BFL1","description":"HIPPS-2BFL1","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"DIQD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Lap ing hernia repair recur","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"49651","description":"Lap ing hernia repair recur","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BIDE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"CPT-87638","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"87638","description":"CPT-87638","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Cast sup lngleg cylndr ped f","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"Q4036","description":"Cast sup lngleg cylndr ped f","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RVC42","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RVC42","description":"HIPPS-RVC42","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"EBBE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"AEIA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KBYF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Laparoscopy ureterolithotomy","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"50945","description":"Laparoscopy ureterolithotomy","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NEDF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JEED0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"CDT-D1805","billing_code_type":"CDT","billing_code_type_version":"2026","billing_code":"D1805","description":"CDT-D1805","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-Q4350","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"Q4350","description":"HCPCS-Q4350","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Radiation treatment delivery","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G6008","description":"Radiation treatment delivery","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MIDD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Ascending aortic graft","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"33864","description":"Ascending aortic graft","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FIGA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Seizure type& frequ docd","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"1200F","description":"Seizure type& frequ docd","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KFRB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Limb exercise test","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"95875","description":"Limb exercise test","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Laryngoscopy for treatment","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"31527","description":"Laryngoscopy for treatment","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Exploration Not Followed By Surgical Repair_ Artery; Upper Extremity (Eg_ Axillary_ Brachial_ Radial_ Ulnar)","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"35702","description":"Exploration Not Followed By Surgical Repair_ Artery; Upper Extremity (Eg_ Axillary_ Brachial_ Radial_ Ulnar)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CGPA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NILF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GIFE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-2AHK4","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"2AHK4","description":"HIPPS-2AHK4","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Male external catheter","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"A4326","description":"Male external catheter","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"CPT-01742","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"01742","description":"CPT-01742","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Remove spine lamina 1 lmbr","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"63047","description":"Remove spine lamina 1 lmbr","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Ciliary endoscopic ablation","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"66711","description":"Ciliary endoscopic ablation","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CAED0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"ICLA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"RARE DS GEN DNA ALYS PROBAND","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0212U","description":"RARE DS GEN DNA ALYS PROBAND","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Ther behav svc_ per 15 min","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"H2019","description":"Ther behav svc_ per 15 min","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Laser inc for pkp/lkp donor","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0289T","description":"Laser inc for pkp/lkp donor","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Comp multidisipln evaluation","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"H2000","description":"Comp multidisipln evaluation","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Wheelchair lightwt fixed arm","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"E1087","description":"Wheelchair lightwt fixed arm","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-M1501","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"M1501","description":"HCPCS-M1501","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JIBF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GHFD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Urine culture/colony count","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"87086","description":"Urine culture/colony count","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Patient reason for not screening for food insecurity_ housing instability_ transportation needs_ utility difficulties_ and interpersonal safety (e.g._ patient declined or othe","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"M1237","description":"Patient reason for not screening for food insecurity_ housing instability_ transportation needs_ utility difficulties_ and interpersonal safety (e.g._ patient declined or othe","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Enverse_ per sq cm","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"Q4258","description":"Enverse_ per sq cm","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KBXF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"AEHF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-3CGK4","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"3CGK4","description":"HIPPS-3CGK4","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-M1484","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"M1484","description":"HCPCS-M1484","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-HC28H","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"HC28H","description":"HIPPS-HC28H","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MGDA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"DCRA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CFWB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FHTF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OJHF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Penis study","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"54240","description":"Penis study","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RHA22","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RHA22","description":"HIPPS-RHA22","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CBKA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OICF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OLPF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FEPD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"CPT-0525U","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"0525U","description":"CPT-0525U","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Auditory osseointegrated device_ transducer/actuator_ replacement only_ each","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"L8694","description":"Auditory osseointegrated device_ transducer/actuator_ replacement only_ each","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OIAE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BHLD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Eval on foot documented","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G8410","description":"Eval on foot documented","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CHPB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CFXE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"EICC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KGQB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BCAF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Assay of tsi globulin","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"84445","description":"Assay of tsi globulin","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Remove wrist joint lining","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"25105","description":"Remove wrist joint lining","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Electro hearng aid tst both","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"92595","description":"Electro hearng aid tst both","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Rectal sensation test","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"91120","description":"Rectal sensation test","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Speech therapy_ in the home_","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"S9128","description":"Speech therapy_ in the home_","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-A2036","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"A2036","description":"HCPCS-A2036","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JANB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FGME0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NCLA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"CPT-0697U","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"0697U","description":"CPT-0697U","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"IGAB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Capecitabine_ oral_ 150 mg","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"J8520","description":"Capecitabine_ oral_ 150 mg","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HH PDGM","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"2FA31","description":"HH PDGM","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"ECIF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Injection for hip x-ray","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"27093","description":"Injection for hip x-ray","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RVA3B","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RVA3B","description":"HIPPS-RVA3B","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MEIA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Noner transport case worker","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"A0160","description":"Noner transport case worker","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-J7299","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"J7299","description":"HCPCS-J7299","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Treat slipped epiphysis","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"27176","description":"Treat slipped epiphysis","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Removal of epiglottis","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"31420","description":"Removal of epiglottis","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KCPD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HH PDGM","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"1BB11","description":"HH PDGM","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KHRC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"AABA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OIWF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"CDT-D9913","billing_code_type":"CDT","billing_code_type_version":"2026","billing_code":"D9913","description":"CDT-D9913","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GIBB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Reconstruction maxilla total","billing_code_type":"CDT","billing_code_type_version":"2024","billing_code":"D7946","description":"Reconstruction maxilla total","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BAAA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BAVD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FDFE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-G0538","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"G0538","description":"HCPCS-G0538","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Nonpowered pressure mattress","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"E0373","description":"Nonpowered pressure mattress","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Oncology (thyroid)_ DNA and mRNA of 112 genes_ next-generation sequencing_ fine needle aspirate of thyroid nodule_ algorithmic analysis reported as a categorical result (Posi","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0026U","description":"Oncology (thyroid)_ DNA and mRNA of 112 genes_ next-generation sequencing_ fine needle aspirate of thyroid nodule_ algorithmic analysis reported as a categorical result (Posi","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Cid ext controller repl","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"L8628","description":"Cid ext controller repl","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"CPT-0941T","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"0941T","description":"CPT-0941T","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JFNA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KGTA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GBOF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NAUB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Implt neurostim elctr each","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"L8680","description":"Implt neurostim elctr each","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MJUC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JHVC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JDLB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Thoracic Surgery Mips Specialty Set","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G4035","description":"Thoracic Surgery Mips Specialty Set","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-2BHLU","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"2BHLU","description":"HIPPS-2BHLU","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GELD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RVA8C","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RVA8C","description":"HIPPS-RVA8C","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CATB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CGRD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MEAE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"ICUE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"ODOF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JHPE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Moderate (45 minutes) in-home visit for an existing patient post-discharge. For use only in a Medicare-approved CMMI model. (Services must be furnished within a beneficiary’s","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G2008","description":"Moderate (45 minutes) in-home visit for an existing patient post-discharge. For use only in a Medicare-approved CMMI model. (Services must be furnished within a beneficiary’s","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KELA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Co57 cyano","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"A9559","description":"Co57 cyano","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Incision of rectal abscess","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"46060","description":"Incision of rectal abscess","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OJRB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-LB134","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"LB134","description":"HIPPS-LB134","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FCAF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"EFLD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KAJA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Test for blood flow in graft","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"15860","description":"Test for blood flow in graft","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Chemodenerv musc neck dyston","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"64616","description":"Chemodenerv musc neck dyston","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"IGIC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Smpd1 gene common variants","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"81330","description":"Smpd1 gene common variants","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Place gastrostomy tube","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"43831","description":"Place gastrostomy tube","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KFXE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RUL2B","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RUL2B","description":"HIPPS-RUL2B","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Inject skin lesions </w 7","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"11900","description":"Inject skin lesions </w 7","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"CPT-01652","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"01652","description":"CPT-01652","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Statin not presc doc reas","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G9442","description":"Statin not presc doc reas","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-4AGL5","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"4AGL5","description":"HIPPS-4AGL5","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GBHF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Drug/substance nos 4-6","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"80376","description":"Drug/substance nos 4-6","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"PAOC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"HAOA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OAPF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RHA0D","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RHA0D","description":"HIPPS-RHA0D","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-PE114","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"PE114","description":"HIPPS-PE114","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Fast/dir ldl = 190 mg/dl","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G9663","description":"Fast/dir ldl = 190 mg/dl","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JCBD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KHSE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-Q5100","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"Q5100","description":"HCPCS-Q5100","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MBMF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"EGHB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KHXE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GDGD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-ATP03","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"ATP03","description":"HIPPS-ATP03","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BCXE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NAMD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FDJB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Principal Care Management Services_ For A Single High-Risk Disease_ With The Following Required Elements: One Complex Chronic Condition Expected To Last At Least 3 Months_ And","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"99426","description":"Principal Care Management Services_ For A Single High-Risk Disease_ With The Following Required Elements: One Complex Chronic Condition Expected To Last At Least 3 Months_ And","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Injection_ sodium thiosulfate_ 100 mg","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"J0208","description":"Injection_ sodium thiosulfate_ 100 mg","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-PB240","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"PB240","description":"HIPPS-PB240","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Brst prsths adhsv attchmnt","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"A4280","description":"Brst prsths adhsv attchmnt","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Remove impacted ear wax uni","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"69209","description":"Remove impacted ear wax uni","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Oncotype MAP Pan-Cancer Tissue Test_ Paradigm Diagnostics_ Inc","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0244U","description":"Oncotype MAP Pan-Cancer Tissue Test_ Paradigm Diagnostics_ Inc","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Mpl (Mpl Proto-Oncogene_ Thrombopoietin Receptor) (Eg_ Myeloproliferative Disorder) Gene Analysis; Common Variants (Eg_ W515A_ W515K_ W515L_ W515R)","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"81338","description":"Mpl (Mpl Proto-Oncogene_ Thrombopoietin Receptor) (Eg_ Myeloproliferative Disorder) Gene Analysis; Common Variants (Eg_ W515A_ W515K_ W515L_ W515R)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Underarm springassist crutch","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"E0117","description":"Underarm springassist crutch","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-PC13D","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"PC13D","description":"HIPPS-PC13D","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CCHF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Elbow child myoelectronic ct","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"L7191","description":"Elbow child myoelectronic ct","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CETB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Laup","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"S2080","description":"Laup","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"PHOE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RVL22","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RVL22","description":"HIPPS-RVL22","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KDKB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Alcohol and/or drug preventi","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"H0025","description":"Alcohol and/or drug preventi","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OHNE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Shorten radius & ulna","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"25392","description":"Shorten radius & ulna","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FDPD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"AEEB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RUB3D","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RUB3D","description":"HIPPS-RUB3D","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-LE23C","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"LE23C","description":"HIPPS-LE23C","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GCCC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BBKF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Reconstruct cleft palate","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"42220","description":"Reconstruct cleft palate","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Hemodialysis via av fistula","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"4052F","description":"Hemodialysis via av fistula","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Coch implant headset replace","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"L8615","description":"Coch implant headset replace","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Provisional retainer crown","billing_code_type":"CDT","billing_code_type_version":"2024","billing_code":"D6793","description":"Provisional retainer crown","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CDBC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GIQD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CDEF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"DCQC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JHLE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Insulin for insulin pump use","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"J1817","description":"Insulin for insulin pump use","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Bupren/nal up to 3mg bupreno","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"J0572","description":"Bupren/nal up to 3mg bupreno","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FCLC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Rho(d) immune globulin h_ sd","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"J2792","description":"Rho(d) immune globulin h_ sd","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GDWA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Doc antibio given b/4 surg","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"4048F","description":"Doc antibio given b/4 surg","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Complete cbc automated","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"85027","description":"Complete cbc automated","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Pyridoxine hcl 100 mg","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"J3415","description":"Pyridoxine hcl 100 mg","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NITB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RHC22","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RHC22","description":"HIPPS-RHC22","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OEBB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OILD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Unlisted preventive service","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"99429","description":"Unlisted preventive service","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BFPE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-CD117","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"CD117","description":"HIPPS-CD117","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Oncology (breast cancer)_ ERBB2 (HER2) copy number by FISH_ tumor cells from formalin fixed paraffin embedded tissue isolated using image-based dielectrophoresis (DEP) sorting","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0009U","description":"Oncology (breast cancer)_ ERBB2 (HER2) copy number by FISH_ tumor cells from formalin fixed paraffin embedded tissue isolated using image-based dielectrophoresis (DEP) sorting","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Digitization of glass microscope slides for cytopathology_ smears_ any other source; extended study involving over 5 slides and/or multiple stains (List separately in addition","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0834T","description":"Digitization of glass microscope slides for cytopathology_ smears_ any other source; extended study involving over 5 slides and/or multiple stains (List separately in addition","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Cystoscopy","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"52000","description":"Cystoscopy","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-3BGP3","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"3BGP3","description":"HIPPS-3BGP3","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Anesth skull drainage","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"21251","description":"Anesth skull drainage","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GHLB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"DCOF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Reconstruction of pylorus","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"43800","description":"Reconstruction of pylorus","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-BB18A","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"BB18A","description":"HIPPS-BB18A","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GIIB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"EHTC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OJTD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-J1808","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"J1808","description":"HCPCS-J1808","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BHFB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GBKF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-Q5169","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"Q5169","description":"HCPCS-Q5169","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Prepare face/oral prosthesis","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"21084","description":"Prepare face/oral prosthesis","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Glucose other fluid","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"82945","description":"Glucose other fluid","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MGEA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NKAA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-PE235","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"PE235","description":"HIPPS-PE235","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JDIA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Internal root repair","billing_code_type":"CDT","billing_code_type_version":"2024","billing_code":"D3333","description":"Internal root repair","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JGAD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GCAC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Mh clubhouse svc_ per diem","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"H2031","description":"Mh clubhouse svc_ per diem","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-3AHKS","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"3AHKS","description":"HIPPS-3AHKS","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GDCC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GHMD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Cystometrogram w/up","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"51727","description":"Cystometrogram w/up","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GCNE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Drug test(s)_ definitive_ utilizing drug identification methods able to identify individual drugs and distinguish between structural isomers (but not necessarily stereoisomers","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G0659","description":"Drug test(s)_ definitive_ utilizing drug identification methods able to identify individual drugs and distinguish between structural isomers (but not necessarily stereoisomers","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-ES236","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"ES236","description":"HIPPS-ES236","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KCCB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Srs multisource","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"77371","description":"Srs multisource","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OLKB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"IIIA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MKTB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HH PDGM","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"2HC21","description":"HH PDGM","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-Q4386","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"Q4386","description":"HCPCS-Q4386","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Deoxyribonuclease antibody","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"86215","description":"Deoxyribonuclease antibody","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Epoetin beta_ esrd use","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"Q9972","description":"Epoetin beta_ esrd use","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OEQB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Removal of lens material","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"66850","description":"Removal of lens material","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Prq card stent/ath/angio","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"92934","description":"Prq card stent/ath/angio","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Auricular prosthesis","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"L8045","description":"Auricular prosthesis","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"DFWC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-H0053","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"H0053","description":"HCPCS-H0053","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GBMB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Na ferric gluconate complex","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"J2916","description":"Na ferric gluconate complex","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KDWB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BIGA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-1AFMT","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"1AFMT","description":"HIPPS-1AFMT","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FBGC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BFPA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NBUB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BIJF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FAFB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Open skull for drainage","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"61321","description":"Open skull for drainage","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Tmj aspiration joint fluid","billing_code_type":"CDT","billing_code_type_version":"2024","billing_code":"D7870","description":"Tmj aspiration joint fluid","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CITE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FBBC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GFNA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OKNA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Emergency anesthesia","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"99140","description":"Emergency anesthesia","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Pos airway press prescribed","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G8845","description":"Pos airway press prescribed","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-Q4376","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"Q4376","description":"HCPCS-Q4376","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Employment - Job Coaching 1:2 to 1:4","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"W1734","description":"Employment - Job Coaching 1:2 to 1:4","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MICC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JIPC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Pentobarbital sodium inj","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"J2515","description":"Pentobarbital sodium inj","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CISD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NFCC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"PIYD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Repair vessel defect","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"33802","description":"Repair vessel defect","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GBWA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NHEE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GADF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RUC8E","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RUC8E","description":"HIPPS-RUC8E","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Endovascular Stent Repair Of Coarctation Of The Ascending_ Transverse_ Or Descending Thoracic Or Abdominal Aorta_ Involving Stent Placement; Across Major Side Branches","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"33894","description":"Endovascular Stent Repair Of Coarctation Of The Ascending_ Transverse_ Or Descending Thoracic Or Abdominal Aorta_ Involving Stent Placement; Across Major Side Branches","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JGCD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GEDE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Ustekinumab_ for intravenous injection_ 1 mg","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"J3358","description":"Ustekinumab_ for intravenous injection_ 1 mg","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-CA20B","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"CA20B","description":"HIPPS-CA20B","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KEWF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"CPT-93145","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"93145","description":"CPT-93145","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Cold agglutinin screen","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"86156","description":"Cold agglutinin screen","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"N-et; commerc carrier pass","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"T2004","description":"N-et; commerc carrier pass","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Removal of kidney stone","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"50060","description":"Removal of kidney stone","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-HD24D","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"HD24D","description":"HIPPS-HD24D","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JFLE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Anesth nose/sinus surgery","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"16051","description":"Anesth nose/sinus surgery","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-PE18D","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"PE18D","description":"HIPPS-PE18D","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-4BHMT","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"4BHMT","description":"HIPPS-4BHMT","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OAXF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Vascular study","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"93978","description":"Vascular study","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"EEID1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Remove rectum w/reservoir","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"45119","description":"Remove rectum w/reservoir","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Insulin (lyumjev) for administration through dme (i.e._ insulin pump) per 50 units","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"J1813","description":"Insulin (lyumjev) for administration through dme (i.e._ insulin pump) per 50 units","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CBGD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JIGB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-LE25A","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"LE25A","description":"HIPPS-LE25A","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MHBE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Comparative DNA analysis using multiple selected single-nucleotide polymorphisms (SNPs)_ urine and buccal DNA_ for specimen identity verification","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0079U","description":"Comparative DNA analysis using multiple selected single-nucleotide polymorphisms (SNPs)_ urine and buccal DNA_ for specimen identity verification","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OJPA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"LAWF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Remove/graft foot lesion","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"28102","description":"Remove/graft foot lesion","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KAVD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Decompression of lower leg","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"27602","description":"Decompression of lower leg","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NAIC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CIMB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Acoustic refl threshold tst","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"92568","description":"Acoustic refl threshold tst","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"AFTE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-BB22B","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"BB22B","description":"HIPPS-BB22B","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Assay of feces porphyrins","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"84126","description":"Assay of feces porphyrins","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CIYC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GEMD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Pectin based ostomy paste","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"A4406","description":"Pectin based ostomy paste","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"ADCD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FITF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Ctlso axilla sling","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"L1010","description":"Ctlso axilla sling","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GCEB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"AAHC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Ct abdomen w/o & w/dye","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"74170","description":"Ct abdomen w/o & w/dye","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BIPA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BHDD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FGTF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NKDF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HH PDGM","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"4AA31","description":"HH PDGM","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Paliperidone palmitate inj","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"J2426","description":"Paliperidone palmitate inj","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Vaginectomy partial w/nodes","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"57109","description":"Vaginectomy partial w/nodes","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"DFYD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OLJB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Human papillomavirus (HPV)_ oropharyngeal swab_ 14 high-risk types (ie_ 16_ 18_ 31_ 33_ 35_ 39_ 45_ 51_ 52_ 56_ 58_ 59_ 66_ and 68)","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0429U","description":"Human papillomavirus (HPV)_ oropharyngeal swab_ 14 high-risk types (ie_ 16_ 18_ 31_ 33_ 35_ 39_ 45_ 51_ 52_ 56_ 58_ 59_ 66_ and 68)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Pwc gp5 ped sing pow opt s/b","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"K0890","description":"Pwc gp5 ped sing pow opt s/b","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-LD244","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"LD244","description":"HIPPS-LD244","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"AGDA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-HB151","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"HB151","description":"HIPPS-HB151","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Thoracoscopy w/bx pleura","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"32609","description":"Thoracoscopy w/bx pleura","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KCEA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Revise inner ear window","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"69840","description":"Revise inner ear window","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"HGRA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KAXD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HH PDGM","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"4DC21","description":"HH PDGM","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OGEF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KAGE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Hit cath repair kit","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"S5518","description":"Hit cath repair kit","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Uvl sys panel 6 ft","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"E0693","description":"Uvl sys panel 6 ft","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-3BHM1","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"3BHM1","description":"HIPPS-3BHM1","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Repair hand joint with graft","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"26542","description":"Repair hand joint with graft","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BIDF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RVB1B","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RVB1B","description":"HIPPS-RVB1B","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BEJC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MBTA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Endoscopic retrograde cholangiopancreatography (ercp) with sphincterotomy/papillotomy_ with endoscopic cannulation of papilla with direct visualization of pancreatic/common bi","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"C7543","description":"Endoscopic retrograde cholangiopancreatography (ercp) with sphincterotomy/papillotomy_ with endoscopic cannulation of papilla with direct visualization of pancreatic/common bi","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CFUD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"CPT-0681U","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"0681U","description":"CPT-0681U","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HH PDGM","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"4EC21","description":"HH PDGM","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"No antibio w in 10d of sympt","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G9287","description":"No antibio w in 10d of sympt","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-ES28X","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"ES28X","description":"HIPPS-ES28X","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Revision of tricuspid valve","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"33460","description":"Revision of tricuspid valve","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OFHD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"DEWB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Mapcp demo state","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G9151","description":"Mapcp demo state","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CEHE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Injection_ human fibrinogen concentrate (Fibryga)_ 1 mg","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"J7177","description":"Injection_ human fibrinogen concentrate (Fibryga)_ 1 mg","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-LB18G","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"LB18G","description":"HIPPS-LB18G","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BGUA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"EEBF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NHMC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KFTB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"AGEA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Lens sphcy bifocal 4.25-7/2.","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"V2208","description":"Lens sphcy bifocal 4.25-7/2.","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RVC8A","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RVC8A","description":"HIPPS-RVC8A","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Inpt/tele follow up 15","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G0406","description":"Inpt/tele follow up 15","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"ODQA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"EGTF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GFSA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GGXA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FHXD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GGMC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Not >1 sinus ct w 90d dx","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G9352","description":"Not >1 sinus ct w 90d dx","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"EGIA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OFQA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Flotufolastat f 18_ diagnostic_ 1 millicurie","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"A9608","description":"Flotufolastat f 18_ diagnostic_ 1 millicurie","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"LIWE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-A9610","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"A9610","description":"HCPCS-A9610","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"LESD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"PGQB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Hepagam b intravenous_ inj","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"J1573","description":"Hepagam b intravenous_ inj","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Ct angio upr extrm w/o&w/dye","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"73206","description":"Ct angio upr extrm w/o&w/dye","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KGXD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Icut allergy test-delayed","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"95028","description":"Icut allergy test-delayed","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CCBF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-2BHKU","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"2BHKU","description":"HIPPS-2BHKU","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"AFEF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GBUE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Nasal function studies","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"92512","description":"Nasal function studies","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Biopsy of stomach","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"43605","description":"Biopsy of stomach","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NDAE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KGKC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FATD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"PDSF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RHX01","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RHX01","description":"HIPPS-RHX01","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"DCYC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-4BFK5","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"4BFK5","description":"HIPPS-4BFK5","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KFUB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-PE21C","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"PE21C","description":"HIPPS-PE21C","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Patients Under Hospice Care In The Current Reporting Month","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G0051","description":"Patients Under Hospice Care In The Current Reporting Month","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Incis 1 vertebral seg cerv","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"22210","description":"Incis 1 vertebral seg cerv","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KFJC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KGTF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OGLA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Drug Screen_ Other Than Chromatographic; Any Number Of Drug Classes_ By Clia","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G0434","description":"Drug Screen_ Other Than Chromatographic; Any Number Of Drug Classes_ By Clia","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Initial or subsequent psychiatric collaborative care management_ each additional 30 minutes in a calendar month of behavioral health care manager activities_ in consultation w","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"99494","description":"Initial or subsequent psychiatric collaborative care management_ each additional 30 minutes in a calendar month of behavioral health care manager activities_ in consultation w","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Bls","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"A0428","description":"Bls","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-PC14B","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"PC14B","description":"HIPPS-PC14B","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FDNB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OHLD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CCKD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Assay of urine chloride","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"82436","description":"Assay of urine chloride","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FGEE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BFBE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-1CGP6","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"1CGP6","description":"HIPPS-1CGP6","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Pneumatic caster tire","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"E2384","description":"Pneumatic caster tire","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-PB20B","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"PB20B","description":"HIPPS-PB20B","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Compres burn garment_ noc","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"A6512","description":"Compres burn garment_ noc","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RVL20","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RVL20","description":"HIPPS-RVL20","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Radiesse injection","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"Q2026","description":"Radiesse injection","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CAJA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JIUD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NJHC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Ocular prosthesis interim","billing_code_type":"CDT","billing_code_type_version":"2024","billing_code":"D5923","description":"Ocular prosthesis interim","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RHB3A","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RHB3A","description":"HIPPS-RHB3A","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Axicabtage neciloleucel_ up to 200 million autologous anti-CD19 CAR T Cells_ including leukapheresis and dose preparation procedures_ per infusion","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"Q2041","description":"Axicabtage neciloleucel_ up to 200 million autologous anti-CD19 CAR T Cells_ including leukapheresis and dose preparation procedures_ per infusion","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-HC28F","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"HC28F","description":"HIPPS-HC28F","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Tlso flex custom fab thoraci","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"L0452","description":"Tlso flex custom fab thoraci","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Patients 66-80 Years Of Age And Had At Least One Claim/Encounter For Frailty During The Measurement Period And Either One Acute Inpatient Encounter With A Diagnosis Of Advance","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G2123","description":"Patients 66-80 Years Of Age And Had At Least One Claim/Encounter For Frailty During The Measurement Period And Either One Acute Inpatient Encounter With A Diagnosis Of Advance","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"CDT-D1806","billing_code_type":"CDT","billing_code_type_version":"2026","billing_code":"D1806","description":"CDT-D1806","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Extracranial uni/ltd study","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"93882","description":"Extracranial uni/ltd study","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CFDE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Man w/ch acc seat w>=20in<24in","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"E2201","description":"Man w/ch acc seat w>=20in<24in","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CGPE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Thoracoscopy w/w resect diag","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"32668","description":"Thoracoscopy w/w resect diag","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Repair iris & ciliary body","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"66680","description":"Repair iris & ciliary body","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Apheresis adsorp/reinfuse","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"36515","description":"Apheresis adsorp/reinfuse","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Management of established patient with dementia_ low complexity_ for use in CMMI model","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G0527","description":"Management of established patient with dementia_ low complexity_ for use in CMMI model","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"ABMD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CEMF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Prq card revasc chronic addl","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"92944","description":"Prq card revasc chronic addl","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Foot arch support remov prem","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"L3030","description":"Foot arch support remov prem","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-AAA40","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"AAA40","description":"HIPPS-AAA40","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KGLF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MLDB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-1CHLS","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"1CHLS","description":"HIPPS-1CHLS","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NIGB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Bone/skin graft metatarsal","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"20972","description":"Bone/skin graft metatarsal","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-HD151","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"HD151","description":"HIPPS-HD151","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NFCF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"ADDE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BCFA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-E1829","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"E1829","description":"HCPCS-E1829","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GFHD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"ICEB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"IGIE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-E0659","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"E0659","description":"HCPCS-E0659","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"N block inj phrenic","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"64410","description":"N block inj phrenic","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NENF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KDIB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Anesth perineal surgery","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"90477","description":"Anesth perineal surgery","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Injection_ Factor VIII_ (antihemophilic factor_ recombinant)_ PEGylated-aucl_ (Jivi)_ 1U","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"J7208","description":"Injection_ Factor VIII_ (antihemophilic factor_ recombinant)_ PEGylated-aucl_ (Jivi)_ 1U","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JCPE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Pt asked/cnsld aed effects","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"6070F","description":"Pt asked/cnsld aed effects","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RMA8X","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RMA8X","description":"HIPPS-RMA8X","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"IABA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MDEB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RMB8G","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RMB8G","description":"HIPPS-RMB8G","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Fluorescent antibody titer","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"86256","description":"Fluorescent antibody titer","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-5CFK5","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"5CFK5","description":"HIPPS-5CFK5","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MFHA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KFQA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-1AFMV","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"1AFMV","description":"HIPPS-1AFMV","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"AIUB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BHIA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OLID1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Bridge resin w/high noble","billing_code_type":"CDT","billing_code_type_version":"2024","billing_code":"D6250","description":"Bridge resin w/high noble","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Nasal/sinus endoscopy surg","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"31293","description":"Nasal/sinus endoscopy surg","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"EBEC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Patients Age 66 Or Older In Institutional Special Needs Plans (Snp) Or Residing In Long-Term Care With Pos Code 32_ 33_ 34_ 54 Or 56 For More Than 90 Days During The Measureme","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G2130","description":"Patients Age 66 Or Older In Institutional Special Needs Plans (Snp) Or Residing In Long-Term Care With Pos Code 32_ 33_ 34_ 54 Or 56 For More Than 90 Days During The Measureme","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Bivalirudin","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"J0583","description":"Bivalirudin","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OBSC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Revision of hip tendon","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"27097","description":"Revision of hip tendon","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KGVC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"CPT-0983T","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"0983T","description":"CPT-0983T","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"HHRD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FIJA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KCJB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OAPD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GCXA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KFFF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OINB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"LIOD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"HEYD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"PEYB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Enter feed supkit syr by day","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"B4034","description":"Enter feed supkit syr by day","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"X-ray fallopian tube","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"74742","description":"X-ray fallopian tube","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Sewho airplane w/o jnts cf","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"L3967","description":"Sewho airplane w/o jnts cf","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Inj ferric carboxymaltos 1mg","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"J1439","description":"Inj ferric carboxymaltos 1mg","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Position wc cush wdth <22 in","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"E2605","description":"Position wc cush wdth <22 in","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JHFA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Rpr pul art unifocal w/o cpb","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"33925","description":"Rpr pul art unifocal w/o cpb","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Glasses bone conduction","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"V5080","description":"Glasses bone conduction","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Home sleep test/type 2 porta","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G0398","description":"Home sleep test/type 2 porta","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GGYA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Documentation of medical reason(s) for not providing brief counseling if identified as an unhealthy alcohol user (e.g._ limited life expectancy_ other medical reasons)","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G2203","description":"Documentation of medical reason(s) for not providing brief counseling if identified as an unhealthy alcohol user (e.g._ limited life expectancy_ other medical reasons)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OJTF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OKME0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Reconstruction of urethra","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"53430","description":"Reconstruction of urethra","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"ODTD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FFEA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CIMA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NLHA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Adjv thxpyrxd/rcvd colon ca","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"4180F","description":"Adjv thxpyrxd/rcvd colon ca","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"CYP2D6 (cytochrome P450_ family 2_ subfamily D_ polypeptide 6) (eg_ drug metabolism) gene analysis_ targeted sequence analysis (ie_ non-duplicated gene when duplication/multip","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0074U","description":"CYP2D6 (cytochrome P450_ family 2_ subfamily D_ polypeptide 6) (eg_ drug metabolism) gene analysis_ targeted sequence analysis (ie_ non-duplicated gene when duplication/multip","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-1AHK6","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"1AHK6","description":"HIPPS-1AHK6","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"HHOB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GHIA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"ACLE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BGDC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Treat pleurodesis w/agent","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"32560","description":"Treat pleurodesis w/agent","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"HFYA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NGDF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"EBLD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FBKC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NIDC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RVA15","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RVA15","description":"HIPPS-RVA15","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-1BGM5","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"1BGM5","description":"HIPPS-1BGM5","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Lumbar spine proces distract","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0171T","description":"Lumbar spine proces distract","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-J2596","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"J2596","description":"HCPCS-J2596","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BBJE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KGLE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NDGC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KHTB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-B1401","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"B1401","description":"HCPCS-B1401","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Instillation of fecal microbiota suspension via rectal enema into lower gastrointestinal tract","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0780T","description":"Instillation of fecal microbiota suspension via rectal enema into lower gastrointestinal tract","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FEDB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CEKB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KDCC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Prep bk ptb thermopls molded","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"L5530","description":"Prep bk ptb thermopls molded","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CAME1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Mdd severe w/o psych","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"3090F","description":"Mdd severe w/o psych","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Alcohol and/or drug screenin","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"H0003","description":"Alcohol and/or drug screenin","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OEQC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"HFQC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KAAF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-AAA15","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"AAA15","description":"HIPPS-AAA15","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-PC150","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"PC150","description":"HIPPS-PC150","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-PC28D","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"PC28D","description":"HIPPS-PC28D","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JBLD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NGVD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KCWD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Red blood cell antigen typing_ DNA_ human erythrocyte antigen gene analysis","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0106U","description":"Red blood cell antigen typing_ DNA_ human erythrocyte antigen gene analysis","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-1AGLV","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"1AGLV","description":"HIPPS-1AGLV","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Drive belt power wheelchair","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"K0098","description":"Drive belt power wheelchair","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Repair hand deformity","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"26580","description":"Repair hand deformity","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OFKB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"IHDC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"IBAD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-1AHN1","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"1AHN1","description":"HIPPS-1AHN1","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GCQC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OKYB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Augmentation lower jaw bone","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"21127","description":"Augmentation lower jaw bone","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Anesth surgery of abdomen","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"86052","description":"Anesth surgery of abdomen","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Corrugated tubing_ non-disposable_ used with large volume nebulizer_ 10 feet","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"A7011","description":"Corrugated tubing_ non-disposable_ used with large volume nebulizer_ 10 feet","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Injection_ vitolarsen_ 10mg","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"J1427","description":"Injection_ vitolarsen_ 10mg","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Endoscopic retrograde cholangiopancreatography (ercp) with removal of calculi/debris from biliary/pancreatic duct(s)_ with endoscopic cannulation of papilla with direct visual","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"C7544","description":"Endoscopic retrograde cholangiopancreatography (ercp) with removal of calculi/debris from biliary/pancreatic duct(s)_ with endoscopic cannulation of papilla with direct visual","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-PE28I","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"PE28I","description":"HIPPS-PE28I","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-CB28X","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"CB28X","description":"HIPPS-CB28X","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CIFD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"CPT-1099T","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"1099T","description":"CPT-1099T","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MCEA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NLGB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OBTC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MEUA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Biofeedback Training_ Perineal Muscles_ Anorectal Or Urethral Sphincter_ Including Emg And/Or Manometry_ When Performed; Initial 15 Minutes Of One-On-One Physician Or Other Qu","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"90912","description":"Biofeedback Training_ Perineal Muscles_ Anorectal Or Urethral Sphincter_ Including Emg And/Or Manometry_ When Performed; Initial 15 Minutes Of One-On-One Physician Or Other Qu","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Revision of sciatic nerve","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"64712","description":"Revision of sciatic nerve","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RUL8X","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RUL8X","description":"HIPPS-RUL8X","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Heart revascularize (tmr)","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"33140","description":"Heart revascularize (tmr)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-1CHKS","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"1CHKS","description":"HIPPS-1CHKS","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Remove vagus n eltrd","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"64570","description":"Remove vagus n eltrd","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GGKE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Esophagoscopy rigid balloon","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"43195","description":"Esophagoscopy rigid balloon","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Anesth abdomen vessel surg","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"88051","description":"Anesth abdomen vessel surg","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"ODOB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-PB250","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"PB250","description":"HIPPS-PB250","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FFBC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Cervic collar w air bladders","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"E0856","description":"Cervic collar w air bladders","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Pos microalbuminuria rev","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"3060F","description":"Pos microalbuminuria rev","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-PA136","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"PA136","description":"HIPPS-PA136","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Exc s/n/h/f/g mal+mrg 2.1-3","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"11623","description":"Exc s/n/h/f/g mal+mrg 2.1-3","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CGUB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Debride abdom wall","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"11005","description":"Debride abdom wall","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-PB25B","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"PB25B","description":"HIPPS-PB25B","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Amputation of leg at hip","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"27295","description":"Amputation of leg at hip","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CEND1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Treatment of ankle fracture","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"27808","description":"Treatment of ankle fracture","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"HCQA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Biofeedback train any meth","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"90901","description":"Biofeedback train any meth","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OFKB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-3BGK5","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"3BGK5","description":"HIPPS-3BGK5","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NLPA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Blood viscosity examination","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"85810","description":"Blood viscosity examination","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BEVC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FHNA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MLIF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HH PDGM","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"1FC31","description":"HH PDGM","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BGVF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Respiratory syncytial ag if","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"87280","description":"Respiratory syncytial ag if","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"D5w infusion","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"J7070","description":"D5w infusion","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JGDB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JGTC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Implant neuroelectrode","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"61863","description":"Implant neuroelectrode","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HH PDGM","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"2AC21","description":"HH PDGM","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RMX0C","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RMX0C","description":"HIPPS-RMX0C","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Skin pinch graft","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"15050","description":"Skin pinch graft","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BCHC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Calibrator solution/chips","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"A4256","description":"Calibrator solution/chips","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Cromolyn sodium comp unit","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"J7632","description":"Cromolyn sodium comp unit","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BEIC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KHFA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Hyaluronan or derivative_ Trivisc_ for intra-articular injection_ 1 mg","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"J7329","description":"Hyaluronan or derivative_ Trivisc_ for intra-articular injection_ 1 mg","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Aqueous shunt eye w/o graft","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"66179","description":"Aqueous shunt eye w/o graft","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"HCQC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JIMB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JHVB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Laparo proc hernia repair","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"49659","description":"Laparo proc hernia repair","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Removal of neck wrinkles","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"15825","description":"Removal of neck wrinkles","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FDPF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BBCF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"IDEB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BHIE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"MRI w/o fol w/cont_ breast_","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"C8908","description":"MRI w/o fol w/cont_ breast_","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"ODQF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Removable soft interface le","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"K0672","description":"Removable soft interface le","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CFCD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FIMB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"PGYC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NBHF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FGPB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GEYC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BINC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Ileostomy/jejunostomy","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"44310","description":"Ileostomy/jejunostomy","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Removal and replacement of phrenic nerve stimulator_ including vessel catheterization_ all imaging guidance_ and interrogation and programming_ when performed; pulse generator","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"33287","description":"Removal and replacement of phrenic nerve stimulator_ including vessel catheterization_ all imaging guidance_ and interrogation and programming_ when performed; pulse generator","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RUB4A","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RUB4A","description":"HIPPS-RUB4A","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"ICCF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Doc no daily aspirin","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G9278","description":"Doc no daily aspirin","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Cochlear implt f/up exam <7","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"92601","description":"Cochlear implt f/up exam <7","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JCUC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KINA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CCGD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-2AFKX","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"2AFKX","description":"HIPPS-2AFKX","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BHTC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OCME1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JGDD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Nerve teasing preparations","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"88362","description":"Nerve teasing preparations","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NLHB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RVL06","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RVL06","description":"HIPPS-RVL06","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Group adaptive behavior treatment by protocol_ administered by technician_ face-to-face with two or more patients; first 30 minutes of technician time","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0366T","description":"Group adaptive behavior treatment by protocol_ administered by technician_ face-to-face with two or more patients; first 30 minutes of technician time","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-3BGNS","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"3BGNS","description":"HIPPS-3BGNS","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BBCD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RUX03","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RUX03","description":"HIPPS-RUX03","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BGDB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CHTE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NCEF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FICE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"LBRD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JGBA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"IAAD IA HIV-1","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"87390","description":"IAAD IA HIV-1","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"IBIF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FGHE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Attach ocular implant","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"65140","description":"Attach ocular implant","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"IIHE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"ODDB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Insertion of wireless cardiac stimulator for left ventricular pacing_ including device interrogation and programming_ and imaging supervision and interpretation_ when performe","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0516T","description":"Insertion of wireless cardiac stimulator for left ventricular pacing_ including device interrogation and programming_ and imaging supervision and interpretation_ when performe","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Co-morbid condition assess","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"1026F","description":"Co-morbid condition assess","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Injection_ mogamulizumab-kpkc_ 1 mg","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"C9038","description":"Injection_ mogamulizumab-kpkc_ 1 mg","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Laparo proc ob care/deliver","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"59898","description":"Laparo proc ob care/deliver","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Ald transmitter microphone","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"V5290","description":"Ald transmitter microphone","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FATE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-2BHMT","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"2BHMT","description":"HIPPS-2BHMT","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Revision of humerus","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"24420","description":"Revision of humerus","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Removal of stomach partial","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"43635","description":"Removal of stomach partial","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CIPB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"HIOF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OJVA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CBYF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-LC25B","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"LC25B","description":"HIPPS-LC25B","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Laryngoscopic sensory test","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"92614","description":"Laryngoscopic sensory test","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JEXD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MDTC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Diagnostic bone marrow; aspiration(s)","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"38220","description":"Diagnostic bone marrow; aspiration(s)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KIXD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CFYA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Non-waterproof tape","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"A4450","description":"Non-waterproof tape","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Introduction of guide into renal pelvis and/or ureter with dilation to establish nephrostomy tract_ percutaneous","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"50395","description":"Introduction of guide into renal pelvis and/or ureter with dilation to establish nephrostomy tract_ percutaneous","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Immed max part denture resin","billing_code_type":"CDT","billing_code_type_version":"2024","billing_code":"D5221","description":"Immed max part denture resin","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RMA03","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RMA03","description":"HIPPS-RMA03","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Cancer treatment plan change","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"S0354","description":"Cancer treatment plan change","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-HE13D","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"HE13D","description":"HIPPS-HE13D","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GECA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BFAA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Special casting material","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"A4590","description":"Special casting material","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"EBHF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FCGF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CFEA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"PFQB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-CC13B","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"CC13B","description":"HIPPS-CC13B","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-CA28F","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"CA28F","description":"HIPPS-CA28F","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NGAE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MDDE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HH PDGM","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"1IC11","description":"HH PDGM","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RVB15","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RVB15","description":"HIPPS-RVB15","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Hd trapeze bar attach to bed","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"E0911","description":"Hd trapeze bar attach to bed","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"PBRC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"CPT-00563","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"00563","description":"CPT-00563","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BDIE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"CPT-01440","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"01440","description":"CPT-01440","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Transcath emboliz microspher","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"S2095","description":"Transcath emboliz microspher","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JDFD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CGWD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JENA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Crown porcelain high noble","billing_code_type":"CDT","billing_code_type_version":"2024","billing_code":"D6750","description":"Crown porcelain high noble","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Autopsy (necropsy) complete","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"88029","description":"Autopsy (necropsy) complete","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KCSC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Chron care mgmt srvc 20 min","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"99490","description":"Chron care mgmt srvc 20 min","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JCIC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Surgery/speech prosthesis","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"31611","description":"Surgery/speech prosthesis","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NFCB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GHKE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-1BFN3","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"1BFN3","description":"HIPPS-1BFN3","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"CDT-D8091","billing_code_type":"CDT","billing_code_type_version":"2026","billing_code":"D8091","description":"CDT-D8091","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"BellaCell HD or Surederm_ per square centimeter","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"Q4220","description":"BellaCell HD or Surederm_ per square centimeter","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OHXE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OCFA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NHKF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"LAQB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"PLSB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CGMA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-HD14C","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"HD14C","description":"HIPPS-HD14C","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OAQC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-M1391","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"M1391","description":"HCPCS-M1391","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NAGC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Release hand/finger tendon","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"26445","description":"Release hand/finger tendon","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BFFE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Treatment of eyelid lesions","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"68040","description":"Treatment of eyelid lesions","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"EHDC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BEAB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-L1330","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"L1330","description":"HCPCS-L1330","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MDLE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-HD12B","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"HD12B","description":"HIPPS-HD12B","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OKYA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GICF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BBTE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JEKC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"PEQD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KELB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MEIA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Absolute quantitation of myocardial blood flow_ positron emission tomography (PET)_ rest and stress (List separately in addition to code for primary procedure)","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0482T","description":"Absolute quantitation of myocardial blood flow_ positron emission tomography (PET)_ rest and stress (List separately in addition to code for primary procedure)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FCCA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"PHQF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Oversize lens/es","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"V2780","description":"Oversize lens/es","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KEKC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"PDOA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"ABIC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Partial removal of esophagus","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"43118","description":"Partial removal of esophagus","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FITC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CELE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-CB23B","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"CB23B","description":"HIPPS-CB23B","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OHAA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CAGF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Perq sacral augmt unilat inj","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0200T","description":"Perq sacral augmt unilat inj","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Doc death after cas","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G9256","description":"Doc death after cas","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Implantable access syst perc","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"A4301","description":"Implantable access syst perc","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JHIA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Remove spinal cord lesion","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"63600","description":"Remove spinal cord lesion","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NADB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"AAHA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Ins cath ren art 2nd+ unilat","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"36253","description":"Ins cath ren art 2nd+ unilat","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"PHWD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Betadine/iodine swabs/wipes","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"A4247","description":"Betadine/iodine swabs/wipes","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RLX8H","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RLX8H","description":"HIPPS-RLX8H","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GCGA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NIBE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KEKF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-3CGP1","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"3CGP1","description":"HIPPS-3CGP1","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BITB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BDGE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MGTE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-2AFMX","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"2AFMX","description":"HIPPS-2AFMX","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Voriconazole","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"80285","description":"Voriconazole","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"CPT-00406","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"00406","description":"CPT-00406","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KEYF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MJTD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"AEMF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KCPB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Inlay repair","billing_code_type":"CDT","billing_code_type_version":"2024","billing_code":"D2981","description":"Inlay repair","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KAID0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Transcath occlusion non-cns","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"61626","description":"Transcath occlusion non-cns","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RVL8B","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RVL8B","description":"HIPPS-RVL8B","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CDKD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FAUD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"HISD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Synthetic graft facial bones","billing_code_type":"CDT","billing_code_type_version":"2024","billing_code":"D7995","description":"Synthetic graft facial bones","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Repair arterial blockage","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"35471","description":"Repair arterial blockage","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"AFBE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"HBSB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"IEHD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-3BGN1","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"3BGN1","description":"HIPPS-3BGN1","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Release eye tissue","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"67343","description":"Release eye tissue","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"EEDE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KALB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RUB05","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RUB05","description":"HIPPS-RUB05","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Grp psych partial hosp 45-50","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G0410","description":"Grp psych partial hosp 45-50","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Reconstruction of mouth","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"40842","description":"Reconstruction of mouth","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OJNC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Revise spinal cord ligaments","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"63182","description":"Revise spinal cord ligaments","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Ped critical care subsq","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"99472","description":"Ped critical care subsq","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-M1453","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"M1453","description":"HCPCS-M1453","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-PE12A","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"PE12A","description":"HIPPS-PE12A","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Disp fee inhal drugs/30 days","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"Q0513","description":"Disp fee inhal drugs/30 days","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Management of new patient-caregiver dyad with dementia_ moderate complexity_ for use in CMMI model","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G0520","description":"Management of new patient-caregiver dyad with dementia_ moderate complexity_ for use in CMMI model","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NGEF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CFJE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KFNF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-CB105","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"CB105","description":"HIPPS-CB105","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-5BGK4","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"5BGK4","description":"HIPPS-5BGK4","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"LBYE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FDDC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CHEF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Eye allergy tests","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"95060","description":"Eye allergy tests","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Lactation class","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"S9443","description":"Lactation class","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CCTF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Herpes simplex type 1 test","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"86695","description":"Herpes simplex type 1 test","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MEHB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KIDD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NFDB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Initiated Episode Of Rehabilitation Therapy_ Medical_ Or Chiropractic Care For Neck Impairment","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"M1143","description":"Initiated Episode Of Rehabilitation Therapy_ Medical_ Or Chiropractic Care For Neck Impairment","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Ultrasound_ elastography; each additional target lesion (List separately in addition to code for primary procedure)","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"76983","description":"Ultrasound_ elastography; each additional target lesion (List separately in addition to code for primary procedure)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Treat humerus fracture","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"24545","description":"Treat humerus fracture","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Borrelia burgdorferi_ antibody detection of 5 recombinant protein groups_ by immunoblot_ IgM","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0041U","description":"Borrelia burgdorferi_ antibody detection of 5 recombinant protein groups_ by immunoblot_ IgM","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Esoph imped funct test > 1hr","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"91038","description":"Esoph imped funct test > 1hr","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"AJCC Breast Cancer Stage I: T1mic_ T1a or T1b (tumor size <= 1 cm) documented (ONC)","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"3372F","description":"AJCC Breast Cancer Stage I: T1mic_ T1a or T1b (tumor size <= 1 cm) documented (ONC)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Mammo assess hghlymalig doc","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"3345F","description":"Mammo assess hghlymalig doc","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Lap ablat uterine fibroids","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0336T","description":"Lap ablat uterine fibroids","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"IDUF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RVX1A","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RVX1A","description":"HIPPS-RVX1A","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Replace skull plate/flap","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"62143","description":"Replace skull plate/flap","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Chemodenerv trunk musc 6/>","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"64647","description":"Chemodenerv trunk musc 6/>","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"CDT-D0302","billing_code_type":"CDT","billing_code_type_version":"2026","billing_code":"D0302","description":"CDT-D0302","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MDEF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Domicil/r-home visit est pat","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"99335","description":"Domicil/r-home visit est pat","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"HGOA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KBYA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Open wedge/bx lung infiltr","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"32096","description":"Open wedge/bx lung infiltr","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Riboflavin 5_-phosphate_ ophthalmic solution_ up to 3 mL","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"J2787","description":"Riboflavin 5_-phosphate_ ophthalmic solution_ up to 3 mL","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Implnt_bon void filler-putty","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"C9359","description":"Implnt_bon void filler-putty","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OBSE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OGQE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CFNC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NIEE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NCIC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NFKA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NFTB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JEBB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Transperineal periurethral balloon continence device; removal_ each balloon","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0550T","description":"Transperineal periurethral balloon continence device; removal_ each balloon","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Glucose test","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"82950","description":"Glucose test","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-CD256","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"CD256","description":"HIPPS-CD256","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OEOB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"AGIE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Depression screen annual","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G0444","description":"Depression screen annual","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"HGYE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NAEC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BFNE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KAYE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Pt has symp&signs neuropathy","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"3753F","description":"Pt has symp&signs neuropathy","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MEBA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Neurofilament light chain (NfL)_ ultra-sensitive immunoassay_ serum or cerebrospinal fluid","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0443U","description":"Neurofilament light chain (NfL)_ ultra-sensitive immunoassay_ serum or cerebrospinal fluid","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NKLF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CDOF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-HE20B","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"HE20B","description":"HIPPS-HE20B","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FDCF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"EGIB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CGYC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NEMB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Preputial stretching","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"54450","description":"Preputial stretching","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"HCYE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JBPD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"EHHA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KASF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BCXC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NJPD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Elbow adolescent myoelectron","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"L7190","description":"Elbow adolescent myoelectron","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NKKA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-HD160","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"HD160","description":"HIPPS-HD160","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-PE251","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"PE251","description":"HIPPS-PE251","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Esophagoscopy lesion removal","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"43216","description":"Esophagoscopy lesion removal","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-HC140","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"HC140","description":"HIPPS-HC140","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CALF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MKDA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Bone marrow aspiration for bone grafting_ spine surgery only_ through separate skin or fascial incision (List separately in addition to code for primary procedure)","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"20939","description":"Bone marrow aspiration for bone grafting_ spine surgery only_ through separate skin or fascial incision (List separately in addition to code for primary procedure)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FFED1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CBSC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"IDH1 (isocitrate dehydrogenase 1 [NADP+]_ soluble) (eg_ glioma)_ common variants (eg_ R132H_ R132C)","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"81120","description":"IDH1 (isocitrate dehydrogenase 1 [NADP+]_ soluble) (eg_ glioma)_ common variants (eg_ R132H_ R132C)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GHNA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"No tob assess or cess inter","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G9460","description":"No tob assess or cess inter","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KESD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"EIDE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MHIF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"CPT-0641U","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"0641U","description":"CPT-0641U","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CGRA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OGMB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"PEWF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NKPF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-HD25B","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"HD25B","description":"HIPPS-HD25B","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OLFF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Hospice care supervision","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"99378","description":"Hospice care supervision","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GCIF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Kafo fem fx cast molded to p","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"L2128","description":"Kafo fem fx cast molded to p","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Hd bed tilted 1st day vent","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"4167F","description":"Hd bed tilted 1st day vent","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"EIMD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"X-ray exam of shoulder blade","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"73010","description":"X-ray exam of shoulder blade","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JEDB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Gene expression profiling panel for use in the management of breast cancer treatment","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"S3854","description":"Gene expression profiling panel for use in the management of breast cancer treatment","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KAEA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MBIA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OKAE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"ACDD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Presc opiates >6 wks","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G9561","description":"Presc opiates >6 wks","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Dna/rna sequencing","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"87153","description":"Dna/rna sequencing","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Rna tstng hep c docd done","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"3218F","description":"Rna tstng hep c docd done","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GCGD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Pathology Clinical Consultation; For A Clinical Problem_ With Limited Review Of Patient_S History And Medical Records And Straightforward Medical Decision Making When Using Ti","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"80503","description":"Pathology Clinical Consultation; For A Clinical Problem_ With Limited Review Of Patient_S History And Medical Records And Straightforward Medical Decision Making When Using Ti","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GHQD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KDRF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-ES14D","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"ES14D","description":"HIPPS-ES14D","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CFNE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OBHF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OAXC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KCUF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RUC31","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RUC31","description":"HIPPS-RUC31","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CGBA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BDDC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-A1401","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"A1401","description":"HCPCS-A1401","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-AAA3D","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"AAA3D","description":"HIPPS-AAA3D","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-2BHL5","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"2BHL5","description":"HIPPS-2BHL5","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KFAC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NELC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"HCQD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"ABID0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-1BFPW","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"1BFPW","description":"HIPPS-1BFPW","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"LHYA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"ODCD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JBPB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Revision of major vein","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"37650","description":"Revision of major vein","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BCTD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"CPT-0913T","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"0913T","description":"CPT-0913T","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"IDUC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-HB106","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"HB106","description":"HIPPS-HB106","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"ABTC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OGDA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Gr24 nonsealed leadacid","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"E2362","description":"Gr24 nonsealed leadacid","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-4AFM4","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"4AFM4","description":"HIPPS-4AFM4","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"CPT-0506U","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"0506U","description":"CPT-0506U","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-1CFK1","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"1CFK1","description":"HIPPS-1CFK1","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Heroin metabolite","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"80356","description":"Heroin metabolite","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Ther fx nasal inf turbinate","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"30930","description":"Ther fx nasal inf turbinate","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"PCYF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"AETB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GEMA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Lymph choriomeningitis ab","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"86727","description":"Lymph choriomeningitis ab","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"EHCC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Removal of brain tissue","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"61539","description":"Removal of brain tissue","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Pt inr measurement performed","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"3555F","description":"Pt inr measurement performed","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Special anesthesia service","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"99100","description":"Special anesthesia service","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KHQF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Dermabrasion segmental face","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"15781","description":"Dermabrasion segmental face","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Payment for communication technology-based services for 5 minutes or more of a virtual (non-face-to-face) communication between an RHC or FQHC","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G0071","description":"Payment for communication technology-based services for 5 minutes or more of a virtual (non-face-to-face) communication between an RHC or FQHC","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"HIWA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"PERE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FHVA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CGQD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MLLB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OIIC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KHNE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Employment - Employment Skills Development (1:1)","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"W1728","description":"Employment - Employment Skills Development (1:1)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"HFSE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-HE12A","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"HE12A","description":"HIPPS-HE12A","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BFLD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-3CFK2","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"3CFK2","description":"HIPPS-3CFK2","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GGWD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Fem/popl revas w/ather","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"37225","description":"Fem/popl revas w/ather","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JAIA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Ho flex pavlik harns pre cst","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"L1620","description":"Ho flex pavlik harns pre cst","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JHFE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KEGD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Current tobacco smoker","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"1034F","description":"Current tobacco smoker","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CIEF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KIYD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JFDA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GFLD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-PD255","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"PD255","description":"HIPPS-PD255","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BDAA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Documentation that the patient declined therapy change or alternative therapies were unavailable_ has documented contraindications_ or has not been treated with an oral system","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G9765","description":"Documentation that the patient declined therapy change or alternative therapies were unavailable_ has documented contraindications_ or has not been treated with an oral system","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Assay of feces for trypsin","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"84490","description":"Assay of feces for trypsin","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Pt tk tams hcl","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G9503","description":"Pt tk tams hcl","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NJKA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-PA23B","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"PA23B","description":"HIPPS-PA23B","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MHBC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"LHRB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"LCSA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BBDC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-AAA51","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"AAA51","description":"HIPPS-AAA51","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Hepb vacc 3 dose immunsup im","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"90740","description":"Hepb vacc 3 dose immunsup im","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BANF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RHA01","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RHA01","description":"HIPPS-RHA01","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CGOD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"HFOF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OLBD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MGIA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FDXA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NFFA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NCCA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"HESD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Hearing aid_ digit_ bin_ itc","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"V5259","description":"Hearing aid_ digit_ bin_ itc","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Mon anesth care","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G9654","description":"Mon anesth care","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GGJE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Exc back les sc < 3 cm","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"21930","description":"Exc back les sc < 3 cm","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Radiologic examination_ pelvis and hips_ infant or child_ minimum of two views","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"73540","description":"Radiologic examination_ pelvis and hips_ infant or child_ minimum of two views","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"AICD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-HE141","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"HE141","description":"HIPPS-HE141","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FABA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CFRC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-B1703","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"B1703","description":"HCPCS-B1703","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OCLF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"LFOD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Explore sinus remove polyps","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"31032","description":"Explore sinus remove polyps","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-5AHKX","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"5AHKX","description":"HIPPS-5AHKX","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-CE151","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"CE151","description":"HIPPS-CE151","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Injection_ tigecycline (accord) not therapeutically equivalent to j3243_ 1 mg","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"J3244","description":"Injection_ tigecycline (accord) not therapeutically equivalent to j3243_ 1 mg","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BECB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Foam filled drive wheel tire","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"E2386","description":"Foam filled drive wheel tire","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CHCA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Self-care ed provided to pt","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"4450F","description":"Self-care ed provided to pt","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-HE21C","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"HE21C","description":"HIPPS-HE21C","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KARE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HH PDGM","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"3IC31","description":"HH PDGM","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-ES23B","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"ES23B","description":"HIPPS-ES23B","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OKKE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Ercp lithotripsy calculi","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"43265","description":"Ercp lithotripsy calculi","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GBNE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Injection treatment of nerve","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"64605","description":"Injection treatment of nerve","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RVC33","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RVC33","description":"HIPPS-RVC33","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RMB10","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RMB10","description":"HIPPS-RMB10","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NKKF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Standard control cable extra","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"L6655","description":"Standard control cable extra","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Hfo w/joint(s) cf","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"L3921","description":"Hfo w/joint(s) cf","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MADD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GIRE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FILB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-PD241","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"PD241","description":"HIPPS-PD241","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OILB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Glass/plastic slab off prism","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"V2710","description":"Glass/plastic slab off prism","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Western blot test","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"84181","description":"Western blot test","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BETD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Medical supplies and equipme","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"S9061","description":"Medical supplies and equipme","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Stool cultr aerobic bact ea","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"87046","description":"Stool cultr aerobic bact ea","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OEBC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RVX5C","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RVX5C","description":"HIPPS-RVX5C","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Revise radius or ulna","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"25370","description":"Revise radius or ulna","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"IHBD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OCTF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Tmj diagnostic arthroscopy","billing_code_type":"CDT","billing_code_type_version":"2024","billing_code":"D7872","description":"Tmj diagnostic arthroscopy","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-PE10D","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"PE10D","description":"HIPPS-PE10D","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BBID0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Particle agglut antbdy titr","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"86406","description":"Particle agglut antbdy titr","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Revision of heart chamber","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"33478","description":"Revision of heart chamber","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OJYD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JEDD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"EEHD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Beta amyloid_ AB42/40 ratio_ immunoprecipitation with quantitation by liquid chromatography with tandem mass spectrometry (LC-MS/MS) and qualitative ApoE isoform-specific prot","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0412U","description":"Beta amyloid_ AB42/40 ratio_ immunoprecipitation with quantitation by liquid chromatography with tandem mass spectrometry (LC-MS/MS) and qualitative ApoE isoform-specific prot","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"LGOF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BCDE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Agglutinins febrile antigen","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"86000","description":"Agglutinins febrile antigen","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"IFUE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-PA12B","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"PA12B","description":"HIPPS-PA12B","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FAUA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JBNE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Tissue exam for fungi","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"87220","description":"Tissue exam for fungi","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Repair artery rupture groin","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"35132","description":"Repair artery rupture groin","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JDVF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JAVB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"PJQF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NKKB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-PB214","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"PB214","description":"HIPPS-PB214","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Epoetin beta esrd use","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"J0887","description":"Epoetin beta esrd use","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Telehealth inpt pharm mgmt","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G0459","description":"Telehealth inpt pharm mgmt","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-4CGKX","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"4CGKX","description":"HIPPS-4CGKX","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KCXB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Remove nasal foreign body","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"30310","description":"Remove nasal foreign body","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CBSE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NKND1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"No eval opi use instr/intv","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G9585","description":"No eval opi use instr/intv","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Aortic aneurysm 5-5.4cm diam","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"9002F","description":"Aortic aneurysm 5-5.4cm diam","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BACA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JGLE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-3AHNW","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"3AHNW","description":"HIPPS-3AHNW","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Injection_ mycophenolate mofetil_ 10 mg","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"J7519","description":"Injection_ mycophenolate mofetil_ 10 mg","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Bx done w/colposcopy add-on","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"58110","description":"Bx done w/colposcopy add-on","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Quadrilateral brim","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"L2188","description":"Quadrilateral brim","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-CD14A","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"CD14A","description":"HIPPS-CD14A","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Onc dx nsclc dx unknown nos","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G9067","description":"Onc dx nsclc dx unknown nos","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"CDT-D0461","billing_code_type":"CDT","billing_code_type_version":"2026","billing_code":"D0461","description":"CDT-D0461","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-CD18E","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"CD18E","description":"HIPPS-CD18E","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BENF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Vestibular Evoked Myogenic Potential (Vemp) Testing_ With Interpretation And Report; Ocular (Ovemp)","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"92518","description":"Vestibular Evoked Myogenic Potential (Vemp) Testing_ With Interpretation And Report; Ocular (Ovemp)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RMA3B","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RMA3B","description":"HIPPS-RMA3B","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-PC225","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"PC225","description":"HIPPS-PC225","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NLCD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Delay flap arms/legs","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"15610","description":"Delay flap arms/legs","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Eye exam&tx estab pt 1/>vst","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"92014","description":"Eye exam&tx estab pt 1/>vst","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KIPB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NFAF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Bmi documented outside normal parameters_ no follow-up plan documented_ no reason given","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"M1276","description":"Bmi documented outside normal parameters_ no follow-up plan documented_ no reason given","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Patient received active chemotherapy any time during the measurement period","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"M1156","description":"Patient received active chemotherapy any time during the measurement period","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Patient not screened for future fall risk_ reason not given","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"M1070","description":"Patient not screened for future fall risk_ reason not given","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CEIF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"IACF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Programmable infusion pump","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"E0783","description":"Programmable infusion pump","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"PERIURETHRAL TRANSPERINEAL ADJUSTABLE BALLOON CONTINENCE DEVICE; REMOVAL_ EACH BALLOON","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"53453","description":"PERIURETHRAL TRANSPERINEAL ADJUSTABLE BALLOON CONTINENCE DEVICE; REMOVAL_ EACH BALLOON","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Lso corset front","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"L0972","description":"Lso corset front","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Rep partial denture clasp","billing_code_type":"CDT","billing_code_type_version":"2024","billing_code":"D5630","description":"Rep partial denture clasp","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Removal of nerve lesion","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"64792","description":"Removal of nerve lesion","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Generator_ neurostimulator (implantable)_ non-rechargeable_ with implantable stimulation lead and external paired stimulation controller","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"C1827","description":"Generator_ neurostimulator (implantable)_ non-rechargeable_ with implantable stimulation lead and external paired stimulation controller","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CBSA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-CA15C","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"CA15C","description":"HIPPS-CA15C","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NCLF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Posterior vertebral joint replacement_ including bilateral facetectomy_ laminectomy_ and radical discectomy_ including imaging guidance_ lumbar spine_ single segment","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0719T","description":"Posterior vertebral joint replacement_ including bilateral facetectomy_ laminectomy_ and radical discectomy_ including imaging guidance_ lumbar spine_ single segment","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Treat lower jaw fracture","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"21470","description":"Treat lower jaw fracture","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KBMF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NLXE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"DHRA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Amnt pain noted pain prsnt","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"1125F","description":"Amnt pain noted pain prsnt","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-1CHK3","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"1CHK3","description":"HIPPS-1CHK3","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Dentures adjust part mandbl","billing_code_type":"CDT","billing_code_type_version":"2024","billing_code":"D5422","description":"Dentures adjust part mandbl","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"EAID1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FEVC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FAHE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HH PDGM","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"1DC21","description":"HH PDGM","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Treatment of tibia fracture","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"27750","description":"Treatment of tibia fracture","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Shoulder passive restor cap","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"L6320","description":"Shoulder passive restor cap","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Fractionation ketosteroids","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"83593","description":"Fractionation ketosteroids","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Principal Care Management Services_ For A Single High-Risk Disease_ With The Following Required Elements: One Complex Chronic Condition Expected To Last At Least 3 Months_ And","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"99427","description":"Principal Care Management Services_ For A Single High-Risk Disease_ With The Following Required Elements: One Complex Chronic Condition Expected To Last At Least 3 Months_ And","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BHMC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MITD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"EALD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"T cell absolute count/ratio","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"86360","description":"T cell absolute count/ratio","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Amputation follow-up surgery","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"25907","description":"Amputation follow-up surgery","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BGFB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NHGB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Resect femur/knee tumor","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"27365","description":"Resect femur/knee tumor","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Reconstruction of urethra","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"54316","description":"Reconstruction of urethra","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OFUD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FIGC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BGBE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Revision of calf tendon","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"27687","description":"Revision of calf tendon","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Revise major vessel","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"33822","description":"Revise major vessel","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Services provided as part of","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"S9990","description":"Services provided as part of","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Eval on foot not performed","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G8415","description":"Eval on foot not performed","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"replacement of restorative material used to close an access opening of a screw-retained implant supported prosthesis_ per implant","billing_code_type":"CDT","billing_code_type_version":"2024","billing_code":"D6197","description":"replacement of restorative material used to close an access opening of a screw-retained implant supported prosthesis_ per implant","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-ES244","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"ES244","description":"HIPPS-ES244","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Assay of cryoglobulin","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"82595","description":"Assay of cryoglobulin","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OKHC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MBIE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Treat mouth roof fracture","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"21422","description":"Treat mouth roof fracture","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"PHRF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"EEMD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"LIWC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KHAC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Plasma_ cryoprecipitate reduced_ pathogen reduced_ each unit","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"P9025","description":"Plasma_ cryoprecipitate reduced_ pathogen reduced_ each unit","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RUC35","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RUC35","description":"HIPPS-RUC35","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"CPT-0951T","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"0951T","description":"CPT-0951T","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OBRD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-1AFMU","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"1AFMU","description":"HIPPS-1AFMU","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Repair of leg tendon each","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"27665","description":"Repair of leg tendon each","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CBEE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"EILC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FBUC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KGME1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"HESE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Esophageal capsule endoscopy","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"91111","description":"Esophageal capsule endoscopy","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OGHA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Prgrmg eval implantable dfb","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"93283","description":"Prgrmg eval implantable dfb","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NEBA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"EBMB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Fun stat score le >= 0","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G8655","description":"Fun stat score le >= 0","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RVA3C","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RVA3C","description":"HIPPS-RVA3C","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KALD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OCAE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NFGF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GIOC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Incision of hip tendon","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"27000","description":"Incision of hip tendon","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FBFD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-CE20D","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"CE20D","description":"HIPPS-CE20D","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"DISD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KBKA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RVX43","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RVX43","description":"HIPPS-RVX43","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OJTC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CBUC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"CPT-01756","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"01756","description":"CPT-01756","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GFSC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-ES141","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"ES141","description":"HIPPS-ES141","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JFVF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Assay of theophylline","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"80198","description":"Assay of theophylline","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"DEOA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NIEF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BHFB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-2BHM5","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"2BHM5","description":"HIPPS-2BHM5","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"HAWB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OIJB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BFLF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-CB14D","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"CB14D","description":"HIPPS-CB14D","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Documentation of medical reason(s) for not prescribing or administering corticosteroid or immunosuppressant treatment (e.g._ allergy_ intolerance_ infectious etiology_ pancrea","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"M1184","description":"Documentation of medical reason(s) for not prescribing or administering corticosteroid or immunosuppressant treatment (e.g._ allergy_ intolerance_ infectious etiology_ pancrea","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"IGBC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KGJF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Sperm identification","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"89257","description":"Sperm identification","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"EFCC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GCTD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CHUC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"ABDA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GASA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"PFYA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KDKC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CAFE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RVC40","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RVC40","description":"HIPPS-RVC40","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Alcohol/drug abuse svc nos","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"H0047","description":"Alcohol/drug abuse svc nos","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Documentation of medical reason(s) for not administering zoster vaccine (e.g._ prior anaphylaxis due to the zoster vaccine)","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"M1175","description":"Documentation of medical reason(s) for not administering zoster vaccine (e.g._ prior anaphylaxis due to the zoster vaccine)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NEVE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"AEEA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OBAB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Osteochondral talus autogrft","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"28446","description":"Osteochondral talus autogrft","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":">=50% of total number of a patient_s outpatient RA encounters assessed","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"M1007","description":">=50% of total number of a patient_s outpatient RA encounters assessed","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CHVD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Sach foot_ replacement","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"L5971","description":"Sach foot_ replacement","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OICF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FHBB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OEWC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Inj tbo filgrastim 1 microg","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"J1447","description":"Inj tbo filgrastim 1 microg","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"EHEE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-3AFN3","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"3AFN3","description":"HIPPS-3AFN3","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KGIB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NDME0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Thyroid imaging w/blood flow","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"78013","description":"Thyroid imaging w/blood flow","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Injection_ elranatamab-bcmm_ 1 mg","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"J1323","description":"Injection_ elranatamab-bcmm_ 1 mg","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KEAF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Elev bp plan of care docd","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0513F","description":"Elev bp plan of care docd","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GDKC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Thigh/wght bear lacer non-mo","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"L2530","description":"Thigh/wght bear lacer non-mo","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Implant neuroelectrde addl","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"61868","description":"Implant neuroelectrde addl","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Pneumococcal Vaccine Was Not Administered On Or After Patient_S 60Th Birthday And Before The End Of The Measurement Period_ Reason Not Otherwise Specified","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G9990","description":"Pneumococcal Vaccine Was Not Administered On Or After Patient_S 60Th Birthday And Before The End Of The Measurement Period_ Reason Not Otherwise Specified","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JGTB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OJFC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Transplant palm tendon","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"26485","description":"Transplant palm tendon","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BIFF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-1AHM3","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"1AHM3","description":"HIPPS-1AHM3","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Revision of a subcutaneously implanted peritoneal ascites pump system_ any component (ascites pump_ associated peritoneal catheter_ associated bladder catheter)_ including ima","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0873T","description":"Revision of a subcutaneously implanted peritoneal ascites pump system_ any component (ascites pump_ associated peritoneal catheter_ associated bladder catheter)_ including ima","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NGHF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"AADB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OEWD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Access av dial grft for proc","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"36148","description":"Access av dial grft for proc","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BCUF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KBDE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"AIME1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"No eval riskk vte card prior","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G9299","description":"No eval riskk vte card prior","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JGLB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Retreat root canal anterior","billing_code_type":"CDT","billing_code_type_version":"2024","billing_code":"D3346","description":"Retreat root canal anterior","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"MRI uppr extremity w/o&w/dye","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"73220","description":"MRI uppr extremity w/o&w/dye","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Resolve Matrix_ per sq cm","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"A2024","description":"Resolve Matrix_ per sq cm","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"IAUC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BAIA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Remove spine lamina >2 thrc","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"63016","description":"Remove spine lamina >2 thrc","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OCRF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"CDT-D1904","billing_code_type":"CDT","billing_code_type_version":"2026","billing_code":"D1904","description":"CDT-D1904","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JDVD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Drug screen quantalcohols","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"80320","description":"Drug screen quantalcohols","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RMC8E","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RMC8E","description":"HIPPS-RMC8E","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MDEC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Gonadorelin hydroch/ 100 mcg","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"J1620","description":"Gonadorelin hydroch/ 100 mcg","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Psysoc rehab svc_ per diem","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"H2018","description":"Psysoc rehab svc_ per diem","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-C7562","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"C7562","description":"HCPCS-C7562","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"AFTA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Extensive thyroid surgery","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"60254","description":"Extensive thyroid surgery","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JAND1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"IECC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Filtered nebulizer admin set","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"A7006","description":"Filtered nebulizer admin set","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Release of big toe","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"28240","description":"Release of big toe","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NCLB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-PE23B","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"PE23B","description":"HIPPS-PE23B","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Quick disconn hook adapter o","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"L6628","description":"Quick disconn hook adapter o","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-2BFLV","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"2BFLV","description":"HIPPS-2BFLV","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Screen cerv/vag thin layer","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G0123","description":"Screen cerv/vag thin layer","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-5BFK5","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"5BFK5","description":"HIPPS-5BFK5","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Ct abdomen w/o dye","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"74150","description":"Ct abdomen w/o dye","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-2AFK4","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"2AFK4","description":"HIPPS-2AFK4","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Knee arthroscp harv","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"S2112","description":"Knee arthroscp harv","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"IAHB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Anatomic model 3D-printed from image data set(s); first individually prepared and processed component of an anatomic structure","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0559T","description":"Anatomic model 3D-printed from image data set(s); first individually prepared and processed component of an anatomic structure","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JFNB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OJVF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NAUD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Patients who did not have a baseline pam score and/or a second score within 6 to 12 month of baseline pam score","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"M1344","description":"Patients who did not have a baseline pam score and/or a second score within 6 to 12 month of baseline pam score","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"IIHD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"AHBA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GFCF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Als iv drug therapy supplies","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"A0394","description":"Als iv drug therapy supplies","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Insrt drug device for iop","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0356T","description":"Insrt drug device for iop","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"DHWE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"CPT-0527U","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"0527U","description":"CPT-0527U","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Pneumo imm status assess","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"1022F","description":"Pneumo imm status assess","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"EGEB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Breast stacked diep/gap","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"S2067","description":"Breast stacked diep/gap","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Dilation of rectal narrowing","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"45910","description":"Dilation of rectal narrowing","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GEID0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BFIE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CDNA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Oncology (solid tumor)_ next-generation sequencing (NGS) of DNA from formalin-fixed paraffin-embedded (FFPE) tissue with comparative sequence analysis from a matched normal sp","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0473U","description":"Oncology (solid tumor)_ next-generation sequencing (NGS) of DNA from formalin-fixed paraffin-embedded (FFPE) tissue with comparative sequence analysis from a matched normal sp","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"ICIB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OGGB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"AFDC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"PHQC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"PDSD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Patient transfer to practice after initiation of chemotherapy","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G9833","description":"Patient transfer to practice after initiation of chemotherapy","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OHKC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Tetanus ig im","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"90389","description":"Tetanus ig im","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Assay of zinc","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"84630","description":"Assay of zinc","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JINB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OFMC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Add ue prost a/e ultlite mat","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"L7401","description":"Add ue prost a/e ultlite mat","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Fetal surg sacrococ teratoma","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"S2405","description":"Fetal surg sacrococ teratoma","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Excisional biopsy of minor salivary glands","billing_code_type":"CDT","billing_code_type_version":"2024","billing_code":"D7284","description":"Excisional biopsy of minor salivary glands","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Final refract +/- 1.0 in 90d","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G9519","description":"Final refract +/- 1.0 in 90d","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GDVF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RML31","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RML31","description":"HIPPS-RML31","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Ht irrigation diem","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"S9590","description":"Ht irrigation diem","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Urea injection","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"J3350","description":"Urea injection","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-M1454","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"M1454","description":"HCPCS-M1454","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-Q5142","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"Q5142","description":"HCPCS-Q5142","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Kne-shin exo sng axi mnl loc","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"L5710","description":"Kne-shin exo sng axi mnl loc","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Rpr epigastric hern reduce","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"49570","description":"Rpr epigastric hern reduce","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Remove colloid cyst w/scope","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"62162","description":"Remove colloid cyst w/scope","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OEEA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BDCF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Tigecycline injection","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"J3243","description":"Tigecycline injection","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NBID1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BIHA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Esophagus motility study","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"91010","description":"Esophagus motility study","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Fusion of tibiofibular joint","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"27871","description":"Fusion of tibiofibular joint","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CASD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Renal biopsy perq","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"50200","description":"Renal biopsy perq","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"CPT-01234","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"01234","description":"CPT-01234","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HH PDGM","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"1JA31","description":"HH PDGM","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Cast sup sht arm ped fbrglas","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"Q4012","description":"Cast sup sht arm ped fbrglas","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"AGIA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"CPT-01490","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"01490","description":"CPT-01490","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-ES210","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"ES210","description":"HIPPS-ES210","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RHA13","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RHA13","description":"HIPPS-RHA13","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Prepare donor intestine","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"44715","description":"Prepare donor intestine","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JAAD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Gastric emptying imag study","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"78264","description":"Gastric emptying imag study","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JBCE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"LISC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KBFA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Contracted services per day","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"T1022","description":"Contracted services per day","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Cath_hemodialysis_short-term","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"C1752","description":"Cath_hemodialysis_short-term","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Icar ischm mntrng sys device","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0304T","description":"Icar ischm mntrng sys device","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NAHC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-Q4338","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"Q4338","description":"HCPCS-Q4338","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OCDC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BIDF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Revise eyelid defect","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"67909","description":"Revise eyelid defect","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BCHD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-HB110","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"HB110","description":"HIPPS-HB110","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Eosinophil blood count","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"S3630","description":"Eosinophil blood count","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RVA12","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RVA12","description":"HIPPS-RVA12","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"CPT-01638","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"01638","description":"CPT-01638","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NGNC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-CD130","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"CD130","description":"HIPPS-CD130","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RLB22","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RLB22","description":"HIPPS-RLB22","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Bk flex inner socket ext fra","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"L5645","description":"Bk flex inner socket ext fra","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Man w/c push-rim powr system","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"E0986","description":"Man w/c push-rim powr system","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"HASD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Bx breast 1st lesion strtctc","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"19081","description":"Bx breast 1st lesion strtctc","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"AHEF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BHPF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Pap oral interface","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"A7044","description":"Pap oral interface","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Fuse esophagus & stomach","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"43320","description":"Fuse esophagus & stomach","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Repair shoulder capsule","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"23455","description":"Repair shoulder capsule","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Cocaine hydrochloride nasal solution (numbrino)_ 1 mg","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"C9143","description":"Cocaine hydrochloride nasal solution (numbrino)_ 1 mg","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JCDC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Hosp bed fx ht w/o rails w/m","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"E0290","description":"Hosp bed fx ht w/o rails w/m","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OLEE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RUB23","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RUB23","description":"HIPPS-RUB23","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BBJC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Transmitter cable for use with cochlear implant device or auditory osseointegrated device_ replacement","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"L8618","description":"Transmitter cable for use with cochlear implant device or auditory osseointegrated device_ replacement","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BCLF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MJBE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BDND1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Ercp stent exchange w/dilate","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"43276","description":"Ercp stent exchange w/dilate","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OITE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-A2029","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"A2029","description":"HCPCS-A2029","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OANB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OEVB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Cygnus dual_ per square centimeter","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"Q4282","description":"Cygnus dual_ per square centimeter","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GEOB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-2AHK3","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"2AHK3","description":"HIPPS-2AHK3","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OENF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GHTB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Cannabinoids synthetic 4-6","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"80351","description":"Cannabinoids synthetic 4-6","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"HFYA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Inj prohance multipack","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"A9576","description":"Inj prohance multipack","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OIJF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FFIE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"DDSA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-1BGM4","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"1BGM4","description":"HIPPS-1BGM4","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-3CFL4","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"3CFL4","description":"HIPPS-3CFL4","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KCSB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BEGB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Organic acids total quant","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"83918","description":"Organic acids total quant","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-M1464","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"M1464","description":"HCPCS-M1464","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GHHB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Lacosamide","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"80235","description":"Lacosamide","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OJYE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NGCE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OHAB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-3AHLU","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"3AHLU","description":"HIPPS-3AHLU","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Larynx surgery procedure","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"31599","description":"Larynx surgery procedure","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KCEC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NAIF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Laparoscopy tubal block","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"58671","description":"Laparoscopy tubal block","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-4CFLW","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"4CFLW","description":"HIPPS-4CFLW","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Domicil/r-home visit est pat","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"99336","description":"Domicil/r-home visit est pat","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Csi any other than pci 2 yr","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G8964","description":"Csi any other than pci 2 yr","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Hightop w/ supp/pronator chi","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"L3206","description":"Hightop w/ supp/pronator chi","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MBLF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OBRF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CECD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NBJD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FEHF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KEEB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"ABBE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MEEE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KIUB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-ES22C","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"ES22C","description":"HIPPS-ES22C","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GFCE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Fusion 2 or more 3d images","billing_code_type":"CDT","billing_code_type_version":"2024","billing_code":"D0395","description":"Fusion 2 or more 3d images","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OBYF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-3BFN4","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"3BFN4","description":"HIPPS-3BFN4","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Echo guide for artery repair","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"76936","description":"Echo guide for artery repair","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Smallpox and monkeypox vaccine_ attenuated vaccinia virus_ live_ non-replicating_ preservative free_ 0.5 mL dosage_ suspension_ for subcutaneous use","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"90611","description":"Smallpox and monkeypox vaccine_ attenuated vaccinia virus_ live_ non-replicating_ preservative free_ 0.5 mL dosage_ suspension_ for subcutaneous use","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Hematology (genetic platelet disorders)_ genomic sequence analysis of 43 genes_ blood_ buccal swab_ or amniotic fluid (Versiti™ Comprehensive Platelet Disorder Panel)","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0274U","description":"Hematology (genetic platelet disorders)_ genomic sequence analysis of 43 genes_ blood_ buccal swab_ or amniotic fluid (Versiti™ Comprehensive Platelet Disorder Panel)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GIMB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"IHIF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Autopsy (necropsy) gross","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"88000","description":"Autopsy (necropsy) gross","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BGFE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"External recharg sys extern","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"L8695","description":"External recharg sys extern","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Chemodenerv adduct vocal","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"S2341","description":"Chemodenerv adduct vocal","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NLJD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"IBHD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-HD14A","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"HD14A","description":"HIPPS-HD14A","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OHPF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RHA8D","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RHA8D","description":"HIPPS-RHA8D","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"IGUF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Wheelchair anti-tipping devi","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"E0971","description":"Wheelchair anti-tipping devi","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Dextranomer/hyaluronic acid","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"L8604","description":"Dextranomer/hyaluronic acid","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GBND0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JDAA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"PBWD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"DASB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MFHB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"AEDF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"LGOB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RUB43","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RUB43","description":"HIPPS-RUB43","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"HAQC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Injection_ cerliponase alfa_ 1 mg","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"C9014","description":"Injection_ cerliponase alfa_ 1 mg","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NEVD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"ACDC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Unusual physician travel","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"99082","description":"Unusual physician travel","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Lumbar derotation pad","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"L1240","description":"Lumbar derotation pad","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KFVA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-3CFMX","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"3CFMX","description":"HIPPS-3CFMX","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CGBD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NGLE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CHWD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-3BGK1","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"3BGK1","description":"HIPPS-3BGK1","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GDUC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BBFD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OLQB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"EBAD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Laparoscopy_ surgical_ esophageal sphincter augmentation procedure_ placement of sphincter augmentation device (ie_ magnetic band)_ including cruroplasty when performed","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"43284","description":"Laparoscopy_ surgical_ esophageal sphincter augmentation procedure_ placement of sphincter augmentation device (ie_ magnetic band)_ including cruroplasty when performed","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-J7530","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"J7530","description":"HCPCS-J7530","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Infect disease (bact)_ DNA_ 27 resistance genes_ PCR amplification and probe hybridization in microarray format (molecular detection and identification of AmpC_ carbapenemas)","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0004U","description":"Infect disease (bact)_ DNA_ 27 resistance genes_ PCR amplification and probe hybridization in microarray format (molecular detection and identification of AmpC_ carbapenemas)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BDCB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"IBMC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-CB131","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"CB131","description":"HIPPS-CB131","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Lyse chest fibrin init day","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"32561","description":"Lyse chest fibrin init day","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RLX02","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RLX02","description":"HIPPS-RLX02","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-1AFMW","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"1AFMW","description":"HIPPS-1AFMW","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Injection_ moxetumomab pasudotox-tdfx_ 0.01mg","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"C9045","description":"Injection_ moxetumomab pasudotox-tdfx_ 0.01mg","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Lymphocytotoxicity assay","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"86806","description":"Lymphocytotoxicity assay","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OFOC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RUC03","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RUC03","description":"HIPPS-RUC03","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FHLA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GIAC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-5CGK1","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"5CGK1","description":"HIPPS-5CGK1","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Incis spine 3 column thorac","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"22206","description":"Incis spine 3 column thorac","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Replacement Of Lost Or Broken Retainer - Maxillary","billing_code_type":"CDT","billing_code_type_version":"2024","billing_code":"D8703","description":"Replacement Of Lost Or Broken Retainer - Maxillary","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Relieve inner eye pressure","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"65820","description":"Relieve inner eye pressure","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OBVA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-PA155","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"PA155","description":"HIPPS-PA155","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Nocardia antibody","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"86744","description":"Nocardia antibody","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"ADHF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"EFUA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"ICHF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Inject hrt congntl art/grft","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"93564","description":"Inject hrt congntl art/grft","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OKFE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Follow up home visit/prental","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"H1004","description":"Follow up home visit/prental","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NKDA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KIQB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"BioNextPATCH_ per sq cm","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"Q4228","description":"BioNextPATCH_ per sq cm","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OHJD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CGPA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KEOE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Clinical Decision Support Mechanism Evicore_ As Defined By The Medicare Appropriate Use Criteria Program","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G1001","description":"Clinical Decision Support Mechanism Evicore_ As Defined By The Medicare Appropriate Use Criteria Program","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Patients not on any kidney or kidney-pancreas transplant waitlist or is not in active status on any kidney or kidney-pancreas transplant waitlist as of the last day of each mo","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"M1267","description":"Patients not on any kidney or kidney-pancreas transplant waitlist or is not in active status on any kidney or kidney-pancreas transplant waitlist as of the last day of each mo","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KDXA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Biopsy of heart lining","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"93505","description":"Biopsy of heart lining","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KBMC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"LBOD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GHPB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Drug metabolism or processing (multiple conditions)_ whole blood or buccal specimen_ DNA analysis_ 27 gene report_ with variant analysis and reported phenotypes","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0350U","description":"Drug metabolism or processing (multiple conditions)_ whole blood or buccal specimen_ DNA analysis_ 27 gene report_ with variant analysis and reported phenotypes","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NENB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OBGC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KCKE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Nonprim loc anat bx site tum","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"3250F","description":"Nonprim loc anat bx site tum","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OJTF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Incision of jaw nerve","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"64738","description":"Incision of jaw nerve","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"DBRC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GGMB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RUC60","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RUC60","description":"HIPPS-RUC60","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) (coronavirus disease [COVID-19]) vaccine_ mRNA-LNP_ 50 mcg/0.5 mL dosage_ for intramuscular use","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"91322","description":"Severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) (coronavirus disease [COVID-19]) vaccine_ mRNA-LNP_ 50 mcg/0.5 mL dosage_ for intramuscular use","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"EHUE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Augmentative analysis of chest computed tomography (CT) imaging data to provide categorical diagnostic subtype classification of interstitial lung disease; radiological data p","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0879T","description":"Augmentative analysis of chest computed tomography (CT) imaging data to provide categorical diagnostic subtype classification of interstitial lung disease; radiological data p","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NAXA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Wrmng 4 surg normothermia","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"4250F","description":"Wrmng 4 surg normothermia","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FGHB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GIVB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Replacement impl pump cathet","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"E0785","description":"Replacement impl pump cathet","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GFEC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Replace aortic valve open","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"33362","description":"Replace aortic valve open","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-CD140","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"CD140","description":"HIPPS-CD140","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"BRCA1 (BRCA1_ DNA repair associated) (eg_ hereditary breast and ovarian cancer) gene analysis; full sequence analysis","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"81165","description":"BRCA1 (BRCA1_ DNA repair associated) (eg_ hereditary breast and ovarian cancer) gene analysis; full sequence analysis","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Reimplant artery each","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"35697","description":"Reimplant artery each","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FGFD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KAPE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"EBHF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MGAB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JBDA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FIVB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FFMC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Patients With Diagnosis Of A Degenerative Neurological Condition Such As Als_ Ms_ Parkinson_S Diagnosed At Any Time Before Or During The Episode Of Care","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G2151","description":"Patients With Diagnosis Of A Degenerative Neurological Condition Such As Als_ Ms_ Parkinson_S Diagnosed At Any Time Before Or During The Episode Of Care","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GAVC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BBAC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"PJSE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OGQF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"AIBA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Revision of nose","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"30462","description":"Revision of nose","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Doc pos elder mal scrn plan","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G8733","description":"Doc pos elder mal scrn plan","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Rbc serum pretx incubj drugs","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"86975","description":"Rbc serum pretx incubj drugs","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FEKF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"EBAC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-PB116","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"PB116","description":"HIPPS-PB116","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Rem oct rta phys/qhp ea 30d","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0606T","description":"Rem oct rta phys/qhp ea 30d","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Ahi or rdi initial dx","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G8842","description":"Ahi or rdi initial dx","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Njx paravert w/us lumb/sac","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0217T","description":"Njx paravert w/us lumb/sac","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Heparin infusion pump","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"E1520","description":"Heparin infusion pump","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-HE144","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"HE144","description":"HIPPS-HE144","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"EADF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CEPB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KDNF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-1BHKS","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"1BHKS","description":"HIPPS-1BHKS","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"F2 gene","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"81240","description":"F2 gene","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JCFE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MABA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"IGIE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NLGF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BGIC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OFCD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"LFQA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Assay of oxalate","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"83945","description":"Assay of oxalate","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HH PDGM","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"2AB11","description":"HH PDGM","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FETC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FFTF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Sub pt/ot current status","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G8993","description":"Sub pt/ot current status","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"CPT-15015","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"15015","description":"CPT-15015","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CBJA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RHB42","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RHB42","description":"HIPPS-RHB42","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NBVF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GFQC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OEID0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OGVF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Place cecostomy tube perc","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"49442","description":"Place cecostomy tube perc","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NECC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Amputation follow-up surgery","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"23921","description":"Amputation follow-up surgery","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KCVA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Open ablate liver tumor rf","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"47380","description":"Open ablate liver tumor rf","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Exc neck tum deep 5 cm/>","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"21554","description":"Exc neck tum deep 5 cm/>","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Upright gait trainer","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"E8001","description":"Upright gait trainer","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"EFEC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-1BFK3","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"1BFK3","description":"HIPPS-1BFK3","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"IBTA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MITF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Idecabtagene Vicleucel_ Up To 460 Million Autologous B-Cell Maturation Antigen (Bcma) Directed Car-Positive T Cells_ Including Leukapheresis And Dose Preparation Procedures_ P","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"Q2055","description":"Idecabtagene Vicleucel_ Up To 460 Million Autologous B-Cell Maturation Antigen (Bcma) Directed Car-Positive T Cells_ Including Leukapheresis And Dose Preparation Procedures_ P","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Prepare donor lung double","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"32856","description":"Prepare donor lung double","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CBAC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-ATP11","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"ATP11","description":"HIPPS-ATP11","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"EBDD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NIKA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Pms2 known familial variants","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"81318","description":"Pms2 known familial variants","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Hyaluronan or derivative_ Hyalgan_ Supartz or Visco-3_ for intra-articular injection_ per dose","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"J7321","description":"Hyaluronan or derivative_ Hyalgan_ Supartz or Visco-3_ for intra-articular injection_ per dose","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Incision of facial nerve","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"64742","description":"Incision of facial nerve","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CFRB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RUL33","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RUL33","description":"HIPPS-RUL33","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Contrast x-ray exam of colon","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"74283","description":"Contrast x-ray exam of colon","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-PA20A","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"PA20A","description":"HIPPS-PA20A","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OGTF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GBEA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Revision of eyelid","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"67999","description":"Revision of eyelid","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Sales tax","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"S9999","description":"Sales tax","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MIAE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Bladder calculi irrig sol","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"Q2004","description":"Bladder calculi irrig sol","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GIED0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"AGIA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BBBB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"IIUD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-CC24A","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"CC24A","description":"HIPPS-CC24A","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JEPF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"HBOF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"ECTC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"AEAF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RVB5A","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RVB5A","description":"HIPPS-RVB5A","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JDEF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FBBA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Evoked auditory tst complete","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"92588","description":"Evoked auditory tst complete","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Treat foot dislocation","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"28575","description":"Treat foot dislocation","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KHTE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Treat toe dislocation","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"28630","description":"Treat toe dislocation","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Human Platelet Antigen 1 genotyping (HPA-1)_ ITGB3 (integrin_ beta 3 [platelet glycoprotein IIIa]_ antigen CD61 [GPIIIa]) (eg_ neonatal alloimmune thrombocytopenia [NAIT]_ pos","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"81105","description":"Human Platelet Antigen 1 genotyping (HPA-1)_ ITGB3 (integrin_ beta 3 [platelet glycoprotein IIIa]_ antigen CD61 [GPIIIa]) (eg_ neonatal alloimmune thrombocytopenia [NAIT]_ pos","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-BB220","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"BB220","description":"HIPPS-BB220","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-LD24D","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"LD24D","description":"HIPPS-LD24D","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-4CHKT","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"4CHKT","description":"HIPPS-4CHKT","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Donor pancreatectomy","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"48550","description":"Donor pancreatectomy","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"EFTA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OGWF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GAKA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FACD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-ATP23","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"ATP23","description":"HIPPS-ATP23","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Dilated retinal eye exam with interpretation by an ophthalmologist or optometrist or artificial intelligence (ai) interpretation documented and reviewed; with evidence of reti","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"M1220","description":"Dilated retinal eye exam with interpretation by an ophthalmologist or optometrist or artificial intelligence (ai) interpretation documented and reviewed; with evidence of reti","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"CPT-0657U","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"0657U","description":"CPT-0657U","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Adm Tocilizu COVID-19 2nd dose","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"M0250","description":"Adm Tocilizu COVID-19 2nd dose","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Hla i typing 1 locus lr","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"81373","description":"Hla i typing 1 locus lr","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Tlh uterus over 250 g","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"58572","description":"Tlh uterus over 250 g","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"DBYB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Celera Dual Layer or Celera Dual Membrane_ per sq cm","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"Q4259","description":"Celera Dual Layer or Celera Dual Membrane_ per sq cm","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Periph field stimul analys","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0285T","description":"Periph field stimul analys","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Dissolve clot heart vessel","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"92977","description":"Dissolve clot heart vessel","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Replace afo soft interface","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"L4392","description":"Replace afo soft interface","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Anesth surg on vag/urethral","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"94251","description":"Anesth surg on vag/urethral","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GFCC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OEHA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Restrata_ Per Square Centimeter","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"A2007","description":"Restrata_ Per Square Centimeter","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Service for diagnosis_ evaluation_ or treatment of a mental health  or substance use disorder_   initial 15-29 minutes_ provided remotely by hospital staff who are licensed to","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"C7900","description":"Service for diagnosis_ evaluation_ or treatment of a mental health  or substance use disorder_   initial 15-29 minutes_ provided remotely by hospital staff who are licensed to","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RHX05","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RHX05","description":"HIPPS-RHX05","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Low risk for retinopathy","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"3072F","description":"Low risk for retinopathy","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Noner transport wheelch van","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"A0130","description":"Noner transport wheelch van","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KHJA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Assay of quinine","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"84228","description":"Assay of quinine","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Tlso 2 shl symphys-stern cst","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"L0460","description":"Tlso 2 shl symphys-stern cst","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Clin sign vol ovrld assess","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"2002F","description":"Clin sign vol ovrld assess","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OFUC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-HE220","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"HE220","description":"HIPPS-HE220","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OIUB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Reusable underpad bed size","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"T4537","description":"Reusable underpad bed size","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CEGA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Assay of cpk in blood","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"82552","description":"Assay of cpk in blood","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Revision Or Replacement Of Hypoglossal Nerve Neurostimulator Array And Distal Respiratory Sensor Electrode Or Electrode Array_ Including Connection To Existing Pulse Generator","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"64583","description":"Revision Or Replacement Of Hypoglossal Nerve Neurostimulator Array And Distal Respiratory Sensor Electrode Or Electrode Array_ Including Connection To Existing Pulse Generator","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GHNF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"AGIE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KELF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-CD260","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"CD260","description":"HIPPS-CD260","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Opn tx complx malar w/grft","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"21366","description":"Opn tx complx malar w/grft","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Absolute quantitation of myocardial blood flow (AQMBF)_ single-photon emission computed tomography (SPECT)_ with exercise or pharmacologic stress_ and at rest_ when performed","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0742T","description":"Absolute quantitation of myocardial blood flow (AQMBF)_ single-photon emission computed tomography (SPECT)_ with exercise or pharmacologic stress_ and at rest_ when performed","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OEDA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GHVD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GHUC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Ajcc cln cncr stage 1 docd","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"3384F","description":"Ajcc cln cncr stage 1 docd","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MDMF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"CDT-D1903","billing_code_type":"CDT","billing_code_type_version":"2026","billing_code":"D1903","description":"CDT-D1903","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GBJE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Chronic care management services_ provided personally by a physician or other qualified health care professional_ at least 30 minutes of physician or other qualified health ca","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"99491","description":"Chronic care management services_ provided personally by a physician or other qualified health care professional_ at least 30 minutes of physician or other qualified health ca","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RLX1B","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RLX1B","description":"HIPPS-RLX1B","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Insertion of new or replacement of permanent pacemaker with atrial and ventricular transvenous electrode(s)_ with insertion of pacing electrode_ cardiac venous system_ for lef","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"C7539","description":"Insertion of new or replacement of permanent pacemaker with atrial and ventricular transvenous electrode(s)_ with insertion of pacing electrode_ cardiac venous system_ for lef","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Decompress forearm 2 spaces","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"25025","description":"Decompress forearm 2 spaces","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Capecitabine_ oral_ 500 mg","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"J8521","description":"Capecitabine_ oral_ 500 mg","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JHVC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JDCC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Radio/surgical implant index","billing_code_type":"CDT","billing_code_type_version":"2024","billing_code":"D6190","description":"Radio/surgical implant index","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Plasma 1 donor frz w/in 8 hr","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"P9017","description":"Plasma 1 donor frz w/in 8 hr","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-ES350","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"ES350","description":"HIPPS-ES350","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MEEC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GANA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BACC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"EBMF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GDNE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Postop dsg cast chg shlder/t","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"L6384","description":"Postop dsg cast chg shlder/t","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"LAOA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"X-ray exam of shoulder","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"73030","description":"X-ray exam of shoulder","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"IGBE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JHTA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-3BFK3","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"3BFK3","description":"HIPPS-3BFK3","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"DFOA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CBXF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BAGF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BGMD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FCNB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"HBRC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Initial custom socket insert","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"L5683","description":"Initial custom socket insert","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Pharmacy supplying fee for hiv pre-exposure prophylaxis fda approved prescription drug_ per 60-days","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"Q0517","description":"Pharmacy supplying fee for hiv pre-exposure prophylaxis fda approved prescription drug_ per 60-days","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RUA1A","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RUA1A","description":"HIPPS-RUA1A","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KFUF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MCDE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FHPC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Stroke with Motor >22.35 & Motor <26.15 & Age <84.5_comorbidity in tier 2","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"C0109","description":"Stroke with Motor >22.35 & Motor <26.15 & Age <84.5_comorbidity in tier 2","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"AFAB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KIUD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Fitting of diaphragm/cap","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"57170","description":"Fitting of diaphragm/cap","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Nasal/sinus endoscopy_ surgical with ethmoidectomy; total (anterior and posterior)_ including sphenoidotomy_ with removal of tissue from the sphenoid sinus","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"31259","description":"Nasal/sinus endoscopy_ surgical with ethmoidectomy; total (anterior and posterior)_ including sphenoidotomy_ with removal of tissue from the sphenoid sinus","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MLHC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OGIF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KIAA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HH PDGM","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"3KB31","description":"HH PDGM","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Reshaping bone orthognathic","billing_code_type":"CDT","billing_code_type_version":"2024","billing_code":"D7940","description":"Reshaping bone orthognathic","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"HCQE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KETC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Assay of vitamin b-2","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"84252","description":"Assay of vitamin b-2","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NHIF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Comp ext fixate strut change","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"20697","description":"Comp ext fixate strut change","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Ped power wheelchair nos","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"E1239","description":"Ped power wheelchair nos","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FCTC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Treat fracture ulnar styloid","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"25652","description":"Treat fracture ulnar styloid","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Removal of prostate","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"55821","description":"Removal of prostate","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RMA4D","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RMA4D","description":"HIPPS-RMA4D","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"EEAD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NHJF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Ciliary transsleral therapy","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"66710","description":"Ciliary transsleral therapy","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BGJD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RUL51","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RUL51","description":"HIPPS-RUL51","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KAHA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NFBC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"ADDA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OARF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"ICLB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"ACID1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GDED0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Liver surgery procedure","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"47399","description":"Liver surgery procedure","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"LGYE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Allogen_ per cc","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"Q4212","description":"Allogen_ per cc","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JENF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FCXD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Pt inelig geno no antvir tx","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G8458","description":"Pt inelig geno no antvir tx","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Injection_ daratumumab 10 mg and hyaluronidase-fihj","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"C9062","description":"Injection_ daratumumab 10 mg and hyaluronidase-fihj","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-PA15C","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"PA15C","description":"HIPPS-PA15C","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"PIOD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KIJA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Ballistocardiogram","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"S3902","description":"Ballistocardiogram","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"X-ray exam of mastoids","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"70130","description":"X-ray exam of mastoids","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Sialidase enzyme assay","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"87905","description":"Sialidase enzyme assay","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Drain ovary abscess percut","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"58822","description":"Drain ovary abscess percut","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CDQD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"LDQD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OIKC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HH PDGM","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"3HB31","description":"HH PDGM","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Asp not presc disch","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G9437","description":"Asp not presc disch","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GHOF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-PC251","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"PC251","description":"HIPPS-PC251","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Fusion of pubic bones","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"27282","description":"Fusion of pubic bones","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"EHEA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Vitamin d 25 hydroxy","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"82306","description":"Vitamin d 25 hydroxy","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"IGID0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Measure kidney pressure","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"50396","description":"Measure kidney pressure","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Home ventilator_ dual-function respiratory device_ also performs additional function of cough stimulation_ includes all accessories_ components and supplies for all functions","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"E0468","description":"Home ventilator_ dual-function respiratory device_ also performs additional function of cough stimulation_ includes all accessories_ components and supplies for all functions","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JABF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Rsa lower extr exam","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0350T","description":"Rsa lower extr exam","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KHBD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Straight tip urine catheter","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"A4351","description":"Straight tip urine catheter","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"LGOE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Gingivectomy/plasty rest","billing_code_type":"CDT","billing_code_type_version":"2024","billing_code":"D4212","description":"Gingivectomy/plasty rest","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MKEA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Revise leg vein","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"37700","description":"Revise leg vein","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Finger splint_ static","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"Q4049","description":"Finger splint_ static","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GGIB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JCND0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Resect leg/ankle tum 5 cm/>","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"27616","description":"Resect leg/ankle tum 5 cm/>","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-CD12D","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"CD12D","description":"HIPPS-CD12D","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Alternating pressure pad","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"A4640","description":"Alternating pressure pad","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FGNB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JIXD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Elder maltreatment screen not documented; documentation that patient is not eligible for the elder maltreatment screen at the time of the encounter","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G8535","description":"Elder maltreatment screen not documented; documentation that patient is not eligible for the elder maltreatment screen at the time of the encounter","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Anticoagulant mgmt initial","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"99363","description":"Anticoagulant mgmt initial","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Psychiatric service/therapy","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"90899","description":"Psychiatric service/therapy","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"HAWC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RUB2A","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RUB2A","description":"HIPPS-RUB2A","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OJHB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"CPT-01486","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"01486","description":"CPT-01486","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Dialysate solution_ non-dex","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"A4728","description":"Dialysate solution_ non-dex","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"AIIF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"corticotomy - four or more teeth or tooth spaces_ per quadrant","billing_code_type":"CDT","billing_code_type_version":"2024","billing_code":"D7297","description":"corticotomy - four or more teeth or tooth spaces_ per quadrant","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-HE115","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"HE115","description":"HIPPS-HE115","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-LE11C","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"LE11C","description":"HIPPS-LE11C","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KGSB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NBXF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Repair of arm nerves","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"64861","description":"Repair of arm nerves","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GEVA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RUX60","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RUX60","description":"HIPPS-RUX60","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CDMD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RML56","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RML56","description":"HIPPS-RML56","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-C0801","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"C0801","description":"HCPCS-C0801","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JDND0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"DARF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BFEE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-J1957","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"J1957","description":"HCPCS-J1957","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Kidney endoscopy & biopsy","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"50555","description":"Kidney endoscopy & biopsy","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"DHWC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"IHTD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Comm psy sup tx pgm per diem","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"H0037","description":"Comm psy sup tx pgm per diem","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Chemical peel nonfacial","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"15792","description":"Chemical peel nonfacial","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Treat midfoot fracture each","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"28450","description":"Treat midfoot fracture each","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"LFOA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KEEB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"PHRA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GDLF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-LB121","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"LB121","description":"HIPPS-LB121","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Conz of cervix w/scope leep","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"57461","description":"Conz of cervix w/scope leep","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"RenoGraft_ per sq cm","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"Q4321","description":"RenoGraft_ per sq cm","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Abortion","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"59856","description":"Abortion","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"IBTC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NAGD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KDLB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"LIQE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GFAF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HH PDGM","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"3GC21","description":"HH PDGM","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OICE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Esophagomyotomy thoracic","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"43331","description":"Esophagomyotomy thoracic","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BHJD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CDVE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BFED0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JALE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-Q4387","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"Q4387","description":"HCPCS-Q4387","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Abduction rotation bar shoe","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"L3140","description":"Abduction rotation bar shoe","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JHKE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FIMB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"IIEC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"AHAC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Kt/v =/> 1.2 & <1.7","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"3083F","description":"Kt/v =/> 1.2 & <1.7","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FHND0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NDLC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"EDTB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KFAB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NLPE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"EAHE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-LE21B","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"LE21B","description":"HIPPS-LE21B","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Destruct premalg les 2-14","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"17003","description":"Destruct premalg les 2-14","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HH PDGM","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"4HB31","description":"HH PDGM","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Tp53 (Tumor Protein 53) (Eg_ Li-Fraumeni Syndrome) Gene Analysis; Full Gene Sequence","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"81351","description":"Tp53 (Tumor Protein 53) (Eg_ Li-Fraumeni Syndrome) Gene Analysis; Full Gene Sequence","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Compounded drug_ noc","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"J7999","description":"Compounded drug_ noc","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-3CGP3","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"3CGP3","description":"HIPPS-3CGP3","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CIRA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-4AHKS","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"4AHKS","description":"HIPPS-4AHKS","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Rabies ig im/sc","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"90375","description":"Rabies ig im/sc","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Pentazocine injection","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"J3070","description":"Pentazocine injection","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CCOA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-2BFLW","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"2BFLW","description":"HIPPS-2BFLW","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FCBB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Stent_ non-cor_ tem w/o del","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"C2617","description":"Stent_ non-cor_ tem w/o del","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Peridontal medicament","billing_code_type":"CDT","billing_code_type_version":"2024","billing_code":"D5994","description":"Peridontal medicament","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Jak2 gene","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"81270","description":"Jak2 gene","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CFSD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Incise & drain bladder","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"51040","description":"Incise & drain bladder","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Repair degenerated kneecap","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"27418","description":"Repair degenerated kneecap","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MKMC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Pwr seat elevation sys","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"E2300","description":"Pwr seat elevation sys","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"EBAB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CBED0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RVA2A","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RVA2A","description":"HIPPS-RVA2A","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"EDTB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KDTE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"PKYA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Injection_ tafasitamab-cxix_ 2 mg","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"C9070","description":"Injection_ tafasitamab-cxix_ 2 mg","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Fusion of knuckle joints","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"26517","description":"Fusion of knuckle joints","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"EBDC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Exc forearm les sc < 3 cm","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"25075","description":"Exc forearm les sc < 3 cm","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GHAB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NHDE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-BA22B","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"BA22B","description":"HIPPS-BA22B","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-CA28A","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"CA28A","description":"HIPPS-CA28A","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RMB8F","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RMB8F","description":"HIPPS-RMB8F","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NAAE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GBWB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FHMD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OGDE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Special supplies phys/qhp","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"99070","description":"Special supplies phys/qhp","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MHCC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CHRE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Transfer of abdominal muscle","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"27100","description":"Transfer of abdominal muscle","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Remove pituit tumor w/scope","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"62165","description":"Remove pituit tumor w/scope","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Opto-acoustic imaging_ breast_ unilateral_ including axilla when performed_ real-time with image documentation_ augmentative analysis and report (List separately in addition t","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0857T","description":"Opto-acoustic imaging_ breast_ unilateral_ including axilla when performed_ real-time with image documentation_ augmentative analysis and report (List separately in addition t","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-HB260","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"HB260","description":"HIPPS-HB260","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Leg strap h style each","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"K0039","description":"Leg strap h style each","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Injection_ romidepsin_ non-lypohilized (e.g. liquid)_ 1mg","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"C9065","description":"Injection_ romidepsin_ non-lypohilized (e.g. liquid)_ 1mg","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CEKB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Diagnostic mammography_ including computer-aided detection (CAD) when performed; bilateral","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"77066","description":"Diagnostic mammography_ including computer-aided detection (CAD) when performed; bilateral","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KIVE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MJDD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Impltj Nonbiol/Synth Implt Fasc Rnfcmt Abdl Wall","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0437T","description":"Impltj Nonbiol/Synth Implt Fasc Rnfcmt Abdl Wall","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Commode chair with fixed arm","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"E0163","description":"Commode chair with fixed arm","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"ADTC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GHRA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RVC8F","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RVC8F","description":"HIPPS-RVC8F","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Foot plate molded stirrup at","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"L2250","description":"Foot plate molded stirrup at","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Repair of anterior abdominal hernia(s) (ie_ epigastric_ incisional_ ventral_ umbilical_ spigelian)_ any approach (ie_ open_ laparoscopic_ robotic)_ recurrent_ including implan","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"49616","description":"Repair of anterior abdominal hernia(s) (ie_ epigastric_ incisional_ ventral_ umbilical_ spigelian)_ any approach (ie_ open_ laparoscopic_ robotic)_ recurrent_ including implan","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-LC21A","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"LC21A","description":"HIPPS-LC21A","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"No elig ref for oto eval","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G8857","description":"No elig ref for oto eval","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Breast prosthesis bra & form","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"L8001","description":"Breast prosthesis bra & form","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-M1410","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"M1410","description":"HCPCS-M1410","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NHDD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Prosthetic donning sleeve","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"L7600","description":"Prosthetic donning sleeve","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Perc d-e cor revasc chro add","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"C9608","description":"Perc d-e cor revasc chro add","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-CD113","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"CD113","description":"HIPPS-CD113","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-PC131","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"PC131","description":"HIPPS-PC131","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"AEEE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Radiologic examination_ abdomen; 1 view","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"74018","description":"Radiologic examination_ abdomen; 1 view","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-BA28B","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"BA28B","description":"HIPPS-BA28B","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-LB20C","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"LB20C","description":"HIPPS-LB20C","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KBSF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-Q4357","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"Q4357","description":"HCPCS-Q4357","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CAYA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BBAF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Genotype dna hepatitis b","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"87912","description":"Genotype dna hepatitis b","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"CPT-55713","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"55713","description":"CPT-55713","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NBMD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RUB2D","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RUB2D","description":"HIPPS-RUB2D","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NIPC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"IDCE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Diagnostic analysis_ programming_ and verification of an auditory osseointegrated sound processor_ any type; each additional 15 minutes (List separately in addition to code fo","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"92623","description":"Diagnostic analysis_ programming_ and verification of an auditory osseointegrated sound processor_ any type; each additional 15 minutes (List separately in addition to code fo","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Pt hx act drain prev 90 days","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G8560","description":"Pt hx act drain prev 90 days","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CHAD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Repair arterial blockage","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"35450","description":"Repair arterial blockage","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Appl desensitizing resin","billing_code_type":"CDT","billing_code_type_version":"2024","billing_code":"D9911","description":"Appl desensitizing resin","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MKLB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-BA246","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"BA246","description":"HIPPS-BA246","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Onc (ovarian) biocheml assays of five proteins (apolipoprotein A-1_ CA 125 II_ follicle stimulating hormone_ human epididymis protein 4_ transferrin)_ utilizing serum","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0003U","description":"Onc (ovarian) biocheml assays of five proteins (apolipoprotein A-1_ CA 125 II_ follicle stimulating hormone_ human epididymis protein 4_ transferrin)_ utilizing serum","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BGHB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"LAYF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BCFC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Hospital Special Treatment Room Support Component (Hstrsc) Breast Diagnostic Procedures","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"X0619","description":"Hospital Special Treatment Room Support Component (Hstrsc) Breast Diagnostic Procedures","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"CPT-01933","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"01933","description":"CPT-01933","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BCMC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Domicil/r-home visit new pat","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"99326","description":"Domicil/r-home visit new pat","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Esophagoscop ultrasound exam","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"43231","description":"Esophagoscop ultrasound exam","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Co/membane diffuse capacity","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"94729","description":"Co/membane diffuse capacity","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Inj midazolam hydrochloride","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"J2250","description":"Inj midazolam hydrochloride","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Injection_ chloroprocaine hydrochloride_  per 1 mg","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"J2401","description":"Injection_ chloroprocaine hydrochloride_  per 1 mg","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OFDB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KGRB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Body-worn hearing aid bone","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"V5040","description":"Body-worn hearing aid bone","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MFAF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GELE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Removal of bladder stone","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"51050","description":"Removal of bladder stone","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Special base curve","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"V2730","description":"Special base curve","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MAAA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RVA8X","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RVA8X","description":"HIPPS-RVA8X","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-PE124","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"PE124","description":"HIPPS-PE124","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BCXA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Repair of anterior abdominal hernia(s) (ie_ epigastric_ incisional_ ventral_ umbilical_ spigelian)_ any approach (ie_ open_ laparoscopic_ robotic)_ initial_ including implanta","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"49592","description":"Repair of anterior abdominal hernia(s) (ie_ epigastric_ incisional_ ventral_ umbilical_ spigelian)_ any approach (ie_ open_ laparoscopic_ robotic)_ initial_ including implanta","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"PAOF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NHPA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NCEA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Revascularization_ endovascular_ open or percutaneous_ any vessel(s); with intravascular lithotripsy_ and transluminal","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"C9765","description":"Revascularization_ endovascular_ open or percutaneous_ any vessel(s); with intravascular lithotripsy_ and transluminal","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"PCQB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"PEOD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Fmr1 gene detection","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"81243","description":"Fmr1 gene detection","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CBBD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"IGDE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"PJQF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MEDD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CEAF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Change g-tube to g-j perc","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"49446","description":"Change g-tube to g-j perc","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GDHB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-C9311","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"C9311","description":"HCPCS-C9311","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Cryocautery of cervix","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"57511","description":"Cryocautery of cervix","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Heart tmr w/other procedure","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"33141","description":"Heart tmr w/other procedure","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Infectious agents (sexually transmitted infection)_ Chlamydia trachomatis_ Neisseria gonorrhoeae_ and Trichomonas vaginalis_ multiplex amplified probe technique_ vaginal_ endo","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0455U","description":"Infectious agents (sexually transmitted infection)_ Chlamydia trachomatis_ Neisseria gonorrhoeae_ and Trichomonas vaginalis_ multiplex amplified probe technique_ vaginal_ endo","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RLB8A","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RLB8A","description":"HIPPS-RLB8A","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MKAE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Incise skull/sutures","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"61556","description":"Incise skull/sutures","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Oncology (prostate)_ 5 DNA regulatory markers by quantitative PCR_ whole blood_ algorithm_ including prostate-specific antigen_ reported as likelihood of cancer","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0433U","description":"Oncology (prostate)_ 5 DNA regulatory markers by quantitative PCR_ whole blood_ algorithm_ including prostate-specific antigen_ reported as likelihood of cancer","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BEJB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Apexification/recalc interim","billing_code_type":"CDT","billing_code_type_version":"2024","billing_code":"D3352","description":"Apexification/recalc interim","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"ABDC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Catheter placement in coronary artery(ies) for coronary angiography_ including intraprocedural injection(s) for coronary angiography_ imaging supervision and interpretation_","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"C7518","description":"Catheter placement in coronary artery(ies) for coronary angiography_ including intraprocedural injection(s) for coronary angiography_ imaging supervision and interpretation_","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GGEB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Mnt subs tx for change dx","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G0270","description":"Mnt subs tx for change dx","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"EBCB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"CPT-01940","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"01940","description":"CPT-01940","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-B1101","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"B1101","description":"HCPCS-B1101","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Patients on immune checkpoint inhibitor therapy","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"M1180","description":"Patients on immune checkpoint inhibitor therapy","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"IFTE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BFBC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Close mult vsd","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"33675","description":"Close mult vsd","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FHAE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BHTE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BFFE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CGUB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"DISE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Acupunct w/stimul 15 min","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"97813","description":"Acupunct w/stimul 15 min","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OAGE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RML05","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RML05","description":"HIPPS-RML05","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JDGC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-3BFPS","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"3BFPS","description":"HIPPS-3BFPS","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"ASXL1 (additional sex combs like 1_ transcriptional regulator) (eg_ myelodysplastic syndrome_ myeloproliferative neoplasms_ chronic myelomonocytic leukemia)_ gene analysis; fu","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"81175","description":"ASXL1 (additional sex combs like 1_ transcriptional regulator) (eg_ myelodysplastic syndrome_ myeloproliferative neoplasms_ chronic myelomonocytic leukemia)_ gene analysis; fu","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"HASB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"PCWF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"ECED0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"HIOD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KHOE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"EGTA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CFPA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"PKYC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KIVD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BDJE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Ot re-evaluation","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"97004","description":"Ot re-evaluation","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Ct angio abdom w/o & w/dye","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"74175","description":"Ct angio abdom w/o & w/dye","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"DFWD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Cytarabine hcl 100 mg inj","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"J9100","description":"Cytarabine hcl 100 mg inj","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JGVA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OBKC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-C0403","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"C0403","description":"HCPCS-C0403","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NHNB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"CPT-0947T","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"0947T","description":"CPT-0947T","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"AIAB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Remote in-home visit for the evaluation and management of a new patient for use only in a Medicare-approved Bundled Payments for Care Improvement Advanced (BPCI Advanced) mode","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G9980","description":"Remote in-home visit for the evaluation and management of a new patient for use only in a Medicare-approved Bundled Payments for Care Improvement Advanced (BPCI Advanced) mode","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"PDSD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BCVD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Safety frames","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"S0516","description":"Safety frames","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Rolapitant_ oral_ 1mg (Varubi)","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"Q9981","description":"Rolapitant_ oral_ 1mg (Varubi)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KFKD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Assay of troponin qual","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"84512","description":"Assay of troponin qual","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Pediatric speech aid","billing_code_type":"CDT","billing_code_type_version":"2024","billing_code":"D5952","description":"Pediatric speech aid","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Vedolizumab","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"80280","description":"Vedolizumab","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Removal of temporary anchorage device without flap","billing_code_type":"CDT","billing_code_type_version":"2024","billing_code":"D7300","description":"Removal of temporary anchorage device without flap","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-CD255","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"CD255","description":"HIPPS-CD255","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OCGD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"PIRA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GITE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-M1374","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"M1374","description":"HCPCS-M1374","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NLPF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"EFHB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Secondary urethral surgery","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"54340","description":"Secondary urethral surgery","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-LD11B","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"LD11B","description":"HIPPS-LD11B","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Quantitative computed tomography (CT) tissue characterization_ including interpretation and report_ obtained without concurrent CT examination of any structure contained in pr","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0721T","description":"Quantitative computed tomography (CT) tissue characterization_ including interpretation and report_ obtained without concurrent CT examination of any structure contained in pr","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OFIF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KHPE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Revise lower leg tendon","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"27690","description":"Revise lower leg tendon","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JCND1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KBBA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Fusion of finger joint","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"26860","description":"Fusion of finger joint","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Wheelchair detachable foot r","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"E1070","description":"Wheelchair detachable foot r","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Cath_ thrombectomy/embolect","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"C1757","description":"Cath_ thrombectomy/embolect","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GGUA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"CPT-0984T","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"0984T","description":"CPT-0984T","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Insulin pump initiation","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"S9145","description":"Insulin pump initiation","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Chest shell","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"E0457","description":"Chest shell","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"X-ray exam l-2 spine 4/>vws","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"72110","description":"X-ray exam l-2 spine 4/>vws","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JFXA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Laparoscopy biopsy","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"49321","description":"Laparoscopy biopsy","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BBJE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Eye exam with photos","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"92250","description":"Eye exam with photos","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"DBYA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OHBF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CCQA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"IBLE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-PB235","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"PB235","description":"HIPPS-PB235","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BANF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CFHA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OBUA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-4AFL6","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"4AFL6","description":"HIPPS-4AFL6","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Nitrogen n-13 ammonia","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"A9526","description":"Nitrogen n-13 ammonia","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Principal illness navigation - peer support_ additional 30 minutes per calendar month (list separately in addition to g0140)","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G0146","description":"Principal illness navigation - peer support_ additional 30 minutes per calendar month (list separately in addition to g0140)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NJLA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JEUE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"External radiation dosimetry","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"77399","description":"External radiation dosimetry","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NEKF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Removal of pelvis contents","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"58240","description":"Removal of pelvis contents","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OHLD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CCTB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KBFF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"LFOD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NFFA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-PD18B","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"PD18B","description":"HIPPS-PD18B","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-ES256","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"ES256","description":"HIPPS-ES256","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CEGD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MBDB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RUA8I","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RUA8I","description":"HIPPS-RUA8I","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Repair pulmonary artery","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"33917","description":"Repair pulmonary artery","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Onc dx pancreatic unresectab","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G9107","description":"Onc dx pancreatic unresectab","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Rcm celulr subcelulr img skn","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"96935","description":"Rcm celulr subcelulr img skn","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OBGD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Polysom any age 1-3> param","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"95808","description":"Polysom any age 1-3> param","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Removal of toe lesions","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"28092","description":"Removal of toe lesions","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Lap esophagomyotomy","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"S2079","description":"Lap esophagomyotomy","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BCMF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BCKA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NLIE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Special joystick handle","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"E2323","description":"Special joystick handle","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KGNE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OCSD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Exploration of ureter","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"50600","description":"Exploration of ureter","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Diabetic shoe w/roller/rockr","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"A5503","description":"Diabetic shoe w/roller/rockr","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-PB251","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"PB251","description":"HIPPS-PB251","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"CPT-0625U","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"0625U","description":"CPT-0625U","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-LD23C","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"LD23C","description":"HIPPS-LD23C","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RHA8B","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RHA8B","description":"HIPPS-RHA8B","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BADB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"ICTF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"CPT-60661","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"60661","description":"CPT-60661","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Urinary suspensory","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"A5105","description":"Urinary suspensory","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Removal of brain tissue","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"61566","description":"Removal of brain tissue","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"X-ray exam hips bi 5/> views","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"73523","description":"X-ray exam hips bi 5/> views","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KAUE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-CB22A","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"CB22A","description":"HIPPS-CB22A","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Fees w/laryngeal sense test","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"92616","description":"Fees w/laryngeal sense test","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CBXE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-B0801","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"B0801","description":"HCPCS-B0801","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-5BGKV","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"5BGKV","description":"HIPPS-5BGKV","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Colonoscopy w/decompression","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"44408","description":"Colonoscopy w/decompression","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JIDD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-CA10C","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"CA10C","description":"HIPPS-CA10C","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RVB45","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RVB45","description":"HIPPS-RVB45","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CEID1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HH PDGM","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"2CB21","description":"HH PDGM","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Adenoma not detect screening","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"3776F","description":"Adenoma not detect screening","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"No doc of pain","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G8732","description":"No doc of pain","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-1BGNS","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"1BGNS","description":"HIPPS-1BGNS","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"IELA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NLJC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-1BFPX","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"1BFPX","description":"HIPPS-1BFPX","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"DGQD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OEXC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"IGMC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Aripiprazole injection","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"J0400","description":"Aripiprazole injection","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NAME1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Removal of lens material","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"66852","description":"Removal of lens material","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-1CGLX","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"1CGLX","description":"HIPPS-1CGLX","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CIJF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GGOF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"CPT-01730","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"01730","description":"CPT-01730","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"CPT-92632","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"92632","description":"CPT-92632","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Clinical Decision Support Mechanism Aim Specialty Health_ As Defined By The Medicare Appropriate Use Criteria Program","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G1007","description":"Clinical Decision Support Mechanism Aim Specialty Health_ As Defined By The Medicare Appropriate Use Criteria Program","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OBVD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Remove nail plate add-on","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"11732","description":"Remove nail plate add-on","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Trans shoe calip plate exist","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"L3600","description":"Trans shoe calip plate exist","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GGFB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OIKE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Manipulate wrist w/anesthes","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"25259","description":"Manipulate wrist w/anesthes","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"PJOC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OGLF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CAIC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Frozen ivf case rate","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"S4016","description":"Frozen ivf case rate","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NETB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"IIMC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OAPA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"AEMF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MBHD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"PEQA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Insert semi-rigid prosthesis","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"54400","description":"Insert semi-rigid prosthesis","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Trluml perip athrc abd aorta","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0236T","description":"Trluml perip athrc abd aorta","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-LD28A","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"LD28A","description":"HIPPS-LD28A","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-LC244","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"LC244","description":"HIPPS-LC244","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CEHE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KGFF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Ureter endoscopy & biopsy","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"50974","description":"Ureter endoscopy & biopsy","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Monthly supplies for use of device coded at e0733","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"A4541","description":"Monthly supplies for use of device coded at e0733","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Injection_ vedolizumab","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"J3380","description":"Injection_ vedolizumab","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CCTC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Neonate crit care initial","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"99468","description":"Neonate crit care initial","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OFUB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OAKC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"EFHA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-BB150","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"BB150","description":"HIPPS-BB150","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GCDF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Frame depth less than 22 in","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"E2203","description":"Frame depth less than 22 in","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-AAA03","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"AAA03","description":"HIPPS-AAA03","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KGMB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FBMD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JCLC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"CPT-87627","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"87627","description":"CPT-87627","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Infectious agent antigen detection by immunoassay with direct optical (ie_ visual) observation; Clostridium difficile toxin A","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"87803","description":"Infectious agent antigen detection by immunoassay with direct optical (ie_ visual) observation; Clostridium difficile toxin A","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-1AFK4","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"1AFK4","description":"HIPPS-1AFK4","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Vag hyst w/enterocele repair","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"58270","description":"Vag hyst w/enterocele repair","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NDDF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OIAE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"HISB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GBMB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Nabilone oral","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"J8650","description":"Nabilone oral","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"EGTE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OGJD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OKIB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GINF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OCQD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OIQA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KIQD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OHJD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JHXC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KFRC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Throat muscle surgery","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"43030","description":"Throat muscle surgery","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OLYD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OGIF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"EBAF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Abd imag w/us_ ct or MRI","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G9455","description":"Abd imag w/us_ ct or MRI","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Take-home supply of nasal naloxone (provision of the services by a medicare-enrolled opioid treatment program); list separately in addition to code for primary procedure","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G2215","description":"Take-home supply of nasal naloxone (provision of the services by a medicare-enrolled opioid treatment program); list separately in addition to code for primary procedure","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RHL54","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RHL54","description":"HIPPS-RHL54","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CIHC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Emergency dept visit","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"99283","description":"Emergency dept visit","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BAKA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"CPT-0613U","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"0613U","description":"CPT-0613U","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KAWA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OGNE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-PD20C","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"PD20C","description":"HIPPS-PD20C","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JIGB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"AEID0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RLB21","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RLB21","description":"HIPPS-RLB21","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CFUA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JHNF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GGUE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"EDMF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"DDWA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NDJA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Cover eye w/membrane","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"65778","description":"Cover eye w/membrane","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RUA4C","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RUA4C","description":"HIPPS-RUA4C","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"XK GNOTYP XK EXONS 1-3","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0200U","description":"XK GNOTYP XK EXONS 1-3","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-CC24B","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"CC24B","description":"HIPPS-CC24B","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-A0603","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"A0603","description":"HCPCS-A0603","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FAXC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"IGDB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Assay of pyruvate","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"84210","description":"Assay of pyruvate","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"LHSC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Battery cables","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"A4612","description":"Battery cables","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OAHC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-4CGMT","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"4CGMT","description":"HIPPS-4CGMT","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KEVB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"ADUA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GARB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"22nf nonsealed leadacid","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"E2360","description":"22nf nonsealed leadacid","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-CE230","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"CE230","description":"HIPPS-CE230","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JCNE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RMA54","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RMA54","description":"HIPPS-RMA54","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Pi volunteer ambulance co","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"A0432","description":"Pi volunteer ambulance co","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Endoscopic retrograde cholangiopancreatography (ercp) with biopsy_ single or multiple_ with endoscopic cannulation of papilla with direct visualization of pancreatic/common bi","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"C7542","description":"Endoscopic retrograde cholangiopancreatography (ercp) with biopsy_ single or multiple_ with endoscopic cannulation of papilla with direct visualization of pancreatic/common bi","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"AFIA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BHGF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GFBC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KBRD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NCVF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Knee ext/flex w act res ctrl","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"E1812","description":"Knee ext/flex w act res ctrl","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Pt w/ coronary artery stent","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"4561F","description":"Pt w/ coronary artery stent","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FIVF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-4BHM1","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"4BHM1","description":"HIPPS-4BHM1","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Rbc serum pretx incubj/inhib","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"86977","description":"Rbc serum pretx incubj/inhib","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Inj for sacroiliac jt anesth","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G0260","description":"Inj for sacroiliac jt anesth","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NJCA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OALB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RUA46","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RUA46","description":"HIPPS-RUA46","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GBID1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Ampicillin 500 mg inj","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"J0290","description":"Ampicillin 500 mg inj","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RHC2D","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RHC2D","description":"HIPPS-RHC2D","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"HEYE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GALA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-CC11A","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"CC11A","description":"HIPPS-CC11A","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BEIA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-PE12B","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"PE12B","description":"HIPPS-PE12B","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Fluoroscopy_ physician or other qualified health care professional time more than 1 hour_ assisting a nonradiologic physician or other qualified health care professional (eg_","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"76001","description":"Fluoroscopy_ physician or other qualified health care professional time more than 1 hour_ assisting a nonradiologic physician or other qualified health care professional (eg_","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-AAA32","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"AAA32","description":"HIPPS-AAA32","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Medical home level iii","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G9150","description":"Medical home level iii","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Percutaneous catheter anchor","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"A5200","description":"Percutaneous catheter anchor","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"AEBE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-HB11C","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"HB11C","description":"HIPPS-HB11C","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FDUE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Onc dx prostate t3b-t4noprog","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G9079","description":"Onc dx prostate t3b-t4noprog","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-PD15A","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"PD15A","description":"HIPPS-PD15A","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"DAQC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NAFD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"HFWC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CGBD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Health Behavior Intervention_ Group (2 Or More Patients)_ Face-To-Face; Each Additional 15 Minutes (List Separately In Addition To Code For Primary Service)","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"96165","description":"Health Behavior Intervention_ Group (2 Or More Patients)_ Face-To-Face; Each Additional 15 Minutes (List Separately In Addition To Code For Primary Service)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Install spinal shunt","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"63740","description":"Install spinal shunt","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Prenatal at risk education","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"H1003","description":"Prenatal at risk education","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FBDE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JEEF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Removal of chest wall respiratory sensor electrode or electrode array","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0468T","description":"Removal of chest wall respiratory sensor electrode or electrode array","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"LIQE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Right heart catheterization with implantation of wireless pressure sensor in the pulmonary artery_ including any type of measur","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"C9741","description":"Right heart catheterization with implantation of wireless pressure sensor in the pulmonary artery_ including any type of measur","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BDLC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"AFCC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"HBQA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Pin ulnar styloid fracture","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"25651","description":"Pin ulnar styloid fracture","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Hereditary colon ca dsordrs","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"81436","description":"Hereditary colon ca dsordrs","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MATC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GEJD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JECE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"PGQC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-2BFK3","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"2BFK3","description":"HIPPS-2BFK3","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-3CHLT","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"3CHLT","description":"HIPPS-3CHLT","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-4BFK6","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"4BFK6","description":"HIPPS-4BFK6","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"DAWD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Rsa spine exam","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0348T","description":"Rsa spine exam","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OHTB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Drill skull for drainage","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"61108","description":"Drill skull for drainage","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GIDB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Replace tissue expander","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"11970","description":"Replace tissue expander","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-2CFMU","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"2CFMU","description":"HIPPS-2CFMU","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"AEIE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-HE24C","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"HE24C","description":"HIPPS-HE24C","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CEXE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"HEQF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-LD201","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"LD201","description":"HIPPS-LD201","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Accessing and retorquing loose implant screw - per screw","billing_code_type":"CDT","billing_code_type_version":"2024","billing_code":"D6089","description":"Accessing and retorquing loose implant screw - per screw","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CEJD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-4AGMT","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"4AGMT","description":"HIPPS-4AGMT","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Exc foot/toe tum sc 1.5 cm/>","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"28039","description":"Exc foot/toe tum sc 1.5 cm/>","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GGKE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NCJC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"EHUE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OCFC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Intro/sheath_ fixed_non-peel","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"C1893","description":"Intro/sheath_ fixed_non-peel","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Egfr gene com variants","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"81235","description":"Egfr gene com variants","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Pwc gp 2 hd sing pow opt cap","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"K0838","description":"Pwc gp 2 hd sing pow opt cap","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KDPA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OEBD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Replace tunneled cv cath","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"36583","description":"Replace tunneled cv cath","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BCHD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KECD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FITE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CEHC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"CPT-91124","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"91124","description":"CPT-91124","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RHL22","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RHL22","description":"HIPPS-RHL22","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"X-ray exam of hand","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"73130","description":"X-ray exam of hand","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-BA212","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"BA212","description":"HIPPS-BA212","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Hearing aid check one ear","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"92592","description":"Hearing aid check one ear","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"IFLE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Ongoing Care Not Indicated_ Patient Self-Discharged Early And Seen Only 1-2 Visits (E.G._ Financial Or Insurance Reasons_ Transportation Problems_ Or Reason Unknown)","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"M1130","description":"Ongoing Care Not Indicated_ Patient Self-Discharged Early And Seen Only 1-2 Visits (E.G._ Financial Or Insurance Reasons_ Transportation Problems_ Or Reason Unknown)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-CD235","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"CD235","description":"HIPPS-CD235","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CDBB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Hydrocollator unit","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"E0225","description":"Hydrocollator unit","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Patients admitted to a skilled nursing facility (snf)","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"M1266","description":"Patients admitted to a skilled nursing facility (snf)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OEEC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"CPT-1039T","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"1039T","description":"CPT-1039T","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"AHMF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MCAC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OASD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GDTD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CAWA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"HBQE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KBWB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NLDE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"CPT-0606U","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"0606U","description":"CPT-0606U","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NAPB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Open skull for drainage","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"61313","description":"Open skull for drainage","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Enema tube_ any type_ replacement only_ each","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"K1013","description":"Enema tube_ any type_ replacement only_ each","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"DASA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"AAMA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-CA10A","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"CA10A","description":"HIPPS-CA10A","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"IBHD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"LHSE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RLB15","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RLB15","description":"HIPPS-RLB15","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JHXC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OFQC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"DGSA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Vein x-ray arms/legs","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"75822","description":"Vein x-ray arms/legs","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Penis plastic surgery","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"54360","description":"Penis plastic surgery","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JCAB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"PGSE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-PB23A","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"PB23A","description":"HIPPS-PB23A","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FFIA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Serum clotting time tube","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"A4771","description":"Serum clotting time tube","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Functional status was measured by the Oswestry Disability Index (ODI version 2.1a) patient reported outcome tool within three m","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"M1050","description":"Functional status was measured by the Oswestry Disability Index (ODI version 2.1a) patient reported outcome tool within three m","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"LIYB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GAOC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"IITF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"DAQA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JEIF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GAGC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"DGSD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OJAD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JBIC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Durable medical equipment mi","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"E1399","description":"Durable medical equipment mi","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Repair of anal stricture","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"46700","description":"Repair of anal stricture","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-4AHM6","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"4AHM6","description":"HIPPS-4AHM6","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CDRC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-1BGNW","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"1BGNW","description":"HIPPS-1BGNW","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Ped home apnea rec hk-up","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"94775","description":"Ped home apnea rec hk-up","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NBEC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RMC50","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RMC50","description":"HIPPS-RMC50","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"DGYB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"ECHB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OJUA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"PLRF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"AITE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"P32 chromic phosphate","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"A9564","description":"P32 chromic phosphate","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-LB214","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"LB214","description":"HIPPS-LB214","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"EBMD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CGSC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Adenoma(s) or colorectal cancer detected during screening colonoscopy","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G9933","description":"Adenoma(s) or colorectal cancer detected during screening colonoscopy","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"No statin/no order statin","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G9665","description":"No statin/no order statin","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Non-molded lacer","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"L2320","description":"Non-molded lacer","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Radiation treatment delivery","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G6009","description":"Radiation treatment delivery","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GGID0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OAYD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Dsm-5 info mdd docd","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"1040F","description":"Dsm-5 info mdd docd","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-PC206","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"PC206","description":"HIPPS-PC206","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KCAC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Pt scrnd hgh-risk sex behav","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"4293F","description":"Pt scrnd hgh-risk sex behav","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Assay of gonadotropin (lh)","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"83002","description":"Assay of gonadotropin (lh)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Chimeric antigen receptor T-cell (CAR-T) therapy; preparation of blood-derived T lymphocytes for transportation (eg_ cryopreservation_ storage)","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0538T","description":"Chimeric antigen receptor T-cell (CAR-T) therapy; preparation of blood-derived T lymphocytes for transportation (eg_ cryopreservation_ storage)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OKDA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NLCE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NGJC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Administration of patient-focused health risk assessment instrument (eg_ health hazard appraisal) with scoring and documentation_ per standardized instrument","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"96160","description":"Administration of patient-focused health risk assessment instrument (eg_ health hazard appraisal) with scoring and documentation_ per standardized instrument","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"CPT-00635","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"00635","description":"CPT-00635","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"LFRF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NFLE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Remove exostosis maxilla","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"21032","description":"Remove exostosis maxilla","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GBIB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JIID0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Macroscopic exam arthropod","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"87168","description":"Macroscopic exam arthropod","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Patients who have a diagnosis of pregnancy","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G9778","description":"Patients who have a diagnosis of pregnancy","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KBPF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FDNE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Antidepressants class 1 or 2","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"80332","description":"Antidepressants class 1 or 2","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-3CFL5","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"3CFL5","description":"HIPPS-3CFL5","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FGHB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Drainage of nose lesion","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"30020","description":"Drainage of nose lesion","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-3CHNV","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"3CHNV","description":"HIPPS-3CHNV","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Chemotherapy by infusion","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"Q0084","description":"Chemotherapy by infusion","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Psych diagnostic evaluation","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"90791","description":"Psych diagnostic evaluation","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GIMB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GDPB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JCNF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GBAF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Culture aerobic quant other","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"87071","description":"Culture aerobic quant other","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Rmvl vagus nerve pls gen","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0315T","description":"Rmvl vagus nerve pls gen","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OIME1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KBOB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"HGRB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Abutment supported retainer","billing_code_type":"CDT","billing_code_type_version":"2024","billing_code":"D6071","description":"Abutment supported retainer","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OBVB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Revision of cornea","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"65760","description":"Revision of cornea","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Destruction of skin lesions","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"17286","description":"Destruction of skin lesions","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FIME0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RUX0C","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RUX0C","description":"HIPPS-RUX0C","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-ES35C","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"ES35C","description":"HIPPS-ES35C","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-5BFKV","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"5BFKV","description":"HIPPS-5BFKV","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Phenylephrine 10.16 mg/ml and ketorolac 2.88 mg/ml ophthalmic irrigation solution_ 1 ml","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"J1097","description":"Phenylephrine 10.16 mg/ml and ketorolac 2.88 mg/ml ophthalmic irrigation solution_ 1 ml","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Muscle test 4 limbs","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"95864","description":"Muscle test 4 limbs","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Chiropract manj 3-4 regions","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"98941","description":"Chiropract manj 3-4 regions","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Ther behav svc_ per diem","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"H2020","description":"Ther behav svc_ per diem","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BFME0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Art byp subclav-vertebrl","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"35645","description":"Art byp subclav-vertebrl","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"HFRC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Osseous surgl-3teethperquad","billing_code_type":"CDT","billing_code_type_version":"2024","billing_code":"D4261","description":"Osseous surgl-3teethperquad","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Generator_ neuro non-recharg","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"C1767","description":"Generator_ neuro non-recharg","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Stress breaker","billing_code_type":"CDT","billing_code_type_version":"2024","billing_code":"D6940","description":"Stress breaker","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OISB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Toc tool incl key elem","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G9655","description":"Toc tool incl key elem","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JFFF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"No impro med time pain med","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G9427","description":"No impro med time pain med","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Injection_ morphine sulfate (fresenius kabi) not therapeutically equivalent to j2270_ up to 10 mg","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"J2272","description":"Injection_ morphine sulfate (fresenius kabi) not therapeutically equivalent to j2270_ up to 10 mg","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Skin splt grft t/a/l add-on","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"15101","description":"Skin splt grft t/a/l add-on","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OANB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GARC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Anesth heart surg <1 yr","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"56159","description":"Anesth heart surg <1 yr","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NAJF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GAPC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KAPA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Noninvas vasc dx study proc","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"93998","description":"Noninvas vasc dx study proc","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Injection_ golodirsen_ 10 mg","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"J1429","description":"Injection_ golodirsen_ 10 mg","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-ES144","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"ES144","description":"HIPPS-ES144","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Deb bone 20 sq cm/<","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"11044","description":"Deb bone 20 sq cm/<","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"IIBB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JGCC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-CD250","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"CD250","description":"HIPPS-CD250","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Acth stimulation panel","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"80400","description":"Acth stimulation panel","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Supply_ nos","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"T5999","description":"Supply_ nos","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"ACAC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NJVD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Pt infosys alarm 4 nxt mammo","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"7025F","description":"Pt infosys alarm 4 nxt mammo","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Neostigmine methylslfte inj","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"J2710","description":"Neostigmine methylslfte inj","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-PC230","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"PC230","description":"HIPPS-PC230","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Perp bk ptb thermopls direct","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"L5520","description":"Perp bk ptb thermopls direct","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RUC0A","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RUC0A","description":"HIPPS-RUC0A","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KCCC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CDTE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-LB20D","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"LB20D","description":"HIPPS-LB20D","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Repair of ruptured spleen","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"38115","description":"Repair of ruptured spleen","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"CPT-0930T","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"0930T","description":"CPT-0930T","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RLB1C","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RLB1C","description":"HIPPS-RLB1C","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"AEUF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NJGB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Bactericidal level serum","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"87197","description":"Bactericidal level serum","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Hemodialysis plan docd","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0505F","description":"Hemodialysis plan docd","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NFVD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Remove foreign body","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"10120","description":"Remove foreign body","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"IAAD IA ENTAMOEBA HISTOLYTICA DISPAR GRP","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"87336","description":"IAAD IA ENTAMOEBA HISTOLYTICA DISPAR GRP","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MDTB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NDXE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Extrnl bleaching per arch","billing_code_type":"CDT","billing_code_type_version":"2024","billing_code":"D9972","description":"Extrnl bleaching per arch","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Injection_ melphalan (Evomela)_ 1 mg","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"J9246","description":"Injection_ melphalan (Evomela)_ 1 mg","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-LB112","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"LB112","description":"HIPPS-LB112","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JFEB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"CPT-15018","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"15018","description":"CPT-15018","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Wash harvest stem cells","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"38209","description":"Wash harvest stem cells","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-CA18B","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"CA18B","description":"HIPPS-CA18B","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JDGD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FBVF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FGFE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BFNC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Repair blood vessel lesion","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"35261","description":"Repair blood vessel lesion","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Ultrasound_ elastography (List separately in addition to code for primary procedure)","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0346T","description":"Ultrasound_ elastography (List separately in addition to code for primary procedure)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RUL17","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RUL17","description":"HIPPS-RUL17","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-2AHM3","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"2AHM3","description":"HIPPS-2AHM3","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CCNE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GELC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"AFMD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Bevacizumab injection","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"J9035","description":"Bevacizumab injection","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Inj anesthetic per 10 ml","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"A4737","description":"Inj anesthetic per 10 ml","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Debride infected skin add-on","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"11001","description":"Debride infected skin add-on","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MAEB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-1BHL2","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"1BHL2","description":"HIPPS-1BHL2","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"DFQB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CGGB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Post 2 srfc resinbased cmpst","billing_code_type":"CDT","billing_code_type_version":"2024","billing_code":"D2392","description":"Post 2 srfc resinbased cmpst","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OFVE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"X-ray exam of abdomen","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"74020","description":"X-ray exam of abdomen","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MKBA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Urinary pouch w/barrier","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"A5071","description":"Urinary pouch w/barrier","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Injection_ micafungin sodium (par pharm) not thereapeutically equivalent to j2248_ 1 mg","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"J2247","description":"Injection_ micafungin sodium (par pharm) not thereapeutically equivalent to j2248_ 1 mg","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JDLC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Cast sup lng arm splnt ped p","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"Q4019","description":"Cast sup lng arm splnt ped p","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-HB111","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"HB111","description":"HIPPS-HB111","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"EAHC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Repair of achilles tendon","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"27654","description":"Repair of achilles tendon","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-J1757","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"J1757","description":"HCPCS-J1757","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MEDD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Multi-vitamin nos","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"A9153","description":"Multi-vitamin nos","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-HC25A","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"HC25A","description":"HIPPS-HC25A","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Mitochondrial Antibody (Eg_ M2)_ Each","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"86381","description":"Mitochondrial Antibody (Eg_ M2)_ Each","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NKBD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Ct thorax w/dye","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"71260","description":"Ct thorax w/dye","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Cltx post ankle fx","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"27767","description":"Cltx post ankle fx","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OLBA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Transcutaneous magnetic stimulation by focused low-frequency electromagnetic pulse_ peripheral nerve_ subsequent treatment_ including noninvasive electroneurographic localizat","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0769T","description":"Transcutaneous magnetic stimulation by focused low-frequency electromagnetic pulse_ peripheral nerve_ subsequent treatment_ including noninvasive electroneurographic localizat","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Lvef assess planpost dschrge","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"3019F","description":"Lvef assess planpost dschrge","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Excision graft extremity","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"35903","description":"Excision graft extremity","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"EHUA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"ODUD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"HFSA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-HB104","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"HB104","description":"HIPPS-HB104","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OEYC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Colorectal ca screen doc rev","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"3017F","description":"Colorectal ca screen doc rev","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BBUA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Circumcision neonate","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"54160","description":"Circumcision neonate","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Bio-connekt per square cm","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"Q4161","description":"Bio-connekt per square cm","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CAMA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NAKA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Nursing assessment/evaluatn","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"T1001","description":"Nursing assessment/evaluatn","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Domicil/r-home visit est pat","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"99334","description":"Domicil/r-home visit est pat","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NDKB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-1AGN1","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"1AGN1","description":"HIPPS-1AGN1","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Inj_ moxifloxacin 100 mg","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"J2280","description":"Inj_ moxifloxacin 100 mg","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GAGF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JFKF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NGCB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"HCYB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Lice treatment_ topical","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"A9180","description":"Lice treatment_ topical","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-4BGM1","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"4BGM1","description":"HIPPS-4BGM1","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Episiotomy or vaginal repair","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"59300","description":"Episiotomy or vaginal repair","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OHQD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KBPD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-1AFL3","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"1AFL3","description":"HIPPS-1AFL3","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NKTA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-3AGNU","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"3AGNU","description":"HIPPS-3AGNU","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Trh stimulation panel","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"80438","description":"Trh stimulation panel","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-C0802","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"C0802","description":"HCPCS-C0802","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"PFSD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"CPT-00560","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"00560","description":"CPT-00560","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-1AFLV","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"1AFLV","description":"HIPPS-1AFLV","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MBHA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Non-ophthalmic fva","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"C9733","description":"Non-ophthalmic fva","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OIHF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CFGF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"EGDA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Destruction of skin lesions","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"17107","description":"Destruction of skin lesions","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Ft prosth multiaxial ankl/ft","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"L5978","description":"Ft prosth multiaxial ankl/ft","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"AFMA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CHAB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"ADEF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Digital sub 2 or more images","billing_code_type":"CDT","billing_code_type_version":"2024","billing_code":"D0394","description":"Digital sub 2 or more images","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OITE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-E1814","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"E1814","description":"HCPCS-E1814","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RHX23","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RHX23","description":"HIPPS-RHX23","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"IHLC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Twelve volt battery utah/equ","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"L7364","description":"Twelve volt battery utah/equ","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Inj paravert f jnt c/t 1 lev","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"64490","description":"Inj paravert f jnt c/t 1 lev","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NBIB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NFFD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NHMA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GESE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"LFSD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CIYC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KGFE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Gradient compression bandaging supply_ high density foam roll for bandage_ per linear yard_ any width_ each","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"A6602","description":"Gradient compression bandaging supply_ high density foam roll for bandage_ per linear yard_ any width_ each","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GHNB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Incision of rectal abscess","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"46040","description":"Incision of rectal abscess","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-4AGM3","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"4AGM3","description":"HIPPS-4AGM3","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Injection_ risperidone (rykindo)_ 0.5 mg","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"J2801","description":"Injection_ risperidone (rykindo)_ 0.5 mg","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Endoluminal bx biliary tree","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"47543","description":"Endoluminal bx biliary tree","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FHDA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Trach/laryn tube stainless","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"A7522","description":"Trach/laryn tube stainless","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Injection_ cemiplimab-rwlc_ 1 mg","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"J9119","description":"Injection_ cemiplimab-rwlc_ 1 mg","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BFGD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"EIBB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Injection_ pertuzumab_ 1 mg","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"J9306","description":"Injection_ pertuzumab_ 1 mg","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BIPA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Remove aorta constriction","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"33845","description":"Remove aorta constriction","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"IFDF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NKIC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"IGDD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Treat thigh fracture","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"27232","description":"Treat thigh fracture","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GEIA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HH PDGM","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"4IC21","description":"HH PDGM","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"PGYE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CCTD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Hospice care supervision","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"99377","description":"Hospice care supervision","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OHCE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Chronic pain management and treatment_ monthly bundle including_ diagnosis; assessment and monitoring; administration of a validated pain rating scale or tool; the development","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G3002","description":"Chronic pain management and treatment_ monthly bundle including_ diagnosis; assessment and monitoring; administration of a validated pain rating scale or tool; the development","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BEED0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BGDE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Apc gene full sequence","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"81201","description":"Apc gene full sequence","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"AFCB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MDUA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OJSB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Immunization administration by intramuscular injection of severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) (coronavirus disease [COVID-19]) vaccine_ mRNA-LNP_ biva","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0171A","description":"Immunization administration by intramuscular injection of severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) (coronavirus disease [COVID-19]) vaccine_ mRNA-LNP_ biva","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Tte w or w/o contr_ cont ecg","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"C8930","description":"Tte w or w/o contr_ cont ecg","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Herpes simplex 1 ag if","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"87274","description":"Herpes simplex 1 ag if","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Interfyl_ 1 mg","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"Q4171","description":"Interfyl_ 1 mg","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-CB206","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"CB206","description":"HIPPS-CB206","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OETB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Micafungin sodium injection","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"J2248","description":"Micafungin sodium injection","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CDME1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Crh stimulation panel","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"80412","description":"Crh stimulation panel","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Fun stat score le < 0","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G8656","description":"Fun stat score le < 0","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"EICA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GEJD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RUB40","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RUB40","description":"HIPPS-RUB40","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KEXD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RML4B","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RML4B","description":"HIPPS-RML4B","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Injection_ efgartigimod alfa-fcab_ 2 mg","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"J9332","description":"Injection_ efgartigimod alfa-fcab_ 2 mg","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-4CHKV","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"4CHKV","description":"HIPPS-4CHKV","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"LDYC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OEIC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-HE130","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"HE130","description":"HIPPS-HE130","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"ADMD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Prothrombin test","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"85611","description":"Prothrombin test","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-CA256","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"CA256","description":"HIPPS-CA256","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Diagnostic incision larynx","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"31320","description":"Diagnostic incision larynx","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Rad exc lesion up to 1.25 cm","billing_code_type":"CDT","billing_code_type_version":"2024","billing_code":"D7410","description":"Rad exc lesion up to 1.25 cm","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Remote autonomous algorithm-based recommendation system for insulin dose calculation and titration; provision of software_ data collection_ transmission_ and storage_ each 30","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0741T","description":"Remote autonomous algorithm-based recommendation system for insulin dose calculation and titration; provision of software_ data collection_ transmission_ and storage_ each 30","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Brexucabtagene autoleucel_ up to 200 million autologous anti-cd19 car positive viable t cells_ including leukapheresis and dose preparation procedures_ per therapeutic dose","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"C9073","description":"Brexucabtagene autoleucel_ up to 200 million autologous anti-cd19 car positive viable t cells_ including leukapheresis and dose preparation procedures_ per therapeutic dose","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RUC55","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RUC55","description":"HIPPS-RUC55","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Inj secretin synthetic human","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"J2850","description":"Inj secretin synthetic human","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FEDF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Bronchoscopy bronch stents","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"31636","description":"Bronchoscopy bronch stents","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"PAQD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Remote Therapeutic Monitoring (Eg_ Respiratory System Status_ Musculoskeletal System Status_ Therapy Adherence_ Therapy Response); Initial Set-Up And Patient Education On Use","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"98975","description":"Remote Therapeutic Monitoring (Eg_ Respiratory System Status_ Musculoskeletal System Status_ Therapy Adherence_ Therapy Response); Initial Set-Up And Patient Education On Use","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GGHD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BDUB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Implant neuroelectrode","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"61867","description":"Implant neuroelectrode","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Neurology Mips Specialty Set","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G4015","description":"Neurology Mips Specialty Set","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-PD235","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"PD235","description":"HIPPS-PD235","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KBDE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NLCA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KCRF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"vaccine administration-human papillomavirus - Dose 3","billing_code_type":"CDT","billing_code_type_version":"2024","billing_code":"D1783","description":"vaccine administration-human papillomavirus - Dose 3","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GBGA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"ODWF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RLX5B","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RLX5B","description":"HIPPS-RLX5B","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-CB210","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"CB210","description":"HIPPS-CB210","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Ear cartilage graft","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"21235","description":"Ear cartilage graft","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BETF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Rhophylac injection","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"J2791","description":"Rhophylac injection","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-E0743","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"E0743","description":"HCPCS-E0743","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FDIE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"L colectomy/coloproctostomy","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"44207","description":"L colectomy/coloproctostomy","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KGFD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-2BFKS","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"2BFKS","description":"HIPPS-2BFKS","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Removal of humerus lesion","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"23150","description":"Removal of humerus lesion","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Nicotine patch nonlegend","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"S4991","description":"Nicotine patch nonlegend","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NEND1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"LBSE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Prothrombin time","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"85610","description":"Prothrombin time","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-ES14A","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"ES14A","description":"HIPPS-ES14A","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Knee arthroscopy/surgery","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"29876","description":"Knee arthroscopy/surgery","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Kit gene analys d816 variant","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"81273","description":"Kit gene analys d816 variant","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Homemaker service nos /diem","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"S5131","description":"Homemaker service nos /diem","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GCMC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KFEF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-LC22C","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"LC22C","description":"HIPPS-LC22C","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Reoperation bypass graft","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"35700","description":"Reoperation bypass graft","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BHCE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Harvest Of Upper Extremity Artery_ 1 Segment_ For Coronary Artery Bypass Procedure_ Endoscopic","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"33509","description":"Harvest Of Upper Extremity Artery_ 1 Segment_ For Coronary Artery Bypass Procedure_ Endoscopic","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-A0703","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"A0703","description":"HCPCS-A0703","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"IEDF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Remove foreign body larynx","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"31577","description":"Remove foreign body larynx","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Lymph vessel x-ray arm/leg","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"75801","description":"Lymph vessel x-ray arm/leg","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"IHCE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Culture type pulse field gel","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"87152","description":"Culture type pulse field gel","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FCCD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OKHF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Laryngoplasty; for laryngeal stenosis_ with graft_ without indwelling stent placement_ age 12 years or older","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"31552","description":"Laryngoplasty; for laryngeal stenosis_ with graft_ without indwelling stent placement_ age 12 years or older","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BDIC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GBEC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JIDE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Hearing aid check both ears","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"92593","description":"Hearing aid check both ears","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GFJF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Replacement of lower extremity joint with Motor <22.05._without comorbidities","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"A0806","description":"Replacement of lower extremity joint with Motor <22.05._without comorbidities","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"HCYF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"LISE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Oxaliplatin","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"J9263","description":"Oxaliplatin","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RVB60","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RVB60","description":"HIPPS-RVB60","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Diphenhydramine hcl injectio","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"J1200","description":"Diphenhydramine hcl injectio","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RLX4C","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RLX4C","description":"HIPPS-RLX4C","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GIHB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RMC26","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RMC26","description":"HIPPS-RMC26","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Granisetron hcl 1 mg oral","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"Q0166","description":"Granisetron hcl 1 mg oral","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Dxa bone density study","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"77085","description":"Dxa bone density study","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RLB8I","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RLB8I","description":"HIPPS-RLB8I","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-5CHKU","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"5CHKU","description":"HIPPS-5CHKU","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OFBF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-3CFLU","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"3CFLU","description":"HIPPS-3CFLU","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Amputate leg at thigh","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"27590","description":"Amputate leg at thigh","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"PJWC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Treatment of anal fissure","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"46940","description":"Treatment of anal fissure","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Gel cap app device for trach","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"L8515","description":"Gel cap app device for trach","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GCVD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-1CFM6","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"1CFM6","description":"HIPPS-1CFM6","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CCXE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RLX3A","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RLX3A","description":"HIPPS-RLX3A","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KHSC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GAOD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"PLSF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-CC23C","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"CC23C","description":"HIPPS-CC23C","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-BA224","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"BA224","description":"HIPPS-BA224","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MBCC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BFGB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Fusion of tendons at wrist","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"25301","description":"Fusion of tendons at wrist","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GEVE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Repair of mitral valve","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"33425","description":"Repair of mitral valve","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JBKC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-4CHL5","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"4CHL5","description":"HIPPS-4CHL5","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BFUB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FFDC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CDXF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"CPT-01925","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"01925","description":"CPT-01925","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-HE15A","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"HE15A","description":"HIPPS-HE15A","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Repair of knee ligament","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"27407","description":"Repair of knee ligament","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OKYE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Cardiovascular nuclear exam","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"78499","description":"Cardiovascular nuclear exam","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-J9183","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"J9183","description":"HCPCS-J9183","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Monitor_ Cardiac_ Including Intracardiac Lead And All System Components (Implantable)","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"C1833","description":"Monitor_ Cardiac_ Including Intracardiac Lead And All System Components (Implantable)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FHDE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Injection_ epoetin alfa_ biosimilar_ (Retacrit) (for ESRD on dialysis)_ 100 units","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"Q5105","description":"Injection_ epoetin alfa_ biosimilar_ (Retacrit) (for ESRD on dialysis)_ 100 units","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OITF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Remove foreign body from eye","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"65265","description":"Remove foreign body from eye","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"ECBC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Injection_ taliglucerase alfa_ 10 units","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"J3060","description":"Injection_ taliglucerase alfa_ 10 units","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CBCD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Reconstruct cleft foot","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"28360","description":"Reconstruct cleft foot","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Multipo locking shoulder jnt","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"L6646","description":"Multipo locking shoulder jnt","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CCVF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OBAE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GHUB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-ES331","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"ES331","description":"HIPPS-ES331","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"EFLC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-B0102","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"B0102","description":"HCPCS-B0102","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JFAE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CBUD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NAIA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Palliative Care Services Given To Patient Any Time During The Measurement Period","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G0031","description":"Palliative Care Services Given To Patient Any Time During The Measurement Period","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Prostate saturation sampling","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"55706","description":"Prostate saturation sampling","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Electroencephalogram (Eeg)_ Without Video_ Review Of Data_ Technical Description By Eeg Technologist_ 2-12 Hours; Unmonitored","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"95705","description":"Electroencephalogram (Eeg)_ Without Video_ Review Of Data_ Technical Description By Eeg Technologist_ 2-12 Hours; Unmonitored","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-3BFNU","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"3BFNU","description":"HIPPS-3BFNU","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OFID0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MJIB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"AEHE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JAHE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RLA34","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RLA34","description":"HIPPS-RLA34","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RUB8C","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RUB8C","description":"HIPPS-RUB8C","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-ES131","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"ES131","description":"HIPPS-ES131","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FHJE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RMC54","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RMC54","description":"HIPPS-RMC54","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-M1436","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"M1436","description":"HCPCS-M1436","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"EATD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-HC13A","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"HC13A","description":"HIPPS-HC13A","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RMC46","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RMC46","description":"HIPPS-RMC46","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MDTD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NJID1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"PDQA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RUA3D","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RUA3D","description":"HIPPS-RUA3D","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NALA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OGLC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JFFE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"EIAA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"EBUC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CFGC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Repair palate pharynx/uvula","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"42145","description":"Repair palate pharynx/uvula","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"DEYA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KGKE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Budesonide non-comp unit","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"J7626","description":"Budesonide non-comp unit","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BFLE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FIAA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"PGSB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Asst oocyte fert case rate","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"S4022","description":"Asst oocyte fert case rate","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NBKA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Eval opioid use instr/pt int","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G9584","description":"Eval opioid use instr/pt int","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FBPD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"LAWD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GGRE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CCCA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MEIF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OHYD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Cntct lens hydrophilic toric","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"V2521","description":"Cntct lens hydrophilic toric","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Perq vertebral augmentation","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"22515","description":"Perq vertebral augmentation","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MKMC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MHLC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-PB105","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"PB105","description":"HIPPS-PB105","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CGME1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Interscapular-thor switch ct","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"L6970","description":"Interscapular-thor switch ct","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Partial removal of liver","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"47130","description":"Partial removal of liver","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Massage therapy","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"97124","description":"Massage therapy","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FBNA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Thoracoscopy w/sac drainage","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"32659","description":"Thoracoscopy w/sac drainage","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GEFF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Mr angiography neck w/o dye","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"70547","description":"Mr angiography neck w/o dye","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JCKF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-HC21A","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"HC21A","description":"HIPPS-HC21A","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"EFDF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FFKE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KHRD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Thumb fusion with graft","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"26820","description":"Thumb fusion with graft","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Rad resect abd tumor 5 cm/>","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"22905","description":"Rad resect abd tumor 5 cm/>","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Hysteroscopy biopsy","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"58558","description":"Hysteroscopy biopsy","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-BA14D","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"BA14D","description":"HIPPS-BA14D","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"IABB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OKIA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KGBF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HH PDGM","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"2GA31","description":"HH PDGM","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Remov vert idrl bdy lmbr/sac","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"63307","description":"Remov vert idrl bdy lmbr/sac","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Electrophysiology evaluation","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"93622","description":"Electrophysiology evaluation","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Elbow molded w/ expand inter","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"L6205","description":"Elbow molded w/ expand inter","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Pneumatic prop tire insert","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"E2213","description":"Pneumatic prop tire insert","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"EIIF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"LFYE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HH PDGM","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"4BA11","description":"HH PDGM","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CGOF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Foot insert silicone gel eac","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"L3003","description":"Foot insert silicone gel eac","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Inj octafluoropropane mic_ml","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"Q9956","description":"Inj octafluoropropane mic_ml","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"IEUD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"PFQB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Axolotl graft or axolotl dualgraft_ per square centimeter","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"Q4210","description":"Axolotl graft or axolotl dualgraft_ per square centimeter","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Patient-specific_ assistive_ rules-based algorithm for ranking pharmaco-oncologic treatment options based on the patient_s tumor-specific cancer marker information obtained fr","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0794T","description":"Patient-specific_ assistive_ rules-based algorithm for ranking pharmaco-oncologic treatment options based on the patient_s tumor-specific cancer marker information obtained fr","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"PIOB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Exc back tum deep 5 cm/>","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"21933","description":"Exc back tum deep 5 cm/>","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CCCB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MKDA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GDPD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Extensive testis surgery","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"54535","description":"Extensive testis surgery","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Refract not +/- 1.0 w/in 90d","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G9520","description":"Refract not +/- 1.0 w/in 90d","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Gradient compression wrap with adjustable straps_ below knee_ 30-50 mmhg_ each","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"A6583","description":"Gradient compression wrap with adjustable straps_ below knee_ 30-50 mmhg_ each","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-M1390","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"M1390","description":"HCPCS-M1390","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"ADHD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Anesth repair of cleft lip","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"10251","description":"Anesth repair of cleft lip","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Removal of salivary stone","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"42330","description":"Removal of salivary stone","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-HD25A","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"HD25A","description":"HIPPS-HD25A","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-PA14A","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"PA14A","description":"HIPPS-PA14A","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Removal Of Percutaneous Right Heart Ventricular Assist Device_ Venous Cannula_ At Separate And Distinct Session From Insertion","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"33997","description":"Removal Of Percutaneous Right Heart Ventricular Assist Device_ Venous Cannula_ At Separate And Distinct Session From Insertion","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BHKF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-AAA17","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"AAA17","description":"HIPPS-AAA17","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Kidney imaging (3d)","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"78710","description":"Kidney imaging (3d)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"PHSF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GBNA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Implant procedure","billing_code_type":"CDT","billing_code_type_version":"2024","billing_code":"D6199","description":"Implant procedure","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Medical food oral 100% nutr","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"S9433","description":"Medical food oral 100% nutr","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-1BFLU","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"1BFLU","description":"HIPPS-1BFLU","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BECE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Remote in-home visit for the e&m of a new patient for use only in the Medicare-approved Comprehensive Care for Joint Replacement model_ which requires these 3 key components","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G9483","description":"Remote in-home visit for the e&m of a new patient for use only in the Medicare-approved Comprehensive Care for Joint Replacement model_ which requires these 3 key components","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OJEF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-CE110","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"CE110","description":"HIPPS-CE110","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JBEC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Dilate tear duct opening","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"68801","description":"Dilate tear duct opening","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Peri-px pacemaker device evl","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"93286","description":"Peri-px pacemaker device evl","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-HB14C","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"HB14C","description":"HIPPS-HB14C","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Documentation of patient reason(s) for not prescribing/administering androgen deprivation therapy in combination with external beam radiotherapy to the prostate","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G9896","description":"Documentation of patient reason(s) for not prescribing/administering androgen deprivation therapy in combination with external beam radiotherapy to the prostate","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Remove thigh pressure sore","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"15950","description":"Remove thigh pressure sore","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"CPT-64659","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"64659","description":"CPT-64659","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Sugars multiple qual","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"84377","description":"Sugars multiple qual","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Ct angiograph pelv w/o&w/dye","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"72191","description":"Ct angiograph pelv w/o&w/dye","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NBTB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"IDUA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Hit enteral bolus nurs","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"S9343","description":"Hit enteral bolus nurs","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BAGE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NGAC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NFME1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Dilate esophagus","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"43453","description":"Dilate esophagus","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GAGB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"EFMB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NITA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GGHE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-J0608","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"J0608","description":"HCPCS-J0608","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CIJE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"EACF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Methadone oral 5mg","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"S0109","description":"Methadone oral 5mg","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"AEMA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Doc reas no 7d f/u","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G9406","description":"Doc reas no 7d f/u","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GGPA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Gradient compression garment_ toe caps_ custom_ each","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"A6573","description":"Gradient compression garment_ toe caps_ custom_ each","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-CC28D","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"CC28D","description":"HIPPS-CC28D","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NLKE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OKEE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Injection_ eflapegrastim-xnst_ 0.1 mg","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"J1449","description":"Injection_ eflapegrastim-xnst_ 0.1 mg","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Octagam injection","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"J1568","description":"Octagam injection","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OHKC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-CA151","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"CA151","description":"HIPPS-CA151","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Injection_ pegcetacoplan_ 1 mg","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"C9151","description":"Injection_ pegcetacoplan_ 1 mg","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RMX22","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RMX22","description":"HIPPS-RMX22","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-5CFKS","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"5CFKS","description":"HIPPS-5CFKS","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Reconstruction of jaw joint","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"21242","description":"Reconstruction of jaw joint","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CBYB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"DFOE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OLOF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NCNB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KDCC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KFNF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Occult blood test strips","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"A4773","description":"Occult blood test strips","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OCHC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Remove shoulder foreign body","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"23330","description":"Remove shoulder foreign body","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Analyze neurostim no prog","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"95970","description":"Analyze neurostim no prog","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Urinary hvy plstc pch w/o fp","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"A4382","description":"Urinary hvy plstc pch w/o fp","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"IFED1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FFTA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Robotic surgical system","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"S2900","description":"Robotic surgical system","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Body Surface-Activation Mapping Of Pacemaker Or Pacing Cardioverter-Defibrillator Lead(S) To Optimize Electrical Synchrony_ Cardiac Resynchronization Therapy Device_ Including","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0696T","description":"Body Surface-Activation Mapping Of Pacemaker Or Pacing Cardioverter-Defibrillator Lead(S) To Optimize Electrical Synchrony_ Cardiac Resynchronization Therapy Device_ Including","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Amphetamine or methamphetamine","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G6042","description":"Amphetamine or methamphetamine","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CEOF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Shoe heel new leather standa","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"L3455","description":"Shoe heel new leather standa","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Prepare face/oral prosthesis","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"21083","description":"Prepare face/oral prosthesis","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Repair/reline occlusal guard","billing_code_type":"CDT","billing_code_type_version":"2024","billing_code":"D9942","description":"Repair/reline occlusal guard","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Removal of clot in graft","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"35876","description":"Removal of clot in graft","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Removal Of Substernal Implantable Defibrillator Pulse Generator Only","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0580T","description":"Removal Of Substernal Implantable Defibrillator Pulse Generator Only","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RUL15","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RUL15","description":"HIPPS-RUL15","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JIEE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JGPE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Topical fluoride varnish","billing_code_type":"CDT","billing_code_type_version":"2024","billing_code":"D1206","description":"Topical fluoride varnish","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"PDQA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BGDF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-PD28X","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"PD28X","description":"HIPPS-PD28X","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"CPT-90484","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"90484","description":"CPT-90484","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MCEF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-2BFL3","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"2BFL3","description":"HIPPS-2BFL3","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-CD206","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"CD206","description":"HIPPS-CD206","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NKTB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-E2513","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"E2513","description":"HCPCS-E2513","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"CPT-01630","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"01630","description":"CPT-01630","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RVL5A","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RVL5A","description":"HIPPS-RVL5A","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Breast reconstruction","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"19366","description":"Breast reconstruction","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-HE12C","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"HE12C","description":"HIPPS-HE12C","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Kafo sng solid stirrup w/o j","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"L2010","description":"Kafo sng solid stirrup w/o j","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BGHD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Injection_ plazomicin_ 5 mg","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"C9039","description":"Injection_ plazomicin_ 5 mg","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-CA13A","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"CA13A","description":"HIPPS-CA13A","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Mumps antibody","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"86735","description":"Mumps antibody","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GAUF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NBCD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"PJQD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"LHRF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MBTC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CFHF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Inc thyr node <1.0 in rpt","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G9552","description":"Inc thyr node <1.0 in rpt","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Remove lung artery emboli","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"33915","description":"Remove lung artery emboli","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-1AFK1","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"1AFK1","description":"HIPPS-1AFK1","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BFUC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-3CFP5","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"3CFP5","description":"HIPPS-3CFP5","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HH PDGM","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"4BC31","description":"HH PDGM","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Removal of calcium deposits","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"23000","description":"Removal of calcium deposits","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JICF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CBOC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GDLA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KIDE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-CB226","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"CB226","description":"HIPPS-CB226","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CAJC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-LD25C","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"LD25C","description":"HIPPS-LD25C","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KDDC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Ko single upright pre ots","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"K0901","description":"Ko single upright pre ots","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Foot press off load supp dev","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"A9283","description":"Foot press off load supp dev","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Rigid wheeled walker adj/fix","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"E0141","description":"Rigid wheeled walker adj/fix","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Therapeutic induction of intra-brain hypothermia_ including placement of a mechanical temperature-controlled cooling device to the neck over carotids and head_ including monit","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0776T","description":"Therapeutic induction of intra-brain hypothermia_ including placement of a mechanical temperature-controlled cooling device to the neck over carotids and head_ including monit","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Io ga n-stim subsq w/reprog","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"95982","description":"Io ga n-stim subsq w/reprog","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CHFB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NAKB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Blooc clot factor v test","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"85220","description":"Blooc clot factor v test","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Gastroplasty duodenal switch","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"43845","description":"Gastroplasty duodenal switch","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-HB22C","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"HB22C","description":"HIPPS-HB22C","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Atropine comp con","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"J7635","description":"Atropine comp con","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OAKD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Transplt autol hct/donor","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"38241","description":"Transplt autol hct/donor","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"CPT-00500","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"00500","description":"CPT-00500","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CIJC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Urology surgery procedure","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"53899","description":"Urology surgery procedure","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OLSF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JHJE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-J9192","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"J9192","description":"HCPCS-J9192","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OLCF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-2AGLT","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"2AGLT","description":"HIPPS-2AGLT","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Pos back post/lat wdth <22in","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"E2615","description":"Pos back post/lat wdth <22in","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CAXE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CFEB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Contrast exam abdominl aorta","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"75625","description":"Contrast exam abdominl aorta","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"NEURO INH ATAXIA DNA 51 GENE","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0217U","description":"NEURO INH ATAXIA DNA 51 GENE","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Wnd prep f/n/hf/g addl cm","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"15005","description":"Wnd prep f/n/hf/g addl cm","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Reprogram cochlear implt 7/>","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"92604","description":"Reprogram cochlear implt 7/>","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CDID1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Insulin long acting 5 u","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"S5553","description":"Insulin long acting 5 u","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OAVF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-5AGKU","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"5AGKU","description":"HIPPS-5AGKU","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Kidney endoscopy","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"50553","description":"Kidney endoscopy","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Grafting Of Autologous Fat Harvested By Liposuction Technique To Trunk_ Breasts_ Scalp_ Arms_ And/Or Legs; 50 Cc Or Less Injectate","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"15771","description":"Grafting Of Autologous Fat Harvested By Liposuction Technique To Trunk_ Breasts_ Scalp_ Arms_ And/Or Legs; 50 Cc Or Less Injectate","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CFTE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Remove hand bone lesion","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"26200","description":"Remove hand bone lesion","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Home visit for hemodialysis","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"99512","description":"Home visit for hemodialysis","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"ADTE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"HIQE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CIUC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-2AFK3","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"2AFK3","description":"HIPPS-2AFK3","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BGAE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OGSE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"PFRB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Children who are taking antibiotics in the 30 days prior to the date of the encounter during which the diagnosis was established","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G9701","description":"Children who are taking antibiotics in the 30 days prior to the date of the encounter during which the diagnosis was established","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GAXF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"American amnion_ per square centimeter","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"Q4307","description":"American amnion_ per square centimeter","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MDCF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-4CGL5","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"4CGL5","description":"HIPPS-4CGL5","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Asthma mg qual act perform","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G8646","description":"Asthma mg qual act perform","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"PJSB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-1CHN3","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"1CHN3","description":"HIPPS-1CHN3","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Whlchr att- conv 1 arm drive","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"E0958","description":"Whlchr att- conv 1 arm drive","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CEUC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"EBIB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-LD217","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"LD217","description":"HIPPS-LD217","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Intmd rpr face/mm 20.1-30.0","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"12056","description":"Intmd rpr face/mm 20.1-30.0","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Insertion Of Substernal Implantable Defibrillator Electrode","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0572T","description":"Insertion Of Substernal Implantable Defibrillator Electrode","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Iodine I-131_ Iobenguane_ 1 Millicurie","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"A9590","description":"Iodine I-131_ Iobenguane_ 1 Millicurie","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MFBE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"CPT-37282","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"37282","description":"CPT-37282","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Pathology report for tissue specimens produced from wide local excisions or re-excisions","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"M1166","description":"Pathology report for tissue specimens produced from wide local excisions or re-excisions","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"X-ray exam si joints","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"72200","description":"X-ray exam si joints","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Injection_ fosaprepitant (focinvez)_ 1 mg","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"J1434","description":"Injection_ fosaprepitant (focinvez)_ 1 mg","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Endo cholangiopancreatograph","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"43261","description":"Endo cholangiopancreatograph","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Reconstr lwr jaw w/advance","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"21199","description":"Reconstr lwr jaw w/advance","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Monitor elec or comb vad rep","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"Q0484","description":"Monitor elec or comb vad rep","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NHME0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CFJB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MCCA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FBKB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HH PDGM","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"3IA21","description":"HH PDGM","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Repair eyelid defect","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"67921","description":"Repair eyelid defect","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-CE25A","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"CE25A","description":"HIPPS-CE25A","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NCDF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Revise hip joint replacement","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"27138","description":"Revise hip joint replacement","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GIFD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-HC24B","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"HC24B","description":"HIPPS-HC24B","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FHEF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-BA154","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"BA154","description":"HIPPS-BA154","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OCBF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Cardiovascular stress test","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"93016","description":"Cardiovascular stress test","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Itch severity assessment score was not reduced by at least 2 points from initial (index) score to the follow-up visit score or assessment was not completed during the follow-u","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"M1198","description":"Itch severity assessment score was not reduced by at least 2 points from initial (index) score to the follow-up visit score or assessment was not completed during the follow-u","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OJRA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Exc s/n/h/f/g mal+mrg 1.1-2","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"11622","description":"Exc s/n/h/f/g mal+mrg 1.1-2","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-LE214","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"LE214","description":"HIPPS-LE214","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"NFCT DS BCT/VIR RESPIR DNA/RNA 22 TRGT SARSCOV2","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0202U","description":"NFCT DS BCT/VIR RESPIR DNA/RNA 22 TRGT SARSCOV2","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BIVA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CCHD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MCCF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NHEB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KIEA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Drainage of prostate abscess","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"52700","description":"Drainage of prostate abscess","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NHPE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Medication Assisted Treatment_ Buprenorphine (Injectable); Weekly Bundle Including Dispensing And/Or Administration_ Substance Use Counseling_ Individual And Group Therapy_ An","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G2069","description":"Medication Assisted Treatment_ Buprenorphine (Injectable); Weekly Bundle Including Dispensing And/Or Administration_ Substance Use Counseling_ Individual And Group Therapy_ An","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Tracheostomy inner cannula","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"A4623","description":"Tracheostomy inner cannula","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FAIC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BBIC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OIHC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-G0535","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"G0535","description":"HCPCS-G0535","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BEAE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"PKWA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JINF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CIBE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Repair defect of artery","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"35091","description":"Repair defect of artery","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Release of toe joint each","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"28272","description":"Release of toe joint each","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FDJD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GCIC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OAWF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-CC22A","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"CC22A","description":"HIPPS-CC22A","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BDVA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"PKOA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Parenteral 50% dextrose solu","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"B4164","description":"Parenteral 50% dextrose solu","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"EEDD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"CPT-0566U","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"0566U","description":"CPT-0566U","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JADF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Subtalar arthro w/fb rmvl","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"29904","description":"Subtalar arthro w/fb rmvl","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-J2291","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"J2291","description":"HCPCS-J2291","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KDBC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JCJD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CAYF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"CDT-D1003","billing_code_type":"CDT","billing_code_type_version":"2026","billing_code":"D1003","description":"CDT-D1003","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"CPT-01112","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"01112","description":"CPT-01112","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-1AHN3","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"1AHN3","description":"HIPPS-1AHN3","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-LB105","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"LB105","description":"HIPPS-LB105","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RUX53","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RUX53","description":"HIPPS-RUX53","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BIUA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Application of body cast","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"29044","description":"Application of body cast","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Intravenous infusion_ bamlanivimab_ includes infusion and post administration monitoring","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"M0239","description":"Intravenous infusion_ bamlanivimab_ includes infusion and post administration monitoring","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Blinded procedure for New York Heart Association (NYHA) Class II or III heart failure_ or Canadian Cardiovascular Society (CCS) Class III or IV chronic refractory angina; tran","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"C9782","description":"Blinded procedure for New York Heart Association (NYHA) Class II or III heart failure_ or Canadian Cardiovascular Society (CCS) Class III or IV chronic refractory angina; tran","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KEGC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GCJE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CCUE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Onc dx rectal t1-2 no progr","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G9090","description":"Onc dx rectal t1-2 no progr","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Urine shunt to intestine","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"50815","description":"Urine shunt to intestine","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BEUB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Skin protect wc cus wd>=22in","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"E2604","description":"Skin protect wc cus wd>=22in","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GFSA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"IELD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Ligation of salivary duct","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"42665","description":"Ligation of salivary duct","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Replacement bulb th lightbox","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"A4634","description":"Replacement bulb th lightbox","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Enfuvirtide injection","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"J1324","description":"Enfuvirtide injection","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Ligation of chest artery","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"37616","description":"Ligation of chest artery","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GEAD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FFCD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"PGOF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"ECBE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NGUE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Delay flap f/c/c/n/ax/g/h/f","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"15620","description":"Delay flap f/c/c/n/ax/g/h/f","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Shoe metatarsal bar between","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"L3410","description":"Shoe metatarsal bar between","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Idet single level","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"22526","description":"Idet single level","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KDKC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Remove sympathetic nerves","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"64821","description":"Remove sympathetic nerves","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OCOD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GFQF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NBCF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NFMB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-B1203","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"B1203","description":"HCPCS-B1203","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OBMC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"HGWF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JCUC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BABE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Prepare donor lung single","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"32855","description":"Prepare donor lung single","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Vein byp pop-tibl peroneal","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"35587","description":"Vein byp pop-tibl peroneal","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Services for high intensity clinical services associated with the initial engagement and outreach of beneficiaries assigned to the sip component of the pcf model (do not bill","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G2020","description":"Services for high intensity clinical services associated with the initial engagement and outreach of beneficiaries assigned to the sip component of the pcf model (do not bill","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Breast reconstr w/lat flap","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"19361","description":"Breast reconstr w/lat flap","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Grafix plus_ per square centimeter","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"Q4304","description":"Grafix plus_ per square centimeter","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BDXF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Assay of vitamin b-1","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"84425","description":"Assay of vitamin b-1","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Imm counseling by a physician or other qualified health care professional when the vaccine(s) is not admin on the same date of service_ 16-30 minutes time Medicaid only","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G0311","description":"Imm counseling by a physician or other qualified health care professional when the vaccine(s) is not admin on the same date of service_ 16-30 minutes time Medicaid only","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CDAA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Assay of psa complexed","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"84152","description":"Assay of psa complexed","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"AFDB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Hd inj >24h/gcs >15/no res","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G9596","description":"Hd inj >24h/gcs >15/no res","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GEOD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-1CHMW","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"1CHMW","description":"HIPPS-1CHMW","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Orthodontic rem appliance tx","billing_code_type":"CDT","billing_code_type_version":"2024","billing_code":"D8210","description":"Orthodontic rem appliance tx","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BHDB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"AAAC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Nuclear rx oral admin","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"79005","description":"Nuclear rx oral admin","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-3AHNS","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"3AHNS","description":"HIPPS-3AHNS","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Office consultation","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"99243","description":"Office consultation","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GGJF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RUL53","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RUL53","description":"HIPPS-RUL53","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Urea-n clearance test","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"84545","description":"Urea-n clearance test","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-PB131","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"PB131","description":"HIPPS-PB131","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-BA15D","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"BA15D","description":"HIPPS-BA15D","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OHAB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Gamma globulin > 10 cc inj","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"J1560","description":"Gamma globulin > 10 cc inj","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"PBWE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OFPE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Hip orthosis (HO)_ bilateral hip joints and thigh cuffs_ adjustable flexion_ extension_ abduction control of hip joint_ postoperative hip abduction type_ prefabricated item th","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"L1681","description":"Hip orthosis (HO)_ bilateral hip joints and thigh cuffs_ adjustable flexion_ extension_ abduction control of hip joint_ postoperative hip abduction type_ prefabricated item th","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BIMF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Betamethasone acet&sod phosp","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"J0702","description":"Betamethasone acet&sod phosp","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Exc arm/elbow les sc 3 cm/>","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"24071","description":"Exc arm/elbow les sc 3 cm/>","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Trabeculoplasty laser surg","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"65855","description":"Trabeculoplasty laser surg","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GFUE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Home mgmt gest hypertension","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"S9211","description":"Home mgmt gest hypertension","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KGOF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"ODNB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Excision of bile duct tumor","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"47712","description":"Excision of bile duct tumor","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FDUD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-3BHPX","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"3BHPX","description":"HIPPS-3BHPX","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"IEBC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"CDT-D6196","billing_code_type":"CDT","billing_code_type_version":"2026","billing_code":"D6196","description":"CDT-D6196","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RUC32","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RUC32","description":"HIPPS-RUC32","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JGEE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Implant Supported Retainer For Fpd - Porcelain Fused To Noble Alloys","billing_code_type":"CDT","billing_code_type_version":"2024","billing_code":"D6099","description":"Implant Supported Retainer For Fpd - Porcelain Fused To Noble Alloys","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"DDOA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Psychosocial rehabilitation services_ per 15 minutes","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"H2017","description":"Psychosocial rehabilitation services_ per 15 minutes","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"IAIC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KDOF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Injection treatment of nose","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"30200","description":"Injection treatment of nose","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Prep donor renal graft","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"50325","description":"Prep donor renal graft","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OFKC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"EGMB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JGCB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OHEE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-1BHP1","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"1BHP1","description":"HIPPS-1BHP1","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MEED1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RMX56","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RMX56","description":"HIPPS-RMX56","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KAOF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KAAF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Jaw arthroscopy/surgery","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"29804","description":"Jaw arthroscopy/surgery","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Services provided as part of","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"S9991","description":"Services provided as part of","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-LC10B","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"LC10B","description":"HIPPS-LC10B","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KAYA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OEIF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KFWA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NAFF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"PCYD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"IIID0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MGAD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Iron binding test","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"83550","description":"Iron binding test","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"HCWA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"LIWC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Removal of donor liver","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"47133","description":"Removal of donor liver","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Removal of elbow bursa","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"24105","description":"Removal of elbow bursa","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Cellesta Flowable Amnion (25 mg per cc); per 0.5 cc","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"Q4185","description":"Cellesta Flowable Amnion (25 mg per cc); per 0.5 cc","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"O2/water vapor enrich w/o he","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"E1406","description":"O2/water vapor enrich w/o he","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"LBQE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Correct skin color ea 20.0cm","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"11922","description":"Correct skin color ea 20.0cm","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Completed epsdt","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"S0302","description":"Completed epsdt","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Interferon beta-1a inj","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"J1826","description":"Interferon beta-1a inj","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-HB120","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"HB120","description":"HIPPS-HB120","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"LBRD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BHCF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MKTB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Quantitative magnetic resonance cholangiopancreatography (QMRCP) including data preparation and transmission_ interpretation and report_ obtained without diagnostic magnetic r","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0723T","description":"Quantitative magnetic resonance cholangiopancreatography (QMRCP) including data preparation and transmission_ interpretation and report_ obtained without diagnostic magnetic r","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Repair blood vessel lesion","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"35182","description":"Repair blood vessel lesion","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Acid conc sol per gallon","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"A4709","description":"Acid conc sol per gallon","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BDGF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"EDEC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KIED1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Extensive mastoid surgery","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"69511","description":"Extensive mastoid surgery","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JEAE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-5CGKX","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"5CGKX","description":"HIPPS-5CGKX","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"IHLF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"CPT-0904T","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"0904T","description":"CPT-0904T","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BFPC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JIMF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OJWE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Neurawrap nerve protector_cm","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"C9353","description":"Neurawrap nerve protector_cm","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Foot longitudinal arch suppo","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"L3010","description":"Foot longitudinal arch suppo","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-J0738","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"J0738","description":"HCPCS-J0738","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NCCB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Kanamycin sulfate 500 mg inj","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"J1840","description":"Kanamycin sulfate 500 mg inj","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Virus antibody nos","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"86790","description":"Virus antibody nos","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Doc of tobacco user","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G9276","description":"Doc of tobacco user","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HH PDGM","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"4LA11","description":"HH PDGM","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OJQD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Prepare face/oral prosthesis","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"21087","description":"Prepare face/oral prosthesis","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"HIQC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OHJE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Graft repair of spine defect","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"63710","description":"Graft repair of spine defect","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"DHYE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-4AHM3","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"4AHM3","description":"HIPPS-4AHM3","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Routine Home Care - A flat per diem before area wage adjustment for intermittent services furnished.","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"W0602","description":"Routine Home Care - A flat per diem before area wage adjustment for intermittent services furnished.","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JBLB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Specimen infect agnt concntj","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"87015","description":"Specimen infect agnt concntj","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"AHBC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NEDA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OKXD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Removal of wrist bone","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"25210","description":"Removal of wrist bone","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-Q4406","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"Q4406","description":"HCPCS-Q4406","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"AFTB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-LB10A","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"LB10A","description":"HIPPS-LB10A","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"IDBD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BBEB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Arbutamine hcl injection","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"J0395","description":"Arbutamine hcl injection","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Pt ref doc oto eval","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G8559","description":"Pt ref doc oto eval","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OLVA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BHUF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"ACAF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Term dev mech hook vol close","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"L6707","description":"Term dev mech hook vol close","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Urinalysis test procedure","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"81099","description":"Urinalysis test procedure","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JBPE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JGBB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MJDB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GFCD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CFJD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FGLA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Assay of lipase","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"83690","description":"Assay of lipase","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JFGF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Resect heart sac lesion","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"33050","description":"Resect heart sac lesion","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Revise/remove neuroreceiver","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"61888","description":"Revise/remove neuroreceiver","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GILA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JHEC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GFHD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-A0305","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"A0305","description":"HCPCS-A0305","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Perq sacral augmt bilat inj","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0201T","description":"Perq sacral augmt bilat inj","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Removal of brain lesion","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"61516","description":"Removal of brain lesion","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BGAB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Pwc gp4 std mult pow opt s/b","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"K0884","description":"Pwc gp4 std mult pow opt s/b","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Removal of intranasal lesion","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"30117","description":"Removal of intranasal lesion","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Radiologic examination_ spine_ thoracolumbar_ standing (scoliosis)","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"72069","description":"Radiologic examination_ spine_ thoracolumbar_ standing (scoliosis)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Etoposide injection","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"J9181","description":"Etoposide injection","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"HFWE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Partial release of lung","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"32225","description":"Partial release of lung","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Incontinence treatment systm","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"E0740","description":"Incontinence treatment systm","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RHB40","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RHB40","description":"HIPPS-RHB40","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Cryoprecipitatereducedplasma","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"P9044","description":"Cryoprecipitatereducedplasma","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NAEF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BGAD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Set radiation therapy field","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"77290","description":"Set radiation therapy field","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"IBDF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OISB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CBIA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MHMC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Introduction of percutaneous transhepatic catheter for biliary drainage","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"47510","description":"Introduction of percutaneous transhepatic catheter for biliary drainage","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Ost pch w bar/bltinconv/fltr","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"A4417","description":"Ost pch w bar/bltinconv/fltr","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GCOC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Garamycin gentamicin inj","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"J1580","description":"Garamycin gentamicin inj","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Triamcinolone a inj prs-free","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"J3300","description":"Triamcinolone a inj prs-free","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Foscarnet sodium injection","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"J1455","description":"Foscarnet sodium injection","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MIMB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FHCA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OJPB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Doc order anti-plat or p2y12","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G9609","description":"Doc order anti-plat or p2y12","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JCTF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NLJB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CGJF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Us exam infant hips dynamic","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"76885","description":"Us exam infant hips dynamic","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"EABA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"LAWB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Repair toe dislocation","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"28645","description":"Repair toe dislocation","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Vag hyst w/uro repair compl","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"58293","description":"Vag hyst w/uro repair compl","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Removal of arm foreign body","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"24200","description":"Removal of arm foreign body","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"CPT-01712","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"01712","description":"CPT-01712","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Physical therapy treatment","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"97039","description":"Physical therapy treatment","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OFFB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Plan of care 4 pain docd","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0521F","description":"Plan of care 4 pain docd","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Tc99m mertiatide","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"A9562","description":"Tc99m mertiatide","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"EHUD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OLYE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Small bowel endoscopy br/wa","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"44380","description":"Small bowel endoscopy br/wa","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Repair palate","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"42180","description":"Repair palate","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Isoetharine comp con","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"J7647","description":"Isoetharine comp con","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"PDYB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Excis uppr jaw cyst w/repair","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"21049","description":"Excis uppr jaw cyst w/repair","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Patient did not receive any pneumococcal conjugate or polysaccharide vaccine on or after their 19th birthday and before the end of the measurement period","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"M1304","description":"Patient did not receive any pneumococcal conjugate or polysaccharide vaccine on or after their 19th birthday and before the end of the measurement period","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"IAMD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KAND0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"IHEF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-BA155","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"BA155","description":"HIPPS-BA155","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JBPC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KDKE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BBEA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MDMD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GHND1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Posturography","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"92548","description":"Posturography","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KFWC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Targeted genomic sequence analysis panel_ solid organ neoplasm_ DNA (523 genes) and RNA (55 genes) by next-generation sequencing_ interrogation for sequence variants_ gene cop","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0379U","description":"Targeted genomic sequence analysis panel_ solid organ neoplasm_ DNA (523 genes) and RNA (55 genes) by next-generation sequencing_ interrogation for sequence variants_ gene cop","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KFPE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HH PDGM","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"2IB21","description":"HH PDGM","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Pmp22 gene dup/delet","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"81324","description":"Pmp22 gene dup/delet","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Open tx nose fx w/skele fixj","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"21330","description":"Open tx nose fx w/skele fixj","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OLXB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Kidney function study","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"78725","description":"Kidney function study","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Percutaneous transcatheter closure of the left atrial appendage with endocardial implant_ including fluoroscopy_ transseptal puncture_ catheter placement(s)_ left atrial angio","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"33340","description":"Percutaneous transcatheter closure of the left atrial appendage with endocardial implant_ including fluoroscopy_ transseptal puncture_ catheter placement(s)_ left atrial angio","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Grafting Of Autologous Fat Harvested By Liposuction Technique To Face_ Eyelids_ Mouth_ Neck_ Ears_ Orbits_ Genitalia_ Hands_ And/Or Feet; 25 Cc Or Less Injectate","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"15773","description":"Grafting Of Autologous Fat Harvested By Liposuction Technique To Face_ Eyelids_ Mouth_ Neck_ Ears_ Orbits_ Genitalia_ Hands_ And/Or Feet; 25 Cc Or Less Injectate","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KAVB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Relocation Of Pulse Generator Only_ Permanent Implantable Synchronized Diaphragmatic Stimulation System For Augmentation Of Cardiac Function_ With Connection To Existing Dual","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0681T","description":"Relocation Of Pulse Generator Only_ Permanent Implantable Synchronized Diaphragmatic Stimulation System For Augmentation Of Cardiac Function_ With Connection To Existing Dual","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Umbilical cord occlud w/us","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"59072","description":"Umbilical cord occlud w/us","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Neurology (autism spectrum disorder [ASD])_ quantitative measurements of 16 central carbon metabolites (ie_a-ketoglutarate_ alanine_ lactate_ phenylalanine_ pyruvate_ succinat","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0263U","description":"Neurology (autism spectrum disorder [ASD])_ quantitative measurements of 16 central carbon metabolites (ie_a-ketoglutarate_ alanine_ lactate_ phenylalanine_ pyruvate_ succinat","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"N block cont infuse b plex","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"64416","description":"N block cont infuse b plex","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-CD21B","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"CD21B","description":"HIPPS-CD21B","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"PDYC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BBBD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JFMB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Biopsy finger joint lining","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"26105","description":"Biopsy finger joint lining","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Persistent asthma","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"1038F","description":"Persistent asthma","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Comb art/venous blood tubing","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"A4755","description":"Comb art/venous blood tubing","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JINA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"DHSF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-LB18H","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"LB18H","description":"HIPPS-LB18H","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Wound warming wound cover","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"A6000","description":"Wound warming wound cover","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FGUA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CCYB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"EAEF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RUB36","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RUB36","description":"HIPPS-RUB36","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FBNA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Treat hip dislocation","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"27258","description":"Treat hip dislocation","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"HEOD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Calcium infusion test","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"82331","description":"Calcium infusion test","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OGTF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"HESC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Extra-oral posterior dental radiographic image - image capture only","billing_code_type":"CDT","billing_code_type_version":"2024","billing_code":"D0705","description":"Extra-oral posterior dental radiographic image - image capture only","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Repair eardrum structures","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"69635","description":"Repair eardrum structures","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HH PDGM","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"2HC31","description":"HH PDGM","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OFUD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Soft interface material","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"E1820","description":"Soft interface material","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Laetrile amygdalin vit b17","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"J3570","description":"Laetrile amygdalin vit b17","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NHGE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"CPT-16373","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"16373","description":"CPT-16373","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Onc visit unspecified nos","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G9055","description":"Onc visit unspecified nos","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"AFMB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FEJA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OLTB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GHUE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CGPC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CEHF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NHPA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OKPC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Warfarin therapy rx","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"4012F","description":"Warfarin therapy rx","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"HHRF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Tc99m pertechnetate","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"A9512","description":"Tc99m pertechnetate","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-HD10C","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"HD10C","description":"HIPPS-HD10C","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-CD28X","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"CD28X","description":"HIPPS-CD28X","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NIMA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GHEC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Endovascular repair of infrarenal aorta and/or iliac artery(ies) by deployment of an aorto-bi-iliac endograft including pre-procedure sizing and device selection_ all nonselec","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"34705","description":"Endovascular repair of infrarenal aorta and/or iliac artery(ies) by deployment of an aorto-bi-iliac endograft including pre-procedure sizing and device selection_ all nonselec","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KATA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RHC4D","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RHC4D","description":"HIPPS-RHC4D","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Alcohol/drug service 15 min","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"H0050","description":"Alcohol/drug service 15 min","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GDVC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Esrd serv 2-3 vsts p mo <2yr","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"90952","description":"Esrd serv 2-3 vsts p mo <2yr","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Dentures complete mandible","billing_code_type":"CDT","billing_code_type_version":"2024","billing_code":"D5120","description":"Dentures complete mandible","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Partial mastectomy","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"19301","description":"Partial mastectomy","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Fosphenytoin inj pe","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"Q2009","description":"Fosphenytoin inj pe","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JEGF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Anesth tympanotomy","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"12651","description":"Anesth tympanotomy","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OIUA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FAAE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-2CFM5","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"2CFM5","description":"HIPPS-2CFM5","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JHED0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Disposable ext urethral dev","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"A4360","description":"Disposable ext urethral dev","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Occult blood other sources","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"82271","description":"Occult blood other sources","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-CB28A","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"CB28A","description":"HIPPS-CB28A","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-4CHM1","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"4CHM1","description":"HIPPS-4CHM1","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OGFA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Neisseria meningitidis","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"86741","description":"Neisseria meningitidis","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Pt pres antibiotic","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G8710","description":"Pt pres antibiotic","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"ICBD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-1BHM2","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"1BHM2","description":"HIPPS-1BHM2","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KGVB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Hematology procedure","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"85999","description":"Hematology procedure","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Injection_ ibalizumab-uiyk_ 10 mg","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"J1746","description":"Injection_ ibalizumab-uiyk_ 10 mg","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Patient did not receive an influenza vaccine on or between july 1 of the year prior to the measurement period and june 30 of the measurement period","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"M1170","description":"Patient did not receive an influenza vaccine on or between july 1 of the year prior to the measurement period and june 30 of the measurement period","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Implant Supported Retainer For Metal Fpd - Noble Alloys","billing_code_type":"CDT","billing_code_type_version":"2024","billing_code":"D6122","description":"Implant Supported Retainer For Metal Fpd - Noble Alloys","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GATF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BAKC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OJQB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Exc face-mm b9+marg 3.1-4 cm","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"11444","description":"Exc face-mm b9+marg 3.1-4 cm","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"No filt remov w/in 3mos plcm","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G9544","description":"No filt remov w/in 3mos plcm","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"In-line cartridge containing digestive enzyme(s) for enteral feeding_ each","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"Q9994","description":"In-line cartridge containing digestive enzyme(s) for enteral feeding_ each","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"HHQA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Revsc opn/prq tib/pero stent","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"37234","description":"Revsc opn/prq tib/pero stent","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CBFD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FELA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OBPC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JFAD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KGBD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KEBA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Removal of spleen total","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"38102","description":"Removal of spleen total","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KHTA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Gi/renal risk assess","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"1008F","description":"Gi/renal risk assess","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RLX50","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RLX50","description":"HIPPS-RLX50","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Treat clavicle fracture","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"23500","description":"Treat clavicle fracture","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Middle ear surgery procedure","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"69799","description":"Middle ear surgery procedure","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Pegloticase injection","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"J2507","description":"Pegloticase injection","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-PC125","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"PC125","description":"HIPPS-PC125","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"R hrt art/grft angio","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"93457","description":"R hrt art/grft angio","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NJJA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CBUD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Occlusive device in vein art","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G0269","description":"Occlusive device in vein art","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Ezderm","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"Q4136","description":"Ezderm","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-PE28C","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"PE28C","description":"HIPPS-PE28C","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Release finger contracture","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"26525","description":"Release finger contracture","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"IHCC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JBLF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Oncology (Pan Tumor)_ Whole Genome Sequencing And Optical Genome Mapping Of Paired Malignant And Normal Dna Specimens_ Fresh Tissue_ Blood_ Or Bone Marrow_ Comparative Sequenc","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0300U","description":"Oncology (Pan Tumor)_ Whole Genome Sequencing And Optical Genome Mapping Of Paired Malignant And Normal Dna Specimens_ Fresh Tissue_ Blood_ Or Bone Marrow_ Comparative Sequenc","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Revision or removal of neurostimulator electrode array_ spinal_ with integrated neurostimulator","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0785T","description":"Revision or removal of neurostimulator electrode array_ spinal_ with integrated neurostimulator","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"CPT-00754","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"00754","description":"CPT-00754","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MCLE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Resect foot/toe tumor < 3 cm","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"28046","description":"Resect foot/toe tumor < 3 cm","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CDPA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Leg pain was measured by the Visual Analog Scale (VAS) within three months preoperatively and at one year (9 to 15 months) post","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"M1053","description":"Leg pain was measured by the Visual Analog Scale (VAS) within three months preoperatively and at one year (9 to 15 months) post","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NKGF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CDOC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NDBC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BALD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BDAD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CGCF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"AGBF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KGHF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OFQB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-PE20C","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"PE20C","description":"HIPPS-PE20C","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Clin depression screen not d","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G8432","description":"Clin depression screen not d","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CDHB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Laser tx skin < 250 sq cm","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"96920","description":"Laser tx skin < 250 sq cm","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BGGD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"CDT-D0305","billing_code_type":"CDT","billing_code_type_version":"2026","billing_code":"D0305","description":"CDT-D0305","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Drug test presump opt inst","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G0478","description":"Drug test presump opt inst","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"ECLF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JHIA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Positional nystagmus test","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"92532","description":"Positional nystagmus test","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"HDWD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Loxapine for inhalation_ 1 mg","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"J2062","description":"Loxapine for inhalation_ 1 mg","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OFLA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-PA211","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"PA211","description":"HIPPS-PA211","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GFRD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HH PDGM","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"4FC21","description":"HH PDGM","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JBND1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GIVF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) (Coronavirus disease [COVID-19]) vaccine_ mRNA-LNP_ spike protein_ preservative free_ 100 mcg/0.5mL dosage_ for in","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"91301","description":"Severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) (Coronavirus disease [COVID-19]) vaccine_ mRNA-LNP_ spike protein_ preservative free_ 100 mcg/0.5mL dosage_ for in","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Excision of neck cyst","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"42815","description":"Excision of neck cyst","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OGBA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KFQF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Remove lumb artif disc addl","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0164T","description":"Remove lumb artif disc addl","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FIIF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-3BFLT","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"3BFLT","description":"HIPPS-3BFLT","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-4BFMS","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"4BFMS","description":"HIPPS-4BFMS","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-LD25D","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"LD25D","description":"HIPPS-LD25D","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Tray","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"E0950","description":"Tray","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GCIF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Bridge porcelain high noble","billing_code_type":"CDT","billing_code_type_version":"2024","billing_code":"D6240","description":"Bridge porcelain high noble","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RVC26","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RVC26","description":"HIPPS-RVC26","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KFCD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HH PDGM","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"3KA21","description":"HH PDGM","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BGKB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OJPB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Drug assay_ definitive_ 80 or more drugs or metabolites_ urine_ by quantitative liquid chromatography with tandem mass spectrometry (LC-MS/MS) using multiple reaction monitori","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0146U","description":"Drug assay_ definitive_ 80 or more drugs or metabolites_ urine_ by quantitative liquid chromatography with tandem mass spectrometry (LC-MS/MS) using multiple reaction monitori","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OLUF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CDGF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Compre dental tx adult","billing_code_type":"CDT","billing_code_type_version":"2024","billing_code":"D8090","description":"Compre dental tx adult","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RMB44","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RMB44","description":"HIPPS-RMB44","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CGQF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"IGTD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-LB18F","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"LB18F","description":"HIPPS-LB18F","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Dialysis circuit permanent vascular embolization or occlusion (including main circuit or any accessory veins)_ endovascular_ including all imaging and radiological supervision","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"36909","description":"Dialysis circuit permanent vascular embolization or occlusion (including main circuit or any accessory veins)_ endovascular_ including all imaging and radiological supervision","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"PolyCyte_ for topical use only_ per 0.5 cc","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"Q4241","description":"PolyCyte_ for topical use only_ per 0.5 cc","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"EBCE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-M1424","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"M1424","description":"HCPCS-M1424","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Pre-op service lvrs 1-9 dos","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G0304","description":"Pre-op service lvrs 1-9 dos","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Injection_ labetalol hydrochloride (hikma) not therapeutically equivalent to j1820_ 5 mg","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"J1921","description":"Injection_ labetalol hydrochloride (hikma) not therapeutically equivalent to j1820_ 5 mg","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GEEA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Iv oct for proc init vessel","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0291T","description":"Iv oct for proc init vessel","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Rem mntr pulm flu mntr setup","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0607T","description":"Rem mntr pulm flu mntr setup","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MCHA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Injection_ irinotecan liposome_ 1 mg","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"J9205","description":"Injection_ irinotecan liposome_ 1 mg","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Drainable rubber pch w fcplt","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"A4376","description":"Drainable rubber pch w fcplt","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FDGE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Dyspnea scrnd no-mild dysp","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"3450F","description":"Dyspnea scrnd no-mild dysp","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Decompression of lower leg","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"27601","description":"Decompression of lower leg","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"ICMF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MICB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-PD155","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"PD155","description":"HIPPS-PD155","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NFDC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FHUD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NBXB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Patients who use hospice services any time during the measurement period","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G9713","description":"Patients who use hospice services any time during the measurement period","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-3CHNU","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"3CHNU","description":"HIPPS-3CHNU","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"PIYE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JBTC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Endoskeletal axial rotation","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"L5984","description":"Endoskeletal axial rotation","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GGGC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GBHF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Colorectal cancer screening; blood-based biomarker","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G0327","description":"Colorectal cancer screening; blood-based biomarker","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Ovulation tests","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"84830","description":"Ovulation tests","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Dexamethasone comp unit","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"J7638","description":"Dexamethasone comp unit","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"CPT-37265","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"37265","description":"CPT-37265","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NBDD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Pad band w>=3in <5in/yd","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"A6441","description":"Pad band w>=3in <5in/yd","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Intravenous infusion_ sotrovimab_ includes infusion and post administration monitoring in the home or residence; this includes a beneficiary_s home that has been made provider","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"M0248","description":"Intravenous infusion_ sotrovimab_ includes infusion and post administration monitoring in the home or residence; this includes a beneficiary_s home that has been made provider","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FDFB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HH PDGM","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"4JC11","description":"HH PDGM","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CFKA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CCLA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Repair of toe dislocation","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"28675","description":"Repair of toe dislocation","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-3AFKV","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"3AFKV","description":"HIPPS-3AFKV","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Close tear duct opening","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"68760","description":"Close tear duct opening","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Radiation Therapy For Head And Neck Cancer Under The Radiation Oncology Model_ 90 Day Episode_ Professional Component","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"M1088","description":"Radiation Therapy For Head And Neck Cancer Under The Radiation Oncology Model_ 90 Day Episode_ Professional Component","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Remove skull plate/flap","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"62142","description":"Remove skull plate/flap","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-4BHLW","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"4BHLW","description":"HIPPS-4BHLW","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OCID1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"DFRD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Onc dx colon t4_ n0 w/o prog","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G9085","description":"Onc dx colon t4_ n0 w/o prog","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KGAF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FIGB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"HCQB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Dilation of existing tract_ percutaneous_ for an endourologic procedure including imaging guidance (eg_ ultrasound and/or fluoroscopy) and all associated radiological supervis","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"50437","description":"Dilation of existing tract_ percutaneous_ for an endourologic procedure including imaging guidance (eg_ ultrasound and/or fluoroscopy) and all associated radiological supervis","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Repair rectum/remove sigmoid","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"45550","description":"Repair rectum/remove sigmoid","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Powered pres-redu air mattrs","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"E0277","description":"Powered pres-redu air mattrs","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KBBA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OGOE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Repair defect of artery","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"35102","description":"Repair defect of artery","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MFIE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Derm autograft f/n/hf/g add","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"15136","description":"Derm autograft f/n/hf/g add","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-CE210","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"CE210","description":"HIPPS-CE210","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FDPB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MHAF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"ABME1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GDTC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KIEF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CFGA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Spring-ass rot wrst w/ latch","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"L6623","description":"Spring-ass rot wrst w/ latch","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-LB231","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"LB231","description":"HIPPS-LB231","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"X-rays transcath therapy","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"75894","description":"X-rays transcath therapy","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Ver doc hear loss","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G8565","description":"Ver doc hear loss","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RUB56","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RUB56","description":"HIPPS-RUB56","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-LB155","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"LB155","description":"HIPPS-LB155","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Gauze >16<=48 sq in watr/sal","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"A6229","description":"Gauze >16<=48 sq in watr/sal","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OAED1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FCGE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"DBYA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Probe nl duct w/balloon","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"68816","description":"Probe nl duct w/balloon","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"ODPB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NGJF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BBCD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GBBB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OJGC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GECC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GIXF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OBCC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BGMC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OBGA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"CPT-0992T","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"0992T","description":"CPT-0992T","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"ICBE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MEDB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"EHUF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CHYE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Incision of heart sac","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"33015","description":"Incision of heart sac","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Removal and replacement of total replacement heart system (artificial heart)","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"33928","description":"Removal and replacement of total replacement heart system (artificial heart)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KHWD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Whirlpool tub_ walk-in_ portable","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"E1301","description":"Whirlpool tub_ walk-in_ portable","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Recement supp part denture","billing_code_type":"CDT","billing_code_type_version":"2024","billing_code":"D6093","description":"Recement supp part denture","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OBNB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Treat knee fracture","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"27535","description":"Treat knee fracture","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Removal of toe","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"28150","description":"Removal of toe","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CAJE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"ABEE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Radiopharmaceutical Localization Of Tumor_ Inflammatory Process Or Distribution Of Radiopharmaceutical Agent(S) (Includes Vascular Flow And Blood Pool Imaging_ When Performed)","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"78831","description":"Radiopharmaceutical Localization Of Tumor_ Inflammatory Process Or Distribution Of Radiopharmaceutical Agent(S) (Includes Vascular Flow And Blood Pool Imaging_ When Performed)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MEUA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Pt screened for depression","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"1220F","description":"Pt screened for depression","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Tendon transfer with graft","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"26492","description":"Tendon transfer with graft","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CBOB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-L6033","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"L6033","description":"HCPCS-L6033","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Establish brain cavity shunt","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"62200","description":"Establish brain cavity shunt","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GFWC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GFHA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Limited occlusal adjustment","billing_code_type":"CDT","billing_code_type_version":"2024","billing_code":"D9951","description":"Limited occlusal adjustment","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-1BGP2","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"1BGP2","description":"HIPPS-1BGP2","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JALB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NKHC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Coch implant trans coil repl","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"L8617","description":"Coch implant trans coil repl","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NLLB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Computed Tomography_ Breast_ Including 3D Rendering_ When Performed_ Bilateral; With Contrast Material(S)","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0637T","description":"Computed Tomography_ Breast_ Including 3D Rendering_ When Performed_ Bilateral; With Contrast Material(S)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OGUB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Digitization of glass microscope slides for electron microscopy_ diagnostic (List separately in addition to code for primary procedure)","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0856T","description":"Digitization of glass microscope slides for electron microscopy_ diagnostic (List separately in addition to code for primary procedure)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Hemoglobin","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"85018","description":"Hemoglobin","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Treat pelvic ring fracture","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"27216","description":"Treat pelvic ring fracture","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"LBOF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Repair nasal defect","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"30545","description":"Repair nasal defect","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GCRC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Lengthening of thigh bone","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"27466","description":"Lengthening of thigh bone","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JIPD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Inj mepivacaine hcl/10 ml","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"J0670","description":"Inj mepivacaine hcl/10 ml","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FCLF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Heredtry nurondcrn tum dsrdr","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"81438","description":"Heredtry nurondcrn tum dsrdr","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Tubing with heating element","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"A4604","description":"Tubing with heating element","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Patients who had a reduction in suicidal ideation and/or behavior upon follow-up assessment within 120 days of index assessment","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"M1357","description":"Patients who had a reduction in suicidal ideation and/or behavior upon follow-up assessment within 120 days of index assessment","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Njx paravert w/us cer/thor","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0214T","description":"Njx paravert w/us cer/thor","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-3AFM2","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"3AFM2","description":"HIPPS-3AFM2","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Insert tunneled cv cath","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"36563","description":"Insert tunneled cv cath","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Tick-borne relapsing fever Borrelia group_ antibody detection to 4 recombinant protein groups_ by immunoblot_ IgG","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0044U","description":"Tick-borne relapsing fever Borrelia group_ antibody detection to 4 recombinant protein groups_ by immunoblot_ IgG","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NDMF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GIGC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OFEB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Oncology lung","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"81538","description":"Oncology lung","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CBHA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Bronchial brush biopsy","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"31717","description":"Bronchial brush biopsy","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-BB12D","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"BB12D","description":"HIPPS-BB12D","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Removal of sutures and staples not requiring anesthesia (List separately in addition to E/M code)","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"15854","description":"Removal of sutures and staples not requiring anesthesia (List separately in addition to E/M code)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Lutetium Lu 177 vipivotide tetraxetan_ therapeutic_ 1 mCi","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"A9607","description":"Lutetium Lu 177 vipivotide tetraxetan_ therapeutic_ 1 mCi","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JHIE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OIFC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"EILE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-Q4419","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"Q4419","description":"HCPCS-Q4419","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Radiation treatment delivery","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G6006","description":"Radiation treatment delivery","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OCAA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-LB24A","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"LB24A","description":"HIPPS-LB24A","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JHLE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Cmv ig iv","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"90291","description":"Cmv ig iv","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Clozapine_ 25 mg","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"S0136","description":"Clozapine_ 25 mg","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Excise sublingual gland","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"42450","description":"Excise sublingual gland","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NBEE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"CDT-D1703","billing_code_type":"CDT","billing_code_type_version":"2026","billing_code":"D1703","description":"CDT-D1703","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-2CFLX","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"2CFLX","description":"HIPPS-2CFLX","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Repair foot dislocation","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"28555","description":"Repair foot dislocation","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GIDD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BCPA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Us exam pelvic complete","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"76856","description":"Us exam pelvic complete","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Facial replacement","billing_code_type":"CDT","billing_code_type_version":"2024","billing_code":"D5929","description":"Facial replacement","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GICA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Anesthesia removal pleura","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"54251","description":"Anesthesia removal pleura","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"PKYB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MDDD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KHWE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FIJB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NILD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Hepatitis g dna amp probe","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"87526","description":"Hepatitis g dna amp probe","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Assay of dibucaine number","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"82638","description":"Assay of dibucaine number","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Mra_ w/o&w/dye_ upper extr","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"C8936","description":"Mra_ w/o&w/dye_ upper extr","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"IICA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BAXF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Repair of leg tendon each","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"27658","description":"Repair of leg tendon each","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Removal of thyroid","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"60270","description":"Removal of thyroid","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Urinary cath leg strap","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"A4334","description":"Urinary cath leg strap","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Insulin reuse pen 1.5 ml","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"S5560","description":"Insulin reuse pen 1.5 ml","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CFYE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"CPT-01380","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"01380","description":"CPT-01380","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Pwr seat recline","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"E1003","description":"Pwr seat recline","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NBPC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-CB146","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"CB146","description":"HIPPS-CB146","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RLX12","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RLX12","description":"HIPPS-RLX12","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Pneumat walking boot pre cst","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"L4360","description":"Pneumat walking boot pre cst","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Male sling procedure","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"53440","description":"Male sling procedure","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Revision of cervix","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"57720","description":"Revision of cervix","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Incise skull for surgery","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"61450","description":"Incise skull for surgery","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"CPT-0995T","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"0995T","description":"CPT-0995T","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-Q9998","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"Q9998","description":"HCPCS-Q9998","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GACE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"ICLD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"ECHF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GINC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JADE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KAVE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Repair of scleral staphyloma; without graft","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"66220","description":"Repair of scleral staphyloma; without graft","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"X-ray upper gi delay w/o kub","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"74240","description":"X-ray upper gi delay w/o kub","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RVC3B","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RVC3B","description":"HIPPS-RVC3B","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"CPT-0974T","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"0974T","description":"CPT-0974T","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JDNE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BHMB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"No abd imag w/o reason","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G9457","description":"No abd imag w/o reason","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Pt prgrm for implt neurostim","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"L8681","description":"Pt prgrm for implt neurostim","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Protect body sock ea pre ots","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"L0984","description":"Protect body sock ea pre ots","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Drain arm/elbow bone lesion","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"23935","description":"Drain arm/elbow bone lesion","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"AGMC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OFHE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-PE212","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"PE212","description":"HIPPS-PE212","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MDHD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"ODMC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OGGF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Hospice continuous home care","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"T2043","description":"Hospice continuous home care","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Repair vessel defect","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"33803","description":"Repair vessel defect","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Lens sphcyl bifocal 4.00d/.1","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"V2203","description":"Lens sphcyl bifocal 4.00d/.1","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Esoph endoscopy dilation","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"43226","description":"Esoph endoscopy dilation","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Arthroscopy of joint","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"29999","description":"Arthroscopy of joint","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-3CHP4","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"3CHP4","description":"HIPPS-3CHP4","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RML8H","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RML8H","description":"HIPPS-RML8H","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MKHA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CCRF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"CACNA1A (calcium voltage-gated channel subunit alpha1 A) (eg_ spinocerebellar ataxia) gene analysis; known familial variant","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"81186","description":"CACNA1A (calcium voltage-gated channel subunit alpha1 A) (eg_ spinocerebellar ataxia) gene analysis; known familial variant","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Catheter_ intraspinal","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"C1755","description":"Catheter_ intraspinal","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OGWF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Destruction of intraosseous basivertebral nerve_ first two vertebral bodies_ including imaging guidance (e.g._ fluoroscopy)_ lu","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"C9752","description":"Destruction of intraosseous basivertebral nerve_ first two vertebral bodies_ including imaging guidance (e.g._ fluoroscopy)_ lu","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JCID1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Culture bacterial urine","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"P7001","description":"Culture bacterial urine","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JAEB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GDTF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"HEYA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Doc pt dischg <=2d","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G9255","description":"Doc pt dischg <=2d","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-ES18C","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"ES18C","description":"HIPPS-ES18C","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OEPF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Removal of gallbladder","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"47610","description":"Removal of gallbladder","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Supp for self-adm injections","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"A4211","description":"Supp for self-adm injections","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OJCB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Oncology (colorectal) screening_ cell enumeration of circulating tumor cells_ utilizing whole blood_ algorithm_ for the presence of adenoma or cancer_ reported as a positive o","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0091U","description":"Oncology (colorectal) screening_ cell enumeration of circulating tumor cells_ utilizing whole blood_ algorithm_ for the presence of adenoma or cancer_ reported as a positive o","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RUB17","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RUB17","description":"HIPPS-RUB17","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FFVD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Patient receiving first-time biologic disease modifying anti-rheumatic drug therapy","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G2182","description":"Patient receiving first-time biologic disease modifying anti-rheumatic drug therapy","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KDAB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KHDB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CITB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"PFYF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JGFF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GDRA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OACA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GCXC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Estradiol; Free_ Direct Measurement (Eg_ Equilibrium Dialysis)","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"82681","description":"Estradiol; Free_ Direct Measurement (Eg_ Equilibrium Dialysis)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Excise foot tendon sheath","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"28086","description":"Excise foot tendon sheath","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CCRC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KDYF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MIAA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"ECLD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Visual audiometry (vra)","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"92579","description":"Visual audiometry (vra)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Injection_ lanadelumab-flyo_ 1 mg (code may be used for Medicare when drug administered under direct supervision of a physician_ not for use when drug is self-administered)","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"J0593","description":"Injection_ lanadelumab-flyo_ 1 mg (code may be used for Medicare when drug administered under direct supervision of a physician_ not for use when drug is self-administered)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Urology Mips Specialty Set","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G4037","description":"Urology Mips Specialty Set","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Patient did not die within 30 days of the procedure or during the index hospitalization","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G9813","description":"Patient did not die within 30 days of the procedure or during the index hospitalization","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OGVE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Fine needle aspiration biopsy_ including MR guidance; first lesion","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"10011","description":"Fine needle aspiration biopsy_ including MR guidance; first lesion","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Repair of cloacal anomaly","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"46748","description":"Repair of cloacal anomaly","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Ct lwr extremity w/o&w/dye","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"73702","description":"Ct lwr extremity w/o&w/dye","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NDUA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Exploration femoral artery","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"35721","description":"Exploration femoral artery","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CHWC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Ant fusion 4-7 vert seg","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"22810","description":"Ant fusion 4-7 vert seg","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"LAWC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CHQE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NKCD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"IACD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"ACAA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CGCA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Pwc gp2 std seat elevate s/b","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"K0830","description":"Pwc gp2 std seat elevate s/b","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"No reason for no hep c rna","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G9204","description":"No reason for no hep c rna","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KHMD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Trach/laryn tube plug/stop","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"A7527","description":"Trach/laryn tube plug/stop","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HH PDGM","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"4GC11","description":"HH PDGM","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"DGQA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NIJD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"MOLECULAR PATHOLOGY PROCEDURE LEVEL 7","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"81406","description":"MOLECULAR PATHOLOGY PROCEDURE LEVEL 7","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Cone beam ct capt & interp","billing_code_type":"CDT","billing_code_type_version":"2024","billing_code":"D0364","description":"Cone beam ct capt & interp","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Laparoscopy surg colpopexy","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"57425","description":"Laparoscopy surg colpopexy","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Dc power adapter_ port conc","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"E1358","description":"Dc power adapter_ port conc","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NJNB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Remote real-time interactive video-conferenced critical care_ evaluation and management of the critically ill or critically injured patient; first 30-74 minutes","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0188T","description":"Remote real-time interactive video-conferenced critical care_ evaluation and management of the critically ill or critically injured patient; first 30-74 minutes","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GAND0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-CD135","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"CD135","description":"HIPPS-CD135","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MFMF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"PDSC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Rmvl nstim apnea stimj ld","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0430T","description":"Rmvl nstim apnea stimj ld","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GFTB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Drainage of mouth lesion","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"41005","description":"Drainage of mouth lesion","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"RegeneLink Amniotic Membrane Allograft_ per sq cm","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"Q4315","description":"RegeneLink Amniotic Membrane Allograft_ per sq cm","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CFSE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Manual semi-reclining back","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"E1225","description":"Manual semi-reclining back","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OKHD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Soft interface above knee se","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"L2830","description":"Soft interface above knee se","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GGQD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GAXA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GCTB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Closure of salivary fistula","billing_code_type":"CDT","billing_code_type_version":"2024","billing_code":"D7983","description":"Closure of salivary fistula","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"PIWF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CCFA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Pt no doc hear loss","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G8567","description":"Pt no doc hear loss","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FGBC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BDMA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CAFC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"After cataract laser surgery","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"66821","description":"After cataract laser surgery","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Elect stim wound care not pd","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G0282","description":"Elect stim wound care not pd","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KIJA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"LCOD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HH PDGM","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"3AC11","description":"HH PDGM","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Injection_ carfilzomib_ 1 mg","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"J9047","description":"Injection_ carfilzomib_ 1 mg","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JDLD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Blinded or nonblinded procedure for symptomatic New York Heart Association (NYHA) Class II_ III_ IVA heart failure; transcatheter implantation of left atrial to coronary sinus","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"C9792","description":"Blinded or nonblinded procedure for symptomatic New York Heart Association (NYHA) Class II_ III_ IVA heart failure; transcatheter implantation of left atrial to coronary sinus","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Nursing facility care init","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"99305","description":"Nursing facility care init","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Cycler dialysis machine","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"E1594","description":"Cycler dialysis machine","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Femoral lgth sock fx or equa","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"L2850","description":"Femoral lgth sock fx or equa","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Removal of sperm duct(s)","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"55250","description":"Removal of sperm duct(s)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BDMB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"IFBE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GFAA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Patients who did not have a completed suicide safety plan initiated_ reviewed or updated in collaboration with their clinician (concurrent or within 24 hours) of the index cli","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"M1353","description":"Patients who did not have a completed suicide safety plan initiated_ reviewed or updated in collaboration with their clinician (concurrent or within 24 hours) of the index cli","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Injection_ Pasireotide Long Acting","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"C9454","description":"Injection_ Pasireotide Long Acting","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BFCC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"So hard plas stabili pre cst","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"L3677","description":"So hard plas stabili pre cst","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OAJE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Sps elbow device","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"E1801","description":"Sps elbow device","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"MRI abdomen w/dye","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"74182","description":"MRI abdomen w/dye","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Legion pneumo dna amp prob","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"87541","description":"Legion pneumo dna amp prob","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KETD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Assay of erythropoietin","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"82668","description":"Assay of erythropoietin","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NHCD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GBYB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GEQC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Revision of ileostomy","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"44312","description":"Revision of ileostomy","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RHL3D","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RHL3D","description":"HIPPS-RHL3D","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NJAA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FEEB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Telescop/othr compound lens","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"V2615","description":"Telescop/othr compound lens","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-B1903","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"B1903","description":"HCPCS-B1903","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-1CHNU","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"1CHNU","description":"HIPPS-1CHNU","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KAPD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Plan 2 main dr by 1 month","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"5050F","description":"Plan 2 main dr by 1 month","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Ankle arthroscopy/surgery","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"29892","description":"Ankle arthroscopy/surgery","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"AEEC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JILB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KCLA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BAJB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-4CHMS","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"4CHMS","description":"HIPPS-4CHMS","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Sedative hypnotics","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"80368","description":"Sedative hypnotics","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Brca2 gene full sequence","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"81216","description":"Brca2 gene full sequence","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RUA22","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RUA22","description":"HIPPS-RUA22","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-PA116","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"PA116","description":"HIPPS-PA116","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CAJE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Skull base/brainstem surgery","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"61575","description":"Skull base/brainstem surgery","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Trac stand free stand pelvic","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"E0900","description":"Trac stand free stand pelvic","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CDHB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"IAAD IA CRYPTOCOCCUS NEOFORMANS","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"87327","description":"IAAD IA CRYPTOCOCCUS NEOFORMANS","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JBFD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Cpm device_ other than knee","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"E0936","description":"Cpm device_ other than knee","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NBJA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-3BFM3","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"3BFM3","description":"HIPPS-3BFM3","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Assay of porphobilinogen","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"84110","description":"Assay of porphobilinogen","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FGCB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-Q4335","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"Q4335","description":"HCPCS-Q4335","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Complete wheel lock assembly","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"E2206","description":"Complete wheel lock assembly","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-3CHK2","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"3CHK2","description":"HIPPS-3CHK2","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CCNA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BITE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-1BFP4","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"1BFP4","description":"HIPPS-1BFP4","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Flow cyto done b/4 tx","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"3170F","description":"Flow cyto done b/4 tx","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-PA10B","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"PA10B","description":"HIPPS-PA10B","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BCXD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FEFF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NDFE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Deb musc/fascia 20 sq cm/<","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"11043","description":"Deb musc/fascia 20 sq cm/<","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"ODKD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JDNC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MBAD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-B0407","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"B0407","description":"HCPCS-B0407","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Dry pressure pad for mattres","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"E0199","description":"Dry pressure pad for mattres","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Deferoxamine mesylate inj","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"J0895","description":"Deferoxamine mesylate inj","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FFIC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GEOE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CIEE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FGNC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OJMD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-CD126","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"CD126","description":"HIPPS-CD126","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-3BHN6","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"3BHN6","description":"HIPPS-3BHN6","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NIXC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FGUF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"EFCD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"EFLB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BGJD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-3BFNT","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"3BFNT","description":"HIPPS-3BFNT","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Revascularization_ endovascular_ open or percutaneous_  tibial/peroneal artery(ies); with intravascular lithotripsy_ and transluminal stent placement(s)_ includes angioplasty","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"C9773","description":"Revascularization_ endovascular_ open or percutaneous_  tibial/peroneal artery(ies); with intravascular lithotripsy_ and transluminal stent placement(s)_ includes angioplasty","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OFPB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Norsn for gc chl syp test","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G9230","description":"Norsn for gc chl syp test","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NEXD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Hhc pt maint ea 15 min","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G0159","description":"Hhc pt maint ea 15 min","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HH PDGM","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"1DA11","description":"HH PDGM","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-HE214","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"HE214","description":"HIPPS-HE214","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Sysrsn no dicom srch","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G9344","description":"Sysrsn no dicom srch","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Thoracoabdominal graft","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"33877","description":"Thoracoabdominal graft","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NDPD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-LC18D","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"LC18D","description":"HIPPS-LC18D","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GCOA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Multiple family group psytx","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"90849","description":"Multiple family group psytx","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BFGA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Hydrocortisone sodium ph inj","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"J1710","description":"Hydrocortisone sodium ph inj","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KIRA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Resect inferior turbinate","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"30140","description":"Resect inferior turbinate","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NGDA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NACC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Incision of windpipe","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"31605","description":"Incision of windpipe","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OLLF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KBUC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"ODYC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"AABC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Tis trnfr trunk 10.1-30sqcm","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"14001","description":"Tis trnfr trunk 10.1-30sqcm","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OBJD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FFDA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"HBYE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Mecp2 gene dup/delet variant","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"81304","description":"Mecp2 gene dup/delet variant","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Hit chemo per diem","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"S9329","description":"Hit chemo per diem","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Gatifloxacin injection","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"J1590","description":"Gatifloxacin injection","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"EFDA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Corneal hysteresis deter","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"92145","description":"Corneal hysteresis deter","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FIBD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JBCF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RUX44","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RUX44","description":"HIPPS-RUX44","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-LE20B","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"LE20B","description":"HIPPS-LE20B","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-3CGKT","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"3CGKT","description":"HIPPS-3CGKT","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NEHA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"IGCD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Remove/graft bone lesion","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"24126","description":"Remove/graft bone lesion","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HH PDGM","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"1KC31","description":"HH PDGM","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Custom grad sleeve med","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"S8422","description":"Custom grad sleeve med","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Plicamycin (mithramycin) inj","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"J9270","description":"Plicamycin (mithramycin) inj","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Diabetic shoe w/off set heel","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"A5506","description":"Diabetic shoe w/off set heel","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"EGHA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FBJA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Home hospice case 30 days","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"S0271","description":"Home hospice case 30 days","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-4BGMS","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"4BGMS","description":"HIPPS-4BGMS","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HH PDGM","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"1FB11","description":"HH PDGM","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Revision of unstable kneecap","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"27422","description":"Revision of unstable kneecap","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Cath_ suprapubic/cystoscopic","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"C2627","description":"Cath_ suprapubic/cystoscopic","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Revise middle ear & mastoid","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"69642","description":"Revise middle ear & mastoid","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GEGE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MDED1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KCVB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KFFE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HH PDGM","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"1BA11","description":"HH PDGM","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"ATXN1 (ataxin 1) (eg_ spinocerebellar ataxia) gene analysis_ evaluation to detect abnormal (eg_ expanded) alleles","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"81178","description":"ATXN1 (ataxin 1) (eg_ spinocerebellar ataxia) gene analysis_ evaluation to detect abnormal (eg_ expanded) alleles","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-2BGK3","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"2BGK3","description":"HIPPS-2BGK3","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KETA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KFBF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Reduct simple facial bone fx","billing_code_type":"CDT","billing_code_type_version":"2024","billing_code":"D7680","description":"Reduct simple facial bone fx","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CGBF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Iiv4 vaccine 6-35 months im","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"90687","description":"Iiv4 vaccine 6-35 months im","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"DDQB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Revision of penis","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"54420","description":"Revision of penis","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NGDC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-3CHKV","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"3CHKV","description":"HIPPS-3CHKV","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RVA8F","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RVA8F","description":"HIPPS-RVA8F","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OHRF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Root surgery ea add root","billing_code_type":"CDT","billing_code_type_version":"2024","billing_code":"D3426","description":"Root surgery ea add root","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Irrigation supply sleeve","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"A4397","description":"Irrigation supply sleeve","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RUC45","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RUC45","description":"HIPPS-RUC45","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Assay triiodothyronine (t3)","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"84480","description":"Assay triiodothyronine (t3)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BIUE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-1AGP5","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"1AGP5","description":"HIPPS-1AGP5","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Radiation treatment aid(s)","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"77332","description":"Radiation treatment aid(s)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"PGOD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KHBF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KCRB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MLMA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"LBSC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JBNF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Sex offend tx svc_ per diem","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"H2029","description":"Sex offend tx svc_ per diem","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GBOB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Advancing rheumatology patient care mips value pathways","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G0053","description":"Advancing rheumatology patient care mips value pathways","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CBEB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Noner transport lodgng escrt","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"A0200","description":"Noner transport lodgng escrt","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"PARF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NEPD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MFEF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FEJB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-1AGNW","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"1AGNW","description":"HIPPS-1AGNW","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CBAE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"DHYA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Omental flap intra-abdom","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"49905","description":"Omental flap intra-abdom","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Shoe lifts elevation heel /i","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"L3334","description":"Shoe lifts elevation heel /i","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-A2031","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"A2031","description":"HCPCS-A2031","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GDGF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CADD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GBQA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Muramidase","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"85549","description":"Muramidase","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Treat lower leg fracture","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"27825","description":"Treat lower leg fracture","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JETA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HH PDGM","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"1KA11","description":"HH PDGM","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RHX33","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RHX33","description":"HIPPS-RHX33","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Isoproterenol non-comp con","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"J7658","description":"Isoproterenol non-comp con","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Incise inner eye adhesions","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"65860","description":"Incise inner eye adhesions","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Laparoscopy lymph node biop","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"38570","description":"Laparoscopy lymph node biop","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Onc (colorectal)_ quant assess of three urine metabolites  by liq chromatography w tandem mass spectro (LC-MS/MS) using multireaction monitoring acquisition","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0002U","description":"Onc (colorectal)_ quant assess of three urine metabolites  by liq chromatography w tandem mass spectro (LC-MS/MS) using multireaction monitoring acquisition","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"ACHD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"EAUF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Interrogate crtd sns dev","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0272T","description":"Interrogate crtd sns dev","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Opn tx orbit fx combined","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"21387","description":"Opn tx orbit fx combined","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OIDF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MBLE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OFYE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Doc med rsn no scr etoh use","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G9623","description":"Doc med rsn no scr etoh use","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Patient has a reactive hcv antibody test_ and has a follow up hcv viral test that does not detect hcv viremia","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"M1234","description":"Patient has a reactive hcv antibody test_ and has a follow up hcv viral test that does not detect hcv viremia","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Pt not rcvng warf thxpy","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"4301F","description":"Pt not rcvng warf thxpy","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NGBF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"LGRA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Repair lung hernia","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"32800","description":"Repair lung hernia","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-PE28G","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"PE28G","description":"HIPPS-PE28G","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"DESD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BHBF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BFXA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Non-auto graft addl tooth","billing_code_type":"CDT","billing_code_type_version":"2024","billing_code":"D4285","description":"Non-auto graft addl tooth","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"In111 ibritumomab_ dx","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"A9542","description":"In111 ibritumomab_ dx","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"FXN (frataxin) (eg_ Friedreich ataxia) gene analysis; known familial variant(s)","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"81289","description":"FXN (frataxin) (eg_ Friedreich ataxia) gene analysis; known familial variant(s)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Rbc deglycerolized","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"P9039","description":"Rbc deglycerolized","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OLUB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NKTE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-PD116","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"PD116","description":"HIPPS-PD116","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Penile injection","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"54235","description":"Penile injection","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Cord blood harvesting","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"S2140","description":"Cord blood harvesting","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JCTA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FALE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FIXA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MIEA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CHED0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KIIE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"So airplane w/wo joint cf","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"L3674","description":"So airplane w/wo joint cf","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Tacrol envarsus ex rel oral","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"J7503","description":"Tacrol envarsus ex rel oral","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"ODEB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OFJF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"External heart rate and 3-axis accelerometer data recording from 15 to 30 days to assess changes in heart rate and to monitor motion analysis for the purposes of diagnosing no","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0384T","description":"External heart rate and 3-axis accelerometer data recording from 15 to 30 days to assess changes in heart rate and to monitor motion analysis for the purposes of diagnosing no","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Dental onlay metl 4/more sur","billing_code_type":"CDT","billing_code_type_version":"2024","billing_code":"D2544","description":"Dental onlay metl 4/more sur","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-LE140","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"LE140","description":"HIPPS-LE140","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JAKF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Incision of ankle bone","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"28302","description":"Incision of ankle bone","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OCMA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OFJA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Laparoscopy_ surgical; with bilateral total pelvic lymphadenectomy and peri-aortic lymph node sampling_ peritoneal washings_ peritoneal biopsy(ies)_ omentectomy_ and diaphragm","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"38573","description":"Laparoscopy_ surgical; with bilateral total pelvic lymphadenectomy and peri-aortic lymph node sampling_ peritoneal washings_ peritoneal biopsy(ies)_ omentectomy_ and diaphragm","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NHDB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NDEA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KGQA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CENB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MBDB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"IGDF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Soft protect helmet prefab","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"A8000","description":"Soft protect helmet prefab","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Electrogastrography","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"91132","description":"Electrogastrography","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"IBLC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-4BFLS","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"4BFLS","description":"HIPPS-4BFLS","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GIEE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Incise inner ear nerve","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"69950","description":"Incise inner ear nerve","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"AAIE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Hydrogel drg >16<=48 w/o bdr","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"A6243","description":"Hydrogel drg >16<=48 w/o bdr","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Plasma volume multiple","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"78111","description":"Plasma volume multiple","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JCGD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KFMA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JIXD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Optimizing Chronic Disease Management Mips Value Pathways","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G0056","description":"Optimizing Chronic Disease Management Mips Value Pathways","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JGFA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Adjustable angle footplate","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"K0040","description":"Adjustable angle footplate","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Incisional biopsy of skin (eg_ wedge) (including simple closure_ when performed); each separate/additional lesion (List separately in addition to code for primary procedure)","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"11107","description":"Incisional biopsy of skin (eg_ wedge) (including simple closure_ when performed); each separate/additional lesion (List separately in addition to code for primary procedure)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-LD113","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"LD113","description":"HIPPS-LD113","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GHLF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FEDA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NIPE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"CPT-0665U","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"0665U","description":"CPT-0665U","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Inj_ omacetaxine mep_ 0.01mg","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"J9262","description":"Inj_ omacetaxine mep_ 0.01mg","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Treat pelvic ring fracture","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"27193","description":"Treat pelvic ring fracture","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Patient admitted to the ICU in the last 30 days of life","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G9853","description":"Patient admitted to the ICU in the last 30 days of life","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Wedge resect of lung initial","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"32505","description":"Wedge resect of lung initial","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JEPA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Anacaulase-bcdb_ 8.8% gel_ 1 gm","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"J7353","description":"Anacaulase-bcdb_ 8.8% gel_ 1 gm","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BILD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GDAF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Trac stand free stand extrem","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"E0880","description":"Trac stand free stand extrem","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Sterile_ gloves per pair","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"A4930","description":"Sterile_ gloves per pair","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-L1007","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"L1007","description":"HCPCS-L1007","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Transcatheter therapy_ infusion other than for thrombolysis_ any type (eg_ spasmolytic_ vasoconstrictive)","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"37202","description":"Transcatheter therapy_ infusion other than for thrombolysis_ any type (eg_ spasmolytic_ vasoconstrictive)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NLGA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Nonpneumatic sequential compression garment_ full arm","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"K1025","description":"Nonpneumatic sequential compression garment_ full arm","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Remote monitoring of physiologic parameter(s) (eg_ weight_ blood pressure_ pulse oximetry_ respiratory flow rate)_ initial; set-up and patient education on use of equipment","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"99453","description":"Remote monitoring of physiologic parameter(s) (eg_ weight_ blood pressure_ pulse oximetry_ respiratory flow rate)_ initial; set-up and patient education on use of equipment","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CBXF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"EGCE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"PKQE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CCIE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Noonan spectrum disorders","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"81442","description":"Noonan spectrum disorders","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JGUA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Abo rh blood typing docd","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"3293F","description":"Abo rh blood typing docd","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GFBF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BHFF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Hiv combination assay","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G0475","description":"Hiv combination assay","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KDMB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Immunization administration by intramuscular injection of severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) (coronavirus disease [COVID-19]) vaccine_ mRNA-LNP_ spik","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0073A","description":"Immunization administration by intramuscular injection of severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) (coronavirus disease [COVID-19]) vaccine_ mRNA-LNP_ spik","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"DAQB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-Q4392","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"Q4392","description":"HCPCS-Q4392","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OIND1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-LC15A","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"LC15A","description":"HIPPS-LC15A","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Collect & prep genetic samp","billing_code_type":"CDT","billing_code_type_version":"2024","billing_code":"D0422","description":"Collect & prep genetic samp","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OLEB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Adaptive behavior treatment by protocol_ administered by technician_ face-to-face with one patient; each additional 30 minutes of technician time (List separately in addition","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0365T","description":"Adaptive behavior treatment by protocol_ administered by technician_ face-to-face with one patient; each additional 30 minutes of technician time (List separately in addition","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Hydrocolld drg > 48 in w/bdr","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"A6239","description":"Hydrocolld drg > 48 in w/bdr","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"ACEE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Fun stat score neck/ts < 0","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G8672","description":"Fun stat score neck/ts < 0","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-HE210","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"HE210","description":"HIPPS-HE210","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"CPT-00792","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"00792","description":"CPT-00792","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Bone marrow harvest allogen","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"38230","description":"Bone marrow harvest allogen","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-1AGNU","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"1AGNU","description":"HIPPS-1AGNU","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Contrast x-ray esophagus","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"74220","description":"Contrast x-ray esophagus","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JDVB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BEXD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Graphite crucible for preparation of Technetium Tc 99m-labeled carbon aerosol_ each","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"A9506","description":"Graphite crucible for preparation of Technetium Tc 99m-labeled carbon aerosol_ each","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OLLA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Excise/repair mouth lesion","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"40812","description":"Excise/repair mouth lesion","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-3AHKX","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"3AHKX","description":"HIPPS-3AHKX","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CFUE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CGOA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MBCF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-2AFL3","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"2AFL3","description":"HIPPS-2AFL3","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JFDF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Ost pch drain for barrier fl","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"A4425","description":"Ost pch drain for barrier fl","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NJGE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Exc abd tum 5 cm or less","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"49203","description":"Exc abd tum 5 cm or less","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GCPA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Fusion of stomach and bowel","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"43820","description":"Fusion of stomach and bowel","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Remote assessment of recorded video and/or images submitted by an established patient (e.g._ store and forward)_ including interpretation with follow-up with the patient withi","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G2250","description":"Remote assessment of recorded video and/or images submitted by an established patient (e.g._ store and forward)_ including interpretation with follow-up with the patient withi","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OAOF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Docking station for use with oral device/appliance used to reduce upper airway collapsibility","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"K1037","description":"Docking station for use with oral device/appliance used to reduce upper airway collapsibility","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NFAA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Remove ear canal lesion(s)","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"69140","description":"Remove ear canal lesion(s)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"EIAD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-PA12D","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"PA12D","description":"HIPPS-PA12D","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OKBD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NCKE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-ES124","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"ES124","description":"HIPPS-ES124","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RVA21","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RVA21","description":"HIPPS-RVA21","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GHQA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-2CGL4","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"2CGL4","description":"HIPPS-2CGL4","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"ODTA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Hhcp-svs of aide_ea 15 min","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G0156","description":"Hhcp-svs of aide_ea 15 min","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Pseudoaneurysm injection trt","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"36002","description":"Pseudoaneurysm injection trt","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"EAMC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Ct abdomen w/dye","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"74160","description":"Ct abdomen w/dye","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Within The Past 2 Years_ Calcium And/Or Vitamin D Optimization Has Been Ordered Or Performed","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G2119","description":"Within The Past 2 Years_ Calcium And/Or Vitamin D Optimization Has Been Ordered Or Performed","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NLFE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GHDB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-LB12A","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"LB12A","description":"HIPPS-LB12A","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KILD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"IBIB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Apis_ Per Square Centimeter","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"A2010","description":"Apis_ Per Square Centimeter","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Fluid pressure muscle","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"20950","description":"Fluid pressure muscle","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Removal of a total replacement heart system (artificial heart) for heart transplantation (List separately in addition to code for primary procedure)","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"33929","description":"Removal of a total replacement heart system (artificial heart) for heart transplantation (List separately in addition to code for primary procedure)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CBJF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"EDUA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FDJC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Sigmoidoscopy for bleeding","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"45334","description":"Sigmoidoscopy for bleeding","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GEJE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BHHE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FCXF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Iris support intraoclr lens","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"V2631","description":"Iris support intraoclr lens","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Lith-ion batt elec/pneum vad","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"Q0506","description":"Lith-ion batt elec/pneum vad","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Antithromb no presc no reas","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G8698","description":"Antithromb no presc no reas","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Cytopath c/v auto rescreen","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"88148","description":"Cytopath c/v auto rescreen","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"IHBA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KACE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Endo knee-shin frct swg & st","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"L5812","description":"Endo knee-shin frct swg & st","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Incision of iris","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"66505","description":"Incision of iris","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Revise hand/finger tendon","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"26390","description":"Revise hand/finger tendon","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NFID1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CBIF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BCUD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"No sig dep symp by dep tool","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"3352F","description":"No sig dep symp by dep tool","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"IBCE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"X-ray exam of sinuses","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"70220","description":"X-ray exam of sinuses","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GAYD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Assay acid phosphatase","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"84060","description":"Assay acid phosphatase","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KGYA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FBCF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OLPE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"ODOA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Remove sacrum pressure sore","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"15936","description":"Remove sacrum pressure sore","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Collect/review data from pt","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"99091","description":"Collect/review data from pt","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OCMD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"ECUD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Treat foot dislocation","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"28540","description":"Treat foot dislocation","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Pov group 2 hd 301-450 lbs","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"K0807","description":"Pov group 2 hd 301-450 lbs","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GAJC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Contact lens gas permeable","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"V2531","description":"Contact lens gas permeable","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Hrdtry brst ca-rlatd dsordrs","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"81433","description":"Hrdtry brst ca-rlatd dsordrs","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"PKSD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-PC11B","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"PC11B","description":"HIPPS-PC11B","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NEEE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"HGSF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CBNA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HH PDGM","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"4IA21","description":"HH PDGM","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BHBB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Whirlpool Tub_ Walk-In_ Portable","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"K1003","description":"Whirlpool Tub_ Walk-In_ Portable","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Robt lin-radsurg fractx 2-5","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G0340","description":"Robt lin-radsurg fractx 2-5","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MJDF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CBAD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Quantitative magnetic resonance image (MRI) analysis of the brain with comparison to prior magnetic resonance (MR) study(ies)_ including lesion identification_ characterizatio","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0865T","description":"Quantitative magnetic resonance image (MRI) analysis of the brain with comparison to prior magnetic resonance (MR) study(ies)_ including lesion identification_ characterizatio","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CARE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Laryngoscopy and dilation","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"31529","description":"Laryngoscopy and dilation","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"HHSA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MJIF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Intracran angioplsty w/stent","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"61635","description":"Intracran angioplsty w/stent","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CGQF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MDTA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Post-operative body jacket","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"L1310","description":"Post-operative body jacket","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Trauma respons w/hosp criti","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G0390","description":"Trauma respons w/hosp criti","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OITA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BDHB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Repair artery rupture belly","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"35122","description":"Repair artery rupture belly","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Fistulization of sclera for glaucoma_ through ciliary body","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0123T","description":"Fistulization of sclera for glaucoma_ through ciliary body","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JIND0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-1CHKX","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"1CHKX","description":"HIPPS-1CHKX","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CGYE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BCJB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OFGD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Correct inverted nipple(s)","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"19355","description":"Correct inverted nipple(s)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KDEE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Assay urine catecholamines","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"82382","description":"Assay urine catecholamines","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KINF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"5% dextrose/normal saline","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"J7042","description":"5% dextrose/normal saline","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GGOB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NIMA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Extracorporeal shock wave for integumentary wound healing_ high energy_ including topical application and dressing care; initial wound","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0512T","description":"Extracorporeal shock wave for integumentary wound healing_ high energy_ including topical application and dressing care; initial wound","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Reconstruction of mouth","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"40844","description":"Reconstruction of mouth","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KENA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Incision of neck of femur","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"27161","description":"Incision of neck of femur","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MBUE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RMA26","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RMA26","description":"HIPPS-RMA26","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Surface mechanomyography (sMMG) with concurrent application of inertial measurement unit (IMU) sensors for measurement of multi-joint range of motion_ posture_ gait_ and muscl","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0778T","description":"Surface mechanomyography (sMMG) with concurrent application of inertial measurement unit (IMU) sensors for measurement of multi-joint range of motion_ posture_ gait_ and muscl","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BFPF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-HE22B","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"HE22B","description":"HIPPS-HE22B","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Occluder lens/es","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"V2770","description":"Occluder lens/es","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"CPT-0938T","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"0938T","description":"CPT-0938T","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MIIF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"DIRE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Leg pain was measured by the visual analog scale (VAS) within three months preoperatively and at three months (6 to 20 weeks) postoperatively","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G9947","description":"Leg pain was measured by the visual analog scale (VAS) within three months preoperatively and at three months (6 to 20 weeks) postoperatively","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OKCC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NDLF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FBVF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KFGD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-A0701","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"A0701","description":"HCPCS-A0701","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Prep bk ptb open end socket","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"L5535","description":"Prep bk ptb open end socket","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GBKF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OBWD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"IABE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Open tx iliac spine uni/bil","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G0412","description":"Open tx iliac spine uni/bil","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"ADCB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CFFA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KFTD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KFXF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"IECF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KIKC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FGPD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BDMA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"EADF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GHAA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"ODTF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Myocardial strain imaging","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0399T","description":"Myocardial strain imaging","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JGGC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GHPA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KHHE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Catheter_ ablation","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"C1886","description":"Catheter_ ablation","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Unpln rup post cap","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G9389","description":"Unpln rup post cap","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FDJF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OEVC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OGTD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Pt_ pn_ hist grade doc","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G8721","description":"Pt_ pn_ hist grade doc","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GGFA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OCSB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Instillation_ ciprofloxacin otic suspension_ 6 mg","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"J7342","description":"Instillation_ ciprofloxacin otic suspension_ 6 mg","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MBHA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CAMF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"AIUE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-4BHLU","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"4BHLU","description":"HIPPS-4BHLU","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GCXA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Intrmed rsk thromboembolism","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"3551F","description":"Intrmed rsk thromboembolism","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"IBBB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"AFIE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KEGD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Treat humerus fracture","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"24566","description":"Treat humerus fracture","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"CPT-0542U","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"0542U","description":"CPT-0542U","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BEIB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"ODLE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Typhoid vaccine im","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"90691","description":"Typhoid vaccine im","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Frame typ sock interscap-tho","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"L6690","description":"Frame typ sock interscap-tho","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NGLF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-C0805","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"C0805","description":"HCPCS-C0805","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"CPT-0952T","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"0952T","description":"CPT-0952T","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KHRC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Patients with dementia any time during the patient_s history through the end of the measurement period","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"M1164","description":"Patients with dementia any time during the patient_s history through the end of the measurement period","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FIVE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OEUD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-Q5158","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"Q5158","description":"HCPCS-Q5158","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KAWD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FBVE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"AECD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FHNF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Optic nerve head eval done","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"2027F","description":"Optic nerve head eval done","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OCDD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Incontinence product_ disposable_ penile wrap_ each","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"T4545","description":"Incontinence product_ disposable_ penile wrap_ each","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Methylphenidate","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"80360","description":"Methylphenidate","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-G0674","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"G0674","description":"HCPCS-G0674","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"DBRF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-LB14D","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"LB14D","description":"HIPPS-LB14D","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Removal of adenoids","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"42830","description":"Removal of adenoids","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FAIB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JCAA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-3AGN4","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"3AGN4","description":"HIPPS-3AGN4","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Repl batt silver oxide 3 v","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"K0602","description":"Repl batt silver oxide 3 v","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NIDE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-5BFKS","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"5BFKS","description":"HIPPS-5BFKS","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KAJF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CBKF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Revise prosth vag graft lap","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"57426","description":"Revise prosth vag graft lap","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HH PDGM","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"3BB21","description":"HH PDGM","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"ACLD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Wheelchair wide w/ foot rest","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"E1093","description":"Wheelchair wide w/ foot rest","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"AFED0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"DHSD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Repair arterial blockage","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"35458","description":"Repair arterial blockage","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OBLA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NEHE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NDBC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BIHE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NDDE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MFMD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Pho doc >1 cecal ldmk com ex","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G9612","description":"Pho doc >1 cecal ldmk com ex","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Revise bladder & ureter(s)","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"51565","description":"Revise bladder & ureter(s)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"ODJC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KIGF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BBTC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Bone biopsy excisional","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"20240","description":"Bone biopsy excisional","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"No beta-lactam abx ther_ rng","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G9560","description":"No beta-lactam abx ther_ rng","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"IHLF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"LDOD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OCSA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GAVE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NETD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-PD13B","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"PD13B","description":"HIPPS-PD13B","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Partial thyroid excision","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"60210","description":"Partial thyroid excision","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"CDT-D1403","billing_code_type":"CDT","billing_code_type_version":"2026","billing_code":"D1403","description":"CDT-D1403","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Laser surgery of prostate","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"52648","description":"Laser surgery of prostate","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"ICCE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CBBA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NDXD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CFYB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Soft interface below knee se","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"L2820","description":"Soft interface below knee se","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RHL06","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RHL06","description":"HIPPS-RHL06","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CIND1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"IIBF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-HC15B","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"HC15B","description":"HIPPS-HC15B","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"PASE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Patient received at least one td vaccine or one tdap vaccine between nine years prior to the encounter and the end of the measurement period","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"M1171","description":"Patient received at least one td vaccine or one tdap vaccine between nine years prior to the encounter and the end of the measurement period","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Trtmnt simulation 3d image","billing_code_type":"CDT","billing_code_type_version":"2024","billing_code":"D0393","description":"Trtmnt simulation 3d image","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MGMA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Cytopath report non routine","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0551F","description":"Cytopath report non routine","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FCHC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Transfusion service fetal","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"36460","description":"Transfusion service fetal","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Exc s/n/h/f/g mal+mrg 3.1-4","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"11624","description":"Exc s/n/h/f/g mal+mrg 3.1-4","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"IFUB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GCUA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Gradient compression stocking_ full length/chap style_ 40 mmhg or greater_ custom_ each","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"A6561","description":"Gradient compression stocking_ full length/chap style_ 40 mmhg or greater_ custom_ each","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"EDHC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Patients who use hospice services any time during the measurement period","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G9700","description":"Patients who use hospice services any time during the measurement period","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-2CHMV","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"2CHMV","description":"HIPPS-2CHMV","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-J2865","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"J2865","description":"HCPCS-J2865","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Rep part denture cast frame","billing_code_type":"CDT","billing_code_type_version":"2024","billing_code":"D5620","description":"Rep part denture cast frame","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"DIWD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Imp neurosti pls gn any type","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"L8679","description":"Imp neurosti pls gn any type","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"PFSC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Skin sub grft t/arm/lg child","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"15273","description":"Skin sub grft t/arm/lg child","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Lancets per box","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"A4259","description":"Lancets per box","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Rmvl artific disc addl crvcl","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0095T","description":"Rmvl artific disc addl crvcl","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MDDF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Hit antibiotic total diem","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"S9494","description":"Hit antibiotic total diem","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BHPC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"N block inj paracervical","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"64435","description":"N block inj paracervical","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RUX22","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RUX22","description":"HIPPS-RUX22","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Ht muscle image planar sing","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"78453","description":"Ht muscle image planar sing","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Maintenance 5% WL from baseline weight in months 7-12","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G9888","description":"Maintenance 5% WL from baseline weight in months 7-12","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KIYA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Portable gaseous 02","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"E0431","description":"Portable gaseous 02","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"ODVC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NEKC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Body pos goal status","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G8982","description":"Body pos goal status","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"AFME0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Adjacent tissue transfer or rearrangement_ any area; each additional 30.0 s","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"2025F","description":"Adjacent tissue transfer or rearrangement_ any area; each additional 30.0 s","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OABE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JDLB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"O shoe add horseshoe toe tap","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"L3560","description":"O shoe add horseshoe toe tap","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NDTB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KCOD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Motor speech current status","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G8999","description":"Motor speech current status","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"CPT-01780","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"01780","description":"CPT-01780","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Term dev mech hook vol open","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"L6706","description":"Term dev mech hook vol open","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OGWC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MKCE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"PCRF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Office/outpatient visit est","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"99214","description":"Office/outpatient visit est","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Excise excess skin fat pad","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"15838","description":"Excise excess skin fat pad","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Air ambulan nonemerg rotary","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"S9961","description":"Air ambulan nonemerg rotary","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GDJD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FFUB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Hyperthermia treatment","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"77600","description":"Hyperthermia treatment","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-ES31B","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"ES31B","description":"HIPPS-ES31B","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GHGA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Occlusive eye patch","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"A6412","description":"Occlusive eye patch","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BBTB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NKGF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"LIRE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GFED1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MKTF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JIJD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BFHC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MIAA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CCOE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MFAE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"LGOC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OLOB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Optx of rib fx w/fixj scope","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"21811","description":"Optx of rib fx w/fixj scope","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FGVD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"ACLA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Home uterine monitor with or","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"S9001","description":"Home uterine monitor with or","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Art byp tibial-tib/peroneal","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"35570","description":"Art byp tibial-tib/peroneal","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Trapeze bar free standing","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"E0940","description":"Trapeze bar free standing","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Pericardial Drainage With Insertion Of Indwelling Catheter_ Percutaneous_ Including Ct Guidance","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"33019","description":"Pericardial Drainage With Insertion Of Indwelling Catheter_ Percutaneous_ Including Ct Guidance","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JFKE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BABA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BGNB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-4BGKX","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"4BGKX","description":"HIPPS-4BGKX","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-3BHM3","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"3BHM3","description":"HIPPS-3BHM3","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MGID1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NEDB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Alveolus clsd reduc stblz te","billing_code_type":"CDT","billing_code_type_version":"2024","billing_code":"D7771","description":"Alveolus clsd reduc stblz te","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Tlso flex trnk sj-t9 pre ots","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"L0455","description":"Tlso flex trnk sj-t9 pre ots","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"CPT-1065T","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"1065T","description":"CPT-1065T","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NBHE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-LC20D","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"LC20D","description":"HIPPS-LC20D","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Ppsv23 vacc 2 yrs+ subq/im","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"90732","description":"Ppsv23 vacc 2 yrs+ subq/im","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NFKE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-M1492","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"M1492","description":"HCPCS-M1492","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"ECIF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Anesth removal of testis","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"92652","description":"Anesth removal of testis","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Powered air mattress overlay","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"E0372","description":"Powered air mattress overlay","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Remove femur lesion/bursa","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"27062","description":"Remove femur lesion/bursa","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Injection_ filgrastim-aafi_ biosimilar_ (Nivestym)_ 1 mcg","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"Q5110","description":"Injection_ filgrastim-aafi_ biosimilar_ (Nivestym)_ 1 mcg","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KDKB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RMA43","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RMA43","description":"HIPPS-RMA43","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-BB117","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"BB117","description":"HIPPS-BB117","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KARF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"PCRD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Gradient compression bandaging supply_ padded foam_ per linear yard_ any width_ each","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"A6605","description":"Gradient compression bandaging supply_ padded foam_ per linear yard_ any width_ each","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"IHEC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MKBF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OCLC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GFPD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GGXF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Dental onlay metallic 2 surf","billing_code_type":"CDT","billing_code_type_version":"2024","billing_code":"D2542","description":"Dental onlay metallic 2 surf","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BGTF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OHBA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Injection_ pegfilgrastim_ excludes biosimilar_ 0.5 mg","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"J2506","description":"Injection_ pegfilgrastim_ excludes biosimilar_ 0.5 mg","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-HE28D","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"HE28D","description":"HIPPS-HE28D","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"EGAA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Tissue not image intraop","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G8874","description":"Tissue not image intraop","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GHLD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Repl batt for aed","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"K0607","description":"Repl batt for aed","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OKYD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JCAE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GETC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FITF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CDOE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GIJE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Cult epiderm grft f/n/hfg +%","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"15157","description":"Cult epiderm grft f/n/hfg +%","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Stem cells total count","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"86367","description":"Stem cells total count","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KFTB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-PE156","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"PE156","description":"HIPPS-PE156","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"EAHF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Reinforce eye wall","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"67250","description":"Reinforce eye wall","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Radiation Therapy For Anal Cancer Under The Radiation Oncology Model_ 90 Day Episode_ Professional Component","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"M1072","description":"Radiation Therapy For Anal Cancer Under The Radiation Oncology Model_ 90 Day Episode_ Professional Component","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KFOB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JIKC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Prep renal graft/ureteral","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"50329","description":"Prep renal graft/ureteral","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KIHA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"EAME1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BINF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Ct angiography neck","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"70498","description":"Ct angiography neck","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Repair blood vessel lesion","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"35184","description":"Repair blood vessel lesion","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Zaire ebolavirus vaccine_ live_ for intramuscular use","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"90758","description":"Zaire ebolavirus vaccine_ live_ for intramuscular use","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-PD25A","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"PD25A","description":"HIPPS-PD25A","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Destruction of skin lesions","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"17282","description":"Destruction of skin lesions","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MDDF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Prostate ca screening; dre","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G0102","description":"Prostate ca screening; dre","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-LC20A","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"LC20A","description":"HIPPS-LC20A","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OLIC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Revision of spinal shunt","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"63744","description":"Revision of spinal shunt","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Radiation Therapy For Bone Metastases Under The Radiation Oncology Model_ 90 Day Episode_ Technical Component","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"M1077","description":"Radiation Therapy For Bone Metastases Under The Radiation Oncology Model_ 90 Day Episode_ Technical Component","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Contrast x-ray of brain","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"70015","description":"Contrast x-ray of brain","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NKXA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"No record of HBV results documented","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G9915","description":"No record of HBV results documented","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Lead_ neurostimulator","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"C1778","description":"Lead_ neurostimulator","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Thiopurine S-methyltransferase (TPMT)","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"84433","description":"Thiopurine S-methyltransferase (TPMT)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CGIB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"EGTC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"DDRA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KEHA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KIFA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Amnt pain noted none prsnt","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"1126F","description":"Amnt pain noted none prsnt","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NHAE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-E0737","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"E0737","description":"HCPCS-E0737","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NKBB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Assay of blood pku","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"84030","description":"Assay of blood pku","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"HERB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JHIF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Below elbow myoelectronic ct","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"L6935","description":"Below elbow myoelectronic ct","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Removal of permanently implantable aortic counterpulsation ventricular assist system; aortic counterpulsation device and vascular hemostatic seal","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0456T","description":"Removal of permanently implantable aortic counterpulsation ventricular assist system; aortic counterpulsation device and vascular hemostatic seal","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Modify speech aid prosthesis","billing_code_type":"CDT","billing_code_type_version":"2024","billing_code":"D5960","description":"Modify speech aid prosthesis","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RLA52","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RLA52","description":"HIPPS-RLA52","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Drug screening tapentadol","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"80372","description":"Drug screening tapentadol","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BCEA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Rbc osmotic fragility","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"85555","description":"Rbc osmotic fragility","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"IHID1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Correct rectal prolapse","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"45540","description":"Correct rectal prolapse","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-2AHK2","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"2AHK2","description":"HIPPS-2AHK2","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"A/d tx program_ per hour","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"H2035","description":"A/d tx program_ per hour","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Elbow orthosis (EO)_ with adjustable position locking joint(s)_ prefabricated_ off-the-shelf","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"L3761","description":"Elbow orthosis (EO)_ with adjustable position locking joint(s)_ prefabricated_ off-the-shelf","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Dialysis procedure","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"90999","description":"Dialysis procedure","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RML13","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RML13","description":"HIPPS-RML13","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Cocoon membrane_ per square centimeter","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"Q4264","description":"Cocoon membrane_ per square centimeter","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Elbow arthroscopy","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"29830","description":"Elbow arthroscopy","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"DGRF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-PD13D","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"PD13D","description":"HIPPS-PD13D","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OHFF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Blood mucoprotein","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"P2038","description":"Blood mucoprotein","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RHC5D","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RHC5D","description":"HIPPS-RHC5D","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"CPT-37255","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"37255","description":"CPT-37255","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"One-way allow prorated miles","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"P9603","description":"One-way allow prorated miles","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Cath_ trans atherec_rotation","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"C1724","description":"Cath_ trans atherec_rotation","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Facial augmentation implant","billing_code_type":"CDT","billing_code_type_version":"2024","billing_code":"D5925","description":"Facial augmentation implant","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GCJF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"AHDC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GAHC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NKED0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Trim skin lesion","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"11055","description":"Trim skin lesion","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NEIE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-LC28A","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"LC28A","description":"HIPPS-LC28A","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MDIC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MGTD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"CPT-0504U","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"0504U","description":"CPT-0504U","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CCVD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RHA35","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RHA35","description":"HIPPS-RHA35","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"IGCF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NGGD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"PGRA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Gastrointestinal repair","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"43361","description":"Gastrointestinal repair","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JDBB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GDMF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Release of foot tendons","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"28226","description":"Release of foot tendons","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GAKF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Tmj reshaping components","billing_code_type":"CDT","billing_code_type_version":"2024","billing_code":"D7865","description":"Tmj reshaping components","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JBDE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Backbench standard preparation of cadaver or living donor uterine allograft prior to transplantation_ including dissection and removal of surrounding soft tissues and preparat","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0668T","description":"Backbench standard preparation of cadaver or living donor uterine allograft prior to transplantation_ including dissection and removal of surrounding soft tissues and preparat","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OFVB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"AEUF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HH PDGM","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"4GA11","description":"HH PDGM","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KCAB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"ADCF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Relocation of pulse generator for wireless cardiac stimulator for left ventricular pacing_ including device interrogation and programming; battery component only","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0862T","description":"Relocation of pulse generator for wireless cardiac stimulator for left ventricular pacing_ including device interrogation and programming; battery component only","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NCBF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Patients With A Catheter That Have Limited Life Expectancy","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G0050","description":"Patients With A Catheter That Have Limited Life Expectancy","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Serial salivary imaging","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"78231","description":"Serial salivary imaging","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OFYF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-3BGL3","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"3BGL3","description":"HIPPS-3BGL3","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BEBC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Amputation of finger/thumb","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"26951","description":"Amputation of finger/thumb","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"PBYA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Revise spinal cord vsls crvl","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"63250","description":"Revise spinal cord vsls crvl","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OERF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Nasal vaccine inhalation","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"J3530","description":"Nasal vaccine inhalation","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"EABE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Patient did not receive chemotherapy in the last 14 days of life","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G9848","description":"Patient did not receive chemotherapy in the last 14 days of life","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KFTA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Collect & prep saliva sample","billing_code_type":"CDT","billing_code_type_version":"2024","billing_code":"D0417","description":"Collect & prep saliva sample","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Alloskin","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"Q4115","description":"Alloskin","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Capsaicin 8% patch","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"J7336","description":"Capsaicin 8% patch","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Absorpt drg >16 <=48 w/o bdr","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"A6252","description":"Absorpt drg >16 <=48 w/o bdr","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Shoulder arthroscopy/surgery","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"29806","description":"Shoulder arthroscopy/surgery","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"PuraPly AM_ per sq cm","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"Q4196","description":"PuraPly AM_ per sq cm","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CIEA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Documentation Stating Patient Has A Diagnosis Of A Degenerative Neurological Condition Such As Als_ Ms_ Or Parkinson_S Diagnosed At Any Time Before Or During The Episode Of Ca","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"M1131","description":"Documentation Stating Patient Has A Diagnosis Of A Degenerative Neurological Condition Such As Als_ Ms_ Or Parkinson_S Diagnosed At Any Time Before Or During The Episode Of Ca","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MIBD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Lefort i-1 piece w/o graft","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"21141","description":"Lefort i-1 piece w/o graft","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-ES21C","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"ES21C","description":"HIPPS-ES21C","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-5CGK3","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"5CGK3","description":"HIPPS-5CGK3","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Reconstruction of eyelid","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"67971","description":"Reconstruction of eyelid","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Replace tricuspid valve","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"33465","description":"Replace tricuspid valve","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"N block inj hypogas plxs","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"64517","description":"N block inj hypogas plxs","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JINB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Vein x-ray spleen/liver","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"75810","description":"Vein x-ray spleen/liver","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-LC15C","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"LC15C","description":"HIPPS-LC15C","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JHED1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Treatment of ankle fracture","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"27810","description":"Treatment of ankle fracture","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OIRA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"LCRC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Gated heart multiple","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"78473","description":"Gated heart multiple","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Suction pump_ home model_ portable or stationary_ electric_ any type_ for use with external urine management system","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"E2001","description":"Suction pump_ home model_ portable or stationary_ electric_ any type_ for use with external urine management system","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FDXF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CAJA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BGPE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KHRD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KHKD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"AFBC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KANA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"DERA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OGQB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Removal of epididymis","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"54861","description":"Removal of epididymis","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Qualified Nonphysician Health Care Professional Online Digital Evaluation And Management Service_ For An Established Patient_ For Up To 7 Days_ Cumulative Time During The 7 Da","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"98972","description":"Qualified Nonphysician Health Care Professional Online Digital Evaluation And Management Service_ For An Established Patient_ For Up To 7 Days_ Cumulative Time During The 7 Da","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CFIF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"IGIC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"HEWB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"CPT-00192","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"00192","description":"CPT-00192","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"ODOE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Addition_ endoskeletal knee-shin system_ 4 bar linkage or multiaxial_ fluid swing and stance phase control","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"K1014","description":"Addition_ endoskeletal knee-shin system_ 4 bar linkage or multiaxial_ fluid swing and stance phase control","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NCHD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OKNE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-3BFPX","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"3BFPX","description":"HIPPS-3BFPX","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-J0169","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"J0169","description":"HCPCS-J0169","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NHGA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RVC41","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RVC41","description":"HIPPS-RVC41","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RMB0D","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RMB0D","description":"HIPPS-RMB0D","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"CPT-1070T","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"1070T","description":"CPT-1070T","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MALB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KAHC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KCVC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Facial nerve function test","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"92516","description":"Facial nerve function test","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Lengthen radius & ulna","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"25393","description":"Lengthen radius & ulna","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GGEE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RMC07","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RMC07","description":"HIPPS-RMC07","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KCEB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"EGDC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BFUC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Tube_ pneumatic caster tire","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"E2385","description":"Tube_ pneumatic caster tire","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OFQC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"DHYB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KAPA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"PBQC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Ultra High Rehab _ ADL Index 11-16/Stand-alone OBRA SCSA OR SCPA OR CCA.","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"RUC01","description":"Ultra High Rehab _ ADL Index 11-16/Stand-alone OBRA SCSA OR SCPA OR CCA.","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Cystourethro w/implant","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"52441","description":"Cystourethro w/implant","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FCPB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Anesth for liver biopsy","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"70251","description":"Anesth for liver biopsy","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-CB23A","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"CB23A","description":"HIPPS-CB23A","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"LHYF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MAIF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Afo tibial fracture soft","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"L2112","description":"Afo tibial fracture soft","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Pasrr level i","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"T2010","description":"Pasrr level i","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Revision of circulation","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"37160","description":"Revision of circulation","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Replacement nasal cushion","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"A7032","description":"Replacement nasal cushion","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-M1378","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"M1378","description":"HCPCS-M1378","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Incision of urethra","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"53025","description":"Incision of urethra","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CDUE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Fun stat score hip pt no elg","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G8653","description":"Fun stat score hip pt no elg","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OJKC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NBND0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Baseline mrs > 2","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"M1236","description":"Baseline mrs > 2","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GCCC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CCHF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MJCA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BBKA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Absorpt drg >16<=48 in w/bdr","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"A6255","description":"Absorpt drg >16<=48 in w/bdr","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Cardiology (coronary heart disease [CHD])_ DNA_ analysis of 5 single-nucleotide polymorphisms (SNPs) (rs11716050 [LOC105376934]_ rs6560711 [WDR37]_ rs3735222 [SCIN/LOC10798676","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0439U","description":"Cardiology (coronary heart disease [CHD])_ DNA_ analysis of 5 single-nucleotide polymorphisms (SNPs) (rs11716050 [LOC105376934]_ rs6560711 [WDR37]_ rs3735222 [SCIN/LOC10798676","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MLTB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NAPA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-M1500","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"M1500","description":"HCPCS-M1500","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"PEWE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"EDMA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Canal prep/fitting of dowel","billing_code_type":"CDT","billing_code_type_version":"2024","billing_code":"D3950","description":"Canal prep/fitting of dowel","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Anes medscpy&thorscpy 1 lung","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"52951","description":"Anes medscpy&thorscpy 1 lung","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-PA160","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"PA160","description":"HIPPS-PA160","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"EECA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NANE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Air elevator for heel","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"E0370","description":"Air elevator for heel","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"PLYD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BCDC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"CPT-1094T","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"1094T","description":"CPT-1094T","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Influenza imm rec","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"4035F","description":"Influenza imm rec","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"ODRD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-CD28D","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"CD28D","description":"HIPPS-CD28D","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HH PDGM","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"4BC21","description":"HH PDGM","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CFWB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OABD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CEYD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"ABHA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GDXC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GFPA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"LIWB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CFLE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KCHF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BDUA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Peritoneal lavage","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"49084","description":"Peritoneal lavage","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Remove blood clot from eye","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"65930","description":"Remove blood clot from eye","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"CPT-0648U","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"0648U","description":"CPT-0648U","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CFHF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"CPT-91125","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"91125","description":"CPT-91125","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GCQD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JAFE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MLMF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FEUA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Remove by ligat int hem grp","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"46945","description":"Remove by ligat int hem grp","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Reconstruction ankle joint","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"27703","description":"Reconstruction ankle joint","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JDDC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Written discharge instr prvd","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"4014F","description":"Written discharge instr prvd","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NHKA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"PASA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FDNB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GHPF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Injection_ cyclophosphamide_ (AuroMedics)_ 5 mg","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"J9071","description":"Injection_ cyclophosphamide_ (AuroMedics)_ 5 mg","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"DAWE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Repair of anterior abdominal hernia(s) (ie_ epigastric_ incisional_ ventral_ umbilical_ spigelian)_ any approach (ie_ open_ laparoscopic_ robotic)_ initial_ including implanta","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"49593","description":"Repair of anterior abdominal hernia(s) (ie_ epigastric_ incisional_ ventral_ umbilical_ spigelian)_ any approach (ie_ open_ laparoscopic_ robotic)_ initial_ including implanta","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MCAC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BIDA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"EGIF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NDMA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Incision of bile duct","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"47420","description":"Incision of bile duct","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MGCC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KBHD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Fistula repair transperine","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"57308","description":"Fistula repair transperine","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-PB114","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"PB114","description":"HIPPS-PB114","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"External Electrocardiographic Recording For More Than 48 Hours Up To 7 Days By Continuous Rhythm Recording And Storage; Scanning Analysis With Report","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"93243","description":"External Electrocardiographic Recording For More Than 48 Hours Up To 7 Days By Continuous Rhythm Recording And Storage; Scanning Analysis With Report","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Replace lensshield cartridge","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"A4257","description":"Replace lensshield cartridge","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MEIC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JGEC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"HHSE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Treatment of thigh fracture","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"27503","description":"Treatment of thigh fracture","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"AEHF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"teledentistry synchronous real time encounter","billing_code_type":"CDT","billing_code_type_version":"2024","billing_code":"D9995","description":"teledentistry synchronous real time encounter","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OAOB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Saliva test_ hormone level;","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"S3652","description":"Saliva test_ hormone level;","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Methacholine chloride_ neb","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"J7674","description":"Methacholine chloride_ neb","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"IGIB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FBNC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Injection_ cabotegravir and rilpivirine_ 2 mg/3 mg","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"J0741","description":"Injection_ cabotegravir and rilpivirine_ 2 mg/3 mg","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"PGWC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"DFRC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FBXE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CHXD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Interventional Radiology Mips Specialty Set","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G4012","description":"Interventional Radiology Mips Specialty Set","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-CB114","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"CB114","description":"HIPPS-CB114","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JCKF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-1BGLV","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"1BGLV","description":"HIPPS-1BGLV","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Cytopathology procedure","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"88199","description":"Cytopathology procedure","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KCBE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-LC241","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"LC241","description":"HIPPS-LC241","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GDWD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Cam relese assem ftrst/lgrst","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"K0051","description":"Cam relese assem ftrst/lgrst","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GEUB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"AHDB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Anesthesia for procedures on eye; iridectomy","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0121U","description":"Anesthesia for procedures on eye; iridectomy","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Planar back for ped size wc","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"E2291","description":"Planar back for ped size wc","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KFPA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Tdap vaccine 7 yrs/> im","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"90715","description":"Tdap vaccine 7 yrs/> im","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Drainage of tonsil abscess","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"42700","description":"Drainage of tonsil abscess","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"AIDF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Initial treatment of burn(s)","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"16000","description":"Initial treatment of burn(s)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"ECHA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FDCD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GIHD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CDKF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"EEAE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Dermabind ch_ per square centimeter","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"Q4288","description":"Dermabind ch_ per square centimeter","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"EIED0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GGXB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"PCQC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"AGBD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Lipopro bld electrophoretic","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"83700","description":"Lipopro bld electrophoretic","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"DAQA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JEIF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Acoustic immitance testing","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"92570","description":"Acoustic immitance testing","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Crown-indirect resin based","billing_code_type":"CDT","billing_code_type_version":"2024","billing_code":"D6710","description":"Crown-indirect resin based","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MLHF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-J3268","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"J3268","description":"HCPCS-J3268","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Patient refused to participate","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G9736","description":"Patient refused to participate","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Nephrology (chronic kidney disease)_ apolipoprotein A4 (ApoA4)_ CD5 antigen-like (CD5L)_ and insulin-like growth factor binding protein 3 (IGFBP3) by enzyme-linked immunoassay","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0385U","description":"Nephrology (chronic kidney disease)_ apolipoprotein A4 (ApoA4)_ CD5 antigen-like (CD5L)_ and insulin-like growth factor binding protein 3 (IGFBP3) by enzyme-linked immunoassay","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FEAB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NDBE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Removal neck/armpit lesion","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"38555","description":"Removal neck/armpit lesion","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Assay of lactic acid","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"83605","description":"Assay of lactic acid","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"PHRB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NCUC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Prepare face/oral prosthesis","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"21082","description":"Prepare face/oral prosthesis","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Walker wheel attachment_pair","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"E0155","description":"Walker wheel attachment_pair","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KEOC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KIQC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Qual life tool 2x same/impr","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G9634","description":"Qual life tool 2x same/impr","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Excision of rectal prolapse","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"45135","description":"Excision of rectal prolapse","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"5% dextrose with potassium","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"S5012","description":"5% dextrose with potassium","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-PE24D","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"PE24D","description":"HIPPS-PE24D","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Patients 66-80 Years Of Age With At Least One Claim/Encounter For Frailty During The Measurement Period And Either One Acute Inpatient Encounter With A Diagnosis Of Advanced I","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G2117","description":"Patients 66-80 Years Of Age With At Least One Claim/Encounter For Frailty During The Measurement Period And Either One Acute Inpatient Encounter With A Diagnosis Of Advanced I","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KCVD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KFYD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NCPC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Therapeutic Interventions That Focus On Cognitive Function (Eg_ Attention_ Memory_ Reasoning_ Executive Function_ Problem Solving_ And/Or Pragmatic Functioning) And Compensato","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"97130","description":"Therapeutic Interventions That Focus On Cognitive Function (Eg_ Attention_ Memory_ Reasoning_ Executive Function_ Problem Solving_ And/Or Pragmatic Functioning) And Compensato","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Serv asmnt/care plan waiver","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"T2024","description":"Serv asmnt/care plan waiver","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NIUB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-1BHLS","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"1BHLS","description":"HIPPS-1BHLS","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"EBHC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CGPD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KGVC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BDTD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Motion analysis video/3d","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"96000","description":"Motion analysis video/3d","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JEHA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Endovenous femoral-popliteal arterial revascularization_ with transcatheter placement of intravascular stent graft(s) and closure by any method_ including percutaneous or open","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0505T","description":"Endovenous femoral-popliteal arterial revascularization_ with transcatheter placement of intravascular stent graft(s) and closure by any method_ including percutaneous or open","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CHLE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"LBWE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Barium swallow test ordered","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"3142F","description":"Barium swallow test ordered","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Craniofacial approach skull","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"61583","description":"Craniofacial approach skull","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-HC10C","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"HC10C","description":"HIPPS-HC10C","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Thxp apheresis w/hdl delip","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0342T","description":"Thxp apheresis w/hdl delip","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Partial removal of lung","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"32480","description":"Partial removal of lung","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"ODIA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JEIA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-1CFKV","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"1CFKV","description":"HIPPS-1CFKV","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NKBB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-4AHM1","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"4AHM1","description":"HIPPS-4AHM1","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Genome sequence analysis","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"81425","description":"Genome sequence analysis","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Dna analysis ret-oncogene","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"S3840","description":"Dna analysis ret-oncogene","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JDDF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"PIWC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"History of preoperative posterior capsule rupture","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G9759","description":"History of preoperative posterior capsule rupture","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NLDD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"HEYC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KBTA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Ajcc brst cncr stage 0 docd","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"3370F","description":"Ajcc brst cncr stage 0 docd","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"IEUC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"LGRA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"EFBB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Lso sagit rigid panel prefab","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"L0635","description":"Lso sagit rigid panel prefab","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Anesth head/neck/ptrunk","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"30051","description":"Anesth head/neck/ptrunk","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Nrv cndj test 9-10 studies","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"95911","description":"Nrv cndj test 9-10 studies","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Hm gest dm per diem","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"S9214","description":"Hm gest dm per diem","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-LB254","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"LB254","description":"HIPPS-LB254","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GETE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BBHE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Esrd srv 2-3 vsts p mo 20+","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"90961","description":"Esrd srv 2-3 vsts p mo 20+","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-1AFLS","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"1AFLS","description":"HIPPS-1AFLS","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JAFC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Beta not given no reason","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G9188","description":"Beta not given no reason","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"CPT-27458","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"27458","description":"CPT-27458","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JCGB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"L/s ratio fetal lung","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"83661","description":"L/s ratio fetal lung","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GDVD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RUB21","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RUB21","description":"HIPPS-RUB21","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MLAD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KIBE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BHMA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Pwc acc_ lith-based battery","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"E2397","description":"Pwc acc_ lith-based battery","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SMN1 (survival of motor neuron 1_ telomeric) (eg_ spinal muscular atrophy) gene analysis; dosage/deletion analysis (eg_ carrier testing)_ includes SMN2 (survival of motor neur","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"81329","description":"SMN1 (survival of motor neuron 1_ telomeric) (eg_ spinal muscular atrophy) gene analysis; dosage/deletion analysis (eg_ carrier testing)_ includes SMN2 (survival of motor neur","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Bridge repair","billing_code_type":"CDT","billing_code_type_version":"2024","billing_code":"D6980","description":"Bridge repair","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BFLE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Chemical peel face dermal","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"15789","description":"Chemical peel face dermal","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Oncology (plasma cell disorders and myeloma)_ circulating plasma cell immunologic selection_ identification_ morphological characterization_ and enumeration of plasma cells","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0337U","description":"Oncology (plasma cell disorders and myeloma)_ circulating plasma cell immunologic selection_ identification_ morphological characterization_ and enumeration of plasma cells","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MDAD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JBKB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Exploration of middle ear","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"69440","description":"Exploration of middle ear","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Blood glucose monitor home","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"E0607","description":"Blood glucose monitor home","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Removal of suture from anus","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"46754","description":"Removal of suture from anus","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CAFA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CACB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Shave skin lesion 0.5 cm/<","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"11300","description":"Shave skin lesion 0.5 cm/<","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Incision of sperm duct","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"55200","description":"Incision of sperm duct","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"AGEE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MKLA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RVL5C","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RVL5C","description":"HIPPS-RVL5C","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Ire abltj 1+tum organ perq","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0600T","description":"Ire abltj 1+tum organ perq","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CIMA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Repair of fibula epiphysis","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"27732","description":"Repair of fibula epiphysis","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BEVA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BHKA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Injection(s)_ of diagnostic or therapeutic substance(s) (eg_ anesthetic_ antispasmodic_ opioid_ steroid_ other solution)_ not including neurolytic substances_ including needle","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"62320","description":"Injection(s)_ of diagnostic or therapeutic substance(s) (eg_ anesthetic_ antispasmodic_ opioid_ steroid_ other solution)_ not including neurolytic substances_ including needle","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Tongue and mouth surgery","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"41599","description":"Tongue and mouth surgery","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Prenatal vitamins 30 day","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"S0197","description":"Prenatal vitamins 30 day","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FGBF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Platelets_ each unit","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"P9019","description":"Platelets_ each unit","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Revision of heart chamber","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"92993","description":"Revision of heart chamber","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"IBBE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Approp oral rehyd recommd","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"4056F","description":"Approp oral rehyd recommd","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Conn tiss_ human(inc fascia)","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"C1762","description":"Conn tiss_ human(inc fascia)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OKHF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Enter infusion pump w/o alrm","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"B9000","description":"Enter infusion pump w/o alrm","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BBUC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Exc skin abd","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"15830","description":"Exc skin abd","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Lap ing hernia repair init","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"49650","description":"Lap ing hernia repair init","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Colpopexy intraperitoneal","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"57283","description":"Colpopexy intraperitoneal","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GCFB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"IGCA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"PAOB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GDLB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"CPT-01962","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"01962","description":"CPT-01962","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CAQE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Abd imag w/o liv/kid/adr les","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G9551","description":"Abd imag w/o liv/kid/adr les","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Ko elastic with joints","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"L1810","description":"Ko elastic with joints","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-CC216","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"CC216","description":"HIPPS-CC216","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-4AHK2","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"4AHK2","description":"HIPPS-4AHK2","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-C1901","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"C1901","description":"HCPCS-C1901","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Excision of skull tumor","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"61563","description":"Excision of skull tumor","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-Q4358","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"Q4358","description":"HCPCS-Q4358","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-CC260","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"CC260","description":"HIPPS-CC260","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"HFOC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Gallium nitrate injection","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"J1457","description":"Gallium nitrate injection","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BCUD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-G0569","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"G0569","description":"HCPCS-G0569","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CCMC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Nonpneumatic sequential compression garment_ full leg","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"K1032","description":"Nonpneumatic sequential compression garment_ full leg","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Gradient compression garment_ full leg and foot_ padded_ for nighttime use_ each","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"A6526","description":"Gradient compression garment_ full leg and foot_ padded_ for nighttime use_ each","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Chloroprocaine hcl injection","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"J2400","description":"Chloroprocaine hcl injection","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Lung ventilation imaging","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"78579","description":"Lung ventilation imaging","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Reproductive Medicine (Preimplantation Genetic Assessment)_ Analysis Of 24 Chromosomes Using Embryonic Dna Genomic Sequence Analysis For Aneuploidy_ And A Mitochondrial Dna Sc","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0254U","description":"Reproductive Medicine (Preimplantation Genetic Assessment)_ Analysis Of 24 Chromosomes Using Embryonic Dna Genomic Sequence Analysis For Aneuploidy_ And A Mitochondrial Dna Sc","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BFXD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GAMB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RVC35","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RVC35","description":"HIPPS-RVC35","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Lap rmvl gastr adj all parts","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"43774","description":"Lap rmvl gastr adj all parts","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BCEE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-LD18H","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"LD18H","description":"HIPPS-LD18H","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"EGHF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Clot inhibit prot s total","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"85305","description":"Clot inhibit prot s total","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BBMB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RUA8A","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RUA8A","description":"HIPPS-RUA8A","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NCPE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FDPE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KAXD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Ntsty modul rad tx dlvr smpl","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"77385","description":"Ntsty modul rad tx dlvr smpl","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Exam of cervix w/scope","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"57452","description":"Exam of cervix w/scope","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Neuropsychia interven rcvd","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"4526F","description":"Neuropsychia interven rcvd","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Hepc mg qual act perform","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G8549","description":"Hepc mg qual act perform","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BDJF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Skin sub graft f/n/hf/g addl","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"15276","description":"Skin sub graft f/n/hf/g addl","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GAGD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Low frequency non-thermal us","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"97610","description":"Low frequency non-thermal us","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Syst bp >/= 140 mm hg","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"3077F","description":"Syst bp >/= 140 mm hg","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Hepatitis g dna quant","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"87527","description":"Hepatitis g dna quant","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Remove extra spine segment","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"22116","description":"Remove extra spine segment","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-ATP21","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"ATP21","description":"HIPPS-ATP21","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KEVC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Radiation Therapy For Lung Cancer Under The Radiation Oncology Model_ 90 Day Episode_ Technical Component","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"M1095","description":"Radiation Therapy For Lung Cancer Under The Radiation Oncology Model_ 90 Day Episode_ Technical Component","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MDMD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JDIF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-BB14D","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"BB14D","description":"HIPPS-BB14D","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Remove vert idrl body crvcl","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"63304","description":"Remove vert idrl body crvcl","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BBEA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Ercp duct stent placement","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"43274","description":"Ercp duct stent placement","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Path rpt malig cancer docd","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"3318F","description":"Path rpt malig cancer docd","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Injection_ olaratumab_ 10 mg","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"C9485","description":"Injection_ olaratumab_ 10 mg","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MIHD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Injection for myelogram","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"62284","description":"Injection for myelogram","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Remove/graft bone lesion","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"26205","description":"Remove/graft bone lesion","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CISE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CFBE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BALF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MFDD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-PB104","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"PB104","description":"HIPPS-PB104","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-1CGMW","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"1CGMW","description":"HIPPS-1CGMW","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OHXA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"ACHA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Aortic dysfunction/dilation","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"81411","description":"Aortic dysfunction/dilation","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"HGOA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KFFF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-Q4334","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"Q4334","description":"HCPCS-Q4334","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"PKRC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FFAC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Injection_ risperidone_ (Uzedy)_ 1 mg","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"C9158","description":"Injection_ risperidone_ (Uzedy)_ 1 mg","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Amputation of forearm","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"25900","description":"Amputation of forearm","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BGED0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OCLF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Removal of lymph nodes neck","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"38724","description":"Removal of lymph nodes neck","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Knee arthroscopy/surgery","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"29886","description":"Knee arthroscopy/surgery","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"CPT-0960T","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"0960T","description":"CPT-0960T","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CDOD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Human ig sc","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"90284","description":"Human ig sc","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JIFB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Non-medical Transportation","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"W6110","description":"Non-medical Transportation","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Res care_ nos waiver/month","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"T2032","description":"Res care_ nos waiver/month","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BAPF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KBKB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"PFOF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GBCC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NJMC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"HEQD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-CD144","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"CD144","description":"HIPPS-CD144","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RMX0B","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RMX0B","description":"HIPPS-RMX0B","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-LC10D","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"LC10D","description":"HIPPS-LC10D","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Autopsy (necropsy) complete","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"88027","description":"Autopsy (necropsy) complete","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NCPF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BBXD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KDTC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-1CGM6","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"1CGM6","description":"HIPPS-1CGM6","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CDAD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NEME0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Fas/dir ldl 70-189mg/dl mst","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G9666","description":"Fas/dir ldl 70-189mg/dl mst","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OHXB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NGUE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OEFA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KHYD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GCUB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RVB0D","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RVB0D","description":"HIPPS-RVB0D","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GFUF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"PFWE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Initial Plmt Drug Eluting Ocular Insert Uni/Bi","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0444T","description":"Initial Plmt Drug Eluting Ocular Insert Uni/Bi","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KBIC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"AGUF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FBMB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BHBC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FDTF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NJJE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JDPA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CGOA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JENC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RUB3A","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RUB3A","description":"HIPPS-RUB3A","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KGSA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Open tx septal fx w/wo stabj","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"21336","description":"Open tx septal fx w/wo stabj","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Opto-acoustic imaging_ breast (including axilla when performed)_ unilateral_ with image documentation_ analysis and report_obtained with ultrasound examination","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"C9788","description":"Opto-acoustic imaging_ breast (including axilla when performed)_ unilateral_ with image documentation_ analysis and report_obtained with ultrasound examination","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FCHE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Fun stat score hip < 0","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G8652","description":"Fun stat score hip < 0","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CGXB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NBLE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BGNA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Exploration maxillary sinus","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"31020","description":"Exploration maxillary sinus","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"AIMF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Injection_ esmolol hydrochloride (wg critical care) not therapeutically equivalent to j1805_ 10 mg","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"J1806","description":"Injection_ esmolol hydrochloride (wg critical care) not therapeutically equivalent to j1805_ 10 mg","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Hhv-6 dna dir probe","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"87531","description":"Hhv-6 dna dir probe","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NCTC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-PD12A","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"PD12A","description":"HIPPS-PD12A","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-PC23D","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"PC23D","description":"HIPPS-PC23D","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"EHEF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Shave skin lesion 1.1-2.0 cm","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"11307","description":"Shave skin lesion 1.1-2.0 cm","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Electronic analysis with complex programming of implanted integrated neurostimulation system (eg_ electrode array and receiver)_ including contact group(s)_ amplitude_ pulse w","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0789T","description":"Electronic analysis with complex programming of implanted integrated neurostimulation system (eg_ electrode array and receiver)_ including contact group(s)_ amplitude_ pulse w","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Ht inj noc per diem","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"S9542","description":"Ht inj noc per diem","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Neg press ventilation cnp","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"94662","description":"Neg press ventilation cnp","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NDKE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-2BGLU","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"2BGLU","description":"HIPPS-2BGLU","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RVX20","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RVX20","description":"HIPPS-RVX20","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"DISC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Hearing aid_ digit_ mon_ bte","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"V5257","description":"Hearing aid_ digit_ mon_ bte","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Prost cncr rsk not lw/md/hgh","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"3274F","description":"Prost cncr rsk not lw/md/hgh","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CBND0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GIKF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FHXA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-CD10C","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"CD10C","description":"HIPPS-CD10C","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Radiologic examination_ spine_ entire_ survey study_ anteroposterior an lateral","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"72010","description":"Radiologic examination_ spine_ entire_ survey study_ anteroposterior an lateral","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CHBF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Insitu hybridization (fish)","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"88364","description":"Insitu hybridization (fish)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RHC06","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RHC06","description":"HIPPS-RHC06","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-PC15C","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"PC15C","description":"HIPPS-PC15C","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-J0525","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"J0525","description":"HCPCS-J0525","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Assay of troponin quant","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"84484","description":"Assay of troponin quant","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Infectious Agent Detection By Nucleic Acid (Dna Or Rna)_ Bartonella Henselae And Bartonella Quintana_ Droplet Digital Pcr (Ddpcr); Following Liquid Enrichment","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0302U","description":"Infectious Agent Detection By Nucleic Acid (Dna Or Rna)_ Bartonella Henselae And Bartonella Quintana_ Droplet Digital Pcr (Ddpcr); Following Liquid Enrichment","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Autologous Cellular Implant Derived From Adipose Tissue For The Treatment Of Osteoarthritis Of The Knees; Tissue Harvesting And Cellular Implant Creation","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0565T","description":"Autologous Cellular Implant Derived From Adipose Tissue For The Treatment Of Osteoarthritis Of The Knees; Tissue Harvesting And Cellular Implant Creation","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GBHB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Patient continued to have the retina attached at the 6 months follow up visit (+/- 1 month) following only one surgery","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G9376","description":"Patient continued to have the retina attached at the 6 months follow up visit (+/- 1 month) following only one surgery","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"LHQA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GIEB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"DFSA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OFDF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-BA22A","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"BA22A","description":"HIPPS-BA22A","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Office consultation","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"99241","description":"Office consultation","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Brachytx_ stranded_ nos","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"C2698","description":"Brachytx_ stranded_ nos","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-Q4371","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"Q4371","description":"HCPCS-Q4371","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-PD245","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"PD245","description":"HIPPS-PD245","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Strapping of chest","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"29200","description":"Strapping of chest","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Interrogation Device Evaluation (In Person) Of Implantable Cardioverter-Defibrillator System With Substernal Electrode_ With Analysis_ Review And Report By A Physician Or Othe","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0576T","description":"Interrogation Device Evaluation (In Person) Of Implantable Cardioverter-Defibrillator System With Substernal Electrode_ With Analysis_ Review And Report By A Physician Or Othe","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CAWC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BFEB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CBPA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Cvd risk assessment performed_ have a documented calculated risk score","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"M1258","description":"Cvd risk assessment performed_ have a documented calculated risk score","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Patients Received Both The 13-Valent Pneumococcal Conjugate Vaccine And The 23-Valent Pneumococcal Polysaccharide Vaccine At Least 12 Months Apart_ With The First Occurrence A","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G2157","description":"Patients Received Both The 13-Valent Pneumococcal Conjugate Vaccine And The 23-Valent Pneumococcal Polysaccharide Vaccine At Least 12 Months Apart_ With The First Occurrence A","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GGAA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GDYF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Rpr ventral hern init reduc","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"49560","description":"Rpr ventral hern init reduc","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"PARF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Exc forearm tum deep < 3 cm","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"25076","description":"Exc forearm tum deep < 3 cm","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"EAMC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-HE212","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"HE212","description":"HIPPS-HE212","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Injection_ nivolumab and relatlimab-rmbw_ 3 mg/1 mg","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"J9298","description":"Injection_ nivolumab and relatlimab-rmbw_ 3 mg/1 mg","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Injection_ aztreonam_ 500 mg","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"S0073","description":"Injection_ aztreonam_ 500 mg","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Skills training and development_ per diem","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"H2038","description":"Skills training and development_ per diem","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GATC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"BRCA1_ BRCA2 (breast cancer 1 and 2) (eg_ hereditary breast and ovarian cancer) gene analysis; uncommon duplication/deletion variants","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"81213","description":"BRCA1_ BRCA2 (breast cancer 1 and 2) (eg_ hereditary breast and ovarian cancer) gene analysis; uncommon duplication/deletion variants","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"HGOD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GDMB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RHA41","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RHA41","description":"HIPPS-RHA41","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NBBF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FDKF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-CA156","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"CA156","description":"HIPPS-CA156","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MJED0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"EDIC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Mandibular denture prosth","billing_code_type":"CDT","billing_code_type_version":"2024","billing_code":"D5935","description":"Mandibular denture prosth","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Pt w/dysphag/wt loss/nutr","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"3760F","description":"Pt w/dysphag/wt loss/nutr","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-HE13A","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"HE13A","description":"HIPPS-HE13A","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NIFC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-2BFMW","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"2BFMW","description":"HIPPS-2BFMW","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CAAC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"HASF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OJGF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Revise reconst elbow joint","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"24370","description":"Revise reconst elbow joint","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Quantitative Ultrasound Tissue Characterization (Non-Elastographic)_ Including Interpretation And Report_ Obtained Without Diagnostic Ultrasound Examination Of The Same Anatom","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0689T","description":"Quantitative Ultrasound Tissue Characterization (Non-Elastographic)_ Including Interpretation And Report_ Obtained Without Diagnostic Ultrasound Examination Of The Same Anatom","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Removable insert each","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"L6691","description":"Removable insert each","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Attendant care service /15m","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"S5125","description":"Attendant care service /15m","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JEJC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OKRB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Oncology (prostate)_ detection of 8 autoantibodies (ARF 6_ NKX3-1_ 5_-UTR-B","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0134U","description":"Oncology (prostate)_ detection of 8 autoantibodies (ARF 6_ NKX3-1_ 5_-UTR-B","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RHC2C","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RHC2C","description":"HIPPS-RHC2C","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Replcmnt breastpump lok ring","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"A4286","description":"Replcmnt breastpump lok ring","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NJIA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Instillation_ Bupivacaine And Meloxicam_ 1 Mg/0.03 Mg","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"C9088","description":"Instillation_ Bupivacaine And Meloxicam_ 1 Mg/0.03 Mg","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JGDB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Theragenesis_ Per Square Centimeter","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"A2008","description":"Theragenesis_ Per Square Centimeter","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OLVF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MBAD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RVC17","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RVC17","description":"HIPPS-RVC17","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GIFF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OJRD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MCEE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NICD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Myocardial imaging by magnetocardiography (MCG) for detection of cardiac ischemia_ by signal acquisition using minimum 36 channel grid_ generation of magnetic-field time-serie","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0542T","description":"Myocardial imaging by magnetocardiography (MCG) for detection of cardiac ischemia_ by signal acquisition using minimum 36 channel grid_ generation of magnetic-field time-serie","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Antineutrophil Cytoplasmic Antibody (Anca); Screen_ Each Antibody","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"86036","description":"Antineutrophil Cytoplasmic Antibody (Anca); Screen_ Each Antibody","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Inject/treat eye socket","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"67515","description":"Inject/treat eye socket","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"PJWD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"CPT-55712","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"55712","description":"CPT-55712","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Assay of vip","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"84586","description":"Assay of vip","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Implantation_ osseointegrated implant_ skull; with magnetic transcutaneous attachment to external speech processor_ outside of the mastoid and resulting in removal of greater","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"69729","description":"Implantation_ osseointegrated implant_ skull; with magnetic transcutaneous attachment to external speech processor_ outside of the mastoid and resulting in removal of greater","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RHX25","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RHX25","description":"HIPPS-RHX25","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GFOB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"ADEC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CFTA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NIXC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KHCD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-LC15B","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"LC15B","description":"HIPPS-LC15B","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Spherocylinder 4.25d/12-2d","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"V2107","description":"Spherocylinder 4.25d/12-2d","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Injection_ filgrastim-ayow_ biosimilar_ (Releuko)_ 1 mcg","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"C9096","description":"Injection_ filgrastim-ayow_ biosimilar_ (Releuko)_ 1 mcg","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Ewho rigid w/o jnts cf","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"L3763","description":"Ewho rigid w/o jnts cf","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"IIMD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-1BHPV","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"1BHPV","description":"HIPPS-1BHPV","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GIRA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NJEB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OAMF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"IICB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Eye photodynamic ther add-on","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"67225","description":"Eye photodynamic ther add-on","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Biopsy finger joint lining","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"26110","description":"Biopsy finger joint lining","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RMX03","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RMX03","description":"HIPPS-RMX03","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Hospice services provided to patient any time during the measurement period","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"M1159","description":"Hospice services provided to patient any time during the measurement period","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Removal of eye lesion","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"65400","description":"Removal of eye lesion","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JBMD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Crown resin w/ noble metal","billing_code_type":"CDT","billing_code_type_version":"2024","billing_code":"D2722","description":"Crown resin w/ noble metal","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Respiratory pathogen_ multiplex reverse transcription and multiplex amplified probe technique_ multiple types or subtypes_ 21 targets (adenovirus_ coronavirus 229E_ coronaviru","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0100U","description":"Respiratory pathogen_ multiplex reverse transcription and multiplex amplified probe technique_ multiple types or subtypes_ 21 targets (adenovirus_ coronavirus 229E_ coronaviru","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HH PDGM","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"2BC11","description":"HH PDGM","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Intraop kinetic balnce sensr","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0396T","description":"Intraop kinetic balnce sensr","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OBOE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Injection into brain canal","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"61026","description":"Injection into brain canal","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Ecg/monitoring and analysis","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"93271","description":"Ecg/monitoring and analysis","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-3CFM1","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"3CFM1","description":"HIPPS-3CFM1","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OGXB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Trans care mgmt 7 day disch","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"99496","description":"Trans care mgmt 7 day disch","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Oncology (prostate)_ exosome-based analysis of 53 small noncoding RNAs (sncRNAs) by quantitative reverse transcription polymerase chain reaction (RT-qPCR)_ urine_ reported as","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0424U","description":"Oncology (prostate)_ exosome-based analysis of 53 small noncoding RNAs (sncRNAs) by quantitative reverse transcription polymerase chain reaction (RT-qPCR)_ urine_ reported as","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Repair blood vessel lesion","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"35206","description":"Repair blood vessel lesion","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Doc med reas no follow imag","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G9555","description":"Doc med reas no follow imag","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Removal of sutures","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"S0630","description":"Removal of sutures","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Disp wound suct_ drsg/access","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"A9272","description":"Disp wound suct_ drsg/access","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Repair vessel graft defect","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"35870","description":"Repair vessel graft defect","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"LHOD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Art byp fem-ant-post tib/prl","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"35566","description":"Art byp fem-ant-post tib/prl","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GCKC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CAUA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NAGE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-4AGKS","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"4AGKS","description":"HIPPS-4AGKS","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"IAEB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Treat heel fracture","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"28415","description":"Treat heel fracture","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"LDWC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Thyroid met imaging/studies","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"78016","description":"Thyroid met imaging/studies","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-3CFKW","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"3CFKW","description":"HIPPS-3CFKW","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GDBA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BHNF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-CB28F","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"CB28F","description":"HIPPS-CB28F","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OKLF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-1AHN2","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"1AHN2","description":"HIPPS-1AHN2","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"PJOD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"PKQF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CFFE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RHL8B","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RHL8B","description":"HIPPS-RHL8B","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Treat humerus fracture","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"24530","description":"Treat humerus fracture","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"PDRE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KCWE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"PGQF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Infectious agent detection by nucleic acid (DNA or RNA)_ genitourinary pathogens_ identification of 20 bacterial and fungal organisms and identification of 16 associated antib","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0321U","description":"Infectious agent detection by nucleic acid (DNA or RNA)_ genitourinary pathogens_ identification of 20 bacterial and fungal organisms and identification of 16 associated antib","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GETA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CBID1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NADC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CHKF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"IDLE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CFTD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Repair urethrovaginal lesion","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"57310","description":"Repair urethrovaginal lesion","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"AFLF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CADE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"EGUC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NCNA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-3CHN6","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"3CHN6","description":"HIPPS-3CHN6","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Scope plantar fasciotomy","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"29893","description":"Scope plantar fasciotomy","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"HHWA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Cochlear device","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"L8614","description":"Cochlear device","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Arformoterol non-comp unit","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"J7605","description":"Arformoterol non-comp unit","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Cabg arterial two","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"33534","description":"Cabg arterial two","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Collagen dsg wound filler","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"A6024","description":"Collagen dsg wound filler","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NLIC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CCQA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JCCC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OAWB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Patients who were appropriately evaluated during the initial exam and were re-evaluated no later than 2 weeks","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"M1336","description":"Patients who were appropriately evaluated during the initial exam and were re-evaluated no later than 2 weeks","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"PFYF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-CA211","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"CA211","description":"HIPPS-CA211","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JDEE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Ecg monit/reprt up to 48 hrs","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"93226","description":"Ecg monit/reprt up to 48 hrs","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Retinal prosthesis_ includes all internal and external components; add-on to C1841","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"C1842","description":"Retinal prosthesis_ includes all internal and external components; add-on to C1841","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Ablate heart dysrhythm focus","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"93650","description":"Ablate heart dysrhythm focus","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FBCB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Ultrasound-based radiofrequency echographic multi-spectrometry (REMS)_ bone-density study and fracture-risk assessment_ 1 or more sites_ hips_ pelvis_ or spine","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0815T","description":"Ultrasound-based radiofrequency echographic multi-spectrometry (REMS)_ bone-density study and fracture-risk assessment_ 1 or more sites_ hips_ pelvis_ or spine","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Reconstruct bronchus","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"31775","description":"Reconstruct bronchus","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Oncology (minimal residual disease [MRD])_ next-generation targeted sequencing analysis of a patient-specific panel_ cell-free DNA_ subsequent assessment with comparison to pr","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0307U","description":"Oncology (minimal residual disease [MRD])_ next-generation targeted sequencing analysis of a patient-specific panel_ cell-free DNA_ subsequent assessment with comparison to pr","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FGDE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-5CFK2","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"5CFK2","description":"HIPPS-5CFK2","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NDXA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Resect face/scalp tum 2 cm/>","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"21016","description":"Resect face/scalp tum 2 cm/>","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Treat clavicle dislocation","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"23552","description":"Treat clavicle dislocation","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-HB105","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"HB105","description":"HIPPS-HB105","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JCDF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KHEA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OLEB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Suction susp ak/knee disart","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"L5652","description":"Suction susp ak/knee disart","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GGDA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BGVF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OAVB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FCLD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Calcitonin salmon injection","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"J0630","description":"Calcitonin salmon injection","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MKHB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Percutaneous transhepatic biliary drainage with contrast monitoring_ radiological supervision and interpretation","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"75980","description":"Percutaneous transhepatic biliary drainage with contrast monitoring_ radiological supervision and interpretation","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-4BFM5","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"4BFM5","description":"HIPPS-4BFM5","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JIXC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Anesth abdominal wall surg","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"70051","description":"Anesth abdominal wall surg","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-ES120","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"ES120","description":"HIPPS-ES120","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KGMC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RMB52","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RMB52","description":"HIPPS-RMB52","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NDNB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Biopsy thigh soft tissues","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"27324","description":"Biopsy thigh soft tissues","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JHEF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NJMD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RHX46","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RHX46","description":"HIPPS-RHX46","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MGIF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"PBOE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-LC14C","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"LC14C","description":"HIPPS-LC14C","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GGIF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Pwc gp2 std mult pow opt cap","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"K0842","description":"Pwc gp2 std mult pow opt cap","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Ext antenna phren nerve stim","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"L8696","description":"Ext antenna phren nerve stim","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KDRD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"ADHC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Abduct control hip semi-flex","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"L1630","description":"Abduct control hip semi-flex","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Sys<140 and dia<90","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G9273","description":"Sys<140 and dia<90","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NAHC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"N block lumbar/thoracic","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"64520","description":"N block lumbar/thoracic","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Transplant/graft palm tendon","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"26489","description":"Transplant/graft palm tendon","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OANA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Repair of leg nerve","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"64840","description":"Repair of leg nerve","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BBFC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-G0557","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"G0557","description":"HCPCS-G0557","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"V-band gastroplasty","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"43842","description":"V-band gastroplasty","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OASE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MFUC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Myelography lumbar injection","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"62304","description":"Myelography lumbar injection","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Patient provided a response other than completely true for the question of patient felt this provider and team saw me as a person_ not just someone with a medical problem","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"M1245","description":"Patient provided a response other than completely true for the question of patient felt this provider and team saw me as a person_ not just someone with a medical problem","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HH PDGM","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"1DC31","description":"HH PDGM","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-CC18E","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"CC18E","description":"HIPPS-CC18E","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-4CGKW","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"4CGKW","description":"HIPPS-4CGKW","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Tobacco use assessed","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"1000F","description":"Tobacco use assessed","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Diagnostic casts","billing_code_type":"CDT","billing_code_type_version":"2024","billing_code":"D0470","description":"Diagnostic casts","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OCVE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KDAA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Expandable controller_ repl","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"E2376","description":"Expandable controller_ repl","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"ACLC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CGFF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JDDE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NHGC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BCDD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-C0105","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"C0105","description":"HCPCS-C0105","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CEHB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Rho d immune globulin 50 mcg","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"J2788","description":"Rho d immune globulin 50 mcg","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-AAA54","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"AAA54","description":"HIPPS-AAA54","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Pt care icu&vent w/in 24hrs","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"4168F","description":"Pt care icu&vent w/in 24hrs","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FCKD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GARC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Mammogram one breast","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"77055","description":"Mammogram one breast","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Sigmoidoscopy w/fb removal","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"45332","description":"Sigmoidoscopy w/fb removal","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Cabg vein two","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"33511","description":"Cabg vein two","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"PEWA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Prefab porc/ceram crown pri","billing_code_type":"CDT","billing_code_type_version":"2024","billing_code":"D2929","description":"Prefab porc/ceram crown pri","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Cymetra injectable","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"Q4112","description":"Cymetra injectable","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"CPT-1080T","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"1080T","description":"CPT-1080T","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KIKC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Antidepressant tricyclic 3-5","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"80336","description":"Antidepressant tricyclic 3-5","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Wet mounts/ w preparations","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"Q0111","description":"Wet mounts/ w preparations","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GCLC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BFXE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FGDC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CDJE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Exc face tum deep 2 cm/>","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"21014","description":"Exc face tum deep 2 cm/>","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MJAB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JAMF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"PFQA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Body muscle testing manual","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"95833","description":"Body muscle testing manual","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NEBE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"PHQC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Clsd ostomy pouch faceplate","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"A5053","description":"Clsd ostomy pouch faceplate","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JAAF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NDHD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RLX41","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RLX41","description":"HIPPS-RLX41","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BABA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GGDB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CFHE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Revision of radius","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"25350","description":"Revision of radius","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HH PDGM","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"2CA11","description":"HH PDGM","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Ext wear ost skn barr <=4sqin","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"A4407","description":"Ext wear ost skn barr <=4sqin","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Ped term dev_ hook_ vol clos","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"L6712","description":"Ped term dev_ hook_ vol clos","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NBID0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"MRI orbt/fac/nck w/o &w/dye","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"70543","description":"MRI orbt/fac/nck w/o &w/dye","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MHCC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OKRF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Transcutaneous auricular neurostimulation_ set-up_ calibration_ and patient education on use of equipment","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0783T","description":"Transcutaneous auricular neurostimulation_ set-up_ calibration_ and patient education on use of equipment","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Ketamine and norketamine","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"80357","description":"Ketamine and norketamine","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NLEC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BDHC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MBUC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Surgery to stop leg growth","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"27485","description":"Surgery to stop leg growth","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OJMC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Hosp bed fx ht w/o rail w/o","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"E0291","description":"Hosp bed fx ht w/o rail w/o","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JCJB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GDIE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Patient unable to complete the FOTO lumbar intake PROM at admission and discharge due to blindness_ illiteracy_ severe mental incapacity or language incompatibility and an ade","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G9733","description":"Patient unable to complete the FOTO lumbar intake PROM at admission and discharge due to blindness_ illiteracy_ severe mental incapacity or language incompatibility and an ade","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CAWA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JEED1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-HB28E","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"HB28E","description":"HIPPS-HB28E","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FFVC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Re-Cement Or Re-Bond Fixed Retainer - Mandibular","billing_code_type":"CDT","billing_code_type_version":"2024","billing_code":"D8699","description":"Re-Cement Or Re-Bond Fixed Retainer - Mandibular","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GESA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RVB55","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RVB55","description":"HIPPS-RVB55","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GHBC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Melanomaajcc stage 0 or ia","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"3322F","description":"Melanomaajcc stage 0 or ia","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GHRE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RML02","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RML02","description":"HIPPS-RML02","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-BB206","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"BB206","description":"HIPPS-BB206","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"CPT-0512U","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"0512U","description":"CPT-0512U","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Principal Care Management Services_ For A Single High-Risk Disease_ With The Following Required Elements: One Complex Chronic Condition Expected To Last At Least 3 Months_ And","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"99425","description":"Principal Care Management Services_ For A Single High-Risk Disease_ With The Following Required Elements: One Complex Chronic Condition Expected To Last At Least 3 Months_ And","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RHB26","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RHB26","description":"HIPPS-RHB26","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-1AHPS","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"1AHPS","description":"HIPPS-1AHPS","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"EDTF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Bp not performed/doc","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G8478","description":"Bp not performed/doc","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Group psychotherapy service for diagnosis_ evaluation_ or treatment of a mental health or substance use disorder provided remotely by hospital staff who are licensed to provid","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"C7903","description":"Group psychotherapy service for diagnosis_ evaluation_ or treatment of a mental health or substance use disorder provided remotely by hospital staff who are licensed to provid","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Opn tx orbit fx periorbital","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"21386","description":"Opn tx orbit fx periorbital","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Influenza b ag if","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"87275","description":"Influenza b ag if","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"ABBB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"EEBA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KERB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KITF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Knee arthroscopy/drainage","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"29871","description":"Knee arthroscopy/drainage","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OIQB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OLMD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Treat humerus fracture","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"24546","description":"Treat humerus fracture","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GAPF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Repair arterial blockage","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"75962","description":"Repair arterial blockage","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MCUA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OFGB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Shave skin lesion >2.0 cm","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"11303","description":"Shave skin lesion >2.0 cm","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MFDF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Sperm isolation simple","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"89260","description":"Sperm isolation simple","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CDWD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NDPC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Transcochlear approach/skull","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"61596","description":"Transcochlear approach/skull","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Remove humerus lesion","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"23184","description":"Remove humerus lesion","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GBHB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Removal of vein clot","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"34401","description":"Removal of vein clot","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-CC114","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"CC114","description":"HIPPS-CC114","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Butorphanol tartrate 1 mg","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"J0595","description":"Butorphanol tartrate 1 mg","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JDMF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Facial moulage complete","billing_code_type":"CDT","billing_code_type_version":"2024","billing_code":"D5912","description":"Facial moulage complete","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"IBTA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-C0101","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"C0101","description":"HCPCS-C0101","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GIMC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KICC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Bypass graft patency/patch","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"35685","description":"Bypass graft patency/patch","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GADE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Exome sequence analysis","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"81415","description":"Exome sequence analysis","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"AHLD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FFXB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"HISE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Anesth iridectomy","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"14751","description":"Anesth iridectomy","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Health Care Practitioners Rendering Treatment In Place (Tip)","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G2021","description":"Health Care Practitioners Rendering Treatment In Place (Tip)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-C7567","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"C7567","description":"HCPCS-C7567","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Echo transthoracic","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"93304","description":"Echo transthoracic","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-PE105","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"PE105","description":"HIPPS-PE105","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CEWF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Dialysis procedure at a Medicare certified ESRD facility for acute kidney injury without ESRD","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G0491","description":"Dialysis procedure at a Medicare certified ESRD facility for acute kidney injury without ESRD","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Repair achilles tendon","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"27650","description":"Repair achilles tendon","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"EGIB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MFBD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Deep sedation/general anesthesia-each additional 15 minutes","billing_code_type":"CDT","billing_code_type_version":"2024","billing_code":"D9221","description":"Deep sedation/general anesthesia-each additional 15 minutes","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CIEB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Prep cadaver renal allograft","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"50323","description":"Prep cadaver renal allograft","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-BA234","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"BA234","description":"HIPPS-BA234","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Waist belt","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"L2190","description":"Waist belt","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"PJRD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Brachytx isodose plan simple","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"77316","description":"Brachytx isodose plan simple","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-3AHLT","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"3AHLT","description":"HIPPS-3AHLT","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Transfer tendon to pelvis","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"27098","description":"Transfer tendon to pelvis","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-2AFM6","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"2AFM6","description":"HIPPS-2AFM6","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"EGIE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Duodenal exclusion","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"48547","description":"Duodenal exclusion","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Low extemity neur exam docum","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G8404","description":"Low extemity neur exam docum","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GATD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Optx medial ankle fx","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"27766","description":"Optx medial ankle fx","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Revise vag graft open abd","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"57296","description":"Revise vag graft open abd","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Foll-up eval q3mo opiod tx","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G9562","description":"Foll-up eval q3mo opiod tx","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"CDT-D5948","billing_code_type":"CDT","billing_code_type_version":"2026","billing_code":"D5948","description":"CDT-D5948","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"PASF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Removal of external ear","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"69120","description":"Removal of external ear","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-PC21B","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"PC21B","description":"HIPPS-PC21B","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NATB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"LDWE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NLEF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MJHB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Moderate sedation services provided by a physician or other qualified health care professional other than the physician or other qualified health care professional performing","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"99157","description":"Moderate sedation services provided by a physician or other qualified health care professional other than the physician or other qualified health care professional performing","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GCVC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Colistimethate sodium inj","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"J0770","description":"Colistimethate sodium inj","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GEOF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Asthma measures grp","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G8645","description":"Asthma measures grp","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Epidural lysis mult sessions","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"62263","description":"Epidural lysis mult sessions","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Current cig smoker","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G9642","description":"Current cig smoker","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-LE23B","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"LE23B","description":"HIPPS-LE23B","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"DAWB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CCED0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GAKA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BIKB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Allergen specific IgE; qualitative_ multiallergen screen (eg_ disk_ sponge_ card)","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"86005","description":"Allergen specific IgE; qualitative_ multiallergen screen (eg_ disk_ sponge_ card)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NJXE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"DISA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Remove ext hem groups 2+","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"46250","description":"Remove ext hem groups 2+","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-HC15C","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"HC15C","description":"HIPPS-HC15C","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CEWD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"PFQA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Partial removal of arm bone","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"24140","description":"Partial removal of arm bone","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"ODCB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-CE21C","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"CE21C","description":"HIPPS-CE21C","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"PEOE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-LE104","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"LE104","description":"HIPPS-LE104","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KHGA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Exc f/e/e/n/l mal+mrg >4 cm","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"11646","description":"Exc f/e/e/n/l mal+mrg >4 cm","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CCDA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-E1803","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"E1803","description":"HCPCS-E1803","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GAKB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"CPT-00542","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"00542","description":"CPT-00542","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MKAE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MCDA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GIJB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Add tooth to partial denture","billing_code_type":"CDT","billing_code_type_version":"2024","billing_code":"D5650","description":"Add tooth to partial denture","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CDBA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Ecmo/ecls daily mgmt artery","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"33949","description":"Ecmo/ecls daily mgmt artery","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JDAD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"IIMF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Treat fracture of radius","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"25505","description":"Treat fracture of radius","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KAKA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BEBE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Infectious disease (bacterial or viral respiratory tract infection)_ pathogen specific nucleic acid (DNA or RNA)_ 33 targets_ real-time semi-quantitative PCR_ bronchoalveolar","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0151U","description":"Infectious disease (bacterial or viral respiratory tract infection)_ pathogen specific nucleic acid (DNA or RNA)_ 33 targets_ real-time semi-quantitative PCR_ bronchoalveolar","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Eye exam new patient","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"92002","description":"Eye exam new patient","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Explore and drain kidney","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"50125","description":"Explore and drain kidney","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FDBF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Albuterol ipratrop non-comp","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"J7620","description":"Albuterol ipratrop non-comp","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Alcohol and/or drug preventi","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"H0027","description":"Alcohol and/or drug preventi","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-3AHNX","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"3AHNX","description":"HIPPS-3AHNX","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OFCF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"AALA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NIPD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-4BFKV","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"4BFKV","description":"HIPPS-4BFKV","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GCQC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GBHC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MJAF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Repair/graft of foot tendon","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"28210","description":"Repair/graft of foot tendon","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Pm device progr eval multi","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"93281","description":"Pm device progr eval multi","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-BB244","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"BB244","description":"HIPPS-BB244","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Onc dx gastric recurrent","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G9103","description":"Onc dx gastric recurrent","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-3CFLS","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"3CFLS","description":"HIPPS-3CFLS","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Gradient compression bandaging supply_ low density flat foam sheet_ per 250 square centimeters_ each","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"A6604","description":"Gradient compression bandaging supply_ low density flat foam sheet_ per 250 square centimeters_ each","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FFJD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Nursing fac care subseq","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"99310","description":"Nursing fac care subseq","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OACC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"IFIC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Debridement of a periimplant","billing_code_type":"CDT","billing_code_type_version":"2024","billing_code":"D6101","description":"Debridement of a periimplant","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NIKC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CELA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Antibody_ Treponema pallidum_ total and rapid plasma reagin (RPR)_ immunoassay_ qualitativ","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0064U","description":"Antibody_ Treponema pallidum_ total and rapid plasma reagin (RPR)_ immunoassay_ qualitativ","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Manual Preparation And Insertion Of Drug-Delivery Device(S)_ Intra-Articular (List Separately In Addition To Code For Primary Procedure)","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"20704","description":"Manual Preparation And Insertion Of Drug-Delivery Device(S)_ Intra-Articular (List Separately In Addition To Code For Primary Procedure)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OJWD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"HFOD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KBGF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OBPC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NFNE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OCQB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Application of hip cast","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"29305","description":"Application of hip cast","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NBGA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GDXF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-AAA10","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"AAA10","description":"HIPPS-AAA10","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-HC121","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"HC121","description":"HIPPS-HC121","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-1AGM5","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"1AGM5","description":"HIPPS-1AGM5","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Assay of calcium","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"82310","description":"Assay of calcium","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FGGF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Repair great vessels defect","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"33779","description":"Repair great vessels defect","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FCVD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Transverse Aortic Arch Graft_ With Cardiopulmonary Bypass_ With Profound Hypothermia_ Total Circulatory Arrest And Isolated Cerebral Perfusion With Reimplantation Of Arch Vess","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"33871","description":"Transverse Aortic Arch Graft_ With Cardiopulmonary Bypass_ With Profound Hypothermia_ Total Circulatory Arrest And Isolated Cerebral Perfusion With Reimplantation Of Arch Vess","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KEKA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KAKE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Maxilla or mandible resectio","billing_code_type":"CDT","billing_code_type_version":"2024","billing_code":"D7490","description":"Maxilla or mandible resectio","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-1BFNW","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"1BFNW","description":"HIPPS-1BFNW","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FCTC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Amputation of upper arm","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"24920","description":"Amputation of upper arm","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Destruction penis lesion(s)","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"54065","description":"Destruction penis lesion(s)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CHHF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Group audiometric testing","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"92559","description":"Group audiometric testing","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NFBF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Us guide vascular access","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"76937","description":"Us guide vascular access","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-1CHN5","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"1CHN5","description":"HIPPS-1CHN5","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CGVD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"ACDC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Pos airway pressure tubing","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"A7037","description":"Pos airway pressure tubing","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"AGIF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RHA15","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RHA15","description":"HIPPS-RHA15","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Insertion Of Anterior Segment Aqueous Drainage Device Into The Trabecular Meshwork_ Without External Reservoir_ And Without Concomitant Cataract Removal_ One Or More","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0671T","description":"Insertion Of Anterior Segment Aqueous Drainage Device Into The Trabecular Meshwork_ Without External Reservoir_ And Without Concomitant Cataract Removal_ One Or More","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CCYF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"DMPK (DM1 protein kinase) (eg_ myotonic dystrophy type 1) gene analysis; evaluation to detect abnormal (expanded) alleles","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"81234","description":"DMPK (DM1 protein kinase) (eg_ myotonic dystrophy type 1) gene analysis; evaluation to detect abnormal (expanded) alleles","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Preventive Medicine Mips Specialty Set","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G4029","description":"Preventive Medicine Mips Specialty Set","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RLB54","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RLB54","description":"HIPPS-RLB54","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Reduction of facial bones","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"21209","description":"Reduction of facial bones","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NKFE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Cast supplies (plaster)","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"A4580","description":"Cast supplies (plaster)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KHJB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GIQF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"LFWF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"IFMD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CFWD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CILD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-J1073","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"J1073","description":"HCPCS-J1073","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Swingaway detach footrest","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"K0052","description":"Swingaway detach footrest","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KDGD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NCMC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BBIB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-CE201","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"CE201","description":"HIPPS-CE201","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-J3376","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"J3376","description":"HCPCS-J3376","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CEFE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KELF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NDTF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Antid glbln rcvd w/in 26wks","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"4178F","description":"Antid glbln rcvd w/in 26wks","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MEBD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NDDD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Scr c/v cyto_thinlayer_rescr","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G0143","description":"Scr c/v cyto_thinlayer_rescr","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"DHRE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BDGE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GFYB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-CC23A","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"CC23A","description":"HIPPS-CC23A","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-PD260","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"PD260","description":"HIPPS-PD260","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BFXF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-2CHL2","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"2CHL2","description":"HIPPS-2CHL2","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OAXF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"PHSD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Skin full graft add-on","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"15221","description":"Skin full graft add-on","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Digitization of glass microscope slides for in situ hybridization (eg_ FISH)_ per specimen; each additional single probe stain procedure (List separately in addition to code f","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0849T","description":"Digitization of glass microscope slides for in situ hybridization (eg_ FISH)_ per specimen; each additional single probe stain procedure (List separately in addition to code f","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RML8X","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RML8X","description":"HIPPS-RML8X","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JGPD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Fun stat scor nek/ts pt no e","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G8673","description":"Fun stat scor nek/ts pt no e","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KHHC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OKJD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Wheelchair amputee heavy dut","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"E1195","description":"Wheelchair amputee heavy dut","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Hypnotherapy","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"90880","description":"Hypnotherapy","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-J0528","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"J0528","description":"HCPCS-J0528","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FIPC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"AIIC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Hemorrhoidopexy by stapling","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"46947","description":"Hemorrhoidopexy by stapling","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Bile duct revision","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"47701","description":"Bile duct revision","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Repair penis","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"54385","description":"Repair penis","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Injection of sclerosant; single incompetent vein (other than telangiectasia)","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"36470","description":"Injection of sclerosant; single incompetent vein (other than telangiectasia)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GBKC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MFDC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GDCB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Treat radius fracture","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"24650","description":"Treat radius fracture","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NAMB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JHME0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Rmvl of subq defibrillator","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"33272","description":"Rmvl of subq defibrillator","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Injection_ cyclophosphamide (sandoz)_ 5 mg","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"J9074","description":"Injection_ cyclophosphamide (sandoz)_ 5 mg","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Brain aneurysm repr complx","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"61698","description":"Brain aneurysm repr complx","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FCPD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Truss addition to std pad wa","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"L8320","description":"Truss addition to std pad wa","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Reposition vad diff session","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"33993","description":"Reposition vad diff session","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Orbitocranial approach/skull","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"61584","description":"Orbitocranial approach/skull","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BCLF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"EDIA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Fem urinary collect pouch","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"A4328","description":"Fem urinary collect pouch","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-PB20D","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"PB20D","description":"HIPPS-PB20D","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RLA26","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RLA26","description":"HIPPS-RLA26","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MDAD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GBBD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FFBB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NIGC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Doc of pain comfort 48hr","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G9250","description":"Doc of pain comfort 48hr","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"High compres band w>=3in<5inyd","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"A6452","description":"High compres band w>=3in<5inyd","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OHYB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GHLE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"LHOF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JEID0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CEKA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BGVA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NKJC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Helminth antibody","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"86682","description":"Helminth antibody","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-1BFK6","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"1BFK6","description":"HIPPS-1BFK6","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"LBRC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KGDB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JEHE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Ob us follow-up per fetus","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"76816","description":"Ob us follow-up per fetus","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-PE24A","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"PE24A","description":"HIPPS-PE24A","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"DGYD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NFXD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Decompress spine cord add-on","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"63066","description":"Decompress spine cord add-on","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HH PDGM","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"1KB11","description":"HH PDGM","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-4BFLX","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"4BFLX","description":"HIPPS-4BFLX","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"IGAC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OGYD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KDIB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Hit hydra 3 liter diem","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"S9376","description":"Hit hydra 3 liter diem","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FDNA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Drainage of salivary gland","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"42305","description":"Drainage of salivary gland","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Correction of bunion","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"28299","description":"Correction of bunion","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Percutaneous transluminal mechanical thrombectomy and/or infusion for thrombolysis_ dialysis circuit_ any method_ including all imaging and radiological supervision and interp","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"36906","description":"Percutaneous transluminal mechanical thrombectomy and/or infusion for thrombolysis_ dialysis circuit_ any method_ including all imaging and radiological supervision and interp","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"IBDE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HH PDGM","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"3BA11","description":"HH PDGM","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Ftl cgen abnor four anal","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"81511","description":"Ftl cgen abnor four anal","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RUL5D","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RUL5D","description":"HIPPS-RUL5D","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KHGF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Amnion bio or Axobiomembrane_ per square centimeter","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"Q4211","description":"Amnion bio or Axobiomembrane_ per square centimeter","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-LB28C","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"LB28C","description":"HIPPS-LB28C","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OKXB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RVX5D","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RVX5D","description":"HIPPS-RVX5D","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NCTB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"AEDA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HH PDGM","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"2JA31","description":"HH PDGM","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"EGLE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Assess cyst contrast inject","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"49424","description":"Assess cyst contrast inject","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"AIAC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Gastric analy w/ph ea spec","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"82930","description":"Gastric analy w/ph ea spec","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Treat fracture of radius","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"25526","description":"Treat fracture of radius","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Insertion of aqueous drainage device_ without extraocular reservoir_ internal approach_ into the subconjunctival space; each additional device (List separately in addition to","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0450T","description":"Insertion of aqueous drainage device_ without extraocular reservoir_ internal approach_ into the subconjunctival space; each additional device (List separately in addition to","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BHCB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"IILC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BECC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BHNB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OIPF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CHUF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BEMA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FALC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"HBOB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KHUE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Ef hydrolyzed/amino acids","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"B4153","description":"Ef hydrolyzed/amino acids","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-ES241","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"ES241","description":"HIPPS-ES241","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GDUB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KBGD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CHXE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"IAME0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Probe nasolacrimal duct","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"68811","description":"Probe nasolacrimal duct","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-LD18G","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"LD18G","description":"HIPPS-LD18G","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RVC54","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RVC54","description":"HIPPS-RVC54","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MGUD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KEAD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NLJF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"LARB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-3BFN3","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"3BFN3","description":"HIPPS-3BFN3","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Application of body cast","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"29010","description":"Application of body cast","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Alcohol and/or drug services","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"H0009","description":"Alcohol and/or drug services","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NGDB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"PBRA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OGCB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"CPT-0673U","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"0673U","description":"CPT-0673U","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KEFE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-4CFM5","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"4CFM5","description":"HIPPS-4CFM5","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-3AFLV","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"3AFLV","description":"HIPPS-3AFLV","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Treat humerus fracture","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"24560","description":"Treat humerus fracture","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BBGB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Insertion of new or replacement of permanent pacemaker with ventricular transvenous electrode(s)_ with insertion of pacing electrode_ cardiac venous system_ for left ventricul","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"C7538","description":"Insertion of new or replacement of permanent pacemaker with ventricular transvenous electrode(s)_ with insertion of pacing electrode_ cardiac venous system_ for left ventricul","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Revise ocular implant","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"65125","description":"Revise ocular implant","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NKPD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Hemoglobin fetal","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"85461","description":"Hemoglobin fetal","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Documentation of patient reason(s) for not prescribing a long-acting inhaled bronchodilator","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G9697","description":"Documentation of patient reason(s) for not prescribing a long-acting inhaled bronchodilator","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-C9810","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"C9810","description":"HCPCS-C9810","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JAAB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Cytal_ per sq cm","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"Q4166","description":"Cytal_ per sq cm","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HH PDGM","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"3DB11","description":"HH PDGM","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FHHC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Introduction of ureteral catheter or stent into ureter through renal pelvis for drainage and/or injection_ percutaneous_ radiological supervision and interpretati","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"74480","description":"Introduction of ureteral catheter or stent into ureter through renal pelvis for drainage and/or injection_ percutaneous_ radiological supervision and interpretati","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BAED1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Release spinal cord lumbar","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"63200","description":"Release spinal cord lumbar","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MEAB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OEOB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Take-Home Supply Of Nasal Naloxone; 2-Pack Of 8Mg Per 0.1 Ml Nasal Spray (Provision Of The Services By A Medicare-Enrolled Opioid Treatment Program); List Separately In Additi","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G1028","description":"Take-Home Supply Of Nasal Naloxone; 2-Pack Of 8Mg Per 0.1 Ml Nasal Spray (Provision Of The Services By A Medicare-Enrolled Opioid Treatment Program); List Separately In Additi","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KBUB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"DGWB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CDME0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NKVC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HH PDGM","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"1DB21","description":"HH PDGM","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NCKE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"ICME1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MDLF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Hightop w/ supp/pronator jun","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"L3207","description":"Hightop w/ supp/pronator jun","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"CDT-D0105","billing_code_type":"CDT","billing_code_type_version":"2026","billing_code":"D0105","description":"CDT-D0105","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NBCA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"HCOB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"HIYF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NCUB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-ES33B","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"ES33B","description":"HIPPS-ES33B","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CHGF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"CPT-01920","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"01920","description":"CPT-01920","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MJDF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KBGB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Revitalon 1 square cm","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"Q4157","description":"Revitalon 1 square cm","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"X-ray female genital tract","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"74740","description":"X-ray female genital tract","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BGBD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Tprnl Plmt Biodegradable Matrl Periprostatic","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0438T","description":"Tprnl Plmt Biodegradable Matrl Periprostatic","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-PB28D","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"PB28D","description":"HIPPS-PB28D","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Alginate drsg wound filler","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"A6199","description":"Alginate drsg wound filler","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KEPE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Anesth removal of prostate","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"86551","description":"Anesth removal of prostate","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"HBQF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Electro connect btw control","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"E2310","description":"Electro connect btw control","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Co-management services with the following elements: new diagnosis or acute exacerbation and stabilization of existing condition; condition which may benefit from joint care pl","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G9038","description":"Co-management services with the following elements: new diagnosis or acute exacerbation and stabilization of existing condition; condition which may benefit from joint care pl","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OCEA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BBJF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RHX4C","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RHX4C","description":"HIPPS-RHX4C","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Mastoid surgery revision","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"69602","description":"Mastoid surgery revision","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-CA135","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"CA135","description":"HIPPS-CA135","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Infectious disease (bacterial or viral)_ biochemical assays_ tumor necrosis factor-related apoptosis-inducing ligand (TRAIL)_ interferon gamma-induced protein-10 (IP-10)_ and","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0351U","description":"Infectious disease (bacterial or viral)_ biochemical assays_ tumor necrosis factor-related apoptosis-inducing ligand (TRAIL)_ interferon gamma-induced protein-10 (IP-10)_ and","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FBGF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Seg pneumatic appl full leg","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"E0667","description":"Seg pneumatic appl full leg","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FCCE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JIIC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GGGA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Replace elbow joint","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"24363","description":"Replace elbow joint","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GDSD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Injection_ hydroxyprogesterone caproate_ not otherwise specified_ 10 mg","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"J1729","description":"Injection_ hydroxyprogesterone caproate_ not otherwise specified_ 10 mg","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-HB22A","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"HB22A","description":"HIPPS-HB22A","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Catheter placement in coronary artery(ies) for coronary angiography_ including intraprocedural injection(s) for coronary angiography_ imaging supervision and interpretation_ w","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"C7529","description":"Catheter placement in coronary artery(ies) for coronary angiography_ including intraprocedural injection(s) for coronary angiography_ imaging supervision and interpretation_ w","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Injection_ fulvestrant (teva) not therapeutically equivalent to j9395_ 25 mg","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"J9393","description":"Injection_ fulvestrant (teva) not therapeutically equivalent to j9395_ 25 mg","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-C8009","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"C8009","description":"HCPCS-C8009","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"AFDC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Localized delivery antimicro","billing_code_type":"CDT","billing_code_type_version":"2024","billing_code":"D4381","description":"Localized delivery antimicro","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CFAE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Establish brain cavity shunt","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"62220","description":"Establish brain cavity shunt","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GGVA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KAKD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Onc dx brst stg1-2 noprogres","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G9072","description":"Onc dx brst stg1-2 noprogres","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GAQB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Documentation of patient reason(s) for not prescribing ace inhibitor or arb therapy during the measurement period_ (e.g._ patient declined_ other patient reasons)","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"M1202","description":"Documentation of patient reason(s) for not prescribing ace inhibitor or arb therapy during the measurement period_ (e.g._ patient declined_ other patient reasons)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Intracranial vessel surgery","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"61684","description":"Intracranial vessel surgery","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"ODDA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Socket insert above knee","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"L5658","description":"Socket insert above knee","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OEFB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NJDD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CIWC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CGTE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"CPT-61715","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"61715","description":"CPT-61715","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RHC1B","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RHC1B","description":"HIPPS-RHC1B","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"DDWD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JHMC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MIAF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"No pt cat and  pt1","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G9431","description":"No pt cat and  pt1","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Pt scrnd unhlthy oh use","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"3016F","description":"Pt scrnd unhlthy oh use","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Cl mult vsd w/rem pul band","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"33677","description":"Cl mult vsd w/rem pul band","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BHXF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CDUA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Mast radical","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"19305","description":"Mast radical","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Transport parking fees/tolls","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"A0170","description":"Transport parking fees/tolls","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"ECCA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KHVA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Testosterone pellet 75 mg","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"S0189","description":"Testosterone pellet 75 mg","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NJIA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GCXB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KDHE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Adult companioncare per diem","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"S5136","description":"Adult companioncare per diem","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"IFAC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-4CHM5","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"4CHM5","description":"HIPPS-4CHM5","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KGBF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FGIB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CGFE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Repair tongue laceration","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"41251","description":"Repair tongue laceration","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CERC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FFLE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Axolotl Graft_ per sq cm","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"Q4331","description":"Axolotl Graft_ per sq cm","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"AAIA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"AFCE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Microfluid analy tears","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"83861","description":"Microfluid analy tears","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GERA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Immunofluorescent study_ each antibody; indirect method","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"88347","description":"Immunofluorescent study_ each antibody; indirect method","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Polishing artifical eye","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"V2624","description":"Polishing artifical eye","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BGEE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"ODYE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Elec knee-shin swing/stance","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"L5856","description":"Elec knee-shin swing/stance","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Non-traumatic spinal cord injury with Motor <23.75._comorbidity in tier 2","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"C0506","description":"Non-traumatic spinal cord injury with Motor <23.75._comorbidity in tier 2","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Repair eyelid defect","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"67916","description":"Repair eyelid defect","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Extremity study","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"93971","description":"Extremity study","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Lo flex l1-below l5 pre ots","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"L0625","description":"Lo flex l1-below l5 pre ots","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Pwc gp3 std sing pow opt cap","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"K0857","description":"Pwc gp3 std sing pow opt cap","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Bilateral hip_ knee_ ankle_ foot device_ powered_ includes pelvic component_ single or double upright(s)_ knee joints any type_ with or without ankle joints any type_ includes","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"K1007","description":"Bilateral hip_ knee_ ankle_ foot device_ powered_ includes pelvic component_ single or double upright(s)_ knee joints any type_ with or without ankle joints any type_ includes","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GCTE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JCBB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OBAB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-A4318","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"A4318","description":"HCPCS-A4318","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BDID1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CIUB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NGNF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"HDSC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BIAF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BEGA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"LCYE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Dilation of salivary duct","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"42660","description":"Dilation of salivary duct","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Tubing used w suction pump","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"A7002","description":"Tubing used w suction pump","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MIEE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MBHF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"CPT-0531U","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"0531U","description":"CPT-0531U","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JEAF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"LHQD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-LE15C","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"LE15C","description":"HIPPS-LE15C","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OAFF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MBLB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HH PDGM","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"2DC31","description":"HH PDGM","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KDDA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-BB18G","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"BB18G","description":"HIPPS-BB18G","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Chemical cauterization of granulation tissue (ie_ proud flesh)","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"17250","description":"Chemical cauterization of granulation tissue (ie_ proud flesh)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RVX26","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RVX26","description":"HIPPS-RVX26","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Esophagectomy_ distal two-thirds_ with laparoscopic mobilization of the abdominal and lower mediastinal esophagus and proximal gastrectomy_ with laparoscopic pyloric drainage","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"43287","description":"Esophagectomy_ distal two-thirds_ with laparoscopic mobilization of the abdominal and lower mediastinal esophagus and proximal gastrectomy_ with laparoscopic pyloric drainage","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GENC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FGEF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FFVA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Adenosine inj 1mg","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"J0153","description":"Adenosine inj 1mg","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-PA144","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"PA144","description":"HIPPS-PA144","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GHKB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RUX06","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RUX06","description":"HIPPS-RUX06","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Hf measures grp","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G8548","description":"Hf measures grp","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CDIA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"IFCD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NCKA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"AIBF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CAPA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NEVF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"CPT-0549U","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"0549U","description":"CPT-0549U","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CIOB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Adults currently taking pharmacotherapy for OUD","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"M1032","description":"Adults currently taking pharmacotherapy for OUD","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"EAHA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MGUF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KDXD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Anesth pharyngeal surgery","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"17451","description":"Anesth pharyngeal surgery","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"AGEE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"EHIB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KDIA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Patients 66 Years Of Age And Older With At Least One Claim/Encounter For Frailty During The Measurement Period And A Dispensed Medication For Dementia During The Measurement P","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G2090","description":"Patients 66 Years Of Age And Older With At Least One Claim/Encounter For Frailty During The Measurement Period And A Dispensed Medication For Dementia During The Measurement P","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Expired gas collection","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"94250","description":"Expired gas collection","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Blood volume","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"78122","description":"Blood volume","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-3CGK6","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"3CGK6","description":"HIPPS-3CGK6","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-Q4364","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"Q4364","description":"HCPCS-Q4364","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GHKA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CCNA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GEPC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KEKE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Prep ak ischial plast molded","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"L5560","description":"Prep ak ischial plast molded","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-BA10C","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"BA10C","description":"HIPPS-BA10C","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Aoe intent","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G9465","description":"Aoe intent","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GGYD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CEFB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Activate matrix_ per square centimeter","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"Q4301","description":"Activate matrix_ per square centimeter","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Debridement_ bone (includes epidermis_ dermis_ subcutaneous tissue_ muscle and/or fascia_ if performed); first 20 sq cm or less with manual preparation and insertion of drug-d","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"C7561","description":"Debridement_ bone (includes epidermis_ dermis_ subcutaneous tissue_ muscle and/or fascia_ if performed); first 20 sq cm or less with manual preparation and insertion of drug-d","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Crown porcelain w/ noble met","billing_code_type":"CDT","billing_code_type_version":"2024","billing_code":"D2752","description":"Crown porcelain w/ noble met","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Incise skull for brain wound","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"61458","description":"Incise skull for brain wound","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FAGD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Hit anti-spasmotic diem","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"S9363","description":"Hit anti-spasmotic diem","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OIUF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Pierce skull for drainage","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"61150","description":"Pierce skull for drainage","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-4AFM3","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"4AFM3","description":"HIPPS-4AFM3","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"AGLC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"LHYD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JEKE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RMC1C","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RMC1C","description":"HIPPS-RMC1C","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Fusion of facial/other nerve","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"64868","description":"Fusion of facial/other nerve","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"EDDD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NKID0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Bmi is documented below normal parameters and a follow-up plan is documented","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"M1287","description":"Bmi is documented below normal parameters and a follow-up plan is documented","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Hep c ab test confirm","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"86804","description":"Hep c ab test confirm","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Tte w/o doppler complete","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"93307","description":"Tte w/o doppler complete","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KFMF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"HEOC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Slitting of prepuce","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"54001","description":"Slitting of prepuce","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-HC255","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"HC255","description":"HIPPS-HC255","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Lab pathology consultation","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"80502","description":"Lab pathology consultation","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FGCE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Dtap-ipv/hib vaccine im","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"90698","description":"Dtap-ipv/hib vaccine im","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Continuous measurement of wheeze rate during treatment assessment or during sleep for documentation of nocturnal wheeze and cough for diagnostic evaluation 3 to 24 hours","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0244T","description":"Continuous measurement of wheeze rate during treatment assessment or during sleep for documentation of nocturnal wheeze and cough for diagnostic evaluation 3 to 24 hours","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FICE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Skin full graft trunk","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"15200","description":"Skin full graft trunk","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-G0546","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"G0546","description":"HCPCS-G0546","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CFOC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OLCB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GHXE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Cytogenetics 25-99","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"88274","description":"Cytogenetics 25-99","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OIKF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GHDF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-BA105","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"BA105","description":"HIPPS-BA105","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Limited (30 minutes) care management home visit for a new patient. for use only in a medicare-approved cmmi model. (services must be furnished within a beneficiary_s home_ dom","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G0077","description":"Limited (30 minutes) care management home visit for a new patient. for use only in a medicare-approved cmmi model. (services must be furnished within a beneficiary_s home_ dom","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MBAA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Nasal/sinus endoscopy dx","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"31235","description":"Nasal/sinus endoscopy dx","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NEIF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Repair middle ear structures","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"69667","description":"Repair middle ear structures","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Exchange nephrostomy catheter_ percutaneous_ with ureteral stricture balloon dilation_ including diagnostic nephrostogram and/or ureterogram when performed_ imaging guidance (","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"C7548","description":"Exchange nephrostomy catheter_ percutaneous_ with ureteral stricture balloon dilation_ including diagnostic nephrostogram and/or ureterogram when performed_ imaging guidance (","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-3BHM2","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"3BHM2","description":"HIPPS-3BHM2","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NDHE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Artacent wound_ per sq cm","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"Q4169","description":"Artacent wound_ per sq cm","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"CPT-00916","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"00916","description":"CPT-00916","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"O2/water vapor enrich w/heat","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"E1405","description":"O2/water vapor enrich w/heat","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Copper cu-64_ dotatate_ diagnostic_ 1 millicurie","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"A9592","description":"Copper cu-64_ dotatate_ diagnostic_ 1 millicurie","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Pt tlk psych & rx opd addic","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"4306F","description":"Pt tlk psych & rx opd addic","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MBBC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"EBUC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RVX0B","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RVX0B","description":"HIPPS-RVX0B","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NGUB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Treat clavicle dislocation","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"23530","description":"Treat clavicle dislocation","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-ES38C","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"ES38C","description":"HIPPS-ES38C","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"AGLB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Perq dev soft tiss add imag","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"10036","description":"Perq dev soft tiss add imag","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-LC22A","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"LC22A","description":"HIPPS-LC22A","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OJJE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BEBD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Herpes simplex 2 ag if","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"87273","description":"Herpes simplex 2 ag if","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Interphalangeal joint repl","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"L8659","description":"Interphalangeal joint repl","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CCAD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Pneumatic caster tire each","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"E2214","description":"Pneumatic caster tire each","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-PD135","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"PD135","description":"HIPPS-PD135","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CHOE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JIXA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Torsion mechanism wrist/elbo","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"L3891","description":"Torsion mechanism wrist/elbo","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"PESB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CDJC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NEAE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Bone srgry cmptr CT/MRI imag","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0055T","description":"Bone srgry cmptr CT/MRI imag","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NKAA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JGVC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"DDRC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Oncology (bladder)_ methylated PENK DNA detection by linear target enrichment-quantitative methylation-specific real-time PCR (LTE-qMSP)_ urine_ reported as likelihood of blad","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0452U","description":"Oncology (bladder)_ methylated PENK DNA detection by linear target enrichment-quantitative methylation-specific real-time PCR (LTE-qMSP)_ urine_ reported as likelihood of blad","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Treatment of ankle fracture","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"27792","description":"Treatment of ankle fracture","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KDMC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-CB12A","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"CB12A","description":"HIPPS-CB12A","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Guide nerv destr needle emg","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"95874","description":"Guide nerv destr needle emg","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Digitization of glass microscope slides for immunohistochemistry or immunocytochemistry_ per specimen_ initial single antibody stain procedure (List separately in addition to","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0760T","description":"Digitization of glass microscope slides for immunohistochemistry or immunocytochemistry_ per specimen_ initial single antibody stain procedure (List separately in addition to","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Cystometrogram w/vp","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"51728","description":"Cystometrogram w/vp","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GIFE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KFTF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HH PDGM","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"2LC11","description":"HH PDGM","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"IGHC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Eptifibatide injection","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"J1327","description":"Eptifibatide injection","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Patients who were not appropriately evaluated during the initial exam and/or who were not re-evaluated within 2 weeks","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"M1332","description":"Patients who were not appropriately evaluated during the initial exam and/or who were not re-evaluated within 2 weeks","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-3AFKW","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"3AFKW","description":"HIPPS-3AFKW","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Cmplx rpr s/a/l 2.6-7.5 cm","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"13121","description":"Cmplx rpr s/a/l 2.6-7.5 cm","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-G0547","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"G0547","description":"HCPCS-G0547","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KADB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"IBDF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Subs episode for condition","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"1128F","description":"Subs episode for condition","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Fetal invas px w/us","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"59897","description":"Fetal invas px w/us","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-LC140","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"LC140","description":"HIPPS-LC140","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"LFQC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-J1834","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"J1834","description":"HCPCS-J1834","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Autoimmune diseases (eg_ systemic lupus erythematosus [SLE])_ analysis of 8 IgG autoantibodies and 2 cell-bound complement activation products using enzyme-linked immunosorben","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0312U","description":"Autoimmune diseases (eg_ systemic lupus erythematosus [SLE])_ analysis of 8 IgG autoantibodies and 2 cell-bound complement activation products using enzyme-linked immunosorben","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OIMA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-2AGL6","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"2AGL6","description":"HIPPS-2AGL6","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KBRD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Insert tun ip cath w/port","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"49419","description":"Insert tun ip cath w/port","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"X-ray assay calculus","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"82370","description":"X-ray assay calculus","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Specimen not intraop image","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G8873","description":"Specimen not intraop image","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Caspofungin acetate","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"J0637","description":"Caspofungin acetate","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OLJE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Partial removal of elbow","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"24147","description":"Partial removal of elbow","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Repair artery blockage each","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"75964","description":"Repair artery blockage each","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Hematology (genetic hyperfibrinolysis_ delayed bleeding)_ genomic sequence analysis of 8 genes (F13A1_ F13B_ FGA_ FGB_ FGG_ SERPINA1_ SERPINE1_ SERPINF2_ PLAU)_ blood_ buccal","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0273U","description":"Hematology (genetic hyperfibrinolysis_ delayed bleeding)_ genomic sequence analysis of 8 genes (F13A1_ F13B_ FGA_ FGB_ FGG_ SERPINA1_ SERPINE1_ SERPINF2_ PLAU)_ blood_ buccal","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-Q4436","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"Q4436","description":"HCPCS-Q4436","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Teflon or equal cable lining","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"L6665","description":"Teflon or equal cable lining","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BIAB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GFLF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FCUD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Fusion of stomach and bowel","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"43810","description":"Fusion of stomach and bowel","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KDYA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Open skull for drainage","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"61320","description":"Open skull for drainage","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Repair heart septum defect","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"33641","description":"Repair heart septum defect","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CBDD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JBUD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Artificial insemination","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"58322","description":"Artificial insemination","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Treat hip socket fracture","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"27222","description":"Treat hip socket fracture","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OJUC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-3AFNS","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"3AFNS","description":"HIPPS-3AFNS","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BHAC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KDLC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Noninvas resp support talk","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"4550F","description":"Noninvas resp support talk","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OBDA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OEUD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-BA28F","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"BA28F","description":"HIPPS-BA28F","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Sperm procure subs visit","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"S4031","description":"Sperm procure subs visit","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"PJQB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NGCC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Artery x-rays adrenal gland","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"75731","description":"Artery x-rays adrenal gland","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MHAA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MBLA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CAFF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"PJYA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Oncology (cutaneous melanoma)_ mRNA gene expression profiling by RT-PCR of 35 genes (32 content and 3 housekeeping)_ utilizing formalin-fixed paraffin-embedded (FFPE) tissue_","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0314U","description":"Oncology (cutaneous melanoma)_ mRNA gene expression profiling by RT-PCR of 35 genes (32 content and 3 housekeeping)_ utilizing formalin-fixed paraffin-embedded (FFPE) tissue_","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Fluorouracil injection","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"J9190","description":"Fluorouracil injection","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NBLB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Endovasc visc aorta 3 graft","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"34843","description":"Endovasc visc aorta 3 graft","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Injection_ tafasitamab-cxix_ 2 mg","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"J9349","description":"Injection_ tafasitamab-cxix_ 2 mg","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NIVF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RHC0D","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RHC0D","description":"HIPPS-RHC0D","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FFIF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OBYA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NLNC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JEPD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MFDE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Repair of spinal herniation","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"63702","description":"Repair of spinal herniation","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Interleukin-6 (Il-6)","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"83529","description":"Interleukin-6 (Il-6)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FAED0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"EALE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CGPF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Elec hand ind art digits","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"L6880","description":"Elec hand ind art digits","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OEXC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NCDC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RVX4B","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RVX4B","description":"HIPPS-RVX4B","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BIED1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BEFC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Diabetic shoe with wedge","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"A5504","description":"Diabetic shoe with wedge","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NAIA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-CA101","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"CA101","description":"HIPPS-CA101","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CICA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GCSB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GINA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Phq-9 >9 during 12m time","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G9511","description":"Phq-9 >9 during 12m time","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Hematology (hematolymphoid neoplasia)_ gene rearrangement detection by whole genome next-generation sequencing_ DNA_ whole blood or bone marrow_ report of specific gene rearra","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0014U","description":"Hematology (hematolymphoid neoplasia)_ gene rearrangement detection by whole genome next-generation sequencing_ DNA_ whole blood or bone marrow_ report of specific gene rearra","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Mra_ w/dye_ spinal canal","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"C8931","description":"Mra_ w/dye_ spinal canal","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CFJE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Employment - Employment Skills Development (1:15)","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"W1741","description":"Employment - Employment Skills Development (1:15)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-3AFPS","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"3AFPS","description":"HIPPS-3AFPS","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"D & c after delivery","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"59160","description":"D & c after delivery","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Respiratory flow volume loop","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"94375","description":"Respiratory flow volume loop","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-ES32A","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"ES32A","description":"HIPPS-ES32A","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Sorbent cartridges per 10","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"E1636","description":"Sorbent cartridges per 10","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OCEF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Sialoendoscopy capt & interp","billing_code_type":"CDT","billing_code_type_version":"2024","billing_code":"D0371","description":"Sialoendoscopy capt & interp","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"LCYA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GHGF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-LE212","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"LE212","description":"HIPPS-LE212","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Procenta_ per 100 mg","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"Q4310","description":"Procenta_ per 100 mg","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Tx gastro intub w/asp","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"43753","description":"Tx gastro intub w/asp","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FFJE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Autonomic nrv syst funj test","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"95923","description":"Autonomic nrv syst funj test","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KBXF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-1AGL1","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"1AGL1","description":"HIPPS-1AGL1","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-1AGM2","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"1AGM2","description":"HIPPS-1AGM2","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Aud osseo dev_ abutment","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"L8693","description":"Aud osseo dev_ abutment","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-ATP02","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"ATP02","description":"HIPPS-ATP02","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NINA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CCHC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Remove armpit lymph nodes","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"38745","description":"Remove armpit lymph nodes","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Pharmacy comp/disp serv","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"S9430","description":"Pharmacy comp/disp serv","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FBMF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Chiropract manj 1-2 regions","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"98940","description":"Chiropract manj 1-2 regions","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"ABHE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"CPT-0516U","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"0516U","description":"CPT-0516U","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"IIBF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Removal of hydrocele","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"55500","description":"Removal of hydrocele","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KIWD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-4CGM3","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"4CGM3","description":"HIPPS-4CGM3","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GHDA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"IDTE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GFRE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Induced abortion 32 or more","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"S2267","description":"Induced abortion 32 or more","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Feeding aid","billing_code_type":"CDT","billing_code_type_version":"2024","billing_code":"D5951","description":"Feeding aid","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"HCYE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RVA33","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RVA33","description":"HIPPS-RVA33","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-ES18D","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"ES18D","description":"HIPPS-ES18D","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-J1098","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"J1098","description":"HCPCS-J1098","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"CPT-0981T","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"0981T","description":"CPT-0981T","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"ACDE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JHVD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MGCC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Revision of scrotum","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"55175","description":"Revision of scrotum","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GIGD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Community Transition Svcs (Security Deposit)","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"W7334","description":"Community Transition Svcs (Security Deposit)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Repair defect of artery","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"35151","description":"Repair defect of artery","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Treat ankle dislocation","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"27840","description":"Treat ankle dislocation","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"AABA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-G0575","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"G0575","description":"HCPCS-G0575","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HH PDGM","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"2BA11","description":"HH PDGM","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"BRCA2 (BRCA2_ DNA repair associated) (eg_ hereditary breast and ovarian cancer) gene analysis; full duplication/deletion analysis (ie_ detection of large gene rearrangements)","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"81167","description":"BRCA2 (BRCA2_ DNA repair associated) (eg_ hereditary breast and ovarian cancer) gene analysis; full duplication/deletion analysis (ie_ detection of large gene rearrangements)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Electro-uroflowmetry first","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"51741","description":"Electro-uroflowmetry first","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Biopsy of tongue","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"41105","description":"Biopsy of tongue","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OLDF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Comprehensive review of data","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"88325","description":"Comprehensive review of data","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Exc shoulder tum deep < 5 cm","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"23076","description":"Exc shoulder tum deep < 5 cm","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KIRD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Motor &/ sens nrve cndj test","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"95905","description":"Motor &/ sens nrve cndj test","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-LC18F","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"LC18F","description":"HIPPS-LC18F","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NCIA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Statin therapy/currently tkn","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"4013F","description":"Statin therapy/currently tkn","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-J3392","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"J3392","description":"HCPCS-J3392","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KCSC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BCHC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"IFIC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OJTE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KCLF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"LDRA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Egd endoscopic stent place","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"43266","description":"Egd endoscopic stent place","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Cerebrospinal fluid scan","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"78647","description":"Cerebrospinal fluid scan","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"PISB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Fix g/colon tube w/device","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"49460","description":"Fix g/colon tube w/device","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-3BGK6","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"3BGK6","description":"HIPPS-3BGK6","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Removal of implant from hand","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"26320","description":"Removal of implant from hand","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JHFA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BIMB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KCFA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GAUB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Polysom <6 yrs 4/> paramtrs","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"95782","description":"Polysom <6 yrs 4/> paramtrs","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Patient responded as completely true for the question of patient felt heard and understood by this provider and team","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"M1250","description":"Patient responded as completely true for the question of patient felt heard and understood by this provider and team","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NILE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Knee-shin exo frct swg & sta","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"L5718","description":"Knee-shin exo frct swg & sta","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"ODKD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"HBSD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MBBE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"HBQB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Repair defect of artery","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"35121","description":"Repair defect of artery","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-HD24C","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"HD24C","description":"HIPPS-HD24C","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OBQF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CHAD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"IBHF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KEIE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"EFEB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KINA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HH PDGM","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"3GA11","description":"HH PDGM","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RHA14","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RHA14","description":"HIPPS-RHA14","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BCXC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OBGD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Hereditary peripheral neuropathies (eg_ Charcot-Marie-Tooth_ spastic paraplegia)_ genomic sequence analysis panel_ must include sequencing of at least 5 peripheral neuropathy-","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"81448","description":"Hereditary peripheral neuropathies (eg_ Charcot-Marie-Tooth_ spastic paraplegia)_ genomic sequence analysis panel_ must include sequencing of at least 5 peripheral neuropathy-","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KBMD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MHHF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KCLE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KEMF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Fractional ablative laser fenestration of burn and traumatic scars for functional improvement; each additional 100 cm2_ or each additional 1% of body surface area of infants a","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0480T","description":"Fractional ablative laser fenestration of burn and traumatic scars for functional improvement; each additional 100 cm2_ or each additional 1% of body surface area of infants a","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"LCSA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MIDC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"AFTB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GAQC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JITA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Non-cov proc_ clinical trial","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G0294","description":"Non-cov proc_ clinical trial","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Oncology (bladder)_ analysis of 10 protein biomarkers (A1AT_ ANG_ APOE_ CA9_ IL8_ MMP9_ MMP10_ PAI1_ SDC1 and VEGFA) by immunoassays_ urine_ algorithm reported as a probabilit","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0366U","description":"Oncology (bladder)_ analysis of 10 protein biomarkers (A1AT_ ANG_ APOE_ CA9_ IL8_ MMP9_ MMP10_ PAI1_ SDC1 and VEGFA) by immunoassays_ urine_ algorithm reported as a probabilit","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"AGMD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CICC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"CPT-0637U","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"0637U","description":"CPT-0637U","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GCIE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CANB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Oral evaluation pt < 3yrs","billing_code_type":"CDT","billing_code_type_version":"2024","billing_code":"D0145","description":"Oral evaluation pt < 3yrs","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-C9304","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"C9304","description":"HCPCS-C9304","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Kcentra_ per i.u.","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"C9132","description":"Kcentra_ per i.u.","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Surgical opening of stomach","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"43500","description":"Surgical opening of stomach","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NKDB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GCRE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GBJA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Cast sup lng leg splnt fbrgl","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"Q4042","description":"Cast sup lng leg splnt fbrgl","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MKIF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CAME0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"X-ray exam of shoulder","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"73020","description":"X-ray exam of shoulder","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JDBA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"EFAD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"EDEF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"AIMD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Construct vagina with graft","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"57292","description":"Construct vagina with graft","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Anesth surgery of abdomen","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"86053","description":"Anesth surgery of abdomen","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FDMA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GFJD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GDLE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CHVF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OJYB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FFBC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RMA60","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RMA60","description":"HIPPS-RMA60","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Intens cardiac rehab w/exerc","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G0422","description":"Intens cardiac rehab w/exerc","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-3AGL6","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"3AGL6","description":"HIPPS-3AGL6","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Home visit fecal/enema mgmt","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"99511","description":"Home visit fecal/enema mgmt","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GITE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Therapeutic procd strg endur","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G0237","description":"Therapeutic procd strg endur","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JGHD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Audiometry for hearing aid","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"S0618","description":"Audiometry for hearing aid","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Lens single vision not oth c","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"V2199","description":"Lens single vision not oth c","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Orbit surgery procedure","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"67599","description":"Orbit surgery procedure","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RHC8E","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RHC8E","description":"HIPPS-RHC8E","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GGDD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Hearing id_ digit_ mon_ cic","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"V5254","description":"Hearing id_ digit_ mon_ cic","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"AEMA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Injection_ tildrakizumab_ 1mg","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"J3245","description":"Injection_ tildrakizumab_ 1mg","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Removal of artery clot","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"34151","description":"Removal of artery clot","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-BB18C","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"BB18C","description":"HIPPS-BB18C","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-1BFNS","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"1BFNS","description":"HIPPS-1BFNS","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Patient has metastatic disease at diagnosis","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G9834","description":"Patient has metastatic disease at diagnosis","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"PGOB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KAVE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-HC11C","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"HC11C","description":"HIPPS-HC11C","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Crown porcelain base metal","billing_code_type":"CDT","billing_code_type_version":"2024","billing_code":"D6751","description":"Crown porcelain base metal","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Prescription drug monitoring_ 120 or more drugs and substances_ definitive tandem mass spectrometry with chromatography_ urine_ qualitative report of presence (including quant","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0006U","description":"Prescription drug monitoring_ 120 or more drugs and substances_ definitive tandem mass spectrometry with chromatography_ urine_ qualitative report of presence (including quant","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-ES14C","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"ES14C","description":"HIPPS-ES14C","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Wellness assessment by nonph","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"S5190","description":"Wellness assessment by nonph","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FEPC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"EEIA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NBXB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"DCYD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Patients who use hospice services any time during the measurement period","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G9760","description":"Patients who use hospice services any time during the measurement period","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HER2-targeted therapies administered during the initial course of treatment","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G9828","description":"HER2-targeted therapies administered during the initial course of treatment","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-ES213","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"ES213","description":"HIPPS-ES213","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Med reminder serv per month","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"S5185","description":"Med reminder serv per month","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Control of nosebleed","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"30901","description":"Control of nosebleed","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NJTE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Meningococcal conjugate vaccine_ serogroups A_ C_ W_ Y_ quadrivalent_ tetanus toxoid carrier (MenACWY-TT)_ for intramuscular use","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"90619","description":"Meningococcal conjugate vaccine_ serogroups A_ C_ W_ Y_ quadrivalent_ tetanus toxoid carrier (MenACWY-TT)_ for intramuscular use","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CHKB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CCCA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"AATA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GIOA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CGGC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JATA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"IFED0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BEBF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Doc active inj drug use","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G9518","description":"Doc active inj drug use","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RUC14","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RUC14","description":"HIPPS-RUC14","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FGPF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"IIAB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"EAHE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NKPC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CHEA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JBLA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NHUC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OKQD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"IGTF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Neonatal emergency transport","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"A0225","description":"Neonatal emergency transport","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-PA28C","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"PA28C","description":"HIPPS-PA28C","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Allograft_ includes templating_ cutting_ placement and internal fixation_ when performed; hemicortical intercalary_ partial (ie_ hemicylindrical) (List separately in addition","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"20933","description":"Allograft_ includes templating_ cutting_ placement and internal fixation_ when performed; hemicortical intercalary_ partial (ie_ hemicylindrical) (List separately in addition","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"The Number Of Adult Patient-Months In The Denominator Who Were On Maintenance Hemodialysis Under The Care Of The Same Practitioner Or Group Partner As Of The Last Hemodialysis","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G1027","description":"The Number Of Adult Patient-Months In The Denominator Who Were On Maintenance Hemodialysis Under The Care Of The Same Practitioner Or Group Partner As Of The Last Hemodialysis","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KEHC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JDMA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Ecg record/review","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"93268","description":"Ecg record/review","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CHTD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"ICCF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"ONC SOLID TUMOR 30 PRTN TRGT","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0174U","description":"ONC SOLID TUMOR 30 PRTN TRGT","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Removal of brow wrinkles","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"15826","description":"Removal of brow wrinkles","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Anesth cabg w/o pump","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"56651","description":"Anesth cabg w/o pump","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"CPT-77439","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"77439","description":"CPT-77439","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"No elig tpa init w/in 3 hrs","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G8601","description":"No elig tpa init w/in 3 hrs","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RUL31","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RUL31","description":"HIPPS-RUL31","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KGXF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Endoscopic ultrasound-guided direct measurement of hepatic portosystemic pressure gradient by any method (list separately in addition to code for primary procedure)","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"C9768","description":"Endoscopic ultrasound-guided direct measurement of hepatic portosystemic pressure gradient by any method (list separately in addition to code for primary procedure)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-HB18B","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"HB18B","description":"HIPPS-HB18B","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BEXF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-HE244","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"HE244","description":"HIPPS-HE244","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Chest x-ray 4/> views","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"71030","description":"Chest x-ray 4/> views","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GBWE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OALF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NKID1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NFUA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BIVD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JAAD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GAVA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Destruction anal lesion(s)","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"46910","description":"Destruction anal lesion(s)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OJQF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OJCA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CABD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"PGWE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Ureter endoscopy","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"50970","description":"Ureter endoscopy","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OAVD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NLJB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MEHE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"IIDA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Tc99m oxidronate","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"A9561","description":"Tc99m oxidronate","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"IBBD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Immunization administration by intramuscular injection of severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) (coronavirus disease [COVID-19]) vaccine_ recombinant sp","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0044A","description":"Immunization administration by intramuscular injection of severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) (coronavirus disease [COVID-19]) vaccine_ recombinant sp","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Ablate arrhythmia add on","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"93655","description":"Ablate arrhythmia add on","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Impression casting ft","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"S0395","description":"Impression casting ft","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"LFRB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OIIC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OJOB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Inj perflutren lip micros_ml","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"Q9957","description":"Inj perflutren lip micros_ml","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FCAB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Foot insert remov molded spe","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"L3001","description":"Foot insert remov molded spe","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BBDC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"EGLD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Cuffs adj lock w/ active con","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"L3740","description":"Cuffs adj lock w/ active con","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Power bone marrow bx needle","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"C1830","description":"Power bone marrow bx needle","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FIJF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Assay of vitamin a","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"84590","description":"Assay of vitamin a","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"CPT-00820","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"00820","description":"CPT-00820","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"CPT-1109T","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"1109T","description":"CPT-1109T","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JHJE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Remove spine lamina 1/2 lmbr","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"63005","description":"Remove spine lamina 1/2 lmbr","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"PLYE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OHQA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Chronic Care Management Services With The Following Required Elements: Multiple (Two Or More) Chronic Conditions Expected To Last At Least 12 Months_ Or Until The Death Of The","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"99439","description":"Chronic Care Management Services With The Following Required Elements: Multiple (Two Or More) Chronic Conditions Expected To Last At Least 12 Months_ Or Until The Death Of The","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-CA18C","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"CA18C","description":"HIPPS-CA18C","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Absorp drg >16<=48 suc pump","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"K0745","description":"Absorp drg >16<=48 suc pump","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RLB0A","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RLB0A","description":"HIPPS-RLB0A","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"X-ray exam of facial bones","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"70150","description":"X-ray exam of facial bones","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-C9313","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"C9313","description":"HCPCS-C9313","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-AAA52","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"AAA52","description":"HIPPS-AAA52","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-Q5148","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"Q5148","description":"HCPCS-Q5148","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"ODGF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GDOC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"CDT-D5941","billing_code_type":"CDT","billing_code_type_version":"2026","billing_code":"D5941","description":"CDT-D5941","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-1BGL5","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"1BGL5","description":"HIPPS-1BGL5","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"EILC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Repair of heart chambers","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"33670","description":"Repair of heart chambers","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CFYD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Kafo femoral fx cast soft","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"L2132","description":"Kafo femoral fx cast soft","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CCLC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-BA156","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"BA156","description":"HIPPS-BA156","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FBKE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RLB8H","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RLB8H","description":"HIPPS-RLB8H","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Patients who did not have a net increase in pam score of at least 6 points within a 6 to 12 month period","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"M1346","description":"Patients who did not have a net increase in pam score of at least 6 points within a 6 to 12 month period","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Balance lens","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"V2700","description":"Balance lens","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"EHIA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Esophagosc flex trnsn biopsy","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"43198","description":"Esophagosc flex trnsn biopsy","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Thromboxane urine","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"84431","description":"Thromboxane urine","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CBYB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"PEWF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"LHOA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KECB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Fusion of foot bones","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"28725","description":"Fusion of foot bones","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Penile venous occlusion","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"37790","description":"Penile venous occlusion","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Assay 17- ketosteroids","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"83586","description":"Assay 17- ketosteroids","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Treat hip fracture(s)","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"27228","description":"Treat hip fracture(s)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Baclofen 10 mg injection","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"J0475","description":"Baclofen 10 mg injection","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Hx bld transf b/f 1992","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G9449","description":"Hx bld transf b/f 1992","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"ECBE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RUX8I","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RUX8I","description":"HIPPS-RUX8I","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GEBC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OEJE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OFLB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GAIA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FEBC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"AFLE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"External receiver_ cgm sys","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"A9278","description":"External receiver_ cgm sys","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Documentation of medical reason(s) for not administering td or tdap vaccine (e.g._ prior anaphylaxis due to the td or tdap vaccine or history of encephalopathy within seven da","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"M1172","description":"Documentation of medical reason(s) for not administering td or tdap vaccine (e.g._ prior anaphylaxis due to the td or tdap vaccine or history of encephalopathy within seven da","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"AFAF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JAGE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NGHC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OHBC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Lead_ pmkr_ other than trans","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"C1898","description":"Lead_ pmkr_ other than trans","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SLCO1B1 (solute carrier organic anion transporter family_ member 1B1) (eg_ adverse drug reaction)_ gene analysis_ common variant(s) (eg_ *5)","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"81328","description":"SLCO1B1 (solute carrier organic anion transporter family_ member 1B1) (eg_ adverse drug reaction)_ gene analysis_ common variant(s) (eg_ *5)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MFED0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Omalizumab injection","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"J2357","description":"Omalizumab injection","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Oncology (Oral And/Or Oropharyngeal Cancer)_ Gene Expression Profiling By Rna Sequencing At Least 20 Molecular Features (Eg_ Human And/Or Microbial Mrna)_ Saliva_ Algorithm Re","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0296U","description":"Oncology (Oral And/Or Oropharyngeal Cancer)_ Gene Expression Profiling By Rna Sequencing At Least 20 Molecular Features (Eg_ Human And/Or Microbial Mrna)_ Saliva_ Algorithm Re","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GHIB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NKND0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FFTD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-M1420","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"M1420","description":"HCPCS-M1420","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NBED1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BAGB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-ES345","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"ES345","description":"HIPPS-ES345","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CAVF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Antibody_ severe acute respiratory system coronavirus 2 (SARS CoV-2) (Coronavirus disease [COVID-19])","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"86769","description":"Antibody_ severe acute respiratory system coronavirus 2 (SARS CoV-2) (Coronavirus disease [COVID-19])","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Slings","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"A4565","description":"Slings","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RHA44","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RHA44","description":"HIPPS-RHA44","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-HB18X","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"HB18X","description":"HIPPS-HB18X","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Fluconazole","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"J1450","description":"Fluconazole","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RVB51","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RVB51","description":"HIPPS-RVB51","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OLCA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GAQD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Documentation Stating The Patient Has Received Or Is Currently Receiving Palliative Or Hospice Care","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G9996","description":"Documentation Stating The Patient Has Received Or Is Currently Receiving Palliative Or Hospice Care","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Removal of wrist bones","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"25215","description":"Removal of wrist bones","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"PHYF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"CPT-0546U","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"0546U","description":"CPT-0546U","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CDUB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-HB15D","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"HB15D","description":"HIPPS-HB15D","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NDXB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MGDD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Reconstruction of chin","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"21121","description":"Reconstruction of chin","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NGVD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Pt w/fast/dir lab ldl-c >190","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G9675","description":"Pt w/fast/dir lab ldl-c >190","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FFBA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FHJD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Injection/implantation of bulking or spacer material (any type) with or without image guidance (not to be used if a more specific code applies)","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"C9743","description":"Injection/implantation of bulking or spacer material (any type) with or without image guidance (not to be used if a more specific code applies)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NCKD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CHAE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NLMB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Injection_ aripiprazole lauroxil_ 1 mg","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"J1942","description":"Injection_ aripiprazole lauroxil_ 1 mg","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FBDD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"B-amyloid (Abeta42) and total tau (tTau)_ electrochemiluminescent immunoassay (ECLIA)_ cerebral spinal fluid_ ratio reported as positive or negative for amyloid pathology","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0459U","description":"B-amyloid (Abeta42) and total tau (tTau)_ electrochemiluminescent immunoassay (ECLIA)_ cerebral spinal fluid_ ratio reported as positive or negative for amyloid pathology","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Detach adjust armrst upper","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"K0018","description":"Detach adjust armrst upper","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CATF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"IAAD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GAUE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Male vacuum erection system","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"L7900","description":"Male vacuum erection system","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-2AHLW","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"2AHLW","description":"HIPPS-2AHLW","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"IBDB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FAHD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Solid caster tire","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"E2391","description":"Solid caster tire","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Noninvasive estimate of coronary fractional flow reserve (FFR) derived from augmentative software analysis of the data set from a coronary computed tomography angiography_ wit","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"75580","description":"Noninvasive estimate of coronary fractional flow reserve (FFR) derived from augmentative software analysis of the data set from a coronary computed tomography angiography_ wit","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KHJE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NBCB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RLB8D","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RLB8D","description":"HIPPS-RLB8D","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GBFE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Ans parasymp & symp w/tilt","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"95924","description":"Ans parasymp & symp w/tilt","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-LD145","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"LD145","description":"HIPPS-LD145","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KCUF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OLYB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-PE15A","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"PE15A","description":"HIPPS-PE15A","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Low cost skin substitute app","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"C5277","description":"Low cost skin substitute app","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Home visit nos","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"99600","description":"Home visit nos","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Pediatric electric hand","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"L7008","description":"Pediatric electric hand","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Revise low back nerve(s)","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"64714","description":"Revise low back nerve(s)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Treatment of penis lesion","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"54205","description":"Treatment of penis lesion","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Injection_ ranibizumab_ via sustained release intravitreal implant (Susvimo)_ 0.1 mg","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"C9093","description":"Injection_ ranibizumab_ via sustained release intravitreal implant (Susvimo)_ 0.1 mg","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Ins cath ren art 2nd+ bilat","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"36254","description":"Ins cath ren art 2nd+ bilat","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Insertion of interlaminar/interspinous process stabilization/distraction device_ without fusion_ including image guidance when performed_ with open decompression_ lumbar; seco","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"22868","description":"Insertion of interlaminar/interspinous process stabilization/distraction device_ without fusion_ including image guidance when performed_ with open decompression_ lumbar; seco","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Repair/graft finger tendon","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"26428","description":"Repair/graft finger tendon","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"IFEE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JGLF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-HD240","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"HD240","description":"HIPPS-HD240","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Preop asses 4 cataract surg","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"3325F","description":"Preop asses 4 cataract surg","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RVL0A","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RVL0A","description":"HIPPS-RVL0A","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FICB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"CPT-00326","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"00326","description":"CPT-00326","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Cultr oocyte/embryo <4 days","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"89250","description":"Cultr oocyte/embryo <4 days","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Calcitonin stimul panel","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"80410","description":"Calcitonin stimul panel","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GAFC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FBIF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FDDD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-5CHKX","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"5CHKX","description":"HIPPS-5CHKX","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"PKOF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JFHF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"CPT-1101T","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"1101T","description":"CPT-1101T","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"PJYC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Assay of protein other","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"84157","description":"Assay of protein other","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"EAUE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-3AFN1","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"3AFN1","description":"HIPPS-3AFN1","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"PBWE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Inj foramen epidural add-on","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"64480","description":"Inj foramen epidural add-on","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-HC145","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"HC145","description":"HIPPS-HC145","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-LD224","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"LD224","description":"HIPPS-LD224","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NFLC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NAXD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KFOC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BDLD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NDGE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"CPT-00700","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"00700","description":"CPT-00700","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"EGIC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Brain canal shunt procedure","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"61070","description":"Brain canal shunt procedure","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"MRI angio chest w or w/o dye","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"71555","description":"MRI angio chest w or w/o dye","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Diazepam injection","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"J3360","description":"Diazepam injection","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-1BFP5","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"1BFP5","description":"HIPPS-1BFP5","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KGFA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-PC115","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"PC115","description":"HIPPS-PC115","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-1AGMT","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"1AGMT","description":"HIPPS-1AGMT","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NGJD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KDCA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Group mnt 2 or more 30 mins","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G0271","description":"Group mnt 2 or more 30 mins","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"LHRA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MDHF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Dentures rebase cmplt maxil","billing_code_type":"CDT","billing_code_type_version":"2024","billing_code":"D5710","description":"Dentures rebase cmplt maxil","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Thorabd diaphr hern repair","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"43336","description":"Thorabd diaphr hern repair","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Dental tomographic survey","billing_code_type":"CDT","billing_code_type_version":"2024","billing_code":"D0322","description":"Dental tomographic survey","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Laps rmvl vgl arry&pls gen","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0314T","description":"Laps rmvl vgl arry&pls gen","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Port_ indwelling_ imp","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"C1788","description":"Port_ indwelling_ imp","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OAUE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Re-evaluation of physical therapy established plan of care_ requiring these components: An examination including a review of history and use of standardized tests and measures","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"97164","description":"Re-evaluation of physical therapy established plan of care_ requiring these components: An examination including a review of history and use of standardized tests and measures","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Gc chl syp documented","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G9228","description":"Gc chl syp documented","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Paraffin","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"A4265","description":"Paraffin","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GDPC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Follow-up recommendations according to recommended guidelines for incidentally detected pulmonary nodules not documented due to medical reasons (eg_patients with malignant)","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G9346","description":"Follow-up recommendations according to recommended guidelines for incidentally detected pulmonary nodules not documented due to medical reasons (eg_patients with malignant)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Adaptive behavior treatment by protocol_ administered by technician under the direction of a physician or other qualified health care professional_ face-to-face with one patie","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"97153","description":"Adaptive behavior treatment by protocol_ administered by technician under the direction of a physician or other qualified health care professional_ face-to-face with one patie","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NDJA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-3BGL1","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"3BGL1","description":"HIPPS-3BGL1","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CHTA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Reconstruction of urethra","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"54312","description":"Reconstruction of urethra","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Lvef mod/sever deprs syst","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"3021F","description":"Lvef mod/sever deprs syst","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FDID0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Dacarbazine 100 mg inj","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"J9130","description":"Dacarbazine 100 mg inj","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MDMA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OGRC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Lens sphcy trifocal 4.0/2.25","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"V2304","description":"Lens sphcy trifocal 4.0/2.25","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BCKE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Insertion of catheter vein","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"36510","description":"Insertion of catheter vein","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Injection_ romidepsin_ nonlyophilized_ 0.1 mg","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"J9318","description":"Injection_ romidepsin_ nonlyophilized_ 0.1 mg","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Transplantation heart/lung","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"33935","description":"Transplantation heart/lung","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FHVC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Subsequent hospital care","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"99231","description":"Subsequent hospital care","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Endoscopic decompression of spinal cord_ nerve root(s)_ including laminotomy_ partial facetectomy_ foraminotomy_ discectomy and/or excision of herniated intervertebral disc_ 1","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"62380","description":"Endoscopic decompression of spinal cord_ nerve root(s)_ including laminotomy_ partial facetectomy_ foraminotomy_ discectomy and/or excision of herniated intervertebral disc_ 1","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Oxacillin sodium injeciton","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"J2700","description":"Oxacillin sodium injeciton","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Assay of phenobarbital","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"80184","description":"Assay of phenobarbital","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"LGWF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"EGBB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Anesth hernia repair < 1 yr","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"83451","description":"Anesth hernia repair < 1 yr","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Cystoscopy and treatment","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"52260","description":"Cystoscopy and treatment","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Replace eye fluid","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"67025","description":"Replace eye fluid","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Cor artery disease mrna","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"81493","description":"Cor artery disease mrna","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Replace aortic valve w/byp","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"33369","description":"Replace aortic valve w/byp","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Suicidal ideation and/or behavior symptoms based on the c-ssrs or equivalent assessment","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"M1352","description":"Suicidal ideation and/or behavior symptoms based on the c-ssrs or equivalent assessment","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Autopsy (necropsy) gross","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"88014","description":"Autopsy (necropsy) gross","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Suspension of breast","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"19316","description":"Suspension of breast","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NBVB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MDHB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FCIA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BHAE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JAKB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"CPT-37254","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"37254","description":"CPT-37254","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NLPE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-PD250","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"PD250","description":"HIPPS-PD250","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Implant supported retainer","billing_code_type":"CDT","billing_code_type_version":"2024","billing_code":"D6076","description":"Implant supported retainer","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BFXB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"ODYC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-1AHNX","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"1AHNX","description":"HIPPS-1AHNX","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FFFB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Laser inc for pkp/lkp recip","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0290T","description":"Laser inc for pkp/lkp recip","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CFEF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"IIBA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"IELA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GDNB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Ureter endoscopy & catheter","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"50972","description":"Ureter endoscopy & catheter","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OEWD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GGSA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Extracorp shockwv tx anesth","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0102T","description":"Extracorp shockwv tx anesth","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Patient identified as a tobacco user received tobacco cessation intervention during the measurement period or in the six months prior to the measurement period (counseling and","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"M1301","description":"Patient identified as a tobacco user received tobacco cessation intervention during the measurement period or in the six months prior to the measurement period (counseling and","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"AHCA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BIBC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Ref for oto eval","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G8856","description":"Ref for oto eval","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Gel-one","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"J7326","description":"Gel-one","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BECA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"CDT-D1504","billing_code_type":"CDT","billing_code_type_version":"2026","billing_code":"D1504","description":"CDT-D1504","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Tx/proph/dg addl seq iv inf","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"96367","description":"Tx/proph/dg addl seq iv inf","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Injection_ pantoprazole sodium_ 40 mg","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"J2470","description":"Injection_ pantoprazole sodium_ 40 mg","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Treatment of tibia fracture","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"27752","description":"Treatment of tibia fracture","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KHIA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FDID1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BGXD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GFBA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"EFID1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"EECC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KFMB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"IEBA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OKDF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NDLB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RMX17","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RMX17","description":"HIPPS-RMX17","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Obstetrical care","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"59400","description":"Obstetrical care","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Removal of foot lesion","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"28080","description":"Removal of foot lesion","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MKAC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Cytopath c/v thin layer redo","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"88143","description":"Cytopath c/v thin layer redo","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JIDE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Evacuate mole of uterus","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"59870","description":"Evacuate mole of uterus","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Injection_ avacincaptad pegol_ 0.1 mg","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"J2782","description":"Injection_ avacincaptad pegol_ 0.1 mg","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Soft tissue graft firsttooth","billing_code_type":"CDT","billing_code_type_version":"2024","billing_code":"D4277","description":"Soft tissue graft firsttooth","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-PA106","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"PA106","description":"HIPPS-PA106","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JALE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OHMA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-PD28A","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"PD28A","description":"HIPPS-PD28A","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"PDOF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GBLE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CCKC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RHB8E","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RHB8E","description":"HIPPS-RHB8E","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Immunoglobulin paraprotein (M-protein)_ qualitative_ immunoprecipitation and mass spectrometry_ blood or urine_ including isotype","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0077U","description":"Immunoglobulin paraprotein (M-protein)_ qualitative_ immunoprecipitation and mass spectrometry_ blood or urine_ including isotype","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KDTB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"EHAA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Revision of neck muscle/rib","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"21705","description":"Revision of neck muscle/rib","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Mastoidectomy","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"69501","description":"Mastoidectomy","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BHGA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Vena cava filter","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"C1880","description":"Vena cava filter","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Laryngoscopy w/bx & op scope","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"31536","description":"Laryngoscopy w/bx & op scope","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-A0105","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"A0105","description":"HCPCS-A0105","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Hospital Special Treatment Room Support Component (Hstrsc) Hyperbaric Oxygen Treatment","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"X2061","description":"Hospital Special Treatment Room Support Component (Hstrsc) Hyperbaric Oxygen Treatment","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Influenza virus vaccine quadrivalent (IIV4)_ inactivated_ adjuvanted_ preservative free_ 0.25 mL dosage_ for intramuscular use","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"90689","description":"Influenza virus vaccine quadrivalent (IIV4)_ inactivated_ adjuvanted_ preservative free_ 0.25 mL dosage_ for intramuscular use","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OAIC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"IGCC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Assay of urine porphyrins","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"84120","description":"Assay of urine porphyrins","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OCWF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HH PDGM","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"4LC11","description":"HH PDGM","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NIVC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Enamel microabrasion","billing_code_type":"CDT","billing_code_type_version":"2024","billing_code":"D9970","description":"Enamel microabrasion","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BBTA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-LC24D","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"LC24D","description":"HIPPS-LC24D","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CFEF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KHAD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-4BGLT","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"4BGLT","description":"HIPPS-4BGLT","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RMX2D","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RMX2D","description":"HIPPS-RMX2D","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Eeg monitoring/videorecord","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"95951","description":"Eeg monitoring/videorecord","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-3BGN3","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"3BGN3","description":"HIPPS-3BGN3","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"AILB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"PKSE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MHHA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Myocardial Imaging_ Positron Emission Tomography (Pet)_ Perfusion Study (Including Ventricular Wall Motion[S] And/Or Ejection Fraction[S]_ When Performed); Single Study_ At Re","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"78430","description":"Myocardial Imaging_ Positron Emission Tomography (Pet)_ Perfusion Study (Including Ventricular Wall Motion[S] And/Or Ejection Fraction[S]_ When Performed); Single Study_ At Re","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CGQB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-LC230","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"LC230","description":"HIPPS-LC230","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Gastrin test","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"82938","description":"Gastrin test","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-1AFKV","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"1AFKV","description":"HIPPS-1AFKV","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"IBIE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Platelet deplete of harvest","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"38213","description":"Platelet deplete of harvest","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Ultrasound_ limited_ joint or other nonvascular extremity structure(s) (eg_ joint space_ peri-articular tendon[s]_ muscle[s]_ nerve[s]_ other soft tissue structure[s]_ or soft","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"76882","description":"Ultrasound_ limited_ joint or other nonvascular extremity structure(s) (eg_ joint space_ peri-articular tendon[s]_ muscle[s]_ nerve[s]_ other soft tissue structure[s]_ or soft","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Njx paravert w/us lumb/sac","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0218T","description":"Njx paravert w/us lumb/sac","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OLSE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-CC130","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"CC130","description":"HIPPS-CC130","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MGDE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KABF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GHXA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Cranio/maxillofacial surgery","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"21299","description":"Cranio/maxillofacial surgery","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Fusion of ureter & bowel","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"50810","description":"Fusion of ureter & bowel","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CFPC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KIYC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Flutemetamol F18_ diagnostic_ per study dose_ up to 8.1 millicuries","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"Q9983","description":"Flutemetamol F18_ diagnostic_ per study dose_ up to 8.1 millicuries","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Lefort ii anterior intrusion","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"21150","description":"Lefort ii anterior intrusion","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"ECAB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Pneumatic caster tire tube","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"E2215","description":"Pneumatic caster tire tube","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Removal of eye lesion","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"65426","description":"Removal of eye lesion","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Remove carotid body lesion","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"60605","description":"Remove carotid body lesion","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Anesth vaginal endoscopy","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"95051","description":"Anesth vaginal endoscopy","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Pediatric wheelchair nos","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"E1229","description":"Pediatric wheelchair nos","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Inj ivig privigen 500 mg","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"J1459","description":"Inj ivig privigen 500 mg","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Doc no comp or mort w in 90d","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G9270","description":"Doc no comp or mort w in 90d","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"CPT-37278","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"37278","description":"CPT-37278","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Wound filler gel/paste /oz","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"A6261","description":"Wound filler gel/paste /oz","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MBMD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JIPA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-HE14D","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"HE14D","description":"HIPPS-HE14D","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GBUD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FDBA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CCGA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Revise thigh muscles/tendons","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"27400","description":"Revise thigh muscles/tendons","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JAAE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Statin not presc disch","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G9443","description":"Statin not presc disch","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CCCF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"DIOB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CFAA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FETD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-1BGL3","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"1BGL3","description":"HIPPS-1BGL3","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RMX51","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RMX51","description":"HIPPS-RMX51","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Adapt/ext_ pacing/neuro lead","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"C1883","description":"Adapt/ext_ pacing/neuro lead","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Halo repl liner/interface","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"L0861","description":"Halo repl liner/interface","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Division of fallopian tube","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"58605","description":"Division of fallopian tube","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NDFB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Below knee flex cover system","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"L5962","description":"Below knee flex cover system","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"ADLA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Drainage of hip joint","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"27030","description":"Drainage of hip joint","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NAVF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Injection Fluocinolone Acetonide Intravitreal Implant_ 0.01mg","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"C9450","description":"Injection Fluocinolone Acetonide Intravitreal Implant_ 0.01mg","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Percut thrombect av fistula","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"36870","description":"Percut thrombect av fistula","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Microsatellite instability","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"81301","description":"Microsatellite instability","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CGYB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BEBA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MGAC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FHMB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"CPT-0631U","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"0631U","description":"CPT-0631U","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Norsn no foot exam","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G9225","description":"Norsn no foot exam","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Revision of humerus","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"24410","description":"Revision of humerus","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BCDA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CEBC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BDLE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"EGCA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-HB10D","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"HB10D","description":"HIPPS-HB10D","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-CC18A","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"CC18A","description":"HIPPS-CC18A","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NKMB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Arthroereisis_ subtalar","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"S2117","description":"Arthroereisis_ subtalar","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FDVB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"DBYD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Drain open retroperi abscess","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"49060","description":"Drain open retroperi abscess","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NFPD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BGBC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"DCOB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GIHE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-5CHK2","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"5CHK2","description":"HIPPS-5CHK2","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Ft arch suprt premold longit","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"L3040","description":"Ft arch suprt premold longit","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Digitization of glass microscope slides for level VI_ surgical pathology_ gross and microscopic examination (List separately in addition to code for primary procedure)","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0755T","description":"Digitization of glass microscope slides for level VI_ surgical pathology_ gross and microscopic examination (List separately in addition to code for primary procedure)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Electronic elbow hosmer swit","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"L7170","description":"Electronic elbow hosmer swit","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BDXC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"EpiFix or Epicord_ per sq cm","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"Q4131","description":"EpiFix or Epicord_ per sq cm","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FDAC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Asthma education","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"S9441","description":"Asthma education","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CFUA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Endovenous ablation therapy of incompetent vein_ extremity_ inclusive of all imaging guidance and monitoring_ percutaneous_ mechanochemical; first vein treated","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"36473","description":"Endovenous ablation therapy of incompetent vein_ extremity_ inclusive of all imaging guidance and monitoring_ percutaneous_ mechanochemical; first vein treated","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OAJD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Removal pelvic lymph nodes","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"38562","description":"Removal pelvic lymph nodes","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RVC43","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RVC43","description":"HIPPS-RVC43","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-1AHK1","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"1AHK1","description":"HIPPS-1AHK1","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-3BGNV","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"3BGNV","description":"HIPPS-3BGNV","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Pwr seat tilt","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"E1002","description":"Pwr seat tilt","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"X-ray exam l-s spine 2/3 vws","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"72100","description":"X-ray exam l-s spine 2/3 vws","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OKUF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CCJE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Milwaukee type superstructur","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"L1230","description":"Milwaukee type superstructur","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"IFHE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Removal of fascia for graft","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"20922","description":"Removal of fascia for graft","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Mycobacteria dna dir probe","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"87550","description":"Mycobacteria dna dir probe","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-PE20B","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"PE20B","description":"HIPPS-PE20B","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RUA24","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RUA24","description":"HIPPS-RUA24","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Removal and replacement of wireless cardiac stimulator for left ventricular pacing; pulse generator component(s) (battery and/or transmitter)_ including placement of a new ele","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0520T","description":"Removal and replacement of wireless cardiac stimulator for left ventricular pacing; pulse generator component(s) (battery and/or transmitter)_ including placement of a new ele","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Rpr hern preemie reduc","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"49491","description":"Rpr hern preemie reduc","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NLKD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FGLB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Hkafo unilat torsion ball br","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"L2090","description":"Hkafo unilat torsion ball br","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Capillary blood draw","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"36416","description":"Capillary blood draw","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Cmplx chron care w/o pt vsit","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"99487","description":"Cmplx chron care w/o pt vsit","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OKHD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Repair pulmonary atresia","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"33920","description":"Repair pulmonary atresia","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-BA18G","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"BA18G","description":"HIPPS-BA18G","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CGTB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CIWB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MEDF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NFAB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Tmj repair of joint disc","billing_code_type":"CDT","billing_code_type_version":"2024","billing_code":"D7852","description":"Tmj repair of joint disc","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-LE13A","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"LE13A","description":"HIPPS-LE13A","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HH PDGM","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"1CC31","description":"HH PDGM","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MBTA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"ODKB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Art byp grft subclav-vertbrl","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"35515","description":"Art byp grft subclav-vertbrl","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Genome (eg_ unexplained constitutional or heritable disorder or syndrome)_ rapid sequence analysis_ each comparator genome (eg_ parents_ siblings)","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0425U","description":"Genome (eg_ unexplained constitutional or heritable disorder or syndrome)_ rapid sequence analysis_ each comparator genome (eg_ parents_ siblings)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Comprehensive assessment of and care planning for patients requiring chronic care management services (list separately in addition to primary monthly care management service)","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G0506","description":"Comprehensive assessment of and care planning for patients requiring chronic care management services (list separately in addition to primary monthly care management service)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Injection ext venography","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"36005","description":"Injection ext venography","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"EIMC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"PJWE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KBHB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Incise spine accessory nerve","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"63191","description":"Incise spine accessory nerve","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BCKD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SYPHILIS TST ANTB IA QUAN","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0210U","description":"SYPHILIS TST ANTB IA QUAN","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OIDE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"LERF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Injection_ argatroban (auromedics)_ not therapeutically equivalent to j0884_ 1 mg (for esrd on dialysis)","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"J0899","description":"Injection_ argatroban (auromedics)_ not therapeutically equivalent to j0884_ 1 mg (for esrd on dialysis)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Transcutaneous magnetic stimulation by focused low-frequency electromagnetic pulse_ peripheral nerve_ subsequent treatment_ including noninvasive electroneurographic localizat","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0768T","description":"Transcutaneous magnetic stimulation by focused low-frequency electromagnetic pulse_ peripheral nerve_ subsequent treatment_ including noninvasive electroneurographic localizat","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Treat toe dislocation","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"28635","description":"Treat toe dislocation","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"EIAB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"EAEB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Surgical stent","billing_code_type":"CDT","billing_code_type_version":"2024","billing_code":"D5982","description":"Surgical stent","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"CPT-00948","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"00948","description":"CPT-00948","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"LDSD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MLIE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"AEIF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FEUE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OELD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Reduction of skull defect","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"62117","description":"Reduction of skull defect","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Hemoglobin a1c level is missing_ or was not performed during the measurement period (12 months)","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"M1212","description":"Hemoglobin a1c level is missing_ or was not performed during the measurement period (12 months)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CAKB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JBDD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CEXF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Sperm procure init visit","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"S4030","description":"Sperm procure init visit","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Aminophyllin 250 mg inj","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"J0280","description":"Aminophyllin 250 mg inj","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GEAA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Hgb >= 10 g/dl","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G8976","description":"Hgb >= 10 g/dl","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KHSA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-BA23D","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"BA23D","description":"HIPPS-BA23D","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"LEOA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NLDB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NEFA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-3BFLX","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"3BFLX","description":"HIPPS-3BFLX","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Vein x-ray kidneys","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"75833","description":"Vein x-ray kidneys","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Injection_ Anifrolumab-Fnia_ 1 Mg","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"C9086","description":"Injection_ Anifrolumab-Fnia_ 1 Mg","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Remove groin lymph nodes","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"38760","description":"Remove groin lymph nodes","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"IEEB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OKQC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GAFB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OBXC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"No doc of neg or man pos tb","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G9360","description":"No doc of neg or man pos tb","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OEOC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Thoracoscopy lymph node exc","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"32674","description":"Thoracoscopy lymph node exc","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KGRE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RMB56","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RMB56","description":"HIPPS-RMB56","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GATB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CCLF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Rad resect hand tumor < 3 cm","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"26117","description":"Rad resect hand tumor < 3 cm","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KISA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Thoracoscopy pneumonectomy","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"32671","description":"Thoracoscopy pneumonectomy","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RLB36","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RLB36","description":"HIPPS-RLB36","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KEAB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Repair/graft femur head/neck","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"27170","description":"Repair/graft femur head/neck","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Creatine isoforms","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"82554","description":"Creatine isoforms","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Construct bowel bladder","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"50820","description":"Construct bowel bladder","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Preparation of tumor cavity_ with placement of a radiation therapy applicator for intraoperative radiation therapy (IORT) concurrent with primary craniotomy (List separately","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0735T","description":"Preparation of tumor cavity_ with placement of a radiation therapy applicator for intraoperative radiation therapy (IORT) concurrent with primary craniotomy (List separately","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KIRB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OHBE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FEME1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FBJB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KBYF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-BB113","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"BB113","description":"HIPPS-BB113","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KFRC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Electric current therapy","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"97033","description":"Electric current therapy","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Drain penis lesion","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"54015","description":"Drain penis lesion","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"IAHC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Insertion or replacement of percutaneous electrode array_ spinal_ with integrated neurostimulator_ including imaging guidance_ when performed","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0784T","description":"Insertion or replacement of percutaneous electrode array_ spinal_ with integrated neurostimulator_ including imaging guidance_ when performed","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GGBB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Doc pt reas no pneumococcal","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G8866","description":"Doc pt reas no pneumococcal","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NGPE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FFGD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"DGOB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KBTE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BCNA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KFIE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Chemo iv infusion addl hr","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"96415","description":"Chemo iv infusion addl hr","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-2AFMU","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"2AFMU","description":"HIPPS-2AFMU","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Endoscopy of ureter","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"50953","description":"Endoscopy of ureter","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BDIA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Laser tx skin 250-500 sq cm","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"96921","description":"Laser tx skin 250-500 sq cm","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OFDB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Exc f/e/e/n/l mal+mrg 0.5cm<","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"11640","description":"Exc f/e/e/n/l mal+mrg 0.5cm<","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JIDC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"CPT-01472","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"01472","description":"CPT-01472","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RVB24","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RVB24","description":"HIPPS-RVB24","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"CPT-0589U","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"0589U","description":"CPT-0589U","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"AHEE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FCNB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"PLOA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KGHA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OJYC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RUB15","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RUB15","description":"HIPPS-RUB15","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MEHF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Reciprocating peritoneal dia","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"E1630","description":"Reciprocating peritoneal dia","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JDMB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Immediate mandibular partial denture - flexible base (including any clasps_ rests and teeth)","billing_code_type":"CDT","billing_code_type_version":"2024","billing_code":"D5228","description":"Immediate mandibular partial denture - flexible base (including any clasps_ rests and teeth)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OLNA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RHC21","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RHC21","description":"HIPPS-RHC21","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Excise excessive skin arm","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"15836","description":"Excise excessive skin arm","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CHTF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RMX01","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RMX01","description":"HIPPS-RMX01","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BDEF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"XCellerate_ per sq cm","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"Q4234","description":"XCellerate_ per sq cm","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Monit store cryo embryo 30 d","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"S4040","description":"Monit store cryo embryo 30 d","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"EGCC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Cognit assessed and reviewed","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"1494F","description":"Cognit assessed and reviewed","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FHNC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Insertion of cannula","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"36815","description":"Insertion of cannula","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BDMF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NJUA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JGKD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Injection_ Ramucirumab_ 5 Mg","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"C9025","description":"Injection_ Ramucirumab_ 5 Mg","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Revision (eg_ augmentation_ division of tether)_ replacement_ or removal of thoracic vertebral body tethering_ including thoracoscopy_ when performed","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"22838","description":"Revision (eg_ augmentation_ division of tether)_ replacement_ or removal of thoracic vertebral body tethering_ including thoracoscopy_ when performed","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MHID1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-PD154","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"PD154","description":"HIPPS-PD154","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Walker rigid adjust/fixed ht","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"E0130","description":"Walker rigid adjust/fixed ht","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OKPB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-HD28H","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"HD28H","description":"HIPPS-HD28H","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OLYF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Diag bronchoscope/catheter","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"31643","description":"Diag bronchoscope/catheter","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KBGE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Lap replace gastr adj device","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"43773","description":"Lap replace gastr adj device","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GGMD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Biofeedback Training_ Perineal Muscles_ Anorectal Or Urethral Sphincter_ Including Emg And/Or Manometry_ When Performed; Each Additional 15 Minutes Of One-On-One Physician Or","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"90913","description":"Biofeedback Training_ Perineal Muscles_ Anorectal Or Urethral Sphincter_ Including Emg And/Or Manometry_ When Performed; Each Additional 15 Minutes Of One-On-One Physician Or","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KERB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BCLE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"EEHA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MDBA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Biopsy of skin_ subcutaneous tissue and/or mucous membrane (including simple closure)_ unless otherwise listed; single lesion","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"11100","description":"Biopsy of skin_ subcutaneous tissue and/or mucous membrane (including simple closure)_ unless otherwise listed; single lesion","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CCKE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Fuse bile ducts and bowel","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"47780","description":"Fuse bile ducts and bowel","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HH PDGM","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"1BC11","description":"HH PDGM","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NJUE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Lens trifocal add over 3.25d","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"V2320","description":"Lens trifocal add over 3.25d","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Inj tendon sheath/ligament","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"20550","description":"Inj tendon sheath/ligament","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Anesth testis exploration","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"92451","description":"Anesth testis exploration","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Referral To Physical_ Occupational_ Speech_ Or Recreational Therapy","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G0042","description":"Referral To Physical_ Occupational_ Speech_ Or Recreational Therapy","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FFHC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RUA23","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RUA23","description":"HIPPS-RUA23","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Remove radius bone lesion","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"24136","description":"Remove radius bone lesion","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MHLE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"ODOF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"PJYB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OKCB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RHC40","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RHC40","description":"HIPPS-RHC40","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RVB06","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RVB06","description":"HIPPS-RVB06","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CATA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"CPT-01220","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"01220","description":"CPT-01220","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OGVE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Prolong e&m/psyctx serv o/p","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"99354","description":"Prolong e&m/psyctx serv o/p","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"IDEC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FCBC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"DCYD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FDFA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Colostomy","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"44320","description":"Colostomy","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Immntx 1 sting insect","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"95130","description":"Immntx 1 sting insect","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Hospital Special Treatment Room Support Component (Hstrsc) Endoscopic Procedures","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"X0616","description":"Hospital Special Treatment Room Support Component (Hstrsc) Endoscopic Procedures","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NDJB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Oseltamivir phosp_ brand","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G9035","description":"Oseltamivir phosp_ brand","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Inj multihance multipack","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"A9578","description":"Inj multihance multipack","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-2AHK1","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"2AHK1","description":"HIPPS-2AHK1","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-HE28B","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"HE28B","description":"HIPPS-HE28B","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Interim abutment","billing_code_type":"CDT","billing_code_type_version":"2024","billing_code":"D6051","description":"Interim abutment","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Memoderm/derma/tranz/integup","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"Q4126","description":"Memoderm/derma/tranz/integup","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FHNE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CAHF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Injection_ inebilizumab-cdon_ 1 mg","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"J1823","description":"Injection_ inebilizumab-cdon_ 1 mg","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RHL01","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RHL01","description":"HIPPS-RHL01","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OKPD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Correction of bunion","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"28296","description":"Correction of bunion","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CBRA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RHA16","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RHA16","description":"HIPPS-RHA16","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"AFEA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Patient identified as an unhealthy alcohol user when screened for unhealthy alcohol use using a systematic screening method","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G2196","description":"Patient identified as an unhealthy alcohol user when screened for unhealthy alcohol use using a systematic screening method","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"LARD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Pt not elig","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G9632","description":"Pt not elig","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Percutaneous breast biopsies using stereotactic guidance_ with placement of breast localization device(s) (eg_ clip_ metallic pellet)_ when performed_ and imaging of the biops","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"C7501","description":"Percutaneous breast biopsies using stereotactic guidance_ with placement of breast localization device(s) (eg_ clip_ metallic pellet)_ when performed_ and imaging of the biops","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FFHE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MIEB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Vestibuloplasty exten graft","billing_code_type":"CDT","billing_code_type_version":"2024","billing_code":"D7350","description":"Vestibuloplasty exten graft","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BFEC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Bartonella dna dir probe","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"87470","description":"Bartonella dna dir probe","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Physical Therapy/Occupational Therapy Mips Specialty Set","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G4026","description":"Physical Therapy/Occupational Therapy Mips Specialty Set","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Aortic anrysm 6/> cm diam","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"9004F","description":"Aortic anrysm 6/> cm diam","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Incise nerve back of head","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"64744","description":"Incise nerve back of head","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RVA20","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RVA20","description":"HIPPS-RVA20","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OEIA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Inj paravert f jnt c/t 3 lev","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"64492","description":"Inj paravert f jnt c/t 3 lev","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OLTF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FHCF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Torsion straight knee joint","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"L2380","description":"Torsion straight knee joint","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Egd us fine needle bx/aspir","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"43238","description":"Egd us fine needle bx/aspir","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RHC2A","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RHC2A","description":"HIPPS-RHC2A","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"LGQC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KBMA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Assay free hydroxyproline","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"83500","description":"Assay free hydroxyproline","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"ECMD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JCEE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-1BGPU","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"1BGPU","description":"HIPPS-1BGPU","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Patients who did not complete at least one of the four patient experience hu survey items and return the hu survey within 60 days of the ambulatory palliative care visit","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"M1252","description":"Patients who did not complete at least one of the four patient experience hu survey items and return the hu survey within 60 days of the ambulatory palliative care visit","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Insert spine fixation device","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"22842","description":"Insert spine fixation device","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BEHB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"So acro/clav can web pre ots","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"L3670","description":"So acro/clav can web pre ots","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-1CFPW","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"1CFPW","description":"HIPPS-1CFPW","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"ICME0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Autopsy (necropsy) gross","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"88016","description":"Autopsy (necropsy) gross","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Tamoxifen/ai prescribed","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"4179F","description":"Tamoxifen/ai prescribed","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BBGC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Perq lumbosacral injection","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"22511","description":"Perq lumbosacral injection","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Repair facial nerve","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"69745","description":"Repair facial nerve","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-CE204","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"CE204","description":"HIPPS-CE204","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Hand interface joystick","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"E2321","description":"Hand interface joystick","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-ES240","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"ES240","description":"HIPPS-ES240","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GIXB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Habil res waiver per diem","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"T2016","description":"Habil res waiver per diem","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-HE236","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"HE236","description":"HIPPS-HE236","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RML34","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RML34","description":"HIPPS-RML34","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"HHSC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KIXF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SEPT9 (Septin9) (eg_ colorectal cancer) methylation analysis","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"81327","description":"SEPT9 (Septin9) (eg_ colorectal cancer) methylation analysis","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-3CGP5","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"3CGP5","description":"HIPPS-3CGP5","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-ES334","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"ES334","description":"HIPPS-ES334","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KDHA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GEBA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NBUA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Spkt/v greater than or equal to 1. 2 (single-pool clearance of urea [kt] / volume [v])","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G8713","description":"Spkt/v greater than or equal to 1. 2 (single-pool clearance of urea [kt] / volume [v])","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Repair nasal septum defect","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"30630","description":"Repair nasal septum defect","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Caloric vstblr test w/rec","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"92537","description":"Caloric vstblr test w/rec","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-4CFM4","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"4CFM4","description":"HIPPS-4CFM4","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JDBC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KIVE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CDFF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GGHC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Tib/per revasc stnt & ather","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"37235","description":"Tib/per revasc stnt & ather","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KHDB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MCTE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Oral prescrip drug non chemo","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"J8499","description":"Oral prescrip drug non chemo","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RHB07","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RHB07","description":"HIPPS-RHB07","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NEPA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"CPT-00176","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"00176","description":"CPT-00176","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Remov vertbr dcmprn thrclmbr","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"63087","description":"Remov vertbr dcmprn thrclmbr","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MGEF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KHTA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-BA25B","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"BA25B","description":"HIPPS-BA25B","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FHBC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RLA0C","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RLA0C","description":"HIPPS-RLA0C","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NGHA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"DDQC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Interrogation device evaluation (in person) with analysis_ review and report_ includes connection_ recording and disconnection per patient encounter_ leadless pacemaker system","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0391T","description":"Interrogation device evaluation (in person) with analysis_ review and report_ includes connection_ recording and disconnection per patient encounter_ leadless pacemaker system","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KGJC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Nasal/sinus endoscopy surg","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"31292","description":"Nasal/sinus endoscopy surg","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Repair of anterior abdominal hernia(s) (ie_ epigastric_ incisional_ ventral_ umbilical_ spigelian)_ any approach (ie_ open_ laparoscopic_ robotic)_ initial_ including implanta","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"49591","description":"Repair of anterior abdominal hernia(s) (ie_ epigastric_ incisional_ ventral_ umbilical_ spigelian)_ any approach (ie_ open_ laparoscopic_ robotic)_ initial_ including implanta","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JCAC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"No surg site infection","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G9311","description":"No surg site infection","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"HBSA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Mmrv vaccine sc","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"90710","description":"Mmrv vaccine sc","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-3BHMW","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"3BHMW","description":"HIPPS-3BHMW","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Mammo assess cat in dbase","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"7020F","description":"Mammo assess cat in dbase","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Remove vad different session","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"33992","description":"Remove vad different session","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Dilated fundus eval done","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"2020F","description":"Dilated fundus eval done","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Repair fistula w/colostomy","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"45825","description":"Repair fistula w/colostomy","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OKOA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OEKB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BGUC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Injection_ argatroban (accord)_ not therapeutically equivalent to j0884_ 1 mg (for esrd on dialysis)","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"J0892","description":"Injection_ argatroban (accord)_ not therapeutically equivalent to j0884_ 1 mg (for esrd on dialysis)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NCMC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Lens_ intraocular (new tech)","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"C1780","description":"Lens_ intraocular (new tech)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-BB241","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"BB241","description":"HIPPS-BB241","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Ostectomy_ partial_ exostectomy or condylectomy_ metatarsal head_ each meta","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"3052F","description":"Ostectomy_ partial_ exostectomy or condylectomy_ metatarsal head_ each meta","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-Q5166","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"Q5166","description":"HCPCS-Q5166","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GBTD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BDKB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CFAE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GCRD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KFVF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CFNB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CHWC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"AGTE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Cast supplies unlisted","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"Q4050","description":"Cast supplies unlisted","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Lap paraesoph her rpr w/mesh","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"43282","description":"Lap paraesoph her rpr w/mesh","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OFGD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FAEC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-Q0238","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"Q0238","description":"HCPCS-Q0238","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FDKD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Iv hanger","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"K0105","description":"Iv hanger","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OGBB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"ABEA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Most recent assess vol mgmt","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G8955","description":"Most recent assess vol mgmt","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Infect control supplies nos","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"S8301","description":"Infect control supplies nos","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CFSE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KAHE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FEMB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OCNA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Inj_ ocriplasmin_ 0.125 mg","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"J7316","description":"Inj_ ocriplasmin_ 0.125 mg","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Revise eye sockets","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"21260","description":"Revise eye sockets","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Removal of adenoids","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"42836","description":"Removal of adenoids","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GACB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"AHCE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"ECLA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FAAB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Targeted genomic sequence analysis panel_ hematolymphoid neoplasm or disorder_ 5-50 genes (eg_ BRAF_ CEBPA_ DNMT3A_ EZH2_ FLT3_ IDH1_ IDH2_ JAK2_ KIT_ KRAS_ MLL_ NOTCH1_ NPM1_","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"81451","description":"Targeted genomic sequence analysis panel_ hematolymphoid neoplasm or disorder_ 5-50 genes (eg_ BRAF_ CEBPA_ DNMT3A_ EZH2_ FLT3_ IDH1_ IDH2_ JAK2_ KIT_ KRAS_ MLL_ NOTCH1_ NPM1_","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Oral device/appliance cusfab","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"E0486","description":"Oral device/appliance cusfab","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-Q4365","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"Q4365","description":"HCPCS-Q4365","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"External Ambulatory Infusion Pump_ Insulin_ Dosage Rate Adjustment Using Therapeutic Continuous Glucose Sensing","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"E0787","description":"External Ambulatory Infusion Pump_ Insulin_ Dosage Rate Adjustment Using Therapeutic Continuous Glucose Sensing","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NJFE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Injection_ aripiprazole lauroxil_ 1 mg (Aristada)","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"C9470","description":"Injection_ aripiprazole lauroxil_ 1 mg (Aristada)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"In111 pentetate","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"A9548","description":"In111 pentetate","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"ODJF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GFWD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Transcatheter insertion of permanent single-chamber leadless pacemaker_ right atrial_ including imaging guidance (eg_ fluoroscopy_ venous ultrasound_ right atrial angiography","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0823T","description":"Transcatheter insertion of permanent single-chamber leadless pacemaker_ right atrial_ including imaging guidance (eg_ fluoroscopy_ venous ultrasound_ right atrial angiography","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-LE204","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"LE204","description":"HIPPS-LE204","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OJQD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Inj milrinone lactate / 5 mg","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"J2260","description":"Inj milrinone lactate / 5 mg","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GDJC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Dress/debrid p-thick burn m","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"16025","description":"Dress/debrid p-thick burn m","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MFED1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BHXF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Supported housing_ per diem","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"H0043","description":"Supported housing_ per diem","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MCIC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"ICTC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MJLF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MACC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"EHBD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Rails bed side full length","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"E0310","description":"Rails bed side full length","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GCGD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HCPCS-Q4383","billing_code_type":"HCPCS","billing_code_type_version":"2026","billing_code":"Q4383","description":"HCPCS-Q4383","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Hmes/trachvalve adhesivedisk","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"A7506","description":"Hmes/trachvalve adhesivedisk","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FADB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Goserelin acetate implant","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"J9202","description":"Goserelin acetate implant","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MCTA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Shave skin lesion 1.1-2.0 cm","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"11302","description":"Shave skin lesion 1.1-2.0 cm","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FDGA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Fun stat scor nek/ts not don","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G8674","description":"Fun stat scor nek/ts not don","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JAGE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"HHOE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NEVF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JHGD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Excision of facial bone(s)","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"21026","description":"Excision of facial bone(s)","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Hep b ig im","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"90371","description":"Hep b ig im","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GDSA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"IGBD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KAYF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KHLB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-LE124","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"LE124","description":"HIPPS-LE124","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OCRE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Immunofluor antb 1st stain","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"88346","description":"Immunofluor antb 1st stain","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Infectious agent antigen detection by immunoassay with direct optical (ie_ visual) observation; Chlamydia trachomatis","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"87810","description":"Infectious agent antigen detection by immunoassay with direct optical (ie_ visual) observation; Chlamydia trachomatis","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BFFD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MCMB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BAJA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MJAE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MHLB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KASC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Treat fracture radius & ulna","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"25565","description":"Treat fracture radius & ulna","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Injection_ artesunate_ 1 mg","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"J0391","description":"Injection_ artesunate_ 1 mg","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Npo (nothing-mouth) ordered","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"6020F","description":"Npo (nothing-mouth) ordered","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Transfer tub rail attachment","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"E0246","description":"Transfer tub rail attachment","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KBTB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HH PDGM","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"1EB31","description":"HH PDGM","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CANB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Ikbkap gene","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"81260","description":"Ikbkap gene","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-HE18X","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"HE18X","description":"HIPPS-HE18X","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GGDB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-3AGKU","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"3AGKU","description":"HIPPS-3AGKU","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-4BGMU","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"4BGMU","description":"HIPPS-4BGMU","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Dentures maxill part metal","billing_code_type":"CDT","billing_code_type_version":"2024","billing_code":"D5213","description":"Dentures maxill part metal","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Solid organ neoplasm_ genomic sequence analysis panel_ interrogation for sequence variants; DNA analysis_ microsatellite instability","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"81457","description":"Solid organ neoplasm_ genomic sequence analysis panel_ interrogation for sequence variants; DNA analysis_ microsatellite instability","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GIFB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Patient immunocompromised","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"M1062","description":"Patient immunocompromised","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Lysis penil circumic lesion","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"54162","description":"Lysis penil circumic lesion","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"NEURO MUSC DYS DMD SEQ ALYS","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0218U","description":"NEURO MUSC DYS DMD SEQ ALYS","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"EEDC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Sterile water/saline_ 500 ml","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"A4217","description":"Sterile water/saline_ 500 ml","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"AGAF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JBCB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Release of eye fluid","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"67015","description":"Release of eye fluid","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Release knuckle contracture","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"26520","description":"Release knuckle contracture","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-PB28I","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"PB28I","description":"HIPPS-PB28I","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-HD24B","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"HD24B","description":"HIPPS-HD24B","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Assay of rbc galactokinase","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"82759","description":"Assay of rbc galactokinase","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Onc dx gastric p r1-r2noprog","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G9101","description":"Onc dx gastric p r1-r2noprog","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Other immunoelectrophoresis","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"86325","description":"Other immunoelectrophoresis","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Ko swedish type pre ots","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"L1850","description":"Ko swedish type pre ots","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GENB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"LHQD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CDCA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FGLF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Stat lab home/nf","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"S3601","description":"Stat lab home/nf","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"ODSA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CDFD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Ppps_ subseq visit","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G0439","description":"Ppps_ subseq visit","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OBUF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KCCD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BEGA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"PEQE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MFHC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NCXA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Injection_ clindamycin phosphate_ 300 mg","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"J0736","description":"Injection_ clindamycin phosphate_ 300 mg","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-3CFL2","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"3CFL2","description":"HIPPS-3CFL2","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RMA13","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RMA13","description":"HIPPS-RMA13","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"EHDD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Artiss fibrin sealant","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"C9250","description":"Artiss fibrin sealant","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"N block inj lumbar plexus","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"64449","description":"N block inj lumbar plexus","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Remove kidney living donor","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"50320","description":"Remove kidney living donor","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Vein x-ray adrenal gland","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"75840","description":"Vein x-ray adrenal gland","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KFFB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Removal of phrenic nerve stimulator_ including vessel catheterization_ all imaging guidance_ and interrogation and programming_ when performed; pulse generator only","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"33280","description":"Removal of phrenic nerve stimulator_ including vessel catheterization_ all imaging guidance_ and interrogation and programming_ when performed; pulse generator only","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-4CFLU","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"4CFLU","description":"HIPPS-4CFLU","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BFIB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Obstetrics (expanded carrier screening)_ 145 genes by nextgeneration sequencing_ fragment analysis and multiplex ligationdependent probe amplification_ DNA_ reported as carrie","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0400U","description":"Obstetrics (expanded carrier screening)_ 145 genes by nextgeneration sequencing_ fragment analysis and multiplex ligationdependent probe amplification_ DNA_ reported as carrie","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FGGF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NJCC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BDNA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GDEC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Biopsy lower leg soft tissue","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"27613","description":"Biopsy lower leg soft tissue","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Professional services_ initial visit_ for the administration of intravenous chemotherapy or other highly complex infusion drug or biological for each infusion drug administrat","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G0090","description":"Professional services_ initial visit_ for the administration of intravenous chemotherapy or other highly complex infusion drug or biological for each infusion drug administrat","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-HD23C","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"HD23C","description":"HIPPS-HD23C","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"removal of non-resorbable barrier","billing_code_type":"CDT","billing_code_type_version":"2024","billing_code":"D4286","description":"removal of non-resorbable barrier","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FCKA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NCUA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"CDT-D5945","billing_code_type":"CDT","billing_code_type_version":"2026","billing_code":"D5945","description":"CDT-D5945","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Fusion/graft of hand joint","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"26844","description":"Fusion/graft of hand joint","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-HC12C","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"HC12C","description":"HIPPS-HC12C","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"CPT-1053T","billing_code_type":"CPT","billing_code_type_version":"2026","billing_code":"1053T","description":"CPT-1053T","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CIPF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-2CGL3","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"2CGL3","description":"HIPPS-2CGL3","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CAWD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CHIA0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JBBF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Patient Had Prior Adverse Reaction Caused By Zoster Vaccine Or Its Components Any Time During Or Before The Measurement Period","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G2161","description":"Patient Had Prior Adverse Reaction Caused By Zoster Vaccine Or Its Components Any Time During Or Before The Measurement Period","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MIHF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-BB235","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"BB235","description":"HIPPS-BB235","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JEKF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Novachor_ per sq cm","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"Q4194","description":"Novachor_ per sq cm","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Bridge porcelain/ceramic","billing_code_type":"CDT","billing_code_type_version":"2024","billing_code":"D6245","description":"Bridge porcelain/ceramic","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HH PDGM","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"2HA11","description":"HH PDGM","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KEEE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GCDE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KCJE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NFIF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"No photodoc cecal ldmk exam","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G9614","description":"No photodoc cecal ldmk exam","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"BEFE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Pt w/90d mrs >2","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G9648","description":"Pt w/90d mrs >2","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OLFC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"MEBD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Tc99m apcitide","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"A9504","description":"Tc99m apcitide","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OJGD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CHMB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NJDD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Wheelchair hvy duty detach a","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"E1290","description":"Wheelchair hvy duty detach a","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Repair of thigh","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"27470","description":"Repair of thigh","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KFOF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CAAB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RLX53","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RLX53","description":"HIPPS-RLX53","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"EHCA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"DAOC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-HC18I","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"HC18I","description":"HIPPS-HC18I","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Injection_ emapalumab-lzsg_ 1mg","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"C9050","description":"Injection_ emapalumab-lzsg_ 1mg","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FIDC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OEGC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Meg evoked each addl","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"95967","description":"Meg evoked each addl","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HH PDGM","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"4FA21","description":"HH PDGM","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CAMC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Stroke with Motor <26.15 & Age >84.5_ without comorbidities","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"A0108","description":"Stroke with Motor <26.15 & Age >84.5_ without comorbidities","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"EDAC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Echo guide for biopsy","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"76942","description":"Echo guide for biopsy","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"IBDD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Treat thumb fracture","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"26665","description":"Treat thumb fracture","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Near ifr guide of vasc site","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0287T","description":"Near ifr guide of vasc site","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"AFHF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Limb muscle testing manual","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"95831","description":"Limb muscle testing manual","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-2AFMT","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"2AFMT","description":"HIPPS-2AFMT","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FCBE0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Ost skn barr convex <=4 sq i","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"A4409","description":"Ost skn barr convex <=4 sq i","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Ht muscle image spect sing","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"78451","description":"Ht muscle image spect sing","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Place cath vertebral art","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"36226","description":"Place cath vertebral art","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HH PDGM","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"1DB11","description":"HH PDGM","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Foam caster tire any size ea","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"E2219","description":"Foam caster tire any size ea","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"FCUF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RVL8F","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RVL8F","description":"HIPPS-RVL8F","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Infectious agent detection by nucleic acid (DNA or RNA); Zika virus_ amplified probe technique","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"87662","description":"Infectious agent detection by nucleic acid (DNA or RNA); Zika virus_ amplified probe technique","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Infectious disease (bacterial_ fungal_ or viral infection)_ semiquantitative biomechanical assessment (via deformability cytometry)_ whole blood_ with algorithmic analysis and","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0441U","description":"Infectious disease (bacterial_ fungal_ or viral infection)_ semiquantitative biomechanical assessment (via deformability cytometry)_ whole blood_ with algorithmic analysis and","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Auto interm peritoneal dialy","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"E1592","description":"Auto interm peritoneal dialy","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"PERD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"PGQD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Methylprednisolone 20 mg inj","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"J1020","description":"Methylprednisolone 20 mg inj","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"HBWB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"DDWD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-1AHP5","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"1AHP5","description":"HIPPS-1AHP5","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JACA1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"GBMF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Contact lens hydrophilic","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"V2520","description":"Contact lens hydrophilic","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Neck spine fuse&remov bel c2","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"22551","description":"Neck spine fuse&remov bel c2","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Compatibility test incubate","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"86921","description":"Compatibility test incubate","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Neuromodulation stimulator system_ adjunct to rehabilitation therapy regime_ mouthpiece each","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"A4594","description":"Neuromodulation stimulator system_ adjunct to rehabilitation therapy regime_ mouthpiece each","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"HERF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Transperineal periurethral balloon continence device; bilateral placement_ including cystoscopy and fluoroscopy","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0548T","description":"Transperineal periurethral balloon continence device; bilateral placement_ including cystoscopy and fluoroscopy","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-4CGMV","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"4CGMV","description":"HIPPS-4CGMV","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Mediskin","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"Q4135","description":"Mediskin","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"JGXD0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KDLB0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-PE224","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"PE224","description":"HIPPS-PE224","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Doc neg elder mal no plan","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G8734","description":"Doc neg elder mal no plan","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Dilation of existing tract_ percutaneous_ for an endourologic procedure including imaging guidance (eg_ ultrasound and/or fluoroscopy) and all associated radiological supervis","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"50436","description":"Dilation of existing tract_ percutaneous_ for an endourologic procedure including imaging guidance (eg_ ultrasound and/or fluoroscopy) and all associated radiological supervis","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-CD25B","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"CD25B","description":"HIPPS-CD25B","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Frozen plasma_ pooled_ sd","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"P9023","description":"Frozen plasma_ pooled_ sd","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Tlso trnk sj-t9 pre cst","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"L0454","description":"Tlso trnk sj-t9 pre cst","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"No hepc rna after med no rsn","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G9211","description":"No hepc rna after med no rsn","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Imm admin by intramuscular inj of  (SARS[1]CoV-2) (coronavirus disease [COVID-19]) vaccine_ mRNALNP_ spike protein_ pres free_ 10 mcg/0.2 mL dosage; booster dose","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0074A","description":"Imm admin by intramuscular inj of  (SARS[1]CoV-2) (coronavirus disease [COVID-19]) vaccine_ mRNALNP_ spike protein_ pres free_ 10 mcg/0.2 mL dosage; booster dose","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NKMF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Endovascular repair of infrarenal aorta and/or iliac artery(ies) by deployment of an aorto-uni-iliac endograft including pre-procedure sizing and device selection_ all nonsele","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"34704","description":"Endovascular repair of infrarenal aorta and/or iliac artery(ies) by deployment of an aorto-uni-iliac endograft including pre-procedure sizing and device selection_ all nonsele","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"IAAD IA HEPATITIS BE ANTIGEN","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"87350","description":"IAAD IA HEPATITIS BE ANTIGEN","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KFSF0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NGUD1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NCUB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-1BGMX","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"1BGMX","description":"HIPPS-1BGMX","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Spec sit not prim tumor","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G8723","description":"Spec sit not prim tumor","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Release muscles of hand","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"26593","description":"Release muscles of hand","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-CE25D","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"CE25D","description":"HIPPS-CE25D","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"W/c vent tray fixed","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"E1029","description":"W/c vent tray fixed","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OAGC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Opps service_sched team conf","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G0175","description":"Opps service_sched team conf","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-2CFKU","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"2CFKU","description":"HIPPS-2CFKU","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Aortic dysfunction/dilation","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"81410","description":"Aortic dysfunction/dilation","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-RHB20","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"RHB20","description":"HIPPS-RHB20","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CFDB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Venous sampling by catheter","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"75893","description":"Venous sampling by catheter","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"OLQC0","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Cystoscopy stone removal","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"52325","description":"Cystoscopy stone removal","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"KILF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NEBE1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Warfrn or othr antcog no rx","billing_code_type":"HCPCS","billing_code_type_version":"2024","billing_code":"G8971","description":"Warfrn or othr antcog no rx","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Intraop oct brst/node spec","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"0351T","description":"Intraop oct brst/node spec","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Upr/lxtr art stdy 3+ lvls","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"93923","description":"Upr/lxtr art stdy 3+ lvls","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"HIRC1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Drain pancreatic pseudocyst","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"48510","description":"Drain pancreatic pseudocyst","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Crown resin w/ high noble me","billing_code_type":"CDT","billing_code_type_version":"2024","billing_code":"D2720","description":"Crown resin w/ high noble me","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"NAXF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Rmvl devital tis 20 cm/<","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"97597","description":"Rmvl devital tis 20 cm/<","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"Quantitative screen metals","billing_code_type":"CPT","billing_code_type_version":"2024","billing_code":"83018","description":"Quantitative screen metals","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"HIPPS-1BHNT","billing_code_type":"HIPPS","billing_code_type_version":"2026","billing_code":"1BHNT","description":"HIPPS-1BHNT","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"CERB1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]},
{"negotiation_arrangement":"ffs","name":"SNF PDPM HIPPS code","billing_code_type":"HIPPS","billing_code_type_version":"2024","billing_code":"EFMF1","description":"SNF PDPM HIPPS code","negotiated_rates":[{"negotiated_prices":[{"negotiated_type":"percentage","negotiated_rate":90.0,"expiration_date":"9999-12-31","service_code":["11"],"billing_class":"professional","setting":"outpatient"}],"provider_references":[1563310478]}]}]}
